D.C. Mun. Regs. tit. 22, r. 22-B2017
A hospital's policies and procedures for health screening and examinations to prevent the transmission of communicable diseases must comply with the Americans with Disabilities Act (ADA) and the Genetic Information Nondiscrimination Act (GINA).
Each person, other than a physician, involved in the performance of duties involving direct patient care shall have an occupational health screening by a physician or other qualified health professional after receiving a conditional offer for employment or within thirty (30) calendar days after commencing employment, and at least once every two (2) years thereafter. Each physician shall have an occupational health screening performed by another physician or other qualified health care professional after receiving a conditional offer for employment, at a time before commencing employment, and once every two (2) years thereafter.
Occupational health screenings may include:
An intradermal tuberculin test and any subsequent tests performed as part of an occupational health screening shall be performed in accordance with Section 2017.5.
Preventative measures, screening, testing, and frequency of screening and testing for tuberculosis performed as part of an occupational health screening shall be in accordance with standards and guidelines of the Centers for Disease Control and Prevention (CDC).
A report, signed by an examining physician or other qualified health professional, shall be made of each occupational health screening.
The report of each occupational health screening shall be kept on file in the hospital, stored separately from the employee's personnel file, and shall be open to inspection by the Department.
In lieu of the intradermal tuberculin test required by this subsection, the examining physician may accept a written report of the test or x-ray made by a qualified person within twelve (12) months prior to the date of the examination.
Each person who is involved in direct patient care and who has been absent from duty because of an illness required to be reported to the Department shall, prior to returning to duty, obtain certification from a physician or other qualified health professional, as provided for in the hospital's policies, that they may return to duty without apparent danger of transmitting the cause of the illness to any patient.
A copy of each certification required by §§ 2017.9 shall be kept on file, stored separately from the employee's personnel file, and made available for examination by the Department.
Hospital work shall be deemed to be an occupation the duties of which are such that the activity of each individual performing the work is likely to be dangerous to the lives or health of other persons, within the meaning of §§ 213 of Chapter 2 of this title relating to the reporting and control of communicable diseases.
Immunization against communicable disease shall be required of all employees and all other persons who routinely come in contact with patients or patient areas. Immunizations shall be in accordance with current standards and guidelines developed by the CDC.
D.C. Mun. Regs. tit. 22, r. 22-B2017