Question

procedure for new hire tuberculosis skin test (tst)
key
start/end
decision
action
baseline tst
negative
positive
reaction?
retest in 1 - 3 weeks
probably has tb
negative
positive
reaction?
probably does not have tb
considered boosted reaction from past tb infection decide whether or not to treat for tb
retest at intervals based on risk category
follow up with tb treatment
follow up with tb treatment
a 150 - bed facility that has treated 2 active tb infections in the last year had a respiratory therapist test positive for tuberculosis after working with one of the patients. what action, if any, should be taken regarding the facilitys risk classification?
a changing the facilitys risk classification from low risk to medium risk
b changing the facilitys risk classification from low risk to high risk
c changing the facilitys risk classification from medium risk to high risk
d no action should be taken regarding the risk class.

Explanation:

A facility that has treated a small - number (2) of active TB infections in a year and then has a healthcare worker test positive after exposure to a patient indicates a higher likelihood of transmission. This would move the facility from a lower - risk category to a higher - risk category. Typically, a low - risk facility has few or no TB cases, and the presence of a new case among staff after patient contact suggests inadequate control measures or higher exposure risk, warranting a change to a high - risk classification.

Answer:

B. Changing the facility's risk classification from low risk to high risk