Medical Center Occupational Health Basics-Appendix 3

Appendix 3

Pdf Summary

The Integrated Tuberculosis (TB) Screening and Risk Assessment Form is designed for newly hired healthcare personnel (HCP) to evaluate their potential TB exposure and assess any health risks associated with TB. 

The form collects essential information such as the individual's name, preferred contact information, hired position, and start date. It comprises several key questions that help determine the likelihood of TB exposure or infection:

1. <strong>Travel History:</strong> It asks if the employee has ever spent more than 30 days in countries with elevated TB rates, excluding Western Europe, Northern Europe, Canada, Australia, and New Zealand.

2. <strong>Contact with TB Patients:</strong> It inquires about any close contact with individuals diagnosed with active TB since the last TB test.

3. <strong>Symptoms Check:</strong> The form checks for symptoms commonly associated with active TB, such as unexplained fever, persistent cough with sputum, bloody sputum, significant unintended weight loss, drenching night sweats, and unexplained fatigue lasting more than three weeks.

4. <strong>Medical History of TB:</strong> Queries whether the individual has ever been diagnosed with active TB disease, latent TB infection, or had positive TB skin or blood tests.

5. <strong>TB Treatment History:</strong> Asks if the individual has been treated with medication for TB or a positive TB test, and details of such treatment including duration and completion status.

6. <strong>Immune System Status:</strong> Assesses whether the individual has a weakened immune system for reasons such as organ transplants, recent chemotherapy, poorly controlled diabetes, HIV infection, cancer, or prolonged use of steroids or immune-suppressing medications.

The completed form is reviewed and signed by an Occupational Health Reviewer to ensure proper evaluation and management of potential TB risks in healthcare settings.

Keywords

TB screening

risk assessment

healthcare personnel

TB exposure

travel history

TB symptoms

medical history

immune system status

occupational health

TB treatment