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4668.0065 INFECTION CONTROL.

Subpart 1.

Tuberculosis screening.

No person who is contagious with tuberculosis may provide services that require direct contact with clients. All individual licensees and employees and contractors of licensees must document the following before providing services that require direct contact with clients:

A.

the person must provide documentation of having received a negative reaction to a Mantoux test administered within the 12 months before working in a position involving direct client contact, and no later than every 24 months after the most recent Mantoux test; or

B.

if the person has had a positive reaction to a Mantoux test upon employment or within the two years before working in a position involving direct client contact, or has a positive reaction to a Mantoux test in repeat testing during the course of employment, the person must provide:

(1)

documentation of a negative chest x-ray administered within the three months before working in a position involving direct client contact; or

(2)

documentation of a negative chest x-ray administered each 12 months, for two years after the positive reaction to a Mantoux test or documentation of completing or currently taking a course of tuberculosis preventative therapy; or

C.

if the person has had a positive reaction to a Mantoux test more than two years before working in a position involving direct client contact, the person must provide documentation of a negative chest x-ray taken within the previous 12 months or documentation of completing or currently taking a course of tuberculosis preventative therapy.

In this subpart, "Mantoux test" means a Mantoux tuberculin skin test.

Subp. 2.

Exposure to tuberculosis.

In addition to the requirements of subpart 1, a person who has been exposed to active tuberculosis must document a negative result of a Mantoux test or chest x-ray administered no earlier than ten weeks and no later than 14 weeks after the exposure.

Subp. 3.

Infection control in-service training.

For each 12 months of employment, all licensees and employees and contractors of licensees who have contact with clients in their residences, and their supervisors, shall complete in-service training about infection control techniques used in the home. This subpart does not apply to a person who performs only home management tasks. The training must include:

A.

hand washing techniques;

B.

the need for and use of protective gloves, gowns, and masks;

C.

disposal of contaminated materials and equipment, such as dressings, needles, syringes, and razor blades;

D.

disinfecting reusable equipment; and

E.

disinfecting environmental surfaces.

Statutory Authority:

MS s 144A.45; 144A.46; 144A.47; 144A.48

History:

17 SR 2454

Published Electronically:

July 3, 2013

Official Publication of the State of Minnesota
Revisor of Statutes