Section 441A.370 - Correctional facilities: Testing and surveillance of employees and inmates; investigation for contacts; course of preventive treatment for person with tuberculosis infection; documentation1. Each correctional facility in this State shall develop and implement an infection control program to prevent and control tuberculosis infections within the correctional facility. The correctional facility shall consult with the health authority having jurisdiction where the correctional facility is located in developing and implementing the infection control program. 2. An employee, independent contractor or volunteer of a correctional facility who provides direct services to an inmate in the custody of the correctional facility and who does not have a documented history of a positive tuberculosis screening test shall submit to such test before first commencing to work in the correctional facility.3. An inmate in the custody of a correctional facility must meet any applicable screening guidelines and recommendations set forth in the recommendations, guidelines and publications adopted by reference pursuant to NAC 441A.200.4. If a tuberculosis screening test administered pursuant to subsection 2 or 3 is negative, the person must be retested in accordance with any applicable testing guidelines and recommendations set forth in the recommendations, guidelines and publications adopted by reference pursuant to NAC 441A.200.5. If a tuberculosis screening test administered pursuant to subsection 2 or 3 is positive or if the person has a documented history of a positive tuberculosis screening test and has not completed an adequate course of medical treatment, the person shall submit to a chest X ray and a medical evaluation to determine the presence of active tuberculosis.6. Surveillance of employees, independent contractors and volunteers of a correctional facility and inmates must be maintained for the purpose of identifying any development of symptoms of active tuberculosis. If active tuberculosis is suspected or diagnosed, the case or suspected case must be cared for in a manner consistent with the provisions of NAC 441A.375.7. If a case having active tuberculosis is located in a correctional facility, the medical staff of the correctional facility shall carry out an investigation in cooperation with the local health authority having jurisdiction where the correctional facility is located for contacts in a manner consistent with the provisions of NAC 441A.355.8. The medical staff of the correctional facility shall submit a report to the health authority having jurisdiction where the correctional facility is located within 7 days after initiating an investigation required pursuant to subsection 7. The report must include, without limitation, the name, sex, date of birth, address and lab result of each person who may have been exposed to tuberculosis as a result of the case having active tuberculosis.9. A person who has tuberculosis infection but does not have active tuberculosis must be offered a course of preventive treatment unless medically contraindicated.10. Any action carried out pursuant to this section and the results thereof must be documented in the person's medical record.Nev. Admin. Code § 441A.370
Added to NAC by Bd. of Health, eff. 1-24-92; A by R084-06, 7-14-2006; A by R121-14, eff. 10/27/2015