Rule 44:70:04:10 Tuberculin screening requirements.
screening requirements. Each facility shall develop criteria to screen
health care workers or residents for Mycobacterium
tuberculosis (TB) based on the guidelines issued by Centers for Disease Control
and Prevention. Each facility shall establish policies and procedures for
conducting Mycobacterium tuberculosis
risk assessment that include the key components of responsibility,
surveillance, containment, and education. The frequency of repeat screening
shall be determined by the results of the annual TB risk assessment conducted
by the facility.
Tuberculin screening requirements for
healthcare workers or residents are as follows:
(1) Each new healthcare
worker or resident shall receive the two-step method of tuberculin skin or blood
assay test to establish a baseline within 14 days of employment or admission to
a facility. Any two documented tuberculin skin tests completed within a 12
month period prior to the date of admission or employment shall be considered a
two-step. Skin testing is not necessary if a new employee or resident transfers
from one licensed healthcare facility to another licensed healthcare facility
within the state if the facility received documentation of the last skin
testing completed within the prior 12 months. Skin testing is not necessary if
documentation is provided of a previous positive reaction. Any new healthcare
worker or resident who has a newly recognized positive reaction to the skin or
blood assay test shall have a medical evaluation and a chest X-ray to determine
the presence or absence of the active disease;
(2) A new healthcare worker
or resident who provides documentation of a positive reaction to the tuberculin
skin or a blood assay test shall have a medical evaluation and chest X-ray to determine
the presence or absence of the active disease; and
(3) Each healthcare worker
or resident with a history of a positive reaction to the tuberculin skin or
blood assay test shall be evaluated annually by a physician or a nurse and a
record maintained of the presence or absence of symptoms of Mycobacterium tuberculosis. If this
evaluation results in suspicion of active tuberculosis, the person shall be
referred for further medical evaluation to confirm the presence or absence of
38 SDR 115, effective January 9, 2012.
Authority: SDCL 34-12-13(1) and (5), 34-22-9(8).
Implemented: SDCL 34-12-13(1) and (5).
Guidelines for Preventing the
Transmission of Mycobacterium Tuberculosis in Health-Care Facilities, 2005.
"Centers for Disease Control and Prevention Morbidity and Mortality Weekly
Report," December 30, 2005 (RR17).
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