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Appendix B. Tuberculosis (TB) risk assessment worksheet

_____ _____ _____ _____ _____ _____ 09/27/2006 Centers for Disease control and Prevention Division of Tuberculosis Elimination Appendix B. Tuberculosis (TB) risk assessment worksheet This model worksheet should be considered for use in performing TB risk assessments for health-care facilities and nontraditional facility-based settings. Facilities with more than one type of setting will need to apply this table to each setting. Scoring or Y = Yes X or N = No NA = Not Applicable 1. Incidence of TB What is the incidence of TB in your community (county or region served by Community rate_____ the health-care setting), and how does it compare with the state and national State rate _____ average?

Review laboratory data, infection-control records, and databases containing discharge diagnoses. ... Does the written infection-control plan need to be updated based on the timing of the previous update (i.e., >1 year, changing TB epidemiology of the community or ... ο Laboratory personnel ο Health and safety staff ο Administrator ο Risk ...

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  Assessment, Worksheet, Laboratory, Control, Risks, Safety, Plan, Infections, Tuberculosis, Risk assessment worksheet, Control plan

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