Patient Contact Requirements

Occupational Health Services conducts screenings and vaccinations intended to ensure the safety of employees and patients alike. Please call (314) 362-3528 to schedule an appointment.

Annual tuberculosis screening

Tuberculosis (TB) screening is required upon hire and annually thereafter. New employees will be tested during new employee orientation. Two-step testing (injections) is required for employees and should be completed within two weeks of hire. TB testing will also be administered to employees in the event of occupational exposure to a patient with active tuberculosis.

If exposed to TB, an employee should notify his or her supervisor immediately. The supervisor will contact our office at (314) 362-3528 for assistance.

Employees with a history of a positive skin test documented with Occupational Health Services will not repeat testing, but will need to sign the Tuberculin review form annually. Please complete the form and fax to Occupational Health Services at (314) 362-0058.

TB tests must be read 48 to 72 hours after being placed. School of Medicine and Barnes-Jewish Hospital physicians, nurse practitioners, registered nurses, and the Occupational Health clinic staff may read results. Per OSHA mandates, employees cannot read their own TB skin test.

*If there is either redness or swelling at the TB skin test site at 48 hours, the employee must come to the Occupational Health clinic to have the test site evaluated. If more than 72 hours has passed since the test placement, the employee will need to have a new test placed so that the reading can be confirmed by the Occupational Health clinic staff.

The Tuberculin review form may be sent via email directly to Occupational Health.

Once you have completed the form, click file and save, then send your completed form as a PDF via email to

TB testing schedule

Hepatitis B vaccination

The Hepatitis B vaccine is strongly encouraged for those who may be exposed to blood, body fluids, human tissue or human cell lines. There is no charge for this vaccine for eligible staff. Employees who choose to decline this vaccination must sign a statement to that effect. Occupational Health also encourages that all employees who work with human blood and body fluids provide evidence of a positive Hepatitis B antibody titer.

Seasonal influenza vaccination

Occupational Health usually starts offering the influenza in the fall for employees of the medical school, free of charge. Vaccination is mandatory for faculty and staff who have direct patient contact as it helps to protect our patients from becoming severely ill. This is particularly effective in protecting older patients who are most vulnerable to severe illness and death from influenza. Seniors account for 30%-40% of the patients we serve and are best protected when those working in a health care setting are immunized, thus creating a defensive shield around them. Even employees who are not in direct contact with patients can become part of a chain of infection. Accordingly, all WUSM employees and students are strongly encouraged to get a seasonal flu vaccine, even if they work in a purely administrative or research setting.

If employees experience non occupational or occupational exposures to influenza, they should contact the Occupational Health Services office.

Employees who develop flu-like symptoms should stay at home and not return to work until they have been fever free for 24 hours without administration of aspirin, Tylenol or other fever-reducing medications.

2017 Influenza Vaccination Schedule

Evaluations for workplace safety

Health care workers infected with HIV, chronic hepatitis B, and chronic hepatitis C are evaluated for work safety by confidential review, facilitated by the Occupational Health Medical Director. This review may include collection of WUSM and external medical records. These records are stored under a double lock and key system accessible only to the Medical Director and assistant. An expert panel reviews each case with all identifiers removed, and determines whether additional safety practices, monitoring, or job reassignment is indicated. Identifying information will not be shared without the employee’s knowledge and consent.