Question
Dear Nancy,
I work for a therapeutic group home. All employees are required under the state law to have annual PPD tests for tuberculosis screening.
The RN of the group home administered the PPD tests and read them to the employees. However, there is no doctor's order for the test and no physician or house officer on staff.
The health department has trained and certified the nurse in administering and reading PPDs. But is it legal for the nurse to do this without an order from a physician?
Sincerely,
Keely
Answer
Dear Keely.
It is assumed that if the nurse giving the PPD test and reading it where you work is certified by the state department of health there is either a waiver of the need for a specific order or prescription.
Another possibility is there are standing orders somewhere (e.g., discussed in the state's law or the rules of its department) to do so. You can check for this information online by searching for items such as PPD test administration, requirements for PPD test certification, or something similar.
You can also search and review the state's department of health authority and powers by reviewing the actual statute. There is often a wealth of information on state websites, and taking a little time to research your question may resolve your concerns.
Calling your local health department and speaking to someone there also may be an option and a quick one. You can also seek the answer to your question by consulting with a nurse attorney or other attorney in your state. The state board of nursing and/or the nurse practice act itself may help shine additional light on your question.
Regards,
Nancy
