S.C. Code Regs. § ch. 61, 61-122, 700
Conditions arising which have not been addressed in these regulations shall be managed in accordance with the best practices as determined by the Department. These regulations do not create a duty on the part of the State of South Carolina or the South Carolina Department of Health and Environmental Control independent or in addition to any other duty otherwise prescribed by law.
Provider TB Risk Classification | |
Low Risk Setting | Low Risk TB Screening |
Less than 3 TB | . Baseline two step TST or single BAMT upon hire or |
cases/year | contract/eligible for referral and prior to client |
(see Part A) | contact. |
. If TST is positive or employee or caregiver is | |
AND | symptomatic, obtain chest X-ray and refer to Health |
No risk factors are | Department for a symptom assessment and medical |
present | evaluation. |
(See Part B) | . NO ANNUAL TST or BAMT required. |
. Perform/obtain annual symptom assessment if | |
documented prior positive TST or has | |
documentation of prior active TB disease. | |
. Persons identified as a contact to an infectious case | |
and having unprotected exposure will be evaluated | |
in accordance with the Health Department's contact | |
investigation policies and procedures. | |
Medium Risk | Medium Risk TB Screening |
Setting | |
. Baseline two step TST or single BAMT upon hire | |
3 or more TB | contract/eligible for referral and prior to client |
cases/year | contact. |
(see Part A) | . If TST is positive or employee or caregiver is |
symptomatic, obtain chest X-ray and refer to Health | |
OR | Department for a symptom assessment and medical |
Other risk factors | evaluation. |
apply | . Perform/obtain ANNUAL TB screening test (TST, |
(see Part B) | BAMT or symptom assessment) for each employee |
and caregiver. | |
. Perform/obtain annual symptom assessment if | |
documented prior positive TST or has | |
documentation of prior active TB disease treatment. | |
. Persons identified as contact to an infectious case and | |
having unprotected exposure will be evaluated in | |
accordance with the Health Department's | |
investigation policies and procedures. |
Potential | Potential Ongoing Transmission TB Screening |
Ongoing | |
Transmission | . Report to local health department immediately. |
Setting | . Persons identified as a contact to an infectious case |
and having unprotected exposure will be evaluated | |
Evidence of | in accordance with the Health Department's contact |
ongoing M | investigation policies and procedures. |
tuberculosis | . Baseline two-step TST for TB or single BAMT for |
transmission | any new hire or any caregiver newly contracted or |
newly eligible for referral and prior to client contact | |
This is a | while in this category. |
temporary | . Consult and coordinate with the Health Department |
classification only, | for guidance as to when transmission has ceased |
warranting | and a new risk assessment can be completed. |
immediate | |
investigation. | |
After the ongoing | |
transmission has | |
ceased, the | |
setting will he | |
reassessed for | |
classification. |
Sample Indications for Two-Step Tuberculin Skin Testing - TST
Employee & Client TST Situation | Recommended TST Testing |
1. No previous TST or BAMT result. | 1. Two-step baseline TST or single BAMT completed upon hire or contract/eligible for referral and prior to client contact. |
2. Previous negative TST or BAMT result > 12 months before new employment or contract/eligible for referral. | 2. Two-step baseline TST or single BAMT completed upon hire or contract/eligible for referral and prior to client contact. |
3. a. Previous documented negative TST result within 12 months before employment or contract/eligible for referral. b. Previous documented negative BAMT. | 3. a. Single TST needed for baseline testing; this will be the second step. b. Single BAMT needed. |
4. Previous documented positive TST result in millimeters. | 4. No TST or BAMT; need TB symptom assessment. |
5. Undocumented history of prior positive TST result. | 5. Two-step baseline or single BAMT upon hire or contract/eligible for referral and prior to client contact. |
S.C. Code Regs. ch. 61, 61-122, 700