> ## Documentation Index
> Fetch the complete documentation index at: https://docs.officeridge.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Employee health records

> TB symptom surveys, TB clearances, and hepatitis B vaccination consent.

Employee health records cover the occupational health screening your staff need before and during
member contact.

<Warning>
  These records contain employee health information. Restrict access to staff with a genuine need
  and handle them with the same care as member information.
</Warning>

## TB Symptom Surveys

TB symptom screening surveys with completion status and attachments.

**Columns:** Employee · Survey Date · Status · Symptoms

A recorded symptom is a prompt for clinical follow-up, not just a data point. Act on it before the
employee's next assignment.

## TB Clearances

TB test clearance records with test type, results, and next screening dates.

**Columns:** Employee · Test Type · Test Date · Status · Next Screen

**Next Screen** drives the screening cycle. Filter on it to find staff coming due.

<Warning>
  An employee whose TB clearance has lapsed should not be delivering care. Track **Next Screen**
  the same way you track credential expiry.
</Warning>

## Hepatitis Consents

Employee hepatitis B vaccination consent and declination records.

**Columns:** Employee · Consent Type · Date · Vaccination Date

**Consent Type** distinguishes consent from declination. Both are valid outcomes and both must be
recorded — a declination on file is what demonstrates the offer was made.

## Completing health screening for a new hire

<Steps>
  <Step title="Record the TB symptom survey">
    Complete it at hire, before member contact.
  </Step>

  <Step title="Record TB clearance">
    Enter the test type, date, and result, then set **Next Screen**.
  </Step>

  <Step title="Offer hepatitis B vaccination">
    Record the outcome as consent or declination. Record the vaccination date if given.
  </Step>

  <Step title="Confirm before assignment">
    Check all three are complete before the employee is scheduled.
  </Step>
</Steps>

## Maintaining the screening cycle

<Steps>
  <Step title="Filter TB Clearances on Next Screen">
    Anyone within 30 days needs booking.
  </Step>

  <Step title="Record the new clearance">
    Update the record and set a new **Next Screen** date.
  </Step>

  <Step title="Repeat symptom surveys as your policy requires">
    Your agency's policy sets the interval. See [Resources](/resources) for the policy itself.
  </Step>
</Steps>

## Troubleshooting

| Problem                                            | What to check                                                                                   |
| -------------------------------------------------- | ----------------------------------------------------------------------------------------------- |
| Staff are not appearing in overdue screening views | **Next Screen** is blank on their clearance record.                                             |
| A declination looks like missing data              | Declinations are recorded through **Consent Type**. A declination on file is a complete record. |
| Symptom survey shows symptoms but nothing happened | Follow-up is a clinical action, not an automatic one. Escalate to your clinical manager.        |
| Clearance renewed but still shows overdue          | The new test was added without updating **Next Screen**.                                        |

## Related

<CardGroup cols={2}>
  <Card title="Credentials and checks" icon="badge-check" href="/employees/credentials-and-checks">
    The other prerequisites to assignment.
  </Card>

  <Card title="Compliance" icon="shield-check" href="/compliance">
    Infection control and incident reporting.
  </Card>
</CardGroup>