Employee Health Screening, Immunizations, and Tuberculosis Testing
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.
- Policy number
- OH-HH-IC-03
- Version
- 1.0
- Main rule
- 42 CFR §484.70
- Library
- Ohio home health · 59 policies
- Category
- Infection control
- Sections
- 19
In short
- 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.
What's inside
19 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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?
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