FAQ
A tuberculin skin test (also called a Mantoux tuberculin test) is done to see if you have ever been exposed to tuberculosis (TB). The test is done by putting a small amount of TB protein (antigens) under the top layer of skin on your inner forearm.
Center for Disease Control and prevention (CDC) wants all employees to have TB test done who work in the following settings:
- Health Care Settings of Adult family homes (within 3 days of employment)
- Boarding homes
- Nursing homes (within 3 days of employment)
- Chemical dependency
- Staffed residential homes
- Group residential facilities
- Childbirth center
- Hospitals (healthcare workers)
- Enhanced services facilities
- Ambulatory surgical facility (healthcare workers)
- Assisted living (within 3 days of employment)
- Adult day centers (within 30 days of employment)
- Doctor’s offices
A small injection is administered under the skin. After 48 to 72 hours, the agency that administered the injection will read the test by looking at the appearance of the injection site. One to three weeks later, another injection will be given, and the reviewing of the injection site will be repeated 48 to 72 hours later.
While a chest radiograph is useful when evaluating someone for active TB disease, it does not identify TB infection. A TB test can indicate if someone has been infected. An employee’s baseline TB test result allows the employer to compare subsequent TB test results, if necessary, to identify a potential work exposure. For this reason, WA State DOH TB program does not recommend a chest radiograph unless the employee has a positive TB test or is symptomatic for TB.
If the person has documentation of a prior positive TB test and/or completion of TB therapy they do not need to repeat a TB test. Instead, a symptom screen should be administered and if symptomatic, a current chest radiograph completed. If the person cannot provide documentation of a positive TB test and/or completion of TB therapy it is appropriate to administer another TB test.
Two-step testing is necessary to obtain an accurate baseline when using the TST. The reason this is necessary is because of a condition referred to as Booster Phenomenon. Booster Phenomenon can occur when someone who was infected with TB in the past has a TST placed years after being infected. Because their body is so used to living with TB infection, when an initial TST is placed the persons immune system does not react. However, if a second TST is placed it “boosts” the persons immune system and a positive reaction will result. This positive reaction does not represent a recent infection, rather it is an old infection.
Persons whose healthcare license/certificate allows them to administer intradermal medications within their scope of practice may administer a TB skin test and read (measure) induration. Healthcare license/certificates which allow administration and reading of a TB skin test include:
- Certified Medical Assistants (MA-C)
- Licensed Practical Nurse (LPN)
- Registered Nurse (RN)
- Advanced Registered Nurse Practitioner (ARNP)
- Physician Assistant (PA)
- Medical Doctor (MD)
Interpreting a TB skin test requires reviewing the patient’s risk factors and millimeters of induration. Using this information, the health care provider determines if the TB test result is positive or negative. The scope of practice for MA-Cs does NOT allow them to interpret a TB skin test result. ARNPs, PAs, and MDs are the only health care providers who can diagnose a patient with TB infection or disease.
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Two-step testing should only be done at baseline (e.g. upon hire).
Param institute of Education is currently under process for accreditation and hopefully will achieve it soon.
Param Institute of Education (PIE) is affiliated with Depart of Labor(DOL), New Jersey One stop career Center, and Department of Nursing, Board of Nephrology Examiners Nursing Technology (BONENT).
Yes, some form of financial support is available for selected students. The selection of students for financial support is done by school management.
In order to enroll at Param Institute of Education (PIE) , the candidate needs to make an appointment with our admission representative, fill up the application form, and pay the enrollment fees.
Param institute of Education is currently under process for accreditation and hopefully will achieve it soon.
Param Institute of Education (PIE) is affiliated with Depart of Labor(DOL), New Jersey One stop career Center, and Department of Nursing, Board of Nephrology Examiners Nursing Technology (BONENT).
Yes, some form of financial support is available for selected students. The selection of students for financial support is done by school management.
In order to enroll at Param Institute of Education (PIE) , the candidate needs to make an appointment with our admission representative, fill up the application form, and pay the enrollment fees.
The following steps must be taken to complete the admissions process at Param Institute of Education (PIE).
- Complete and submit the official admissions application.
- High School Diploma/Transcript
- Application Fee
- Background Check
- Health care checkup (Physical Examination)
– For C.N.A, CHHA, Phlebotomy, PCT, CCMA, and Dialysis Tech. Programs only
Prospective students can fill out the inquiry form on the website www.paramedu.com; call our Iselin Location at (732) 283-5656 or visit the institute during the office hours of 9:00 AM – 5:30 PM (Monday through Friday)
A tuberculin skin test (also called a Mantoux tuberculin test) is done to see if you have ever been exposed to tuberculosis (TB). The test is done by putting a small amount of TB protein (antigens) under the top layer of skin on your inner forearm.
Center for Disease Control and prevention (CDC) wants all employees to have TB test done who work in the following settings:
- Health Care Settings of Adult family homes (within 3 days of employment)
- Boarding homes
- Nursing homes (within 3 days of employment)
- Chemical dependency
- Staffed residential homes
- Group residential facilities
- Childbirth center
- Hospitals (healthcare workers)
- Enhanced services facilities
- Ambulatory surgical facility (healthcare workers)
- Assisted living (within 3 days of employment)
- Adult day centers (within 30 days of employment)
- Doctor’s offices
A small injection is administered under the skin. After 48 to 72 hours, the agency that administered the injection will read the test by looking at the appearance of the injection site. One to three weeks later, another injection will be given, and the reviewing of the injection site will be repeated 48 to 72 hours later.
While a chest radiograph is useful when evaluating someone for active TB disease, it does not identify TB infection. A TB test can indicate if someone has been infected. An employee’s baseline TB test result allows the employer to compare subsequent TB test results, if necessary, to identify a potential work exposure. For this reason, WA State DOH TB program does not recommend a chest radiograph unless the employee has a positive TB test or is symptomatic for TB.
If the person has documentation of a prior positive TB test and/or completion of TB therapy they do not need to repeat a TB test. Instead, a symptom screen should be administered and if symptomatic, a current chest radiograph completed. If the person cannot provide documentation of a positive TB test and/or completion of TB therapy it is appropriate to administer another TB test.
Two-step testing is necessary to obtain an accurate baseline when using the TST. The reason this is necessary is because of a condition referred to as Booster Phenomenon. Booster Phenomenon can occur when someone who was infected with TB in the past has a TST placed years after being infected. Because their body is so used to living with TB infection, when an initial TST is placed the persons immune system does not react. However, if a second TST is placed it “boosts” the persons immune system and a positive reaction will result. This positive reaction does not represent a recent infection, rather it is an old infection.
Persons whose healthcare license/certificate allows them to administer intradermal medications within their scope of practice may administer a TB skin test and read (measure) induration. Healthcare license/certificates which allow administration and reading of a TB skin test include:
- Certified Medical Assistants (MA-C)
- Licensed Practical Nurse (LPN)
- Registered Nurse (RN)
- Advanced Registered Nurse Practitioner (ARNP)
- Physician Assistant (PA)
- Medical Doctor (MD)
Interpreting a TB skin test requires reviewing the patient’s risk factors and millimeters of induration. Using this information, the health care provider determines if the TB test result is positive or negative. The scope of practice for MA-Cs does NOT allow them to interpret a TB skin test result. ARNPs, PAs, and MDs are the only health care providers who can diagnose a patient with TB infection or disease.
For More information,
Click Here
Two-step testing should only be done at baseline (e.g. upon hire).
