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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