Armed security officers undergo this
testing.
| From:
| <lafoster@bidmc.harvard.edu>
|
| To:
| <mcoh-eh@mylist.net>
|
| Date:
| 11/04/2014 08:20 AM
|
| Subject:
| Re: [MCOH-EH] MCOH-EH Digest, Vol 247,
Issue 48
|
| Sent by:
| "MCOH-EH" <mcoh-eh-bounces@mylist.net> |
Thank you, all for sharing your institutional practices.
Is anyone doing any psychological screening as part of the baseline
assessment?
Thank you
Lisa
Lisa A. Foster, MS, ANP-BC
Clinical Director
Employee Occupational Health Services
Beth Israel Deaconess Medical Center
110 Francis St, Suite 6C
Boston, MA 02215
617-632-7805
2014-15 Flu Vacciniation Portal address:
https://portal.bidmc.org/Intranets/Clinical/Flu-and-Norovirus-Central-2014-2015/Flu/Vaccination/FormsAllLanguages.aspx
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of mcoh-eh-request@mylist.net
Sent: Wednesday, October 22, 2014 6:22 PM
To: mcoh-eh@mylist.net
Subject: MCOH-EH Digest, Vol 247, Issue 48
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Today's Topics:
1. Re: Medical clearance for Ebola PPE (Swift, Melanie)
2. Re: Medical clearance for Ebola PPE (Hudson, T. Warner)
----------------------------------------------------------------------
Message: 1
Date: Wed, 22 Oct 2014 21:55:54 +0000
From: "Swift, Melanie" <melanie.swift@Vanderbilt.Edu>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Medical clearance for Ebola PPE
Message-ID:
<984BE23843F0DE4EBE652D6EE07600BE1D8FB6A9@ITS-HCWNEM104.ds.vanderbilt.edu>
Content-Type: text/plain; charset="us-ascii"
In this particular application, other issues also come to mind. Insulin
pumps could not be accessed, for example. Anyone with a condition causing
urinary frequency or urgency would have difficulty. It reminds me very
much of the BSL 4 containment requirements, where egress is delayed and
people must be in the suits for long periods.
I've put calls in to Emory and NIH to see what they do for clearance.
Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic http://occupationalhealth.vanderbilt.edu
From: MCOH-EH [mailto:mcoh-eh-bounces+melanie.swift=vanderbilt.edu@mylist.net]
On Behalf Of Shea, Joann
Sent: Wednesday, October 22, 2014 4:45 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Medical clearance for Ebola PPE
Here is ours...just a brief one page screening. We are using
the PAPRS with hoods and full body suit. We are just doing a brief
screening and our RN then meets with those with positive responses. We
had three HCWs who could not participate today. They can elect to
see the ARNP if they still want to participate so we can do additional
testing and examination.
[TGH_employee health serv-color]
JoAnn Shea, ARNP, MS, COHN-S
Director, Employee Health and Wellness
P.O. Box 1289, Tampa, FL 33601 Mobile: 813-789-3441 Work:
813-844-7692 FAX: 813-844-8144
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Adamo, Philip
Sent: Wednesday, October 22, 2014 5:18 PM
To: MCOH/EH
Cc: MCOH/EH
Subject: Re: [MCOH-EH] Medical clearance for Ebola PPE
Hi Deb
I am at an Ebola task force meeting and just raised this issue. After listening
to one of the physician training the nurses he expressed that many complain
about being warm, sweaty and anxious. We must be careful about applying
a federal form on more than a respirator issue. My thoughts are:
1. Pregnant health care workers should not work in that PPE.
2. HCW with chronic skin conditions should not be expected to be in the
PPE for extended times.
3. HCW with medical conditions that are at risk for dehydration should
not work with that level of PPE 4. General question to ask prior to training
is do you want to be evaluated by EHS?
At this time we are making this a volunteer based training.
I welcome others to contribute to this conversation.
Phil Adamo M.D.
UMass Memorial Health Care
Sent from my iPhone
On Oct 22, 2014, at 5:08 PM, "Foley MD, Deborah" <DFoley@NCH.ORG<mailto:DFoley@NCH.ORG>>
wrote:
Is anyone developing a medical evaluation tool to help determine an employee's
ability to work in the PPE recommended for Ebola patient care? We think
that a nurse may be in the gear for up to a 4 hour shift. I am considering
the long form respiratory questionnaire as a possibility. What are others
thinking?
