TB Testing

There isn't a formal policy, but we don't do TB skin test reads for tests placed by other clinics or agencies. Mostly I think it is common sense. You have to rely on your patient's word of where it was placed, and they may not remember accurately. I've had many patients extend the incorrect arm to me for a reading when I placed the test 2 days ago on the opposite arm. This certainly affects the validity of the test. Additionally, they may be lying about getting the test done, particularly if they do not have documentation of test placement. Finally, sorry to say, but there is plenty of bad technique in giving TB skin tests, and I don't know the training level of staff at another clinic or agency. If a nurse in my health department placed it, I know they've gone through specific training from a local TB clinic for correct technique. I think you are right to refuse.

There isn't a formal policy, but we don't do TB skin test reads for tests placed by other clinics or agencies. Mostly I think it is common sense. You have to rely on your patient's word of where it was placed, and they may not remember accurately. I've had many patients extend the incorrect arm to me for a reading when I placed the test 2 days ago on the opposite arm. This certainly affects the validity of the test. Additionally, they may be lying about getting the test done, particularly if they do not have documentation of test placement. Finally, sorry to say, but there is plenty of bad technique in giving TB skin tests, and I don't know the training level of staff at another clinic or agency. If a nurse in my health department placed it, I know they've gone through specific training from a local TB clinic for correct technique. I think you are right to refuse.

Thank you so much and you're totally right that I can't account for the other facilities technique. The only exception I have made is if it's placed at our Public Health Clinic because I know that nurse and I will fill-in for her if we're closed for break. Plus I can easily look up the information in our EHR to confirm time and where placed.