We strictly enforce the time and exercises
Terri L. Thrasher RN MSN
Sr. Director HR Professional Services
Employee Health, Occupational Safety, Environmental Health, Workers Compensation, Injury Management, Non CCHMC Badging, Childcare Center
3333 Burnet Ave
Cincinnati Ohio 45229 MLC 9006
513-636-6240
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Sajjad_Savul@bayhealth.org
Sent: Tuesday, May 12, 2015 8:26 AM
To: MCOH/EH
Cc: MCOH/EH
Subject: Re: [MCOH-EH] Respirator medical questionnaire
Good Morning,
We don't have any written guidelines but the following is the general protocol. The initial review may be done by a certified occ health tech or an LPN.
- the reviewer further questions/ documents comments on all "yes" answers (unless the subject has written pertinent details)
- the reviewer inquires if any of the "yes" answers are new (from last questionnaire).
- if there are any new answers, specially cardiopulmonary or the subject stating having difficulty with respirator use since last evaluation, the reviewer checks the "provider
consulted" box (we have it pre-printed on our forms alongwith a comment/signature section for the provider) and puts subject in a room
- the provider then sees the subject and decides on appropriate disposition
Now I have a question too!
For the fit test, OSHA says that each of the 8 or so exercises (e.g., bending forward, deep breathing, moving head up and down, etc.) should be carried for one minute (each).
In your practice, how strictly is that time followed? Thanks.
Saj
Sajjad A. Savul, MD, MS, FACOEM
Medical Director
Bayhealth Occupational Health
Dover Office:
1275 S State Street
Dover, DE 19901
Ph.: (302) 678-1303
Milford Office:
301 Jefferson Avenue
Milford, DE 19963
Ph.: (302) 430-5705
-----"MCOH-EH" <mcoh-eh-bounces@mylist.net> wrote: -----
To: MCOH/EH <mcoh-eh@mylist.net>, "'Seufert, Diana'" <Diana.Seufert@bmc.org>
From: "Malucky, Andrea"
Sent by: "MCOH-EH"
Date: 04/30/2015 09:55AM
Subject: Re: [MCOH-EH] Respirator medical questionaire
Would anyone be willing to share the specific guidelines that you give to nurses who are reviewing questionnaires?
Thank you,
Andrea
Andrea Malucky, MSN, FNP-c
CHI St. Alexius Health Occupational Medicine
310 N. 9th St.
PO Box 5510
Bismarck, ND 58506-5510
P 701.530.8103 F 701.530.8160
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Buchta, William G., M.D.
Sent: Wednesday, April 29, 2015 3:26 PM
To: 'Seufert, Diana'; MCOH/EH
Subject: Re: [MCOH-EH] Respirator medical questionaire
We do the same thing at Mayo Clinic but gave the nurses some basic guidelines to cull out those conditions which are likely irrelevant.
Bill Buchta
William G. Buchta, MD, MS, MPH
Assistant Professor, Mayo Clinic College of Medicine Mayo Clinic, Division of Preventive, Occupational, and Aerospace Medicine
200 First St,SW,Rochester, MN 55905
Phone: 507-266-0354 Fax: 507-284-4251
-----Original Message-----
From: Seufert, Diana [mailto:Diana.Seufert@bmc.org]
Sent: Wednesday, April 29, 2015 12:20 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Respirator medical questionaire
The RNs in the department review the questionnaires.
They consult with the NP or MD as needed on the "yes" questions to determine whether the person should be cleared.
Diana Seufert RN, MSN, NP
Boston Medical Center
Occupational & Environmental Medicine
Doctor's Office Building (DOB) 7th floor, Suite 703
720 Harrison Avenue, Boston, MA 02218
p 617-638-8400 f 617-638-8406
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Kuschel-Rapaski, Betty
Sent: Wednesday, April 29, 2015 9:41 AM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] Respirator medical questionaire
Good morning,
In regards to the respiratory (N95) medical questionnaire, who provides the medical clearance for those employees that have answered "yes" to any medical question? Is the Physician, NP, PA, or Medical assistant?
Thank you.
