What’s new: VDH updated the Virginia Tuberculosis (TB) Screening and Risk Assessment Tool used to screen staff and residents.

For assisted living facilities: DSS explained in a recent memo that the symptom screen and risk factor assessment may be conducted by a licensed healthcare provider (MD, PA, NP, RN, LPN).

• If a symptom or risk factor for TB is identified, further evaluation should also be performed by a licensed healthcare provider (MD, PA, NP, RN, LPN), however an RN or an LPN conducting evaluations must have an order by healthcare personnel with prescriptive authority consistent with Virginia professional practice acts for medicine and nursing.

Action for facilities:

• Use the Virginia Tuberculosis (TB) Screening and Risk Assessment Tool dated 03/2023 to identify asymptomatic individuals six years and older for latent TB testing.
• See pages 6-7 of the DSS memo for regulatory citations for ALF and adult day care center TB screening and risk assessment requirements.