Nursing School TB Test Requirements
Program Health Requirements
Content last reviewed 2026-09-13 · Educational information — not medical advice
Quick answer
Expect baseline TB screening before your first clinical semester — either a two-step skin test or a single IGRA blood test — then annual re-verification. Programs enforce hospital rotation rules, which exceed what licensing boards technically require.
Who this covers
Why programs require it
Host hospitals' infection-control contracts flow down to every student. A program's clinical-affiliate agreements effectively import the strictest partner's policy campus-wide.
Baseline options
IGRA blood test (one draw, done) or two-step PPD (two visits plus readings). Internationally-educated students with BCG scars benefit decisively from IGRAs.
The annual cycle
Documented negative baseline converts to annual symptom screens at many programs; others re-test yearly regardless. Read YOUR handbook — policies diverge.
Positive-result pathway
A positive screening isn't expulsion — it triggers a chest-X-ray baseline and symptom protocol, then clearance letters from a provider let you proceed.
Order the required tests
Direct-access laboratory testing — no doctor visit needed. Results arrive as forwardable PDFs that satisfy most compliance offices.
We may earn a commission when you order through partner links. This guide is educational and never replaces advice from your program office, employer, or healthcare provider.
Related guides
Frequently asked questions
How much does the nursing-school TB test cost?
IGRA blood tests typically run $80–180 direct-pay; skin tests less but add a second visit. Direct-access labs beat urgent-care pricing substantially.
When should I complete it?
8–10 weeks before your program's deadline — leaves room for two-step sequences and any positive-result follow-up without delaying clinical start.