Section 300.655 Initial Health Evaluation for Employees

Section 300

Section 300.655  Initial

Health Evaluation for Employees

a)         Each employee shall have an initial health evaluation which

shall be used to insure that employees are not placed in positions which would

pose undue risk of infection to themselves, other employees, residents, or

visitors.

b)         The initial health evaluation shall be conducted not more than

30 days prior to the employee beginning employment in the facility.  The

evaluation shall be completed not more than 30 days after the employee begins

employment in the facility.

c)         The initial health evaluation shall include a health

inventory.  This inventory shall be obtained from the employee and shall

include the employee's immunization status and any available history of

conditions which would predispose the employee to acquiring or transmitting

infectious diseases.  This inventory shall include any history of exposure to,

or treatment for, tuberculosis.  The inventory shall also include any history

of hepatitis, dermatologic conditions, or chronic draining infections or open

wounds.

d)         The initial health evaluation shall include a physical

examination. The examination shall include at a minimum any procedures needed

in order to:

1)         Detect any unusual susceptibility to infection and any

conditions which would increase the likelihood of the transmission of disease

to residents, other employees, or visitors.

2)         Determine that the employee appears to be physically able to

perform the job functions which the facility intends to assign to the employee.

e)         The initial health evaluation shall include a tuberculin skin

test which is conducted in accordance with the requirements of Section

300.1025.  The test must meet one of the following timeframes:

1)         The test must be completed no more than 90 days prior to the

date of initial employment in the facility, or

2)         The test must be commenced no more than ten days after the

date of initial employment in the facility.