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Module 10: Professional Practice

Professional Development

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Page 11


TB Testing

Each employee and volunteer must have the results of a one-step Mantoux TB skin test prior to starting work.

New employees and volunteers do not need a TB skin test if they have written proof of:
  • A negative Mantoux TB test in the twelve months prior to you hiring them
  • A previously positive Mantoux TB test with documented proof of treatment or a negative chest x-ray, or
  • Medication therapy to treat TB
  • Your staff and volunteers must be re-tested for TB when you are notified that any of the staff or volunteers have been exposed to TB. They must comply with the direction of the local health jurisdiction.

Tuberculosis (TB)

Tuberculosis (TB) is a serious contagious respiratory infection.

Occasionally TB can cause damage to other parts of the body such as the bones, brain, and kidneys. There are two stages of TB. The first stage is called latency. Latency means a person has been infected with the germ, but is not sick.

The second stage is called active. Active TB causes the individual to show signs of illness such as a persistent cough, a fever that lasts for longer than two weeks, night sweats and feeling tired or weight loss.

When adults or adolescents with active TB cough, sneeze, yell, or sing they can spread the disease through the release of air from their respiratory system. Children may be infectious, but are less likely to transmit the disease to others because they do not have enough lung capacity to forcefully cough out enough large numbers of germs into the air. TB is NOT spread through contact with objects such as clothes, toys, dishes, walls, or furniture.

Tuberculosis infection is diagnosed by a TB skin test. The skin test is done to determine if an individual has been exposed to the germ that causes TB. A licensed health care provider should examine anyone who tests positive for TB to determine if he or she has active TB. A person with a positive TB test should stay home until a health care provider determines they are not contagious.

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School-Age Staff 20 Hour Basic Training

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