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WESTMORELAND COUNTY COMMUNITY COLLEGE BASELINE TWO-STEP PPD (MANITOU) Please Print Clearly: Facility Name or Physician s Office Phone: Facility or Physician s Office Address: Student Name: Date: D.O.B:
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How to fill out 2 step ppd form

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How to fill out 2 step TB test:

01
Begin by visiting a healthcare provider or clinic that offers TB testing.
02
Inform the provider that you require a 2 step TB test.
03
The healthcare provider will administer a tuberculin skin test (TST) on your forearm, usually injecting a small amount of tuberculin under the skin using a needle.
04
They will then measure the size of the induration (raised, hardened area) at the injection site, typically between 48 and 72 hours after the injection.
05
Record the measurement of the induration in millimeters.
06
If the induration is below a certain threshold, typically 5mm for most individuals, the test is negative. If it is above the threshold, it may indicate a positive TST result.
07
Wait at least 1 to 3 weeks before returning for the second step of the TB test.
08
During the second step, the healthcare provider will administer another TST on the opposite forearm.
09
Again, measure the size of the induration after the specified time period, typically 48 to 72 hours.
10
Record the measurement of the second induration in millimeters.
11
Compare the results of both the first and second step TB tests to determine if there has been any change in the induration size.

Who needs 2 step TB test:

01
Individuals who have recently tested negative for TB but are in close contact with someone diagnosed with active TB may be required to undergo a 2 step TB test.
02
Healthcare workers, especially those who work in settings where they are frequently exposed to TB patients, may be required to have regular 2 step TB tests.
03
People who are at higher risk of developing active TB, such as individuals with weakened immune systems, may also be recommended to have 2 step TB testing as part of their regular healthcare screenings.

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Instructions and Help about 2 step tb form

It is important that the man 2 TB skin test be done correctly and read accurately it takes practice to be good at doing this your skill in administering the test reading the results in responding appropriately are important to the control of tuberculosis prepare for the test by gathering the necessary supplies and equipment meet with the client to explain the test obtain informed consent and make certain there are no contraindications to giving the test answer any questions and ensure the client can return within 48 to 72 hours to have the skin test read begin with hand hygiene then check tuberculin has been stored according to guidelines and has not expired draw up exactly 0.1 milliliters of tubercular clean the injection site with an alcohol swab and let dry with the bevel of the needle facing up insert the needle at a 15-degree angle just below the surface of the skin you will feel some resistance as the tuberculin is injected placed correctly the injection will produce a wheel 6 to 10 millimeters in diameter if a wheel this size does not appear the test must be repeated 5 to 10 centimeters from the first site or on the opposite arm dispose of the needle in a biohazard container gently dab any blood with a cotton ball do not press on the wheel and do not cover the site with a band-aid remove gloves perform hand hygiene and complete required documentation observe the client for 15 minutes for possible allergic reaction read the TV skin tests 48 to 72 hours after tuberculosis is administered begin with hand hygiene under good lighting examine the clients arm lightly palpate the site to feel for a hard raised and dense area of swelling or in duration if now document as zero millimeters if in duration is found locate the edges of the in duration on the transverse axis of the arm the same direction as the watch band use a ballpoint pen held to a 45-degree angle to mark the outer edges of the in duration the pen will stop at the edge of the in duration use a caliper ruler to measure the diameter of the in duration document in millimeters of induration redness can occur with or without induration and is not included in the measurement document any blistering with or without in duration this may indicate an allergic sensitivity caution is advised regarding subsequent testing complete documentation of the skin test result provide a record for the client if appropriate advise client of any next steps this chart helps to determine a positive result and therefore reportable to public health staff will consult with you regarding the significance of the reading in duration of 0 to 4 millimeters is considered positive if the client has HIV infection with immune suppression and the likelihood of TB infection is high for example the client is from a population with a high prevalence of TB infection is a close contact of an active contagious case or has an abnormal chest x-ray of 5 to 9 millimeters is considered positive if the client has HIV infection is a...

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The two-step tuberculin skin test (TST) is the most commonly used test to diagnose TB. It involves injecting a small amount of purified protein derivative (PPD) into the top layer of skin on the forearm and then measuring the size of the resulting skin reaction 48 to 72 hours later. A positive test result indicates that a person has been infected with TB bacteria, but does not necessarily mean that the person has active TB disease.
Two-step tuberculosis (TB) testing is generally required for individuals who are starting a new job or volunteering in certain healthcare settings. Individuals who have been exposed to TB, as well as those with certain medical conditions such as HIV or diabetes, may also be required to undergo two-step TB testing.
1. Start by reading the instructions on the test packet. Make sure you understand what is required and the time limit for completing the test. 2. Fill out the patient information form on the test packet, including your name, address, date of birth, and any other information requested. 3. When you are ready, draw a single line across the test card using the provided sterile applicator. 4. Place the first test tube containing the provided solution into the holder. Make sure the tube is placed firmly into the holder. 5. Take a deep breath and gently blow into the tube until you hear a click. 6. Remove the tube and place it in the provided container. 7. Repeat the process with the second test tube. 8. After you have completed the test, seal the provided container and label it with the date and your name. 9. Return the test packet and container to the health care provider who requested it.
The two-step tuberculin skin test (TST) is used to determine whether someone has been infected with Mycobacterium tuberculosis (the bacterium that causes tuberculosis or TB). It is primarily used to screen people who are at high risk of TB infection, such as school children, healthcare workers, and individuals who may have been in contact with someone known to have TB. The two-step process is designed to reduce the chance of a false negative result.
When reporting the results of a two-step tuberculosis (TB) test, the following information should be included: 1. Individual's identifying information: Full name, date of birth, and any other relevant personal identification details. 2. Test procedure: Specify that it is a two-step test, such as a two-step tuberculin skin test (TST) or an interferon-gamma release assay (IGRA). 3. Test dates: Report the specific dates when each step of the test was administered. 4. Test results: Indicate the size of the induration or presence/absence of a positive reaction for each test step. For TST, the results are measured in millimeters of induration after 48-72 hours. For IGRA, the laboratory should provide quantitative results based on the cutoff values. 5. Interpretation: Clearly state whether the test results are considered positive, negative, or inconclusive, following the guidelines provided by the respective testing method. Typically, a positive result indicates the presence of a TB infection, while a negative result suggests that the individual is not infected or has not developed a significant reaction. 6. Previous TB history: Include any relevant information about the individual's prior history of TB infection or disease, such as previous positive test results, treatment completion, or known exposure. It is important to note that the reporting format may differ depending on the specific healthcare facility, local health department, or country's regulations. Therefore, it is advisable to consult the applicable reporting guidelines or reach out to the responsible authority for precise instructions regarding the required information.
The penalty for the late filing of a 2 step TB test can vary depending on the specific jurisdiction or organization's policies. In some cases, there may be additional fees or administrative charges associated with late filing. In other cases, there could be consequences such as delays in employment or enrollment or the requirement to repeat the test. It is best to consult the specific guidelines and policies of the organization or agency requiring the test to determine the exact penalty for late filing.
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