We are also doing more skin tests these days.
Mary
Take 3 minutes to watch this doodle on sharps safety.
https://www.youtube.com/watch?v=mpm_7pNn5GM&feature=youtu.be
Mary Spangler, M.S., N.P., COHN-S
Administrative Director, Occupational Health Services
Stanford Health Care & Stanford Children’s Health Care
300 Pasteur Drive, M/C 5205, Stanford, CA 94305-5513
Office: (650) 725-9583 Fax: (650) 498-7748 (fax)
mspangler@stanfordhealthcare.org
Administrative Assistant Michelle Fitch 650-725-2529
mfitch@stanfordhealthcare.org
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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Thrasher, Terri
Sent: Friday, March 31, 2017 9:23 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] TB screening and indeterminates
I place a ppd at the same time I repeat the QFT
From: MCOH-EH [mailto:mcoh-eh-bounces+terri.thrasher=cchmc.org@mylist.net]
On Behalf Of Tara Dockery
Sent: Friday, March 31, 2017 12:12 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] TB screening and indeterminates
For our borderline we had one that was retested in a week, as per the protocol on the reference lab result, and it came back as borderline again. This was expensive, and time consuming. To remedy the situation
we did a Mantoux PPD and that came out negative.
When we had an indeterminant employee (seemed to mention they may have had a low lymphocyte count??) rather than retesting the employee because she mentioned she had been taking a new kind of vitamin and supplement,
so presuming the employee was healthy and we didn’t want to look into her lymphocyte count and open a can of worms, we decided there could have been an interfering substance and decided to use the old Mantoux skin test PPD, which also came back negative for
her.
So in both scenarios, to save time and money, I do believe in the future we will back up with a Mantoux PPD.
This is what I found to work for us
Tara
Tara Lee Dockery, IP, MT(ASCP), BS
Infection Prevention and Employee Health
Ocean Beach Hospital and Clinics
174 First Avenue North
Ilwaco, Washington 98624
tdockery@oceanbeachhospital.com
Office Phone 360 – 642 - 6307
Cell Phone 509-760-7397
Fax 360-642-6309
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Yvonne Noel
Sent: Friday, March 31, 2017 8:41 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: [MCOH-EH] TB screening and indeterminates
If you are using the Quaniferon Gold test, would you mind sharing your reference ranges? If you have set up a borderline or indeterminate reference range, can you tell me how individuals who test in this range are managed, e.g. repeat
testing in two months.
|
|
Yvonne Noel, RN, COHN-S, CIC O:
214.456.8983 |
|
1935 Medical District Drive | Mailstop BL.100 | Dallas, TX 75235 |
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