If they are considered employees, for however short a time, (in gov’t) the facility is responsible for keeping patients safe from their active or insipient disease states; thus a TB clearance before “hire” is always prudent. We would use any clearance in the past 12 mos as adequate, and would use  a new IGRA for the others. They probably all have immunization forms that will confirm MMR vaccinations, and likely TB testing as well.

Wendy

Wendy Thanassi MA, MD

National Project Lead, Tuberculosis

Office of Patient Care Services, Occupational Health 10P4Z

U.S. Department of Veterans Affairs

Washington, DC 20420

Chief, Occupational Health

3801 Miranda Avenue

Palo Alto VAHCS

Palo Alto, CA 94304

Wendy.Thanassi@va.gov

650-493-5000 x 65214

Providing the best Occupational Medicine Care Anywhere—for VHA Employees and Veterans

VHAOccupationalEnviroMedConsult@va.gov  or https://vaww.portal.va.gov/sites/ohshg/OEMedicineConsults

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Sampson, Deborah
Sent: Friday, June 17, 2016 9:53 AM
To: MCOH/EH
Subject: [EXTERNAL] Re: [MCOH-EH] Short-time volunteers in health care facilities

Phil

Is there any data to support 2 hour rule? If so, I’d be interested in a reference to support some policy changes.

From: MCOH-EH [mailto:mcoh-eh-bounces+deborah.sampson=snhhs.org@mylist.net] On Behalf Of Philip Adamo
Sent: Thursday, June 16, 2016 2:00 PM
To: MCOH/EH
Cc: Occ-Env-Med-L@listserv.unc.edu
Subject: Re: [MCOH-EH] Short-time volunteers in health care facilities

Hello Ed

Our general rule is if anyone is sharing more than 2 hours of air space with our patients they need TB in addition to MMRV immunity and Tdap.

Phil Adamo MD MPH

Sent from my iPhone

Sorry for typos

On Jun 16, 2016, at 11:43 AM, Galaid Edward I <Edward.Galaid@RoperSaintFrancis.com> wrote:

Cross posting to MCOH and OEM-L.

We have high school and college kids coming through during the summer  for a wide range of volunteer and “shadowing” experiences …many of which are the patient care areas.   They’re here for between 8 and 40 hours, total.

Is there a consensus as to what we need to do for them, from a medical clearance standpoint, stratified by how much time they’re with us.  The least invasive is looking at their immunization records.  The most invasive I guess is phlebotomy for an IGRA.

Thanks

Ed Galaid

Edward I. Galaid, MD, MPH
ABIM, ABPM

Medical Director, Occupational Health Partners

Roper St. Francis Healthcare   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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