{"ref":"OH-HH-IC-03","title":"Employee Health Screening, Immunizations, and Tuberculosis Testing","category":"Infection control","summary":"Sets the Agency’s own employee health program, since neither Ohio’s home health rules nor 42 CFR Part 484 prescribe health screening or tuberculosis testing for home health staff: a health screening at hire, tuberculosis screening that follows the 2019 CDC and National Tuberculosis Controllers Association recommendations as guidance (baseline risk assessment, symptom screen and TB test at hire; no routine annual testing without known exposure or ongoing transmission; annual TB education), recommended immunizations and the yearly influenza vaccine offer, hepatitis B vaccination under OSHA, respirator medical evaluation and fit testing where respirators are used, work restrictions for illness, and confidential employee medical records.","inShort":["Finish your health screening and TB screening before your first patient.","TB testing is done at hire; after that you get TB education every year and testing only after an exposure or if the Agency decides it is needed.","The Agency offers a free flu vaccine every season.","If you have a fever, vomiting, diarrhea, a new rash or another illness that can spread, call your supervisor before your visit and stay home.","If you wear an N95 respirator, you need a medical evaluation and a fit test before first use and every year."],"primaryCitation":"42 CFR §484.70","citations":[],"federalCitations":["42 CFR §484.70","29 CFR §1910.1030(f)","29 CFR §1910.134","29 CFR §1910.1020","42 CFR §484.80(h)(4)"],"surveyorAsks":["What health screening do new staff complete, and where are the records kept?","How do you screen staff for tuberculosis? Is that a state requirement?"],"forms":[{"ref":"OH-HH-IC-03-A","title":"Employee Health Screening Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.70)","5. Health Screening at Hire","6. Tuberculosis Screening","7. Immunizations","8. Respiratory Protection","9. Work Restrictions for Illness","10. Exposures and Work-Related Illness","11. Confidential Employee Health Records","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":"oh-hha","state":"Ohio","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}}