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TB4 TB Risk Assessment Form - Cabinet for Health and 2025

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The document is a Tuberculosis (TB) Risk Assessment form from the Kentucky Department for Public Health. It collects patient information and screens for active TB symptoms and risk factors for TB infection and disease. The form includes sections for assessing symptoms, evaluating risk factors, documenting previous TB history, and outlining actions to be taken based on findings. It emphasizes the importance of testing and treatment decisions while ensuring confidentiality of patient information.

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What are 4 risk factors for TB?

RISK FACTORS FOR TUBERCULOSIS Diabetes mellitus. Patients with diabetes mellitus (DM) are at a higher risk of transitioning from latent to active tuberculosis. Smoking. Alcohol use. Illicit drug use.

How long does a TB assessment take?

When should I know the results of my TB test? It takes 48 to 72 hours to complete a skin TB test. Once you have your second visit with your healthcare provider, theyll be able to tell you whether your skins reaction indicates that you have a TB infection.

What happens during a TB risk assessment?

Evaluate for active TB disease with a chest x-ray and symptom screen. If patient has symptoms consistent with active TB disease, and/or abnormal chest x-ray, sputum acid fast bacilli (AFB) smears, cultures and nucleic acid amplification testing are likely indicated.

What are the 4 TB screening questions?

Please answer the following questions: Have you ever had a positive TB skin test? Have you ever had close contact with anyone who was sick with TB? Have you ever been vaccinated with BCG? * The significance of the travel exposure should be discussed with a health care provider and evaluated.

What is the health and safety code for tuberculosis?

121363. Each health care provider who treats a person for active tuberculosis disease shall examine, or cause to be examined, all household contacts or shall refer them to the local health officer for examination. Each health care provider shall promptly notify the local health officer of the referral.

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What is a TB risk assessment?

Adult Tuberculosis (TB) Risk Assessment Use this tool to identify asymptomatic adults (persons 18 years and older) who require testing for latent TB infection (LTBI). Routine testing of persons without risk factors is not recommended.

Can an RN do a TB risk assessment?

If you are located at a school site, the California School Employee TB Risk Assessment Questionnaire can be completed in-person with the school site Registered Nurse.

TB4 TB Risk Assessment Form - Cabinet for Health and 2025

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What are 4 risk factors for TB?

How long does a TB assessment take?

What happens during a TB risk assessment?

What are the 4 TB screening questions?

What is the health and safety code for tuberculosis?

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What is a TB risk assessment?

Can an RN do a TB risk assessment?

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