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I administered a TB skin test and it did not bubble up...

Nurses   (54,044 Views 9 Comments)
by Dazglue Dazglue (New Member) New Member

Dazglue has 8 years experience .

13,248 Visitors; 380 Posts

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I'm a very new graduate nurse. I gave my very first TB skin test last week and it did not bubble up. I figured I done it wrong or went to deep. My coach said it was fine. Who's correct? Did I do it wrong?

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evolvingrn is a BSN, RN and specializes in Hospice.

8,218 Visitors; 1,035 Posts

If you didn't have a wheal you didn't do it right.

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Chin up has 26 years experience and specializes in Med surg, LTC, Administration.

5,568 Visitors; 694 Posts

It happens sometimes. It will be fine. Peace!

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klone has 13 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

3 Followers; 113,878 Visitors; 13,161 Posts

If they have TB, it will still react. I wouldn't worry too much. You probably just went a bit too deep.

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1,287 Visitors; 37 Posts

We were taught in school that results won't be valid without a wheal.

I guess what they say is true about things being different in the 'real world' of nursing! LOL

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Dazglue has 8 years experience.

13,248 Visitors; 380 Posts

Ok. Thanks everybody. I feel like crap. This was supposed to be a simple task.

Edited by Dazglue

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8,720 Visitors; 587 Posts

Don't waste your time feeling like crap, someone else will be all too happy to do it for you! Seriously, people have different skin qualities. Older people have less elastic, thinner skin, some younger people have really thick skin...it just takes doing a couple more. Ideally you get a wheal, but if someone has TB they will react.

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FLArn has 20 years experience and specializes in Hospice, LTC, Rehab, Home Health.

10,589 Visitors; 503 Posts

This isn't something to beat yourself up over but evolvingrn is correct; if there is no wheal the results are not accurate and the test must be redone.

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bsyrn has 18 years experience and specializes in Peds, School Nurse, clinical instructor.

11,886 Visitors; 789 Posts

You went too deep and the test should be re administered as your patient will not get an accurate result. It takes practice to administer TB tests...you will get it.

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