Applies to: (examples; Faculty,Staff, Students, etc)

Faculty

Policy Overview:

Minor edits: 6/5/2018

University of Health Sciences and Pharmacy in St. Louis (UHSP) has established this screening and targeted testing policy and protocol to help limit the spread of Tuberculosis (TB). The University conducts a screening survey of all newly hired faculty members prior to their first date of work to screen for increased TB risk and exposure, and to direct additional documentation or treatment, if necessary. Any individual identified to be at high risk for latent TB or for developing TB will be required to submit documentation of prior treatment or supply a negative TB test to UHSP and/or the clinical practice site.  In the event of a positive TB test, the University will take appropriate action after consultation with the affected individual and health care professionals to protect the health and welfare of all stakeholders. This TB screening and testing policy will be administered consistent with the University's policies on equal opportunities and non­discrimination.

Applies to newly hired or rehired faculty who work on campus.  Clinical adjuncts/preceptors and residents who work off-campus will be required to follow the TB screening/testing requirements of the clinical facility.  All students are covered under separate UHSP admissions and academic policies requiring proof of a negative TB test upon matriculation and prior to each academic year.

Definitions:

Details:

University of Health Sciences and Pharmacy in St. Louis has established a policy to help limit the spread of Tuberculosis (TB). The University conducts a screening survey of all newly hired or rehired faculty members prior to their first date of work. The survey screens for increased TB risk and exposure for the purpose of determining whether additional documentation or treatment is necessary.

Faculty who respond with an affirmative answer to any of the TB Screening Questions must submit the results of a negative Tuberculosis (Tuberculin) Skin Test (TST) or Interferon Gamma Release Assay (IGRA) or medical documentation of prior treatment for latent or active TB to the Human Resources Office. Medical documentation will likely include chest x-ray and a medical report. Tuberculosis (Tuberculin) Skin Tests must have been done six months or less before beginning employment to be accepted. The faculty member is responsible for the cost of the TST and/or medical care associated with getting documentation.

Records will be maintained in the employee's OSHA/Health records file in the Human Resources Office.

Clinical pharmacy practice faculty and residents who work at off-campus facilities are exempt from the campus screening protocol but are required to supply a negative TST or IGRA or medical documentation of prior treatment for latent or active TB or other documentation to meet requirements for their clinical site. A copy of records for clinical pharmacy practice faculty and residents will be maintained by the pharmacy practice department as well as Human Resources in the OSHA/Health Records File.

The University will take appropriate steps including (without limitation) rescinding an appointment, delaying work or training, or disciplinary action up to and including discharge in order to ensure compliance with this policy.

In the event of a positive TB test, the University will review the facts and consult with the affected individual and medical providers to determine the appropriate course of action to protect the interests of all stakeholders.  Due care will betaken to avoid discrimination based on stereotypes and perceived disabilities in accordance with the University's policies on equal opportunities and non-discrimination.

Procedures:

For covered faculty and residents:

• Human Resources will notify faculty and residents of  applicable TB screening/testing requirements· by including language in the offer letter.
• Human Resources will send faculty the TB Screening Survey as soon as possible prior to the start date once hiring paperwork is complete.
• Human Resources will include a check box in new hire paperwork to ensure that the survey is completed in a timely fashion.
• If the survey is incomplete the day before the faculty member's expected first day Human Resources will notify the appropriate department chair that the faculty member may not work on campus until the survey is completed.
• If a faculty member responds with an affirmative on any of the survey questions he/she will be directed to provide appropriate documentation.
  • Human Resources will follow up with the employee to receive a copy of those records.
  • Employees will be unable to work without follow up documentation.
  • If follow up documentation is not provided within a week the department chair will be notified.
  • If follow up documentation is not provided within four weeks Human Resources will meet with the department chair to consider termination/rescinding the offer of employment.

• Once records are received for pharmacy practice faculty and residents send them to the administrative support staff in the college of pharmacy.
• HR will monitor any TB screen/test required for faculty assigned to campus.
• Pharmacy Practice will monitor any TB screen/test required for faculty and residents at clinical sites.
• In the event of a positive TB test, the Chief Human Resources Officer and Dean of the College of Pharmacy will meet to determine the appropriate course of action.
• Faculty members and residents having problems getting access to medical care can be directed to providers, such as Barnes Care, by Human Resources.

Responsibilities:

Resources:

RSMO 199.290.

Mandatory testing of health care facility  workers--higher education, students and faculty, testing program  required--rulemaking  authority.

199.290. 1. All employees and volunteers of a health care facility  shall receive a tuberculin skin test or interferon gamma release assay (IGRA) test upon employment as recommended in the most recent version of the Centersfor  Disease Control and Prevention (CDC) Guidelines for  Preventing  Transmission of Mycobacterium  Tuberculosis in Health Care Settings. If the screening test is positive,  appropriate evaluation and follow-up  shall be done in accordance with such CDC guidelines. This provision shall not be construed to prohibit any institution from  establishing requirements for  employees or volunteers that exceed those stated in the CDC guidelines.

2. All institutions of higher education in Missouri shall implement a targeted testing program on their campuses for  all on-campus students and faculty  upon matriculation. If an institution does not have a student health center or similar facility,  such person  identified by the targeted testing program to be at high riskfor  latent tuberculosis infection or for  developing tuberculosis disease shall be referred to a local public health agency  a course of action consistent with sections 199.170 to 199.350.

RSMO  190.170(12)

The term targeted testing program  as used in RSMO Section 199.290. means  "program that screens all faculty  and students to identify those at high riskfor  latent tuberculosis infection and persons at high riskfor  developing tuberculosis disease, and includes testing of identified high-risk populations  to determine those that would benefit from  treatment. Screening shall require the completion of a tuberculosis risk assessment questionnaire form

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