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The document is a Tuberculosis (TB) Symptom Screening Tool designed for healthcare providers to assess individuals for signs and symptoms of TB disease and evaluate their history of TB infection. It includes sections for symptom checking, evaluation of previous TB test results, and necessary actions based on the findings. The tool aims to facilitate timely diagnosis and treatment of TB.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (128 Votes)
2010	4 Satisfied (26 Votes)

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How do you document a TB skin test?

TST Documentation Requirements Name and signature of person administering test. Date and time test administered. Location of test (e.g., right forearm, left forearm, alternate site) Tuberculin manufacturer, lot number and expiration date.

How painful is a TB skin test?

For a TB skin test, you may feel a pinch when the fluid is placed under your skin. For a blood test, you may have slight pain or bruising at the spot where the needle was put in, but most symptoms go away quickly.

How do you do a TB skin test step by step?

Hold the syringe almost parallel (5-15 angle) to the skin. Insert the needle, bevel up, so that the tip of the needle is visible just below the surface of the skin. The entire bevel should be covered. Release the skin and slowly inject 0.1mL of tuberculin.

How to complete a TB test?

Administration Locate and clean injection site 510 cm (24 inches) below elbow joint. Place forearm palm-up on a firm, well-lit surface. Prepare syringe. Check expiry date on vial and ensure vial contains tuberculin PPD-S (5 TU/0.1 ml). Inject tuberculin (see Figure A3.1) Check injection site. Record information.

What is the full form of PPD?

Tests that diagnose active TB infections include chest X-rays and laboratory tests on a sputum sample. Sputum is the thick mucus that you cough up from your lungs. Its different from spit or saliva. Youll need treatment for TB, whether its latent or active.

free printable tb test form

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How do you take a TB test sample?

How to collect a sputum sample The cup is very clean. As soon as you wake up in the morning (before you eat or drink anything), brush your teeth and rinse your mouth with water. If possible, go outside or open a window before collecting the sputum sample. Take a very deep breath and hold the air for 5 seconds.

What are the steps for TB testing?

A TB skin test requires two or three visits with a healthcare provider. During the first visit, they inject fluid into your forearm. On the second and third visits, the healthcare provider assesses your skins reaction to the injection.

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