Policies and Procedures Handbook
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Last Updated: 3/20/2007
Garrett County Board of Education
40 South Second Street
Oakland, MD 21550
(301)334-8900

Tuberculosis Testing for Employees and Bus Drivers

 

Administrative Procedure

Certification that an employee or bus driver of the Board of Education is free from communicable tuberculosis (TB) will be conducted in accordance with the Tuberculosis Risk Assessment Algorithm (Attachment 3) as provided by the Garrett County Health Department.  Guidelines are as follows:

1.         All new and current employees shall complete and return the Tuberculosis Risk Assessment Form (Attachment 1), provided by the Garrett CountyHealth        Department, to the Executive Director of Administration.  Bus drivers shall complete and return the Tuberculosis Risk Assessment Form to the Director of Transportation.

2.         New and current employees and bus drivers without risk factors for TB infection or TB disease, as determined by completion of the Risk Assessment Form, will not be required to have a tuberculin skin test (TST) completed.

3.         New employees and bus drivers who have completed the Tuberculosis Risk Assessment Form and have identified themselves with one or more risk factors for infections or active disease shall have a single TST prior to their effective date of employment.  Current employees and bus drivers who have completed the Tuberculosis Assessment Form and have identified themselves with one or more risk factors for infection or active disease shall have a single TST within seven (7) days of notice by the Executive Director of Administration.  These individuals may be referred to the Garrett County Health Department for TST testing.  Individuals who have their TST testing completed by their Primary Care Provider will be responsible for testing expenses.  The Health Department will make expedited arrangements for testing when requested by the Executive Director of Administration.

4.         The Tuberculosis Risk Assessment Form shall be placed in the employee’s medical file upon completion and review by the Executive Director of Administration.  For bus drivers, the Tuberculosis Risk Assessment Form shall be filed in the Transportation Office upon completion and review by the Director of Transportation.

5.         Current employees will have the option of taking a single TST in lieu of completing the Tuberculosis Risk Assessment form. 

6.         Any employee or bus driver, new or current, with a positive tuberculin skin test (TST) will complete a Tuberculosis Symptom Checklist (Attachment 2).  If an employee or bus driver has any positive symptoms as defined on the checklist, that employee will be required to have an evaluation by the employee’s Primary Care Physician.  The expense for the additional test for current employees or bus drivers will be covered by insurance or reimbursed.  A statement by the employee’s or bus driver’s Primary Care Physician indicating that the individual is free of communicable tuberculosis will be required before the employee or bus driver is allowed to work in a school setting. 

7.          If an employee or bus driver has a positive TST and a negative Tuberculosis Symptom Checklist, that individual will not be required to have a medical evaluation, but must complete a Tuberculosis Symptom Checklist annually for three (3) years, and if any positive results are returned on the Symptom Checklist, a medical evaluation and certificate will be required as in (5.) above.  All forms and certificates shall be placed in the employee’s medical file or bus driver’s transportation file.

8.         Employees or bus drivers with a previous positive TST will complete a Tuberculosis Symptom Checklist (Attachment 2) annually for three years to be reviewed by the Executive Director of Administration and managed as in (5.) above.

9.         For any employee or bus driver with a positive TST, an attempt should be made to determine if the test has converted to positive within the previous two (2) years.  The employee or bus driver may know from their own records, or by consulting their Primary Care Provider.  If an employee or bus driver is identified with a conversion within the previous two (2) years, then additional follow-up is necessary by the Primary Care Provider, in consultation with the Health Department.

10.       The Board of Education shall notify the Garrett County Health Department – Communicable Disease Division at 301-334-7770 or 301-895-3111 – if an employee or bus driver with a newly discovered positive TST is identified to assure appropriate follow-up and management according to current Maryland Guidelines for Prevention and Treatment of Tuberculosis.

11.       There will be no routine annual screening of Board of Education employees or bus drivers who have had a negative Tuberculosis Risk Assessment and/or a negative TST. 

Source:           Maryland Education Code 7-406

Garrett County Health Department Tuberculosis Risk Assessment Form

Garrett County Health Department TB Symptom Checklist

Garrett County Health Department Tuberculosis Risk Assessment Algorithm

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Certificated & Other Professional Personnel 532.131
Adopted 10/11/05 ELF