Mich. Admin. Code R. 325.1923 - Employee's health
Rule 23.
(1) A
person on duty in the home shall be in good health. The home shall develop and
implement a communicable disease policy governing the assessment and baseline
screening of employees. A record shall be maintained for each employee, which
shall include results of baseline screening for communicable disease. Records
of accidents or illnesses occurring while on duty that place others at risk
shall be maintained in the employee's file.
(2) A home shall provide initial tuberculosis
screening at no cost for its employees. New employees shall be screened within
10 days of hire and before occupational exposure. The screening type and
frequency of routine tuberculosis (TB) testing shall be determined by a risk
assessment as described in the 2005 MMWR "Guidelines for Preventing the
Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005"
(http://www.cdc.gov/mmwr/pdf/rr/rr5417.pdf),
Appendices B and C, and any subsequent guidelines as published by the centers
for disease control and prevention. Each home, and each location or venue of
care, if a home provides care at multiple locations, shall complete a risk
assessment annually. Homes that are low risk do not need to conduct annual TB
testing for employees.
(3)
Employees with past documented positive TB skin test results or who have
received treatment for tuberculosis infection in the past are exempt from the
TB skin test. Employees with past documented positive TB skin result, who have
never been treated for TB infection, shall be screened for active symptoms of
TB disease and the need for evaluation by a qualified health care professional
to determine if treatment for TB infection is indicated.
(4) TB skin tests, as well as post-exposure
follow-up and treatment evaluations, shall be offered at no cost to the
employees at times and locations convenient to the employees. A qualified
health care professional shall perform the reading and interpretation of the TB
testing.
Notes
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