Iowa Admin. Code r. 481-59.7 - Screening of HCWs who transfer to other health care facilities or hospitals
(1)
HCWs
transferring from a low-risk health care facility or hospital to another
low-risk health care facility or hospital . HCWs with documentation of
baseline TB screening who are transferring from a low-risk health care facility
or hospital to another low-risk health care facility or hospital do not need to
repeat baseline TB screening if the time frame between employment from one
facility or hospital to another does not exceed 90 days. If the time frame
between employment from one facility or hospital to another exceeds 90 days,
baseline TB screening shall be restarted for an HCW with a previous negative
test result and a TB symptom screen shall be performed for an HCW with a
previous positive TB test result in accordance with 59.5(5).
(2)
HCWs transferring from a low-risk
health care facility or hospital to a medium-risk health care facility or
hospital . HCWs with documentation of baseline TB screening who are
transferring from a low-risk health care facility or hospital to a medium-risk
health care facility or hospital do not need to repeat baseline TB screening if
the time frame between employment from one facility or hospital to another does
not exceed 90 days. If the time frame between employment from one facility or
hospital to another exceeds 90 days, baseline TB screening shall be restarted
for an HCW with a previous negative test result and a TB symptom screen shall
be performed for an HCW with a previous positive TB test result in accordance
with 59.5(5).
(3)
HCWs
transferring from a low- or medium-risk health care facility or hospital to a
health care facility or hospital classified as potential ongoing
transmission. HCWs with documentation of baseline TB screening who are
transferring to a potential ongoing risk health care facility or hospital do
not need to repeat baseline TB screening if the time frame between employment
from one facility to another does not exceed 90 days. If the time frame between
employment from one facility or hospital to another exceeds 90 days, baseline
TB screening shall be restarted for an HCW with a previous negative test result
and a TB symptom screen shall be performed for an HCW with a previous positive
TB test result in accordance with 59.5(5).
(4)
HCWs transferring from a medium-risk
health care facility or hospital to a low-risk health care facility or
hospital .
a. An HCW who is
transferring from a medium-risk health care facility or hospital to a low-risk
health care facility or hospital and whose previous TB test result was negative
shall receive a symptom screen and a single TST or IGRA upon employment if the
time frame between employment from one facility to another does not exceed 90
days. If the time frame between employment from one facility or hospital to
another exceeds 90 days, baseline TB screening shall be restarted.
b. An HCW who is transferring from a
medium-risk health care facility or hospital to a low-risk health care facility
or hospital and whose previous TB test result was positive shall receive a
symptom screen upon employment in accordance with 59.5(5).
(5)
HCWs transferring from a health
care facility or hospital classified as potential ongoing transmission to a
low- or medium-risk health care facility or hospital .
a. An HCW who is transferring from a health care
facility or hospital classified as potential ongoing transmission to a low- or
medium-risk health care facility or hospital and whose previous TB test result
was negative shall receive a symptom screen and a single TST or IGRA upon
employment if the time frame between employment from one facility to another
does not exceed 90 days. If the time frame between employment from one facility
or hospital to another exceeds 90 days, baseline TB screening shall be
restarted.
b. An HCW who is
transferring from a health care facility or hospital classified as potential
ongoing transmission to a low- or medium-risk health care facility or hospital
and whose previous TB test result was positive shall receive a symptom screen
upon employment in accordance with 59.5(5).
Notes
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