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of
mcoh-eh-request@mylist.net
Sent: Wednesday, April 29, 2015 9:22 AM
To: mcoh-eh@mylist.net
Subject: MCOH-EH Digest, Vol 250, Issue 62
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Today's Topics:
1. Annual PPDQ's (Morelli, Karen J)
2. Re: Annual PPDQ's (Tebolt, Allison)
3. Re: Annual PPDQ's (Senior, Cathy (DRMC))
4. Re: Annual PPDQ's (Tebolt, Allison)
----------------------------------------------------------------------
Message: 1
Date: Wed, 29 Apr 2015 12:38:53 +0000
From: "Morelli, Karen J" <kmorelli@emhs.org>
To: "mcoh-eh@mylist.net" <mcoh-eh@mylist.net>
Cc: "Allard, Bonnie" <ballard@emhs.org>
Subject: [MCOH-EH] Annual PPDQ's
Message-ID:
<8B8E7138F933B54BA8DBB3AEF14A5F1AA10EBF71@MARINA.me.emh.org>
Content-Type: text/plain; charset="us-ascii"
I am wondering how you handle annual ppd questionnaires for those who have had a +ppd or IGRA tuberculosis screening. We perform our annual questionnaires on 5/1 of each year. My question is if you hired someone in January, February, March or April and they
filled out the questionnaire on hire, would you have them make out a new questionnaire with the annual May surveillance or would you put their next due date as 5/1 of the following year (example someone hired 2/1/15-next due date for questionnaire 5/1/15 or
5/1/16?) Thank you,
Karen Morelli RN, BSN
Employee Health and Occupational Services Eastern Maine Healthcare Systems Phone 973-7335 Fax 973-7081
kmorelli@emh.org
-------------------------------------------------------------------------------------------------------------------
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------------------------------
Message: 2
Date: Wed, 29 Apr 2015 12:57:30 +0000
From: "Tebolt, Allison" <ATebolt@Health-quest.org>
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Annual PPDQ's
Message-ID: <E416D5A497D18841AA6D6BA9279A5691F8B38EE4@hqex2>
Content-Type: text/plain; charset="us-ascii"
I would forward them to the following year unless a known exposure within the organization.
Allison Tebolt, MSN, FNP-BC
Employee Health Coordinator
Vassar Brothers Medical Center
45 Reade Place
Poughkeepsie, NY 12601
(845) 483-6014
fax (845) 483-6109
From: MCOH-EH [mailto:mcoh-eh-bounces+atebolt=health-quest.org@mylist.net] On Behalf Of Morelli, Karen J
Sent: Wednesday, April 29, 2015 8:39 AM
To: mcoh-eh@mylist.net
Cc: Allard, Bonnie
Subject: [MCOH-EH] Annual PPDQ's
I am wondering how you handle annual ppd questionnaires for those who have had a +ppd or IGRA tuberculosis screening. We perform our annual questionnaires on 5/1 of each year. My question is if you hired someone in January, February, March or April and they
filled out the questionnaire on hire, would you have them make out a new questionnaire with the annual May surveillance or would you put their next due date as 5/1 of the following year (example someone hired 2/1/15-next due date for questionnaire 5/1/15 or
5/1/16?) Thank you,
Karen Morelli RN, BSN
Employee Health and Occupational Services Eastern Maine Healthcare Systems Phone 973-7335 Fax 973-7081
kmorelli@emh.org
-------------------------------------------------------------------------------------------------------------------
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------------------------------
Message: 3
Date: Wed, 29 Apr 2015 09:00:17 -0400
From: "Senior, Cathy (DRMC)" <CESenior@phhealthcare.org>
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Annual PPDQ's
Message-ID: <222DF8583BBC7C4CB20DD7562B9DDD5E0F236761FB@ex07>
Content-Type: text/plain; charset="us-ascii"
We do the same here. Do you require a past negative chest x-ray on start or do you do a chest x-ray on start and then do the tb f/u annually after that?
Cathy Senior RN BSN CDE
Employee Health Director
Penn Highlands DuBois
100 Hospital Avenue
P.O. Box 447
DuBois Pa 15801
Phone 814-375-3392
Fax 814-372-2610
cesenior@phhealthcare.org
https://urldefense.proofpoint.com/v2/url?u=http-3A__www.phhealthcare.org&d=AwICAg&c=aLnS6P8Ng0zSNhCF04OWImQ_He2L69sNWG3PbxeyieE&r=QrOvUjkDSNi5cIj0aanuZAiY9kpOePSAeEZ7suu85IU&m=bp8Mvl8TrvySCqvti6FTiAhT3hGLC_F6Bt4WLnwNDm8&s=LKcnfyL1RgGSJmdAKdwzpnsl6_9P1SUiV0tTpdvN448&e=
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Tebolt, Allison
Sent: Wednesday, April 29, 2015 8:58 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Annual PPDQ's
I would forward them to the following year unless a known exposure within the organization.
