25H - AGMT - INMATE MEDICAL SRVS

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B, TUBERCULOSIS SCREENING All inmates will be screened for tuberculosis (TB) within four (4) days of admission into the fail. The nursing staff will begin by interviewing the Inmate to determine his /her reactivity to the tuberculin. skin test (TST), Inmates who do not have a verifiable positive test .result history will have the TST administered at this time, according to the Mantoux method, with readings taken in 48 to 72 hours, Immune compromised inmates wilt be anergy tested at the time of the skin test to minimize the risl< of a false negative result, Positive TST results will trigger a more extensive examination, to determine the hlcelihood of active disease, Individuals considered positive reactors (by history or skin test) would receive a chest x -ray. The physician, regardless of the shin test result, will examine HIV positive or possible positive, individuals whose oba,5t x-rays are abnormal or whose symptolms are suggestive of active tuberculosis. Sputum stains and cultures will be performed on those individuals suspected of being positive for active tuborordosls. White cultures are pending, the imaate will be ]'roused in respiratory isolation. Coaiirmod cases of TB will be reported to the proper authorides inoluding the Jail Administrator and the Orange County UeparUnant of Public Health. inmates with inactive tuberculosis will be given future TB testing instructions and education. Soreening results will be placed in the inmate's madioat reeerd and reviewed and approved by the pbysiciari or NP during the health appraisal. C. HEALTH APPRAISAL All inmates will receive a comprehensive medical history and physical examination within fourteen (14) days after admission. The history and exarn will be performed by qualified and trained 'health professionals (if City of sanftl Mobil 45- Pmponl fol hunoto Modiul Aervlagx Rr.P# 07 -062 25H -127