As a best practice standard, we update Tdap on hire if not current. Departments such as Engineering/Environmental Services also needs it since they are working with construction, plumbing, etc. We do the same for Varicella status.

Respectfully,

Barbara Derrico RN

Acting Assistant Chief Nurse

Lawton Service Unit

Room 3-29 Third Floor

580-354-5454 office

Barbara.derrico@ihs.gov

https://www.facebook.com/LawtonIHS

Prevention is Proactive…wash in-wash out. Every patient-every day!

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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Galaid Edward I
Sent: Monday, October 12, 2015 10:50 AM
To: mcoh-eh@mylist.net; Occ-Env-Med-L@listserv.unc.edu
Subject: [MCOH-EH] Tdap and varicella immunizations for HCWs

Cross-posting MCOH and OEM-L.

Any thoughts about updating HCWs’ Tdap as a best practice for selected areas of the hospital…for example, ED, OB, pedes, and employer-sponsored daycare center. In the past, we had offered it to these departments and reportedly there were few takers.

According to CDC, the 2014 provisional rate was 9.1/100,000 population nationally, and here in SC it was 3.3 (157 cases).

For varicella, our current policy is obtaining titers on those with a self-reported history of disease or documentation of a full course of vaccine. We are offering vaccine to those identified as being susceptible.

CDC’s recommendations are pretty straight forward. http://www.cdc.gov/vaccines/adults/rec-vac/hcw.html But they don’t necessarily address practical considerations. If you respond directly to me, I will summarize all for the lists.

Thanks

Ed Galaid

Edward I. Galaid, MD, MPH

ABIM, ABPM

Medical Director, Occupational Health Partners

Roper St . Francis Charleston, SC

Member, ACOEM Task Group on Medical Guidance for Law Enforcement Officers

Member, NFPA 1582 Writing Group - NFPA Technical Committee on Fire Fighter Safety and Health

843-906-0519

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