Tb Skin Test Form Printable For Employment

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TB skin test form for employment is a crucial document that helps healthcare professionals and employers assess an individual's risk of tuberculosis (TB) infection. In this article, we will delve into the importance of TB skin testing, its procedure, and provide a printable TB skin test form for employment purposes.

Why is TB Skin Testing Important?

Tuberculosis is a bacterial infection caused by Mycobacterium tuberculosis that primarily affects the lungs. According to the World Health Organization (WHO), TB is one of the top 10 causes of death worldwide. In the United States, the Centers for Disease Control and Prevention (CDC) reports that there were over 9,000 new cases of TB in 2020.

TB skin testing is a vital tool in identifying individuals who have been infected with TB, even if they do not show any symptoms. This is particularly important in high-risk settings such as healthcare facilities, schools, and workplaces where people may be exposed to TB.

What is a TB Skin Test?

A TB skin test, also known as a Mantoux test, is a diagnostic tool used to determine if an individual has been infected with TB. The test involves injecting a small amount of purified protein derivative (PPD) tuberculin into the forearm skin. After 48-72 hours, the test is read by a healthcare professional who looks for any signs of a reaction, such as redness, swelling, or a raised bump.

How to Conduct a TB Skin Test

Conducting a TB skin test is a relatively simple procedure that requires a few minutes to administer. Here are the steps involved:

1. Prepare the skin: Clean and disinfect the skin on the forearm where the test will be administered.
2. Administer the test: Inject 0.1 mL of PPD tuberculin into the skin using a sterile syringe and needle.
3. Read the test: After 48-72 hours, read the test by looking for any signs of a reaction, such as redness, swelling, or a raised bump.
4. Record the results: Document the results of the test, including the size of the reaction and any other relevant information.

Printable TB Skin Test Form for Employment

Below is a printable TB skin test form for employment purposes. This form can be used to document the results of the TB skin test and provide a record of the individual's TB status.

TB Skin Test Form

Employee Information

• Name: _____________________________________
• Date of Birth: __________________________________
• Employee ID: __________________________________

TB Skin Test Results

• Date of Test: __________________________________
• Results:
  • Positive (mm of induration): ____________________
  • Negative: __________________________________
  • Uncertain: __________________________________

Additional Information

• Previous TB skin test results (if applicable): ____________________
• Previous TB treatment (if applicable): ____________________
• Current health status: ____________________

Certification

I certify that the TB skin test was administered and read according to the CDC guidelines. I understand that a positive result requires further evaluation and possible treatment.

Signature: _____________________________________ Date: _______________________________________

FAQs

We hope this article and the printable TB skin test form for employment have been helpful in understanding the importance of TB skin testing in the workplace. Remember to always follow the CDC guidelines when administering and reading TB skin tests to ensure accurate results.