Section 325.20402. Health of employees and others providing care.

Rule 402. (1) An employee on duty in the home shall be in good health and free from communicable disease. Files shall be maintained by the home containing evidence of adequate health supervision, such as results of preemployment and periodic physical examinations, including intradermal skin tests for tuberculosis and chest x-rays, and records of illness and accidents occurring on duty.

(2)   An employee shall have an intradermal test for tuberculosis at the beginning of employment and annually thereafter. If at any time the skin test is positive, the local health department shall be notified and the employee shall have a chest x-ray to determine the  presence  of   disease. The  facility  shall   develop  and  implement   a policy prescribing the frequency of subsequent chest x-rays. This policy shall be based upon the employee's risk of developing active disease and exposing others. A report of the results of such tests and any treatment received shall be included in the individual employee's personnel file.

(3)   Volunteers, students, and other persons who have direct physical contact with patients or food while providing care or  services  in  the facility shall only be permitted to participate when free  of   signs  of infection. The facility shall adopt and implement an educational program to ensure that these care providers are aware of and practicing acceptable infection control measures.

History: 1981 AACS.