Policy Manual sample

MDT Home Health Care Agency, Inc. POLICY ON MEDICAL EXAMINATION CERTIFICATE (PRE-EMPLOYMENT & PERIODIC) It is the policy of our Agency that prior to contact with patients, the field employee must submit the results of a Mantoux method tuberculin skin test (TST) performed within the last twelve months. If the agency staff being screened for exposure to TB on hire does not have documentation of a PPD within the past twelve months, Mantoux method testing will be used: If the reaction to the test is negative, no x-ray is needed. Agency staff who have converted to positive Mantoux PPD will not be given a Mantoux PPD test on hire, but will be requested to submit a baseline negative chest x-ray report. During the annual physical exam the employee will be assessed for symptoms of TB and if symptoms are noted or develop at any time a Mantoux PPD test will be requested, is positive results is obtained a chest x-ray will then be obtained. The patient's physician will be notified immediately when a patient exhibits signs and symptoms of TB on initial assessment to the agency or at any time during the patient's admission. Patients with suspected or confirmed TB will be reported immediately to the local health department. The field employee must also submit a statement from a health care professional licensed, a physician’s assistant, or an advanced registered nurse practitioner (ARNP), or a registered nurse licensed, under a supervision of a licensed physician, or acting pursuant to an established protocol signed by a licensed physician, based on an examen within the last twelve months, that the employee is in reasonable good health and does not appear to be at risk of transmitting communicable diseases. It is the responsibility of our Agency to ensure that our field staff continue to appear to be in good health and that patients are not placed at risk by employees with positive tuberculin skin test (TST) (10 or more MM’s). Positive test reactors shall submit a statement from a health care professional licensed, that the employee does not constitute a risk of communicating tuberculosis. Upon the specific written request of an individual staff member, copies of the most recent tuberculosis test result and above mentioned health statement may be released by one employer and provided to another employer within 1 year of the initial date of the test results statement. Medical information is confidential and must not be disclosed without the specific consent of the person to whom it pertains. The written request to release the physical examination must be kept on file. Home Health Agency. - - Personnel/Operations Policies B-29