[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-429707-105":59,"doc-detail-429707-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","tb-tuberculosis-test-verification-form-college-of-nursing","TB (Tuberculosis) Test Verification Form - College of Nursing","","TB (Tuberculosis) Test Verification Form for all BSN, MIDAS and FNP students. Students must document an initial negative TB test before first-year practicum using 2-step skin testing, QuantiFERON, or T-Spot, and provide annual proof of absence using 1-step skin testing, QuantiFERON, or T-Spot. If a TB test is positive, negative/clear chest X-ray results and an annual TB Questionnaire are required, with additional results within 12 months of pediatric practicum.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/tb-tuberculosis-test-verification-form-college-of-nursing/429707/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/tb-tuberculosis-test-verification-form-college-of-nursing/429707.png","ImageObject",300,407,{"name":92,"@type":93},"Aria","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What TB test documentation is required before starting first-year practicum?","Question",{"text":113,"@type":114},"Submit proof of a negative TB test using one of the following: a 2-step skin test, QuantiFERON blood test, or T-Spot blood test.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which TB test proof is required annually after the initial submission?",{"text":118,"@type":114},"Annually thereafter, provide proof of absence of tuberculosis using either a 1-step skin test, QuantiFERON blood test, or T-Spot blood test.",{"name":120,"@type":111,"acceptedAnswer":121},"If a student has a positive TB test, what additional requirements apply?",{"text":122,"@type":114},"Provide negative/clear chest X-ray results and an annual TB Questionnaire, and submit additional test results within 12 months of pediatric practicum experiences.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},429707,1790765130,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},2336464648322,"https://ap-avatar.wpscdn.com/avatar/2200025388227c56fec?_k=1778556882303663488","College of Nursing  \n3800 Victory Parkway Cincinnati, OH 45207-7351 513 745-3814  \nTB (Tuberculosis) TEST VERIFICATION FORM  \nApplicable to: All BSN, MIDAS and FNP students.  \n\n| STUDENT: COMPLETE THIS SECTION\u003Cbr>I understand that prior to starting my first-year practicum courses I must obtain and submit documentation of a negative TB test using one of the following: 2-step skin test OR QuantiFERON blood test OR T-Spot blood test.\u003Cbr>Annually thereafter I must obtain and submit proof of absence of tuberculosis using one of the following: 1-step skin test OR QuantiFERON blood test OR T-Spot blood test.\u003Cbr>If I have a positive TB test the following are required: negative/clear chest X-ray results and annual TB Questionnaire. Additional tests results are required within 12 months of pediatric practicum experiences.\u003Cbr>If my health status changes, I will inform the College of Nursing and my instructor to avoid putting my health and academic status at risk. |\n| --- |\n| It is my responsibility to maintain copies of my medical documents.\u003Cbr>Student signature  Date   Student printed name  DOB   |\n| HEALTH PROFESSIONAL: COMPLETE THIS SECTION\u003Cbr>Mantoux Skin Test \\#1 (1-STEP testing is only approved for RENEWAL in the 2nd year)\u003Cbr>Date Given  Given by  \u003Cbr>Signature & Credentials\u003Cbr>Must be read within 48 to 72 hours by a licensed healthcare professional.\u003Cbr>Date Read  Read by  Result  record as MMinduration\u003Cbr>Signature & Credentials\u003Cbr>Mantoux Skin Test \\#2 (STEP \\#2 is REQUIRED in the first year and must be GIVEN 1-3 WEEKS AFTER STEP \\#1)\u003Cbr>Date Given  Given by  \u003Cbr>Signature & Credentials\u003Cbr>Must be read within 48 to 72 hours by a licensed healthcare professional\u003Cbr>Date Read  Read by  Result  record as MMinduration\u003Cbr>Signature & Credentials\u003Cbr>NAME/ADDRESS/PHONE OF HEALTH CARE PROVIDER |\n| PLEASE PROVIDE ALTERNATE FORMS OF VERIFICATION OF ABSENCE OF TB:\u003Cbr>Provide documentation of a negative QuantiFERON blood test or negative T-Spot blood test result.\u003Cbr>Provide documentation of a negative chest X-ray (\u003C12 months old) .\u003Cbr>Provide completed TB Questionnaire annually after submitting initial positive TB test AND negative chest X-ray.\u003Cbr>NAME/ADDRESS/PHONE OF HEALTH CARE PROVIDER (if not on attached verification):\u003Cbr> |","cbCaifPyECOTscWM","https://ap.wps.com/l/cbCaifPyECOTscWM","pdf",34264,"English","# TB Test Verification Form\n## Student Responsibility\n## Health Professional Section\n## Alternate Verification Forms","[{\"question\":\"What TB test documentation is required before starting first-year practicum?\",\"answer\":\"Submit proof of a negative TB test using one of the following: a 2-step skin test, QuantiFERON blood test, or T-Spot blood test.\"},{\"question\":\"Which TB test proof is required annually after the initial submission?\",\"answer\":\"Annually thereafter, provide proof of absence of tuberculosis using either a 1-step skin test, QuantiFERON blood test, or T-Spot blood test.\"},{\"question\":\"If a student has a positive TB test, what additional requirements apply?\",\"answer\":\"Provide negative/clear chest X-ray results and an annual TB Questionnaire, and submit additional test results within 12 months of pediatric practicum experiences.\"}]","TB (Tuberculosis) Test Verification Form - College of Nursing | PDF",1790650900]