Quality Control Procedural Observation Checklists …

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Quality Control Procedural Observation Checklists for placing Tuberculin Skin Tests (TSTs) Mantoux Method EXPOSURE Control C TB Skin Tests Page 1 of 1 Based on CDC Appendix F. Guidelines for Preventing Transmission of TB Date Trainer (QC by) Trainee (TST placed by) Scoring: or Y = Yes X or N = No NA = Not Applicable 1. Preliminary Uses appropriate hand hygiene methods be fore starting. Screens patient for contraindications (s evere adverse reactions to pr evious TST).* Uses well-lit area 2. Syringe filled with exactly mL of 5 tuberculin units (TU) purified protein derivative (PPD) antigen Removes antigen vial from refrigeration and confirms that it is 5 TU PPD antigen.

Quality Control Procedural Observation Checklists for Placing Tuberculin Skin Tests (TSTs) – Mantoux Method EXPOSURE CONTROL 110.1 C TB Skin Tests Page 1 of 1 Based on CDC Appendix F. Guidelines ...

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