N DrNP NUAN PA DPT NS/ISPP BHC CFT CAT RT Faculty First PPD Test Date: Signature: (Do not start first step on a Thursday.) Facility Name: Address: Street: Phone Number: City: State: First PPD Reading Date: Results: (Read within 48 hours of the first PPD.) Signature: Facility Name: Address: Street: Phone Number: City: State: Date: .
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How to fill out the Drexel University Two-Step PPD Form online
The Drexel University Two-Step PPD Form is a crucial document for students and faculty involved in healthcare programs. This guide provides clear instructions to assist you in completing the form accurately and efficiently online.
Follow the steps to successfully fill out the Drexel University Two-Step PPD Form online.
- Click ‘Get Form’ button to access the form and open it in your preferred online editing tool.
- Enter your name in the designated field at the top of the form.
- Provide your University ID number in the specified space.
- Select your program by checking one of the options provided, such as ACE, Co-op, or RN-BSN.
- Record the date in the indicated field.
- For the first PPD test, indicate the date the test was administered.
- Sign your name in the signature section for the first PPD test.
- Fill out the facility information, including name, address, and phone number.
- Document the first PPD reading date and results, ensuring to read the results within 48 hours of the first test.
- Sign again in the signature section for the first reading.
- Provide the second PPD test date, which must fall 7-9 days after the first test.
- Sign the second PPD test signature section.
- Complete the facility details for the second test just as you did for the first.
- Record the second PPD reading date and results, ensuring to read the results within 48 hours after administration.
- Sign the facility signature section for the second reading.
- Alternatively, if applicable, fill in the Gamma Release Assay (IGRA) section with the date obtained and circle the appropriate test (T-Spot or Quantiferon).
- If you received a positive result, indicate whether it is Negative, Positive, or Indeterminate.
- If a chest X-ray was performed, include the date and result, marking if it is Normal or Abnormal.
- Once all sections are complete, save your changes, then download, print, or share the form as needed.
Complete your Drexel University Two-Step PPD Form online today!
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