Follow the steps to effectively fill out the Tb Risk Assessment Mn.

1. Click ‘Get Form’ button to access the assessment worksheet and open it in the editor.
2. Begin by entering the name of the healthcare facility in the designated field.
3. Fill in the address of the facility, making sure to include the complete address in the provided fields.
4. Select the type of MDH license by circling the appropriate options relevant to your facility, such as boarding care home or nursing home.
5. Record the date the worksheet is completed. This is important for documentation purposes.
6. Indicate who completed the worksheet by writing the name and title of the individual responsible.
7. For the incidence of TB section, enter the national and Minnesota rates per 100,000 population for the relevant year.
8. Provide county data as necessary, detailing the number of TB cases within your county.
9. Address your facility’s TB risk level by following the guidelines provided in the assessment worksheet.
10. Answer questions regarding TB screening of healthcare workers, ensuring all required screenings are noted.
11. Complete questions related to TB screening of patients if applicable, particularly for boarding care homes and nursing homes.
12. List the name of the person responsible for TB infection control and include the names and titles of committee members if applicable.
13. Confirm the presence of a written infection control plan with TB-specific procedures as part of your assessment.
14. Document the TB training plan, detailing education provided to healthcare workers and frequency of training sessions.
15. Finally, review the quality improvement section, documenting past assessments and any actions taken to address identified lapses.
16. Once all sections are completed, save changes, and choose to download, print, or share the form as needed.

Complete your Tb Risk Assessment Mn online today for effective tuberculosis risk management.