/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/delegationpractice-protocols/,/clinical/cckm-tools/content/delegationpractice-protocols/ambulatory-delegation-protocols/,/clinical/cckm-tools/content/delegationpractice-protocols/ambulatory-delegation-protocols/related/,

/clinical/cckm-tools/content/delegationpractice-protocols/ambulatory-delegation-protocols/related/name-123834-en.cckm

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UWHC,UWMF,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Delegation/Practice Protocols,Ambulatory Delegation Protocols,Related

TB Screening [205]

TB Screening [205] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Delegation/Practice Protocols, Ambulatory Delegation Protocols, Related


TB Screening [205]
UWMF TB Skin Test Placement/Reading Guidelines URL: https://uconnect.wisc.edu/policies/clinical/uwmf-clinical/uwmf-
wide/clinical-policies-and-procedures/infection--infection-
control/10255.policy
UWHC Ambulatory Tuberculin Bacillus (TB) Skin Testing
Procedures
URL: https://uconnect.wisc.edu/policies/clinical/uwhc-
clinical/department-specific/ambulatory/clinic-specific/1250.policy
Documentation
Screening questions to be completed prior to TB skin test placement. Proceed using the following criteria:
placement.3, consult with a provider prior to -yes to any questions 1If -
placement.3, proceed with skin test -no to all questions 1If -
Progress Notes [117116]
PPD Screening Questions and Placement PPD SCREENING QUESTIONS/PLACEMENT DOCUMENTATION
Imaging Orders
Imaging Orders [2234]
CXR - PA [R71010] Status: Future, Expires: 2/21/2019, Normal, Routine
Procedures
Office Procedures [2233]
PPD [86580] Status: Standing, Expires:4/22/18 MANUAL,Count:1, Normal, Routine
Office Procedures [183260]
TB SKIN TEST [117075]
tuberculin (APLISOL) injection [43217] 5 units, Intradermal, ONCE For 1 Doses
TB INTRADERMAL TEST [IMM0001] ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to previous
specimen?
If Conditional, What Condition?
Staff with competency in TB Testing to complete
Diagnosis
Diagnosis [2236]
Screening for TB [V74.1.ICD-9-CM] Screening examination for pulmonary tuberculosis
Recent exposure to tuberculosis [1045155] Diagnosis
Patient Instructions and Follow-up
Patient Handout (CDC) - What You Need to Know about the TB
Skin Test
URL: www.cdc.gov/tb/publications/pamphlets/TB_skin_test.pdf
Follow-up (Single Response) [1971]
Return for Reading Skin Test Follow Up
Follow-up Follow Up
Level of Service
Nurse Visit - No Charge (Single Response) [1070]
Nurse Visit, No Charge (09211) LOS Code
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
END OF SMARTSET [4852]
Other Chief Complaint
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Printed by SPENCER, LINDSEY M [LMS033] at 12/21/2017 5:27:30 PM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2017CCKM@uwhealth.org