Get printable tb test form for employment

TST Documentation Requirements Name and signature of person administering test. Date and time test administered. Location of test (e.g., right forearm, left forearm, alternate site) Tuberculin manufacturer, lot number and expiration date.

Record Record the exact measurement in millimeters of induration on the Mantoux Tuberculin Skin Test Record Form. ... Record the date and time the test was read, the name and signature of the person who read the skin test, and the presence or absence of adverse effects (i.e., blistering, redness, and swelling)

The diameter of the indurated area should be measured across the forearm (perpendicular to the long axis). Erythema (redness) should not be measured. Indurations should be recorded in millimeters, even those classified as negative. If no induration is found, "0 mm" should be recorded.

Always choose a medical provider that does this test routinely. Although retail pharmacies might offer a PPD test, pharmacists aren't trained to read PPD results.

Reading of the PPD Skin Test Erythema and induration are seen at the injection site. The diameter of induration is measured perpendicular to the long axis of the forearm, demarcated, and recorded in mm. Erythema or redness has no diagnostic value and should be ignored.

The PPD skin test is a method used to diagnose silent (latent) tuberculosis (TB) infection. PPD stands for purified protein derivative.

How is the TST Administered? The TST is performed by injecting 0.1 ml of tuberculin purified protein derivative (PPD) into the inner surface of the forearm. The injection should be made with a tuberculin syringe, with the needle bevel facing upward. The TST is an intradermal injection.

Name and signature of person administering test. Date and time test administered. Location of test (e.g., right forearm, left forearm, alternate site) Tuberculin manufacturer, lot number and expiration date.