Inform patient about the need for a follow-up visit in 48 to 72 hours
9
Approval: Nurse's injection procedure
10
Gather necessary materials for follow-up visit
11
Inspect the injection site for reaction during follow-up visit
12
Measure the size of the induration, if any, at the injection site
13
Interpret the reaction based on the size of the induration
14
Approval: Physician's reaction interpretation
15
Document the interpretation of the reaction and the patient's reaction to the PPD
16
Communicate the results to the patient
17
Provide advice and recommendations based on the reaction size and patient's reaction
18
Schedule additional tests if necessary
19
Follow up with patient regarding additional tests or treatment
20
Archive patient's PPD test results in their medical record
Collect patient's medical history
Gather information about the patient's medical history. This includes any pre-existing conditions, allergies, or medications that the patient is currently taking. The medical history will help in assessing the patient's suitability for the PPD test and guide the overall treatment process.
1
Asthma
2
Diabetes
3
Hypertension
4
Heart disease
5
None
Perform physical examination of patient
Conduct a thorough physical examination of the patient before administering the PPD test. This examination helps in determining the overall health of the patient and identifying any conditions that may affect the test results or the patient's reaction to the test.
Prepare skin where PPD is to be inserted
Properly prepare the patient's skin to ensure accurate results and minimize the risk of infection or irritation. Follow the necessary steps to clean and sterilize the injection site.
1
Clean the injection site with an alcohol swab
2
Allow the area to air dry
3
Apply a numbing cream if necessary
4
Mark the injection site with a pen
5
Cover the area with a sterile dressing
Draw PPD solution into syringe
Retrieve the appropriate amount of PPD solution and draw it into a syringe for injection. Ensure proper handling and storage of the PPD solution to maintain its effectiveness.
1
1ml
2
3ml
3
5ml
4
10ml
5
Other
Inject PPD solution into patient's skin
Carefully inject the PPD solution into the prepared injection site. Follow proper injection techniques to minimize pain and potential complications. Ensure the patient is comfortable throughout the process.
1
Select the appropriate needle size
2
Insert the needle into the skin at a 5-15 degree angle
3
Inject the PPD solution slowly
4
Remove the needle swiftly and safely
5
Apply pressure to the injection site
Dispose used needle and syringe appropriately
Dispose of the used needle and syringe safely and in accordance with medical waste regulations. Proper disposal ensures the prevention of injuries and contamination.
1
Place the used needle and syringe in a sharps container
2
Seal the sharps container properly
3
Label the container with the date and contents
4
Store the sharps container in a designated area
5
Contact the appropriate medical waste disposal service for pickup
Document the injection site for future reference
Record the details of the injection site to allow for comparison and evaluation during the follow-up visit. Accurate documentation helps in tracking the patient's progress and identifying any potential issues.
Inform patient about the need for a follow-up visit in 48 to 72 hours
Explain to the patient the importance of returning for a follow-up visit within the specified timeframe. Emphasize the significance of monitoring the injection site for any reaction and the need for further assessment.
Approval: Nurse's injection procedure
Will be submitted for approval:
Inject PPD solution into patient's skin
Will be submitted
Gather necessary materials for follow-up visit
Ensure all required materials and equipment are ready for the patient's follow-up visit. This includes items necessary for examining the injection site and conducting any additional tests or evaluations.
1
Tape measure
2
Magnifying glass
3
Skin marker
4
Sterile swabs
5
Topical corticosteroid cream
Inspect the injection site for reaction during follow-up visit
Thoroughly examine the injection site during the follow-up visit to monitor for any reaction or inflammation. Any changes in the skin should be carefully observed and recorded for further evaluation.
1
Observe the site for redness or swelling
2
Check for any itching or discomfort
3
Take photographs of the site for comparison
4
Measure the induration size using a tape measure or ruler
5
Evaluate the overall appearance of the injection site
Measure the size of the induration, if any, at the injection site
Accurately measure the induration (raised area) at the injection site to determine the patient's reaction to the PPD test. This measurement assists in interpreting the test results and making appropriate recommendations.
Interpret the reaction based on the size of the induration
Analyze the patient's reaction to the PPD test based on the size of the induration. Compare the induration size with standardized guidelines to determine if the patient's response is positive or negative.
1
Positive
2
Negative
Approval: Physician's reaction interpretation
Will be submitted for approval:
Measure the size of the induration, if any, at the injection site
Will be submitted
Document the interpretation of the reaction and the patient's reaction to the PPD
Record the interpretation of the patient's reaction to the PPD test along with any accompanying symptoms or observations. Accurate documentation ensures a comprehensive view of the patient's health status for future reference.
Communicate the results to the patient
Effectively communicate the PPD test results to the patient in a clear and understandable manner. Provide necessary information, answer any questions, and offer support or guidance as needed.
1
In-person visit
2
Phone call
3
Written report
4
Email
5
Other
Provide advice and recommendations based on the reaction size and patient's reaction
Based on the interpretation of the reaction and the patient's overall response to the PPD test, provide appropriate advice and recommendations. This may include lifestyle changes, further testing, or referral to a specialist.
Schedule additional tests if necessary
If the PPD test results and the patient's reaction indicate a need for further evaluation, schedule any additional tests or procedures. Coordinate with the necessary healthcare providers and arrange appointments accordingly.
1
Chest X-ray
2
Sputum culture
3
Tuberculin blood test
4
Cultures of other body fluids
5
Skin biopsy
Follow up with patient regarding additional tests or treatment
Maintain communication with the patient to ensure compliance with any ongoing tests, treatments, or referrals. Regularly assess the patient's progress and address any concerns or questions that may arise.
1
Phone call
2
Email
3
In-person visit
4
Online messaging
5
Other
Archive patient's PPD test results in their medical record
Safely store and archive the patient's PPD test results in their medical record. Ensure the results are easily accessible for future reference and maintain patient confidentiality.
