South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-122 - Standards for Licensing In-Home Care Providers › Appendix - ANNUAL TUBERCULOSIS RISK ASSESSMENT

Current through Register Vol. 48, No. 6, June 28, 2024
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Provider TB Risk Classification
Low Risk Setting
Less than 3 TB cases/year (see Part A)
AND
No risk factors are present (See Part B)
Low Risk TB Screening
Baseline two step TST or single BAMT upon hire or
							 contract/eligible for referral and prior to client contact.
* If TST is positive or employee or caregiver is
							 symptomatic, obtain chest X-ray and refer to Health Department for a symptom
							 assessment and medical evaluation.
* 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 Setting
3 or more TB cases/year (see Part A)
OR
Other risk factors apply (see Part B)
Medium Risk TB Screening
* Baseline two step TST or single BAMT upon hire
							 contract/eligible for referral and prior to client contact.
* If TST is positive or employee or caregiver is
							 symptomatic, obtain chest X-ray and refer to Health Department for a symptom
							 assessment and medical evaluation.
* Perform/obtain ANNUAL TB screening test (TST, 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 Ongoing Transmission
							 Setting
Evidence of ongoing M. tuberculosis
							 transmission
This is a temporary classification only, warranting
							 immediate investigation. After the ongoing transmission has ceased, the setting
							 will be reassessed for classification.
Potential Ongoing Transmission TB Screening
* Report to local health department
							 immediately.
* 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.
* Baseline two-step TST for TB or single BAMT for any
							 new hire or any caregiver newly contracted or newly eligible for referral and
							 prior to client contact while in this category.
* Consult and coordinate with the Health Department
							 for guidance as to when transmission has ceased and a new risk assessment can
							 be completed.
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.