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The SC DHEC 1420 form plays a crucial role in ensuring the health and safety of school employees and individuals working in educational settings across South Carolina. This certificate of evaluation for tuberculosis (TB) is mandatory for anyone seeking employment in public or private schools, kindergartens, nurseries, or day care centers. It documents the results of TB screenings, which include a tuberculin skin test and, if necessary, a chest x-ray. The form captures essential information such as the individual's name, residence, employment details, and the results of their TB evaluation. Importantly, it specifies whether the individual has been found free of tuberculosis, is undergoing treatment, or is at risk of developing the disease. The SC DHEC 1420 must be retained by the employer or individual for record-keeping and compliance with state regulations. These guidelines are designed to protect not only the employees but also the children and families they serve, making it imperative that this form is completed accurately and kept up to date.
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Key takeaways
Filling out the SC DHEC 1420 form is an important step for school employees and individuals who need to demonstrate their tuberculosis evaluation. Here are some key takeaways to keep in mind:
- Purpose: The SC DHEC 1420 form serves as a certificate of evaluation for tuberculosis for school employees and other individuals.
- Retention: After completion, the form must be kept in the files of the current employer or individual for future reference.
- Testing Requirement: Before employment, a tuberculin skin test is required for all public and private school employees.
- Test Method: The Mantoux method, which involves a 5 TU PPD injection, is the standard testing procedure.
- Interpretation: Results must be interpreted and documented on the form, indicating whether there is a tuberculosis infection.
- Follow-Up: If the test result is 10mm or more, a chest x-ray is necessary to rule out active tuberculosis disease.
- Certification: A licensed physician must sign the form, certifying the evaluation and results.
- Employment Conditions: Individuals cannot begin work until they have been evaluated and cleared of active tuberculosis.
- Reevaluation: Reevaluation is not required for consecutive years unless otherwise indicated by health guidelines.
- Documentation: The completed form is subject to review by the Department of Health and Environmental Control (DHEC).
By following these guidelines, individuals can ensure they meet the necessary health requirements for employment in educational settings. Proper documentation and adherence to testing protocols are essential for maintaining a safe environment for all students and staff.
Sc Dhec 1420: Usage Guidelines
Filling out the SC DHEC 1420 form is essential for documenting a tuberculosis evaluation for school employees or individuals in certain childcare settings. After completing the form, it must be retained in the files of the current employer or individual for future reference. The following steps will guide you through the process of accurately filling out the form.
- Begin by entering the name of the individual being evaluated in the designated fields: Last Name, First Name, and Middle Initial.
- Provide the residence address, including the city and county.
- Indicate whether the individual is employed at a public or private school, kindergarten, nursery, or daycare center.
- Fill in the date of employment or the date of evaluation.
- Complete the section for test results. Specify the type of test performed (Tuberculin Skin Test or Chest X-ray) and provide the relevant dates.
- For the Tuberculin Skin Test, record the measurement in millimeters and the interpretation of the results.
- Mark the appropriate box to indicate the disposition of the test results, whether it shows no tuberculosis infection, tuberculosis infection without evidence of disease, or a history of tuberculosis disease.
- If applicable, include details about treatment started and completed for tuberculosis infection or disease.
- In the certification section, the examining physician must sign and date the form, certifying the evaluation results.
- Once completed, ensure the form is stored securely in the appropriate files as required by law.
Documents used along the form
The SC DHEC 1420 form is essential for documenting tuberculosis evaluations for school employees and individuals in childcare settings. Along with this form, several other documents may be required or beneficial for compliance and record-keeping. Below is a list of related forms and documents that are often used in conjunction with the SC DHEC 1420 form.
- Health Certificate: This document certifies that an individual does not have active tuberculosis. It must be signed by a licensed physician and is a prerequisite for employment in schools and childcare facilities.
- Hold Harmless Agreement: To protect your interests, consider the important Hold Harmless Agreement guidelines which detail the protections offered in various situations.
- Tuberculin Skin Test Results: This report details the results of the tuberculin skin test, which is required before employment. It indicates whether the individual has been exposed to tuberculosis.
- Chest X-Ray Report: If the skin test indicates a reaction of 10mm or more, a chest x-ray is necessary. This report confirms whether there is any evidence of active tuberculosis disease.
- Preventive Therapy Documentation: If preventive therapy is prescribed following a positive test result, documentation of the treatment plan and completion is required to ensure the individual is cleared for work.
- Employer’s Record of Evaluation: Employers must maintain a record of the tuberculosis evaluation for each employee, including the SC DHEC 1420 form and any related documents.
- Reevaluation Notice: If there are changes in guidelines or if an individual has been exposed to tuberculosis, a reevaluation notice may be required to ensure ongoing compliance.
- Informed Consent Form: This form ensures that individuals understand the procedures and implications of tuberculosis testing and treatment, providing legal protection for both the employer and the employee.
- Employee Health History Form: This document collects information about an individual’s past health issues, including any history of tuberculosis, which is crucial for determining their current risk.
- Confidentiality Agreement: Protecting the privacy of health information is vital. This agreement outlines how health data will be handled and ensures compliance with privacy laws.
- Incident Report Form: If an employee tests positive for tuberculosis, an incident report may be necessary to document the situation and any actions taken to protect other employees and students.
Having these forms and documents readily available helps ensure compliance with health regulations and protects the wellbeing of employees and students in educational settings. Maintaining thorough records not only meets legal requirements but also fosters a safe and healthy environment.
Misconceptions
- Misconception 1: The DHEC 1420 form is only for school employees.
- Misconception 2: Tuberculosis testing is only required once.
- Misconception 3: A positive skin test means the individual has active tuberculosis.
- Misconception 4: The DHEC 1420 form is not legally required.
- Misconception 5: Only a physician can complete the DHEC 1420 form.
- Misconception 6: Tuberculosis evaluations are only about skin tests.
- Misconception 7: Individuals can work immediately after a positive test.
- Misconception 8: Chest x-rays are always required for all test results.
- Misconception 9: The DHEC 1420 form is not necessary for private schools.
- Misconception 10: Once cleared, individuals are permanently free from tuberculosis concerns.
This form is applicable not only to school employees but also to individuals working in kindergartens, nurseries, and day care centers. Any person needing documentation of tuberculosis evaluation can use it.
While initial testing is mandatory for employment, reevaluation is not typically required in consecutive years unless specified by updated guidelines. This means that once tested, individuals may not need to be retested annually.
A positive result indicates infection but does not confirm active disease. Further evaluation, including a chest x-ray, is necessary to determine if the individual is contagious or has active tuberculosis.
The form is mandated by the Code of Laws of South Carolina. It serves as a legal document certifying that an individual has been evaluated for tuberculosis before employment in certain educational settings.
While a licensed physician must sign the form, it can also be filled out by other qualified healthcare professionals who are authorized to perform tuberculosis evaluations.
Evaluations include both the tuberculin skin test and, if necessary, chest x-rays. The results of these tests determine the individual's status regarding tuberculosis infection and potential treatment.
If a person tests positive, they cannot work until they receive written certification from DHEC confirming that they are not contagious. This ensures the safety of others in the workplace.
Chest x-rays are only required for individuals whose skin test reactions measure less than 10mm. Those with reactions of 10mm or more will be evaluated for preventive therapy instead.
The form is required for both public and private educational institutions. Compliance with tuberculosis evaluation guidelines applies to all schools and day care centers in South Carolina.
Even if an individual is cleared at one point, they remain at lifelong risk of developing tuberculosis disease. Continuous awareness and periodic evaluations may be necessary based on exposure and health guidelines.