<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8f4d3c08-d864-4a5d-ba0e-0b56b281a173000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000003 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: italic; font-weight: normal; margin: 0; padding: 0; } span.s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000004 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000005 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: italic; font-weight: bold; margin: 0; padding: 0; } span.s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000006 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; text-decoration: underline; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0-000007 { margin-top: 0; line-height: 115.0%; margin-bottom: 10pt; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: left; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; } </style></head><body><div><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:61:05:01"><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000000">67</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000000">:</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000000">61</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000000">:</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000000">05</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000000">:</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000000">01</span></a><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000001">.  Tuberculin screening requirements.</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> Tuberculin screening</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">requirements are as follows:</span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173000002"> </span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">    (1)</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">  </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">Each new staff member, intern, and volunteer </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">must</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> receive </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">both steps of </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">the two-step tuberculin skin test or a </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">tuberculosis</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> blood assay test to establish a baseline</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">,</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> within </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">fourteen</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> days of</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">employment. Any two documented tuberculin skin tests completed within a </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">twelve</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> month</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">period before the date of employment </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">may</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> be considered a two-step </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">test and</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> one </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">tuberculosis</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> blood assay</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">test completed within a </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">twelve</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> month period before employment </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">may</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> be considered an adequate</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">baseline test. Skin testing or </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">tuberculosis</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> blood assay tests are not required if a new staff</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> member</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">, intern</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">,</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> or</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">volunteer provides documentation of the last skin testing completed within the prior </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">twelve </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">months. Skin testing or </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">tuberculosis</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> blood assay tests are not required if documentation is provided</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">of a previous </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">positive</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> reaction to either test;</span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173000002"> </span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">    (2)</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">  </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">A new staff member, intern, or volunteer</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">,</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> who provides documentation of a</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">positive reaction to the tuberculin skin test or </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">tuberculosis</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> blood assay test </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">must</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> have a medical</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">evaluation and chest X-ray to determine the presence or absence of the active disease;</span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173000002"> </span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">    (3)</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">  </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">Each staff member, intern</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">,</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> and volunteer</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">,</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> with a positive reaction to the</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">tuberculin skin test or </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">tuberculosis</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> blood assay test</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">,</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">must</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> be evaluated annually by a physician, physician assistant, nurse practitioner, clinical nurse specialist, or a nurse</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">,</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> and a</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">record </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">must be </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">maintained of the presence or absence of symptoms of </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000003">Myobacterium</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> tuberculosis.</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">If </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">the</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> evaluation results in </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">a </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">suspicion of active tuberculosis, the physician</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">,</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">physician assistant, nurse practitioner, clinical nurse specialist, or a nurse, must </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">refer the staff member, intern, or volunteer for further medical evaluation to confirm the</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">presence or absence of tuberculosis; and</span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173000002"> </span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">    (4)</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">  </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">Any employee confirmed or suspected to have infectious tuberculosis </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">must</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> be</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">restricted from employment until a physician</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">, physician assistant, nurse practitioner, or clinical nurse specialist,</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> determines that the employee is no longer</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">infectious.</span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173000002"> </span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">    </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000001">Source:</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">43</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> SDR </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">80</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">, effective </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">December 5, 2016; 50 SDR 63, effective November 27, 2023</span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">.</span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">    </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000001">General Authority:</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000004">1-36-25</span></a><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000004">34-20A-27</span></a><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">.</span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">    </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000001">Law Implemented:</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000004">34-20A-27</span></a><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">.</span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173000002"> </span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">    </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000001">Reference: Guidelines for Preventing the Transmission of </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000005">Mycobacterium</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000005"> </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000005">tuberculosis</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000001"> in Health-Care Settings, 2005.</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> "Centers for Disease Control and Prevention</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">Morbidity and Mortality Weekly Report," December 30, 2005/Vol. 54/No.RR-17.</span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0"> </span><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0">Copies are available free of charge from the following website: </span><span class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173C0-000006">https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5417a1.htm.</span></p><p dir="ltr" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173P0-000007"><span xml:space="preserve" class="s8f4d3c08-d864-4a5d-ba0e-0b56b281a173000002"> </span></p></div></body></html>