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  • Ca Cdcr 7336 2020

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TRUCTIONS: Tuberculosis (TB) screening must be performed by a licensed health care provider whose legally authorized scope of practice allows them to conduct medical examinations and/or the Mantoux TST in accordance with the recommendations of the Centers for Disease Control and Prevention (CDC) to determine if a person has TB infection or disease. Employee (Complete Section 1. Type or print clearly.) Section 1 IEmployee Information Gender Employee Full Name (First, MI, Last) Male Fe.

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How to fill out the CA CDCR 7336 online

The CA CDCR 7336 form is essential for California Department of Corrections and Rehabilitation employees undergoing tuberculosis screening. This guide provides clear, step-by-step instructions on how to accurately complete this form online.

Follow the steps to successfully complete the CA CDCR 7336 form.

  1. Use the ‘Get Form’ button to obtain the form and access it in your preferred digital format.
  2. In Section 1, enter your full name, birthdate, and gender. Indicate if you are a new employee or cadet and provide your employee signature and date.
  3. Section 2 is reserved for your health care provider. They must document any history of tuberculosis treatment, including relevant test results from previous TST or IGRA tests.
  4. In Section 3, the health care provider administers the Tuberculin Skin Test (TST). Ensure they note the specifics such as the lot number, site of injection, and results.
  5. Section 4 is for documenting TB blood tests, if applicable. The health care provider should enter the test date, results, and their signature.
  6. Section 5 requires evaluation for symptoms of tuberculosis. The health care provider must check all relevant symptoms experienced.
  7. In Section 6, if the results are positive, a chest X-ray report must be documented and attached.
  8. Section 7 is where the health care provider indicates if the employee is free from infectious tuberculosis, along with their personal information.
  9. Finally, review all sections for accuracy, save changes, and download or print your completed CA CDCR 7336 form for submission.

Complete your CA CDCR 7336 form online today to ensure a smooth submission process.

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The skin test reaction should be read between 48 and 72 hours after administration by a health care worker trained to read TST results. A patient who does not return within 72 hours will need to be rescheduled for another skin test. The reaction should be measured in millimeters of the induration (firm swelling).

Who may administer the TB risk assessment? Per California Education and Health and Safety Codes, the TB risk assessment is to be administered by a health care provider. The risk assessment should be administered face-to-face.

The skin test is read by palpating the site of injection to find an area of induration. The diameter of the indurated area should be measured across the forearm (perpendicular to the long axis). Erythema (redness) should not be measured. Indurations should be recorded in millimeters, even those classified as negative.

Within 48 to 72 hours, a positive TB skin test is marked by an area of reddish induration greater than 10 mm. It is the induration (firm bump) that is gently palpated that determines the size, not the area of redness. This reaction is slightly larger than the average positive test 17 mm in size.

At time of reading: Name and signature of person reading test. Date and time test read. Exact number of mm of induration (if no induration, document "0" mm) Interpretation of reading (i.e., positive or negative, based on individual's risk factors)

Induration of 15 mm or more is considered positive in the following cases: Healthy individuals older than four years of age with a low likelihood of TB infection[14]

The reaction is read by measuring the diameter of induration (palpable raised, hardened area) across the forearm (perpendicular to the long axis) in millimeters. If there is no induration, the result should be recorded as "0 mm". Erythema (redness) should not be measured.

At time of reading: Name and signature of person reading test. Date and time test read. Exact number of mm of induration (if no induration, document "0" mm) Interpretation of reading (i.e., positive or negative, based on individual's risk factors)

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