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Tuberculosis Screening, Hepatitis B and Staff Health

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.

Preview: full text with a package
About this policy
Policy number
NC-HSP-HR-05
Version
1.0
Main rule
10A NCAC 13K .0401(b)
Library
North Carolina hospice · 60 policies
Category
Human resources
Sections
17

In short

  • 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.

What's inside

17 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • 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

An inspector may ask

  • 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.

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