Section R9-10-113. Tuberculosis Screening

A health care institution’s chief administrative officer shall ensure that the health care institution complies with the following if tuber- culosis screening is required at the health care institution:

1.        For each individual required to be screened for infectious tuberculosis, the health care institution obtains from the individual:

a.         On or before the date specified in the applicable Sec- tion of this Chapter, one of the following as evidence of freedom from infectious tuberculosis:

i.         Documentation of a negative Mantoux skin test or other tuberculosis screening test recom- mended by the U.S. Centers for Disease Con- trol and Prevention (CDC) administered within 12 months before the date the individual begins providing services at or on behalf of the health care institution or is admitted to the health care institution that includes the date and the type of tuberculosis screening test; or

ii.        If the individual had a positive Mantoux skin test or other tuberculosis screening test, a writ- ten statement that the individual is free from infectious tuberculosis signed by a medical practitioner dated within 12 months before the date the individual begins providing services at or on behalf of the health care institution or is admitted to the health care institution; and

b.        Every 12 months after the date of the individual’s most recent tuberculosis screening test or written statement, one of the following as evidence of free- dom from infectious tuberculosis:

i.         Documentation of a negative Mantoux skin test or other tuberculosis screening test recom- mended by the CDC administered to the indi- vidual within 30 calendar days before or after the anniversary date of the most recent tubercu- losis screening test or written statement that includes the date and the type of tuberculosis screening test; or

ii.        If the individual has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the individual is free from infectious tuberculosis signed by a medi- cal practitioner dated within 30 calendar days before or after the anniversary date of the most recent tuberculosis screening test or written statement; or

2.        Establish, document, and implement a tuberculosis infec- tion control program that complies with the Guidelines for Preventing the Transmission of Mycobacterium tuber- culosis in Health-care Settings, 2005, published by the

U.S. Department of Health and Human Services, Atlanta, GA 30333 and available at http://www.cdc.gov/mmwr/ PDF/RR/rr5417.pdf, incorporated by reference, on file with the Department, and including no future editions or amendments and includes:

a.         Conducting tuberculosis risk assessments, conduct- ing tuberculosis screening testing, screening for signs or symptoms of tuberculosis, and providing training and education related to recognizing the signs and symptoms of tuberculosis; and

b.        Maintaining documentation of any:

i.         Tuberculosis risk assessment;

ii.        Tuberculosis screening test of an individual who is employed by the health care institution, provides volunteer services for the health care institution, or is admitted to the health care institution; and

iii.      Screening for signs or symptoms of tuberculo- sis of an individual who is employed by the health care institution, provides volunteer ser- vices for the health care institution, or is admit- ted to the health care institution

Historical Note

Former Section R9-10-113 repealed, new Section R9-10- 113 adopted effective February 4, 1981 (Supp. 81-1). Section repealed by final rulemaking at 8 A.A.R. 3559, effective August 1, 2002 (Supp. 02-3). New Section R9- 10-113 renumbered from R9-10-112 and amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Section R9-10-113 renumbered to Section R9-10-114; new Section R9-10-113 renumbered from R9-10-112 and amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13;

effective July 1, 2014 (Supp. 14-2).