See below

Thank you for your email.

Kindest regards,

Terri

Terri L. Thrasher RN MSN

Sr. Director HR Professional Services

Cincinnati Children’s Hospital Medical Center

3333 Burnet Ave MLC 9006

Cincinnati, Ohio 45229

513-636-6240 office

513-236-1202 cell

513-736-4305 pager

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Adamo, Philip
Sent: Thursday, July 24, 2014 1:13 PM
To: MCOH/EH
Subject: [MCOH-EH] FW: re: Temp and contract workers

Philip Adamo, M.D., MPH, FACOEM

Associate Vice President and

Medical Director, Employee Health &

Occupational Injury Care and Wellness

UMass Memorial Medical Center

Hahnemann Campus Suite 201

291 Lincoln Street

Worcester, MA 01605

Phone: 508-334-6179

FAX: 508-334-6433

cell 508-713-3993

philip.adamo@umassmemorial.org

"THE GREAT USE OF LIFE is to spend it for something that will outlast it."

William James

_____________________________________________
From: Adamo, Philip
Sent: Wednesday, July 23, 2014 11:09 AM
To: 'mcoh-eh-bounces@mylist.net'
Subject: re: Temp and contract workers

Hello all

As you know OSHA and JACHO require employers to treat temp workers and apply same safety measures as regular employees. I would like to get a sense on how your organization applies the pre-employment requirements such as the collection and storage of the records.

We use a form with all the requirements (same as our employees) that we send to the staffing agency and expect them to check off the completion date and send the form when completed(HR staffing employment specialist) with no supporting medical documents. If we need the documents in the case of a JACHO inspection or exposure, they are expected to produce the records within an hour. I have some concerns about this. There are gaps and in some cases we do not know there are contractors in the clinical areas. Some work for a couple of days and some work for more than a year and everything in between.

1. What is the process at your institution?

Cincinnati Childrens hospital manages the records of our non employees the same as our employees. They are stored in our confidential database.

2. If data is collected where is it stored?

In our electronic database.

3. What do you do in the event of an exposure and how are those temp workers identified?

All employees and non employees are required to report an exposure. We do not provide treatment for the non employees. (our temps are employees) Their contracts specify they go to a place identified by their employer/school/organization for treatment. If a blood borne pathogen exposure we do collect and test the blood of the source patient and provide the results to the non employee. In some rare cases we may provide care.

4. We perform drug testing pre-placement for our employees and this is required of the temp agencies to obtain. What about contractors(such as maintenance workers, project workers) who come in for a few days. Do you require drug testing?

5. For annual TB surveillance doyou include them for compliance to Infection Control?

We have requirements for drug testing immunizations fingerprint/background testing and tb testing based on where you are going what you are doing and the time you will be here. An algorithm directs the decisions. If here a few days and working with patients you must be drug screened and provide immunizations and tb testing. If not and its 3 days or less we might just give you a visitor badge. It all depends. This was developed in conjunction with legal and infection control based on our policies.

We also require physician documentation for all immunizations… we don’t accept records that just list a vaccine and a date. They must be official. We require a 10 panel drug screen from DHS approved lab.

Thanks for your assistance with this.

Be well and be safe