TB Skin Test Form PDF Details

Discussing the Tuberculosis Skin Test Form sheds light on an essential health requirement found in various settings, from schools to workplaces. This form is meticulously designed to record critical details of the TB skin test—a screening to detect tuberculosis infection. It requires the healthcare professional or patient's name, pinpointing the testing location and the exact placement date, important for ensuring the test's validity. The test can be administered on either the right or left forearm, a choice meticulously documented alongside information like the Lot number of the TB test used and its expiration date, underscoring the test's reliability. The signature of the healthcare provider, be it a registered nurse, doctor, or other, finalizes the administration section. Reading the test results falls within a specific timeframe—48 to 72 hours after administration—to confirm accuracy, captured along with the size of the induration measured in millimeters. This dimension helps determine a negative or positive result, which is then signed off by the responsible healthcare professional. Accuracy and completeness in filling out each section are paramount, as an incomplete form may not be considered valid. This comprehensive approach ensures the TB Test Form fulfills its pivotal role in public health and safety.

QuestionAnswer
Form Name Tb Test Form
Form Length 1 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 15 sec
Other names tb test forms, blank tuberculosis forms for employment, ppd form, tb skin form

Form Preview Example

 

 

 

 

 

TUBERCULOSISSKINTESTFORM

Healthcare Professional/Patient Name:

Testing Location:

 

 

 

 

 

 

 

 

 

 

 

Date Placed:

 

 

 

 

 

 

 

 

 

 

 

 

Site:

Right

Left

 

 

 

 

 

 

 

 

Lot #:

 

 

 

 

 

Expiration Date:

 

 

Signature (administered by):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RN

 

MD Other:

 

 

 

Date Read (within 48-72 hours from date placed):

 

 

 

 

 

 

Induration (please note in mm):

 

mm

PPD (Mantoux) Test Result:

 

 

 

Negative

Positive

Signature (results read/reported by):

RN

MD Other:

*In order for this document to be valid/acceptable, all sections of this form must be completed.

How to Edit TB Skin Test Form Online for Free

It's a breeze to complete the basic blank tb test form. Our editor was built to be let you fill in any PDF swiftly. These are the actions to take:

Step 1: On the page, click the orange "Get form now" button.

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step 1 to writing tb skin form

Jot down the information in the Date Read within hours from date, Induration please note in mm, PPD Mantoux Test Result, Negative, Positive, Signature results readreported by, MD Other, and In order for this document to be field.

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