General Question

hug_of_war's avatar

Has anyone had a 2-step TB test?

Asked by hug_of_war (10417 points ) May 2nd, 2014 from iPhone

My graduate program requires this. I can’t find any mention of this service provided, do I just go back 7 days after the first reading? Can I go to a different place for the second test?

Bonus: Is this going to likely be more cost efficient using one of those clincs in CVS/kroger or using my health insurance?

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9 Answers

livelaughlove21's avatar

I had to do this for nursing school. This was about 5–6 years ago, but I just went to Doctor’s Care, they put the bubble of whatever it is under the skin on my forearm. I went back a week later, they looked at it, and then I went home. The second visit was free since I paid for the test in the first day, so I wouldn’t go to two different places (not sure why you would). As for prices, I’d use insurance if I had any. I didn’t when I was in nursing school and I remember it being quite pricey.

JLeslie's avatar

I’m surprised they require a two step. I don’t think that is used very often. Are you sure you have not had a TB test within the last year? Don’t get the two step if you have.

The way I remember it, you get the first one administered and then read day 2 or 3 and then the second one administered day 7 and read day 9. Double check with your doctor to clarify.

GloPro's avatar

Both hospitals I’m currently working in required a TB to apply. I thought that was the 2 step, but it isn’t…
I found out that the health clinics at Wal-Mart (which are run by local hospitals, oddly) will do the initial TST for $30. The hospital was $240!!! I was uninsured, obviously.
Anyway, simple. They skin-pop the TB test (just under the skin), and then you go back 48-hours later. The window to have it checked is very small and they will invalidate the test if you don’t go back in time.

[Edit] 2 step is usually for past positives?

It’s no big deal. The Wal-Mart clinic will also do a physical for your college, too, if required. That’s pretty cheap, too.

JLeslie's avatar

@GloPro No, what you describe is a one step. This is the two step.

GloPro's avatar

Yeah, derp. I went and looked at my paperwork. I got the initial TST at Wal-mart, and then got hired. Not the 2 step. I must have gotten that at the hospital when I got my tetnus and Hep B… It was required for employment and on my immunization records. I guess I wasn’t paying attention, because I flat out don’t remember!
Don’t trust me, I guess I thought my 2 step was part of my Hep B trio of visits or something…

hug_of_war's avatar

Thanks, so helpful.

Dan_Lyons's avatar

Be careful you do not get a bug bite near the test area before the reading. The nurse will claim a response has occurred and it will be weeks or months to straighten them out.

cazzie's avatar

I had to do this to be a camp counselor. It is simple. No problems. Relax.

JLeslie's avatar

Double check that the school health center doesn’t provide the test for free. Most places that require the test for employment provide it for free, maybe your university does also.

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