{"ref":"NC-HC-HR-04","title":"Tuberculosis Screening and Employee Health","category":"Human resources","summary":"Requires a baseline tuberculosis skin test for every hands-on care employee (and, as DHSR expects, every in-home caregiver), noninfectious status before assignment for anyone who tests positive, baseline and annual symptom verification for anyone previously positive, further testing when the Agency's risk assessment calls for it, and confidential records of all screening.","inShort":["You need a tuberculosis (TB) skin test before your first visit to a client's home.","If your test is positive, you need proof that you are not infectious before you can work in clients' homes.","If you tested positive in the past, you need a symptom check before starting and every year.","Tell your supervisor at once if you are exposed to TB or have a long cough, night sweats or fever.","Your health records are kept confidential."],"primaryCitation":"10A NCAC 13J .1003(b)","citations":["10A NCAC 13J .1003(a)","10A NCAC 13J .1003(b)","10A NCAC 13J .1003(f)(4)","10A NCAC 13J .0901(10), (14)"],"federalCitations":["29 CFR §1910.1030(f)"],"surveyorAsks":["Show me the baseline TB skin test for this aide, dated before the first visit.","This employee has a history of a positive skin test. Show me the baseline and annual symptom verification."],"forms":[{"ref":"NC-HC-HR-04-A","title":"Tuberculosis Screening Tracking Log"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1003(b))","5. Who Is Screened","6. Baseline Screening Before Assignment","7. Annual Symptom Verification","8. Risk Assessment and Further Testing","9. Other Employee Health Matters","10. Confidentiality","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"nc-hca","state":"North Carolina","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}