Allison Tebolt, MSN, FNP-BC
Employee Health Coordinator
Vassar Brothers Medical Center
45 Reade Place
Poughkeepsie, NY 12601
(845) 483-6014
fax (845) 483-6109
From: MCOH-EH [mailto:mcoh-eh-bounces+atebolt=health-quest.org@mylist.net] On Behalf Of Morelli, Karen J
Sent: Wednesday, April 29, 2015 8:39 AM
To: mcoh-eh@mylist.net<mailto:mcoh-eh@mylist.net>
Cc: Allard, Bonnie
Subject: [MCOH-EH] Annual PPDQ's
I am wondering how you handle annual ppd questionnaires for those who have had a +ppd or IGRA tuberculosis screening. We perform our annual questionnaires on 5/1 of each year. My question is if you hired someone in January, February, March or April and they
filled out the questionnaire on hire, would you have them make out a new questionnaire with the annual May surveillance or would you put their next due date as 5/1 of the following year (example someone hired 2/1/15-next due date for questionnaire 5/1/15 or
5/1/16?) Thank you,
Karen Morelli RN, BSN
Employee Health and Occupational Services Eastern Maine Healthcare Systems Phone 973-7335 Fax 973-7081 kmorelli@emh.org<mailto:kmorelli@emh.org>
-------------------------------------------------------------------------------------------------------------------
This email message, including any associated files, is for the sole use of the intended recipient(s) and may contain information that is confidential, privileged, or subject to copyright, trade secret or other protection. This message also may contain information
protected by state and federal privacy laws that are enforced through serious civil and criminal sanctions. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not an intended recipient of this message, please notify the sender
immediately by replying to this e-mail, and delete the original and all copies of this message from your computer or other device.
Health Quest has a secure e-mail policy.
To learn more about this policy and how to send and receive confidential and sensitive information, click Here<https://urldefense.proofpoint.com/v2/url?u=http-3A__userawareness.zixcorp.com_sites_index.php-3Fb-3D34097e0b8324f132014f612bd48e2492-26type-3D1-26p-3D0&d=AwICAg&c=aLnS6P8Ng0zSNhCF04OWImQ_He2L69sNWG3PbxeyieE&r=QrOvUjkDSNi5cIj0aanuZAiY9kpOePSAeEZ7suu85IU&m=bp8Mvl8TrvySCqvti6FTiAhT3hGLC_F6Bt4WLnwNDm8&s=6y3UbXQDL7k_rL8itStY9N0wh05Bj0bpn97xJc9pysw&e= >
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you are hereby notified that any use, dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify me immediately by using your reply option to advise me of such error.
Thank you
This email and any attached files are confidential and intended solely for the intended recipient(s). If you are not the named recipient you should not read, distribute, copy or alter this email. Any views or opinions expressed in this email are those of the
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the use of this email or attachments.
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------------------------------
Message: 4
Date: Wed, 29 Apr 2015 13:22:03 +0000
From: "Tebolt, Allison" <ATebolt@Health-quest.org>
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Annual PPDQ's
Message-ID: <E416D5A497D18841AA6D6BA9279A5691F8B38F3C@hqex2>
Content-Type: text/plain; charset="us-ascii"
If they have had one in the past year, we accept that. If not, we complete at time of hire and then do an annual questionnaire.
Allison Tebolt, MSN, FNP-BC
Employee Health Coordinator
Vassar Brothers Medical Center
45 Reade Place
Poughkeepsie, NY 12601
(845) 483-6014
fax (845) 483-6109
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Senior, Cathy (DRMC)
Sent: Wednesday, April 29, 2015 9:00 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Annual PPDQ's
We do the same here. Do you require a past negative chest x-ray on start or do you do a chest x-ray on start and then do the tb f/u annually after that?
Cathy Senior RN BSN CDE
Employee Health Director
Penn Highlands DuBois
100 Hospital Avenue
P.O. Box 447
DuBois Pa 15801
Phone 814-375-3392
Fax 814-372-2610
cesenior@phhealthcare.org
https://urldefense.proofpoint.com/v2/url?u=http-3A__www.phhealthcare.org&d=AwICAg&c=aLnS6P8Ng0zSNhCF04OWImQ_He2L69sNWG3PbxeyieE&r=QrOvUjkDSNi5cIj0aanuZAiY9kpOePSAeEZ7suu85IU&m=bp8Mvl8TrvySCqvti6FTiAhT3hGLC_F6Bt4WLnwNDm8&s=LKcnfyL1RgGSJmdAKdwzpnsl6_9P1SUiV0tTpdvN448&e=
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Tebolt, Allison
Sent: Wednesday, April 29, 2015 8:58 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Annual PPDQ's
I would forward them to the following year unless a known exposure within the organization.
