<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.sa50195b9-21ab-41e9-81d7-d7410a84af3fP0 { 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.sa50195b9-21ab-41e9-81d7-d7410a84af3fC0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; 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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="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:61:07:12"><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000000">67</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000000">:</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000000">61</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000000">:</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000000">07</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000000">:</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000000">12</span></a><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000001">.  Tuberculin screening requirements.</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> A designated staff member</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">shall conduct tuberculin screening for the absence or presence of symptoms with each</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">client newly admitted to outpatient treatment, intensive outpatient, day treatment,</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">clinically-managed</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">,</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> low</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">-</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">intensity residential treatment, clinically</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">-</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">managed detoxification,</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> or</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> intensive inpatient treatment</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">,</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> within </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">twenty-four</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> hours of admission</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">,</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> to determine if the client</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">has had any of the following symptoms within the previous three months:</span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3f000002"> </span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">    (1)</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">  </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">Productive cough for a </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">duration of </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">two</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">-</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">three week</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">s</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">;</span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">    (2)</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">  </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">Unexplained night sweats;</span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">    (3)</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">  </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">Unexplained fevers; or</span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">    (4)</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">  </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">Unexplained weight loss.</span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3f000002"> </span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">    Any client determined to have </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">had </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">one or more of the </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">listed</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> symptoms within the last</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">three months </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">must</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> be immediately referred to a licensed physician for a medical evaluation</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">to determine the absence or presence of active </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">tuberculosis</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">. A </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">physician, physician assistant, nurse practitioner, or clinical nurse specialist may request that a </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">Mantoux skin test be </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">conducted</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">. Any</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">client confirmed or suspected to have infectious tuberculosis </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">may not be admitted for </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">services until the client is determined to no longer be infectious by the physician. </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">If</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> infectious tuberculosis is ruled out</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">, the evaluating physician</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">must</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> provide a written statement </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">confirming the client does not have tuberculosis</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> before </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">the client may be admitted</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> for services.</span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3f000002"> </span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">    </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000001">Source:</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">43</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> SDR </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">80</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">, effective </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">December 5, 2016; 50 SDR 63, effective November 27, 2023</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">.</span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">    </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000001">General Authority:</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000003">1-36-25</span></a><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000003">34-20A-27</span></a><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">.</span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">    </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000001">Law Implemented:</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000003">34-20A-27</span></a><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">.</span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3f000002"> </span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">    </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000001">Reference: Guidelines for Preventing the Transmission of </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000004">Mycobacterium</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000004"> </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000004">tuberculosis</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000001"> in Health-Care Settings, 2005</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">, December, 2005. "Centers for Disease</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">Control and Prevention Morbidity and Mortality Weekly Report, Recommendations and</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">Reports," December 30, 2005/Vol. 54/No.RR-17. Copies are available free of charge from</span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0"> </span><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">the following website: </span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0-000005">https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5417a1.htm</span><span class="sa50195b9-21ab-41e9-81d7-d7410a84af3fC0">.</span></p><p dir="ltr" class="sa50195b9-21ab-41e9-81d7-d7410a84af3fP0-000006"><span xml:space="preserve" class="sa50195b9-21ab-41e9-81d7-d7410a84af3f000002"> </span></p></div></body></html>