South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-122 - Standards for Licensing In-Home Care Providers › Sec2 700 - GENERAL

Current through Register Vol. 48, No. 6, June 28, 2024
Conditions arising which have not been addressed in these
				regulations shall be managed in accordance with the best practices as
				determined by the Department. These regulations do not create a duty on the
				part of the State of South Carolina or the South Carolina Department of Health
				and Environmental Control independent or in addition to any other duty
				otherwise prescribed by law.
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Provider TB Risk Classification
Low Risk Setting
Low Risk TB Screening
Less than 3 TB
. Baseline two step TST or single BAMT upon hire
							 or
cases/year
contract/eligible for referral and prior to
							 client
(see Part A)
contact.
. If TST is positive or employee or caregiver
							 is
AND
symptomatic, obtain chest X-ray and refer to
							 Health
No risk factors are
Department for a symptom assessment and
							 medical
present
evaluation.
(See Part B)
. NO ANNUAL TST or BAMT required.
. Perform/obtain annual symptom assessment if
documented prior positive TST or has
documentation of prior active TB disease.
. Persons identified as a contact to an infectious
							 case
and having unprotected exposure will be
							 evaluated
in accordance with the Health Department's
							 contact
investigation policies and procedures.
Medium Risk
Medium Risk TB Screening
Setting
. Baseline two step TST or single BAMT upon
							 hire
3 or more TB
contract/eligible for referral and prior to
							 client
cases/year
contact.
(see Part A)
. If TST is positive or employee or caregiver
							 is
symptomatic, obtain chest X-ray and refer to
							 Health
OR
Department for a symptom assessment and
							 medical
Other risk factors
evaluation.
apply
. Perform/obtain ANNUAL TB screening test
							 (TST,
(see Part B)
BAMT or symptom assessment) for each employee
and caregiver.
. Perform/obtain annual symptom assessment if
documented prior positive TST or has
documentation of prior active TB disease
							 treatment.
. Persons identified as contact to an infectious case
							 and
having unprotected exposure will be evaluated
							 in
accordance with the Health Department's
investigation policies and procedures.
Potential
Potential Ongoing Transmission TB Screening
Ongoing
Transmission
. Report to local health department
							 immediately.
Setting
. Persons identified as a contact to an infectious
							 case
and having unprotected exposure will be
							 evaluated
Evidence of
in accordance with the Health Department's
							 contact
ongoing M
investigation policies and procedures.
tuberculosis
. Baseline two-step TST for TB or single BAMT
							 for
transmission
any new hire or any caregiver newly contracted
							 or
newly eligible for referral and prior to client
							 contact
This is a
while in this category.
temporary
. Consult and coordinate with the Health
							 Department
classification only,
for guidance as to when transmission has
							 ceased
warranting
and a new risk assessment can be completed.
immediate
investigation.
After the ongoing
transmission has
ceased, the
setting will he
reassessed for
classification.
Sample Indications for Two-Step Tuberculin Skin Testing -
				TST
Employee & Client TST
							 Situation
Recommended TST Testing
1. No previous TST or BAMT result.
1. Two-step baseline TST or single BAMT completed
							 upon hire or contract/eligible for referral and prior to client contact.
2. Previous negative TST or BAMT result > 12
							 months before new employment or contract/eligible for referral.
2. Two-step baseline TST or single BAMT completed
							 upon hire or contract/eligible for referral and prior to client contact.
3. a. Previous documented negative TST result within
							 12 months before employment or contract/eligible for referral. b. Previous
							 documented negative BAMT.
3. a. Single TST needed for baseline testing; this
							 will be the second step.
b. Single BAMT needed.
4. Previous documented positive TST result in
							 millimeters.
4. No TST or BAMT; need TB symptom assessment.
5. Undocumented history of prior positive TST
							 result.
5. Two-step baseline or single BAMT upon hire or
							 contract/eligible for referral and prior to client contact.