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Caregiver smiling at the old man on a wheelchair

PURPOSE:

To have a uniform procedure to ensure that all field staff providing care at a service location meet the health requirements.

PROCEDURE(S):

  1. The provider will designate the person(s) permitted access to employee health information. Whenever possible, this will be a Registered Nurse.
  2. The confidential health information for all Field Staff will be kept separate from their Personnel Records, and it will be held securely locked.
  3. A health attestation form summarizing the dates of all health requirements will be maintained in the Personnel Records of all Field Staff. It will include the following:
    1. Date of the post-offer personal health assessment
    2. Dates of the periodic health examinations, if required by agency policy
    3. Date of initial TB screening
    4. Dates of annual TB screening, if applicable
    5. Dates of Hepatitis B Vaccination or declination
    6. Signature of the person attesting to the health information followed by title and date
  4. The following health requirements will be completed prior to the date of the first case:
    1. Personal Health Assessment
    2. Initial TB screening:
      1. One (1) of the Interferon Gamma Release Assay (IGRA) blood tests with negative results OR
      2. One-step tuberculin skin test with negative results within the previous 12 months OR
    3. Timely annual TB screening questionnaire
      1. OR
    4. An initial TB screening questionnaire is required if there is any documentation of a negative chest X-ray following a positive tuberculin skin test. A Registered Nurse will review the questionnaire to ensure that the employee is not exhibiting signs and symptoms of TB
    5. The date that the employee received or declined the Hepatitis B Vaccine
  5. The following health requirements will be completed on an ongoing basis:
    1. Annual TB screening questionnaire
    2. Annual TB screening every 12 months completed by the last day of the calendar month in which it is due:
    3. One (1) of the Interferon Gamma Release Assay (IGRA) blood tests
      1. OR
    4. Tuberculin skin testing
    5. Additional TB screening/Health Care Provider referral, as per payer source requirement or as per CDC recommendations (one (1) or more risk factors on TB questionnaire)
    6. Periodic health examinations by a Health Care Provider, if required by agency policy