Published
For most facilities (if not all) in the US you must be tested or shown negative for tuburculosis. If you are a positive reactor, you must demonstrate proof, either by a CXR/use of antitubercular meds, before being permitted to work here.
This is a requirement also for US nurses, and generally for attending any school in the USA (including children going to elementary schools, etc). Foreign nurses are not singled out on this requirement.
Carolina (who got BCG'd in Cornwall as a child, and gets lots of guff everytime she changes jobs or attended school)
I had my pre-employment health screen 4 weeks ago which included a PPD/Mantoux test. I tested positive so they did a booster 2 weeks later which was positive again. I asked the Doc at the employee health clinic if this was maybe due to having had a BCG as a teenager, but she said the BCG vaccine is only good for 7/10 years and my positive result meant that I had been exposed to TB. She said I needed a chest X-Ray so I told her I'd had one in April for immigration purposes. I took my X-Ray with me for her to look at, but she said I still had to get another done. She advised me to start Isoniazid Preventative Therapy but I declined, because after some research, I discovered I would be a high risk for the side effects due to my age. The therapy is not mandatory here in Florida and it hasn't prevented me from working.
Just to let you all know that everywhere I've worked in western Canada, I've been required to have a Mantoux. For those that test positive a chest xray is done and the results kept on record.
My current employer recalls us every two years to have a Mantoux due to the rate of TB in the population that uses our facilities.
Well, look at it like the employer is concerned about your welfare??
TB is more wide spread in inner city practices than most of the general population would understand. Somehow refugees with TB are accepted and wind up being treated. TB is also present on some reservations and in the far north. You just never know when its going to pop up.
Well fed, well housed, people like to think its a "dead" disease or only happens in the third world. Its in North America and care is worth taking.
english_nurse
1,146 Posts
Hi folks
you may find that you need to have a mantoux test for your facility done before you leave for the usa, if you are based in the midlands you can have it done in birmingham, i think the cost is about £50
If anyone wants the number feel free to pm me
my agency gave me the number of a 'middle man' who charged me £15 just for giving me the number, so i think its only fair that i share it with you all to save a few quid
cheers