Name Company Social Security Number: WillisKnighton Medical Center 2724 Greenwood Road P. O. Box 32600 Shreveport, La 711302600 (318) 2124750 Fax (318) 2124545 WillisKnighton South 2520 Bert Kouns.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the Willis-Knighton TB Skin Test Record online

Filling out the Willis-Knighton TB Skin Test Record is an important step in maintaining your health records. This guide provides a clear step-by-step process to help you accurately complete the form online.

Follow the steps to successfully complete the TB Skin Test Record

  1. Press the ‘Get Form’ button to access the TB Skin Test Record and open it in your preferred document editor.
  2. Begin by entering your name in the designated space at the top of the form, followed by your company affiliation.
  3. Complete the section for your Social Security Number as required.
  4. In the TB Skin Test Record section, indicate whether you have ever had a TB Skin Test by selecting 'Yes' or 'No'. If 'Yes', provide the date of the previous test.
  5. If you have had a positive test result, specify whether you received treatment and where you received it. If you have never had a reaction to a TB Skin Test, select 'No'.
  6. Indicate whether you have received a BCG vaccination by selecting 'Yes' or 'No'.
  7. Sign the form to validate your information. Make sure to include the date of signing.
  8. Complete the sections for the TB Status Evaluation, including the date and time of the test given, along with any relevant observations, such as unexplained weight loss or night sweats.
  9. Fill in the name of the person who administered the test and their signature. Ensure to provide the date and time the results were read.
  10. Complete the TB Mask Fit/Check section, noting the brand, date, size, and safety seal status. Indicate which hand the mask fit was tested on.
  11. Once all fields are completed, review the form for accuracy. You can then save your changes, download a copy, print, or share the finished document as needed.

Complete your Willis-Knighton TB Skin Test Record online today for a smooth and efficient healthcare experience.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

Creating A Blueprint For Our Future - Louisiana...

STATE HEALTH ASSESSMENT PRIORITY RESULTS . ... Encouragingly, 74% of adults in Louisiana...

Learn more
Practicum Sites - ULM.edu

Dec 7, 2011 — (Requires: TB, Background Check, and Drug Screen). Area Health Education...

Learn more
Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

What is a good TB skin test result?

* For employees who are otherwise at low risk for TB and who are tested as part of an infection control screening program at the start of employment, a reaction of 15 mm is considered positive.

Place “0” of ruler line on the inside left edge of the induration. Read ruler line on the inside right edge of the induration (use lower measurement if between two gradations on mm scale)....Reading Do not record as “positive” or “negative”. Only record measurement in millimetres. If no induration, record as 0 mm.

The reference range of the induration is 0-15 millimetres at an increment of 5 mm, 10 mm and 15 mm. An induration size of more than 15 mm is considered positive in a normal patient. A swelling of less than 4 mm is considered negative. Why do I need the Mantoux test?

The test is "positive" if there is a bump of a certain size where the fluid was injected. This means you probably have TB germs in your body. Most people with a positive TB skin test have latent TB infection.

Understanding results ofMantoux Screening Reference RangeInterpretation5 to 9 mmEquivocal(Diameter of Induration)0 to 4 mmNegative10 mm and abovePositive

1:57 6:08 TB Skin Test - Mantoux Method - YouTube YouTube Start of suggested clip End of suggested clip In millimeters of induration. Redness can occur with or without induration. And is not included inMoreIn 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.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get Willis-Knighton TB SKIN TEST RECORD - Wkhscom