Thanks,
Deborah Foley MD
Employee Health and Safety
Northwest Community Healthcare
Arlington Heights IL
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Message: 2
Date: Wed, 22 Oct 2014 22:21:47 +0000
From: "Hudson, T. Warner" <TWHudson@mednet.ucla.edu>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Medical clearance for Ebola PPE
Message-ID:
<2134A5387858914BBE80D079ECF6880C3BD60C74@SOPEXMB2.ad.medctr.ucla.edu>
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Not a bad idea. Some considerations as follows highlighted
Occupational Health Considerations: Working with HFV
Preparation prior
to caring for Ebola patients
* Undergo PPE training (including donning and doffing PPE) and CAPR.
* Review the possible impact of Ebola on your own health, especially
for individuals with chronic diseases and / or taking medication.
* Considerations include pregnancy, immune suppressing conditions
and medications, difficulty donning and doffing PPE, poorly controlled
seizures or narcolepsy, claustrophobia, planned surgery, chemotherapy,
current illness which could be confused with Ebola.
* Ensure vaccines are up to date; especially influenza
* Train to provide care for Ebola patients wearing the correct personal
protective equipment (PPE) and become proficient and comfortable with this.
* Understand the travel restrictions for "known exposures and
contacts" with Ebola patients.
* Wear scrubs only under PPE.
While on Ebola
care duty
* Your temperature will be checked twice daily and logged by Infection
Prevention officer.
* If temperature or any possible Ebola symptoms, or any potential
exposure, contact Medical Director of Infection Prevention on call: Dr.
XXXXX or Dr. XXXXXX)
* Make a daily check in call to Occupational Health at xxxxxxxxxx
while on Ebola Response Team duty.
Preparation prior
to returning to non-Ebola UCLA patient care duties
* Undertake an "Exit Exposure Review"
by Occupational Health officer.
* Employees should be aware that current CDC
guidelines indicate that asymptomatic persons with "Close Contact"
(defined below) should not travel by commercial conveyance (airlines, ships,
trains) for 21 days after last contact.
* Healthcare workers in Ebola facilities who
observe strict infection control measure with consistent and appropriate
PPE use are not considered as having "close contact".
* Brief interactions, such as walking by a
person or through a hospital, do not constitute close contact.
* For health care workers classified as "no
known Ebola exposure", there will still be medical surveillance for
21 days as follows:
1. Self-monitoring: daily symptom review and twice
daily temperature check for 21 days following return from West Africa.
2. Daily contact with local Occupational Health
3. Notification of Infection Prevention on the presentation
of any symptoms.
* Health care workers who appropriately use PPE in the presence
of known cases should also understand the potential for risk that may arise
from unprotected contact with asymptomatic, or individuals assumed ill
with another disease, who develop EVD a few days later.
* Medical surveillance during the 21 days following last exposure
will include risk assessment for direct patient contact . Decisions
regarding fitness for duty will be locally determined and coordinated with
local Infectious Disease and Infection Control hospital/clinic personnel,
and based on characteristics of patient population, scope of services and
setting of services provided by clinician.
Close contact is defined as
* being within approximately 3 feet (1 meter) of an EVD patient
or within the patient's room or care area for a prolonged period of time
(e.g., health care personnel, household members) while not wearing recommended
personal protective equipment (i.e., standard, droplet, and contact precautions;
see Infection Prevention and Control Recommendations<http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html>);
or
* having direct brief contact (e.g., shaking hands) with an EVD
patient while not wearing recommended personal protective equipment.
* Individuals with brief interactions, such as walking by a person
or moving through a hospital, do not constitute close contact and no travel
restrictions apply, however should self-monitor for 21 days following last
exposure.
T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health UCLA Health System and
Campus Office 310.825.9146 Fax 310.206.4585 Pager 800.233.7231 ID
27132 E-mail twhudson@mednet.ucla.edu<mailto:twhudson@mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>
From: MCOH-EH [mailto:mcoh-eh-bounces+twhudson=mednet.ucla.edu@mylist.net]
On Behalf Of Foley MD, Deborah
Sent: Wednesday, October 22, 2014 2:08 PM
To: 'MCOH/EH'
Subject: [MCOH-EH] Medical clearance for Ebola PPE
Is anyone developing a medical evaluation tool to help determine an employee's
ability to work in the PPE recommended for Ebola patient care? We think
that a nurse may be in the gear for up to a 4 hour shift. I am considering
the long form respiratory questionnaire as a possibility. What are others
thinking?
Thanks,
Deborah Foley MD
Employee Health and Safety
Northwest Community Healthcare
Arlington Heights IL
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