Mantoux Tuberculin Skin Testing



Skills Assessment for Measurement

of Mantoux Tuberculin Skin Test

Name of Trainee: ___________________________ Date: ____________

Name of Preceptor: _________________________

The trainee will demonstrate the following skills involved in correctly reading and measuring a Mantoux TST:

1. Correctly identifies patient/introduces self ___________

2. Explains procedure ___________

3. Has supplies at hand (ballpoint pen or eyeliner pencil;

eye make-up remover or baby oil ___________

4. Washes hands ___________

5. Verifies from record which arm received test ___________

6. Has fingernails shorter than fingertips ___________

7. Uses well-lit area ___________

8. Makes patient well at ease with arm in relaxed position ___________

9. Locates and inspects site of injection ___________

Palpates: find the margin ridge (if any)

10. Palpates with arm bent at elbow 90 degrees ___________

11. Lightly sweeps 2” diameter from injection site (4 directions) ___________

12. Uses zig-zag feather-light touch ___________

13. Repeats palpation with arm bent at elbow 45 degrees ___________

Marks: places marks

14. Holds palm over injection site ___________

15. Moves finger pad towards injection site ___________

16. Locates any induration ___________

17. Drops fingernail on skin on left-sided edge of induration and

places single dot ___________

18. Drops fingernail on skin on right-sided edge of induration and ___________

places single dot

19. Inspects dots, repeat finger movements towards site, adjusts dots ___________

20. Makes sure dots are transverse to long axis of arm ___________

Meaurement: placing and reading ruler

21. Places the “zero” ruler line inside left dot edge ___________

22. Reads the ruler line inside the right dot edge ___________

Recording

23. Correctly records millimeters reading ___________

24. Records presence/absence of ulcerations, necrosis, blistering, etc. ___________

25. Correctly records name of who read test, date and time of reading ___________

Education and Follow-up

26. Explains results to patient ___________

27. Answers any patient questions ___________

28. Directs patient for follow-up, if indicated ___________

Total (if using point system) ___________

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