{"ref":"MI-HH-IC-03","title":"Employee Health Screening, Tuberculosis Screening, and Immunizations","category":"Infection control","summary":"Sets out the Agency’s employee health program: health screening after a job offer, tuberculosis screening and testing following the 2019 CDC and National Tuberculosis Controllers Association recommendations for health care personnel (baseline individual risk assessment, symptom evaluation and test; no routine annual testing; post-exposure testing; annual TB education), hepatitis B vaccination under MIOSHA Part 554, influenza and other vaccinations offered by the Agency, work restrictions for ill or exposed staff, and confidential employee health records. No Michigan rule sets tuberculosis or health screening for home health agency staff; the Agency adopts these as its own standards under the accepted standards of practice required by 42 CFR §484.70(a).","inShort":["Before your first patient visit you complete a TB risk assessment, a symptom check and a TB test.","There is no routine yearly TB test, but you get TB education every year.","Tell the clinical manager if you are exposed to TB or have TB symptoms.","The Agency offers a free flu vaccine every fall. If you are not vaccinated, wear a mask on visits during flu season.","Do not visit patients with fever, vomiting, diarrhea or a skin infection you cannot cover. Call the clinical manager first."],"primaryCitation":"42 CFR §484.70(a)","citations":["Mich. Admin. Code R 325.70001 to R 325.70018 (MIOSHA Part 554)","MCL 333.20173a"],"federalCitations":["42 CFR §484.70(a)","42 CFR §484.70(b)"],"surveyorAsks":["Show me this employee’s baseline tuberculosis risk assessment, symptom evaluation and test result.","Do you test staff for tuberculosis every year? Why or why not?"],"forms":[{"ref":"MI-HH-IC-03-A","title":"Employee Health and Tuberculosis Screening Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.70(a))","5. Health Screening After a Job Offer","6. Baseline Tuberculosis Screening","7. After Hire","8. After a Tuberculosis Exposure","9. Hepatitis B Vaccination","10. Influenza and Other Vaccinations","11. Illness Reporting and Work Restrictions","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"mi-hha","state":"Michigan","service":"Home health","guides":[{"path":"/guides/infection-control-policy/","h1":"What should a home care infection control policy include?"},{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}