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Get Sd Tb Risk Assessment Worksheet - Attachment A
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How to fill out the SD TB Risk Assessment Worksheet - Attachment A online
Completing the SD TB Risk Assessment Worksheet - Attachment A is essential for evaluating tuberculosis risk in your facility. This guide provides detailed steps to assist you in accurately filling out the form online.
Follow the steps to successfully complete the assessment.
- Use the ‘Get Form’ button to access the assessment worksheet and open it in the editing tool.
- Enter the facility name and the date you completed the form in the designated fields.
- Indicate who the assessment is completed for by selecting one of the options: entire facility, area of facility, or occupational group. Provide specific details if necessary.
- Fill in the time interval during which the TB risk assessment was conducted by specifying the months and year.
- List the counties included in the risk assessment to reflect the geographical area served by your facility.
- Input the number of TB cases in the community. This data should be compiled from the Department of Health TB county data relevant to your facility.
- Record the number of TB patients admitted to your facility, area, or seen by the occupational group. Include both inpatient and outpatient data.
- If the sum of the previous two entries is 0, classify the facility as MINIMAL RISK. If the sum is 1 or greater, continue to the next section.
- Answer the three questions regarding TB admission, PPD conversion rates, and clusters of PPD conversions by circling 'Yes' or 'No' as applicable.
- Based on your responses, classify the risk level as either VERY LOW RISK, LOW RISK, INTERMEDIATE RISK, or HIGH RISK, following the provided criteria.
- Refer to the CDC guidelines for further instructions, particularly if your facility is ranked as HIGH RISK, and implement necessary interventions.
- Once completed, save your changes, and utilize the options to download, print, or share the form as needed.
Complete your TB risk assessment online today for a safer facility.
Recording TB test results involves entering the data into designated forms, like the SD TB Risk Assessment Worksheet - Attachment A. Include all relevant details such as the test date, result, and any comments from the healthcare provider. Accurate records help maintain effective communication with public health agencies and healthcare teams.
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