Section R. 325.1923 - Employee's healthRule 23.
(1) A person on duty in the home shall be in good health. The home shall develop and implement a communicable disease policy governing the assessment and baseline screening of employees. A record shall be maintained for each employee, which shall include results of baseline screening for communicable disease. Records of accidents or illnesses occurring while on duty that place others at risk shall be maintained in the employee's file.(2) A home shall provide initial tuberculosis screening at no cost for its employees. New employees shall be screened within 10 days of hire and before occupational exposure. The screening type and frequency of routine tuberculosis (TB) testing shall be determined by a risk assessment as described in the 2005 MMWR "Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005" (http://www.cdc.gov/mmwr/pdf/rr/rr5417.pdf), Appendices B and C, and any subsequent guidelines as published by the centers for disease control and prevention. Each home, and each location or venue of care, if a home provides care at multiple locations, shall complete a risk assessment annually. Homes that are low risk do not need to conduct annual TB testing for employees.(3) Employees with past documented positive TB skin test results or who have received treatment for tuberculosis infection in the past are exempt from the TB skin test. Employees with past documented positive TB skin result, who have never been treated for TB infection, shall be screened for active symptoms of TB disease and the need for evaluation by a qualified health care professional to determine if treatment for TB infection is indicated.(4) TB skin tests, as well as post-exposure follow-up and treatment evaluations, shall be offered at no cost to the employees at times and locations convenient to the employees. A qualified health care professional shall perform the reading and interpretation of the TB testing.Mich. Admin. Code R. 325.1923
2004 AACS; 2017 MR 10, Eff. 5/31/2017