{"ref":"NC-HSP-HR-05","title":"Tuberculosis Screening, Hepatitis B and Staff Health","category":"Human resources","summary":"Requires a baseline tuberculosis test for every hands-on care team member before patient contact, proof of non-infectious status before a positive reactor goes into a patient's home, annual symptom verification for anyone previously positive, annual screening records, further testing by CDC guidelines for staff at risk, hepatitis B vaccination or declination, and rules on working while ill.","inShort":["If you give hands-on care, you need a baseline TB test before your first patient visit.","If your TB test is positive, you cannot go into a patient's home until you show you are not infectious.","If you tested positive before, you need a yearly check that you have no TB symptoms.","Hepatitis B vaccine is offered free. If you decline, sign the declination form.","Do not visit patients if you have fever, vomiting, diarrhea or a contagious illness. Tell your supervisor before the visit."],"primaryCitation":"10A NCAC 13K .0401(b)","citations":["10A NCAC 13K .0401(a), (b), (e)(4)-(6)","10A NCAC 13K .0301(a)(6)","10A NCAC 41A"],"federalCitations":["29 CFR §1910.1030(f)","42 CFR §418.60"],"surveyorAsks":["Show me the baseline tuberculosis test for this hands-on staff member and this volunteer.","This nurse previously tested positive. Show me the baseline and annual symptom verification and who signed it."],"forms":[{"ref":"NC-HSP-HR-05-A","title":"Tuberculosis Screening and Staff Health Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13K .0401(b))","5. Tuberculosis: Before First Patient Contact","6. Tuberculosis: Every Year","7. Hepatitis B","8. Working While Ill","9. Communicable Disease Reporting","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"nc-hospice","state":"North Carolina","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}