Services

Mantoux Tuberculin Skin Test

TWO VISITS REQUIRED:

1. One visit to receive test.
2. One to read the placed test on arm.

Note: TB test must be read 48-72 hours after administration. Failure to return result in repeat testing.

Items Need for TB Skin Test:

• Proof of Residency required (State ID or Illinois Driver’s License) **Employment in Will County DOES NOT APPLY and payment is required.
• Immunization record required for all children needing a TB Test. – MMR & Varicella are live virus immunizations that affect the TB skin test. A child must wait six weeks after receiving the above immunizations for their TB test. Please get the TB test prior to immunizations to avoid a delay in TB testing.
• A child under 18yrs must have a parent signature on consent form for TB testing.

TB Skin Testing Results

• Result documentation is given to the client the day of test reading. You will receive a three part form with the same information. Please retain a copy of one of the result information for your own records.
• Additional reports (cash payment required) may be obtained with a signed consent from the client and must be picked up in person with proper identification.
• No skin test results may be faxed to an employer or client.

Call and speak with a nurse to schedule your appointment - May be a charge for Will County Residents- All others must pay at time of services.

• T-SPOT
• QuanteriFERON –TB Gold In-Tube test (QFT-GIT)
• Measures TB proteins in the blood
• NO FASTING REQUIRED

Always call for technician availability.

• Chest X-rays with written Doctor’s Authorization is required.
• Typed report will be forwarded to the ordering physician.
• Patient may request a copy of the x-ray report for a charge.
• Copy films may also be purchased.
• Pregnant patient will not be x-rayed until they have reached their 2nd trimester.
• All pregnant patient are shielded.
• Proof of Residency required (State ID or Illinois Driver’s License). **Employment in Will County DOES NOT APPLY and cash payment is required before x-ray taken.
• Latent TB client’s films/reports kept on site for 5 years then destroyed.
• If the client has been seen by the doctor, a report of the x-ray findings is included as part of the physician’s dictation for clinic.
• MTB clients are maintained indefinitely on site.
• Reports are mailed to ordering physician.
• Reports are available to clients with a signed consent and picked up in person.
• Reports may be faxed to ordering physician.
• Reports may not be faxed to employers/clients.

• Cases management for Will County residents.
• Physician Appointment for Active Tuberculosis and Latent TB (positive skin or IGRA tests).
• Appointments are available by scheduling with a nurse.
• Appointments include a chest x-ray if needed.
• Physician evaluation of history, chest x-ray review and determination the need for medication therapy.
• All medication for TB/Latent TB is provided free of charge for Will County Residents Only necessary blood work is done at no charge to the client for Will County Resident Only.
• Immigrant and refugee arrivals through CDC Border Control screening are scheduled after on site nurse evaluation of medical information.
• Contact screening for active pulmonary tuberculosis cases.
• Direct Observed Therapy when ordered by the treating physician.
• Outreach services as needed for patient with active tuberculosis.

• Patient records from 1940 + available.
• Records maintained off site in county archives and generally available within 72 hours.
• On-site closed files kept for previous 5-8 years.
• No name changes or vital personal informal may be changed on medical records.

• Client is provided a letter including the date of the positive PPD, dates of treatment, last chest x-ray done at this clinic.
• Must be picked up in person and consent signed.
• There is a cash charge for records.

• Referral for complete case management of Latent and Active Tuberculosis.
• TB related Medication/lab at no charge for Will County Residents with a physician’s order - Clients can choose to stay with their own MD.

Will supply any stock TB medications to Will County Residents with a physician’s order.

Stock medications include:

• Ethambutol
• INH
• Rifampin
• PZA
• Pyridoxine

Nursing Overview

• Monday: Skin testing & reading
• Tuesday: Medication refill, client reminders, Contact investigations,
• Wednesday: IGRA Testing till noon, Skin test readings 1pm-4pm
• Thursday: Physician Clinic till 12pm, Readings 1pm-4pm
• Friday: Skin testing

Additional Nursing Services

• Act as liaison between hospital and LTC facility.
• Answer questions related to the TB guidelines.
• Assist with any demographic statistic for reporting.

• On site lectures.
• CDC TB information – CDC.gov
• Mantoux PPD skin test training and how to read for new nurses on Mondays/Friday by appointment- Certificate of Completion received.
• Numerous informational TB pamphlets, State of Illinois rules and regulations, TB risk assessment assistance.

Grundy County Residents

An intergovernmental agreement exists with Will & Grundy Counties. There are charges for services. Please contact Grundy County for screening and referral at
815-941-6130.

Out of County

• Mantoux skin testing, blood testing for TB and Chest X-rays are the only services offered to non-residents.
• Charges do apply, cost depend upon service.
• CASH ONLY accepted.