Allison Tebolt, MSN, FNP-BC
Employee Health Coordinator
Vassar Brothers Medical Center
45 Reade Place
Poughkeepsie, NY 12601
(845) 483-6014
fax (845) 483-6109
From: MCOH-EH [mailto:mcoh-eh-bounces+atebolt=health-quest.org@mylist.net] On Behalf Of Morelli, Karen J
Sent: Wednesday, April 29, 2015 8:39 AM
To: mcoh-eh@mylist.net<mailto:mcoh-eh@mylist.net>
Cc: Allard, Bonnie
Subject: [MCOH-EH] Annual PPDQ's
I am wondering how you handle annual ppd questionnaires for those who have had a +ppd or IGRA tuberculosis screening. We perform our annual questionnaires on 5/1 of each year. My question is if you hired someone in January, February, March or April and they
filled out the questionnaire on hire, would you have them make out a new questionnaire with the annual May surveillance or would you put their next due date as 5/1 of the following year (example someone hired 2/1/15-next due date for questionnaire 5/1/15 or
5/1/16?) Thank you,
Karen Morelli RN, BSN
Employee Health and Occupational Services Eastern Maine Healthcare Systems Phone 973-7335 Fax 973-7081 kmorelli@emh.org<mailto:kmorelli@emh.org>
-------------------------------------------------------------------------------------------------------------------
This email message, including any associated files, is for the sole use of the intended recipient(s) and may contain information that is confidential, privileged, or subject to copyright, trade secret or other protection. This message also may contain information
protected by state and federal privacy laws that are enforced through serious civil and criminal sanctions. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not an intended recipient of this message, please notify the sender
immediately by replying to this e-mail, and delete the original and all copies of this message from your computer or other device.
Health Quest has a secure e-mail policy.
To learn more about this policy and how to send and receive confidential and sensitive information, click Here<https://urldefense.proofpoint.com/v2/url?u=http-3A__userawareness.zixcorp.com_sites_index.php-3Fb-3D34097e0b8324f132014f612bd48e2492-26type-3D1-26p-3D0&d=AwICAg&c=aLnS6P8Ng0zSNhCF04OWImQ_He2L69sNWG3PbxeyieE&r=QrOvUjkDSNi5cIj0aanuZAiY9kpOePSAeEZ7suu85IU&m=bp8Mvl8TrvySCqvti6FTiAhT3hGLC_F6Bt4WLnwNDm8&s=6y3UbXQDL7k_rL8itStY9N0wh05Bj0bpn97xJc9pysw&e= >
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you are hereby notified that any use, dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify me immediately by using your reply option to advise me of such error.
Thank you
This email and any attached files are confidential and intended solely for the intended recipient(s). If you are not the named recipient you should not read, distribute, copy or alter this email. Any views or opinions expressed in this email are those of the
author and do not represent those of Penn Highlands Healthcare or its affiliates.. Warning: Although precautions have been taken to make sure no viruses are present in this email, the company cannot accept responsibility for any loss or damage that arise from
the use of this email or attachments.
Health Quest has a secure e-mail policy.
To learn more about this policy and how to send and receive confidential and sensitive information, click the link below.
https://urldefense.proofpoint.com/v2/url?u=http-3A__userawareness.zixcorp.com_sites_index.php-3Fb-3D34097e0b8324f132014f612bd48e2492-26type-3D1-26p-3D0&d=AwICAg&c=aLnS6P8Ng0zSNhCF04OWImQ_He2L69sNWG3PbxeyieE&r=QrOvUjkDSNi5cIj0aanuZAiY9kpOePSAeEZ7suu85IU&m=bp8Mvl8TrvySCqvti6FTiAhT3hGLC_F6Bt4WLnwNDm8&s=6y3UbXQDL7k_rL8itStY9N0wh05Bj0bpn97xJc9pysw&e=
If you need assistance, please contact the Help Desk at
hqithelpdesk@health-quest.org or call 845-483-6789.
The information contained in this e-mail is intended for the use of the named recipient only. It may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient,
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Thank you
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End of MCOH-EH Digest, Vol 250, Issue 62
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