CORRECTIONAL MANAGED CARE MEDICAL CORPORATION (CMCMC) 7-2014

Home Browse Search

B. TUBERCULOSIS SCREENING All inmates will be screened rot tuberculosis (TB) within 'four (4) days of admission into the fall. no nursing staff will begin by interviewing the inmate to determine his /her reactivity to the tuberculin. skin test (TST). Inmates who do not have a verifiable positive test result history will have the TST administered at this time, according to the Mantoux method, with readings taken is 48 to 72 hours, immune compromised inmates will be anergy tested at the time of the skin test to minimize the risk of a false negative result, Positive TST results will trigger a more extensive examination to determine the likelihood of active disease. Individuals considered positive reactors (by history or skin test) would receive a chest x -ray. The physician, regardless of the skin test result, will examine HIV positive ar possible positive, individuals whose Ghost x�r ys are abnormal or whose symptoms are suggestive of active tuberculosis. Sputum stains and cultures will be performed on those individuals suspected of being positive for active tuberculosis. While oultuwe are pending, the inmate, will bw I'roused in rospiratery isolation. CwTfirmed cases o't'TB will be reported to the proper authorities including the Jail Administrator and the Orange County Dopattment of Pu.blio Health, lnmatas with inactive tuberculosis will be given future TB testing instructions and education. Sorcening results will be placed in tyre inmate's medical record and reviewed and approved by the physician or NP during the health. appraisal. C. HEALTH APPRAISAL All inmates will receive a comprehensive medical history and physical examination within fourteon (14) days after admission. The history and exarn will be performed by qualified and trained health professionals (if c'lty orsanta Ana tall -15- Propeal fnr hanatn is dial &ervla®n al' PN 07.O61