[MCOH-EH] Screening Transfers
JimGarb
jimgarb at comcast.net
Fri Dec 12 10:20:38 PST 2014
Screening transfers in a large health care system is a challenge, but is
important for the reason mentioned below, as well as many others. At my
last place of employment, Employee Health received notification from
Recruitment of all transfers from one job to a different job category (i.e.
not, for example, for a nurse transferring from the night shift to the day
shift or for a secretary in one department going to be a secretary in
another department), and we performed a chart review to make sure their
immunizations and TST were up to date, they had been offered the Hep B
vaccine if appropriate, and they didn't have any ongoing job restrictions or
health problems we were aware of that might be problematic in the new
position. If any issues were found, then we would require an EHS visit
before the transfer could be finalized. Otherwise, we would clear them
based on the paper review. With the typical 2 week notice required to
transfer, that usually gave us enough time to accomplish this without
causing delays. We screened about 1,000 transfers a year this way. It was a
lot of work, but I think it was very worthwhile. It also served as a nice
ongoing quality check on our immunization and TST programs.
James Garb, MD FACOEM
Medical Director, Occupational Health Services
Cape Cod Healthcare
Hyannis, MA
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Hudson, T.
Warner
Sent: Friday, December 12, 2014 12:37 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] [This might be SPAM] MCOH-EH Digest, Vol 249, Issue 7
If no documentation of 2 vaccines at least 28 d apart or protective titer,
we do vaccinate or restrict from patient area work. It is amazing how often
after that people are able to find the documentation or accept the vaccine.
Our issue is that if you are in a non patient area, later you can transfer
to a patient area and we have no system to catch these.
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 at mednet.ucla.edu
Website www.ohs.uclahealth.org
From: MCOH-EH [mailto:mcoh-eh-bounces+twhudson=mednet.ucla.edu at mylist.net]
On Behalf Of Cassano Victoria
Sent: Friday, December 12, 2014 8:48 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] [This might be SPAM] MCOH-EH Digest, Vol 249, Issue 7
For those hospitals that require proof either by vaccine hx or titer, if
someone is not immune do you then require the vaccine?
We follow CDC recommendations, but if someone is not immune we don't make
getting vaccinated mandatory.
We do counsel that they may not be able to work with certain patients or in
certain areas, such as mother/baby but we can't force someone to be
vaccinated except if they work on mother/baby as Mass law requires it.
Supervisors are notified of any staff who are not immune to one of the 4.
Wondering if anyone makes them sign a declination with consequences spelled
out?
Sent from my Verizon Wireless 4G LTE smartphone
-------- Original message --------
From: "Jeff Jacobs, MD"
Date:12/11/2014 2:42 PM (GMT-05:00)
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] [This might be SPAM] MCOH-EH Digest, Vol 249, Issue 7
MMR- proof of 2 vaccines or positive titer
Vz- proof of 2 vaccines or positive titer
There is no difference in our requirements between types of incoming
employees. MDs, NPs, PAs, Nurses, non-clinical staff all require proof of
MMRV immunity on hire. Older employees were presumably cleared when they
started but we do not have that info in our EHS computer system. When we see
longer-standing employees for clearance (recently Ebola teams) or
surveillance we try to update their records and will offer either titers or
vaccines if needed but there is no requirement that they do so.
jeff
Jeffrey A Jacobs, MD, MPH
Medical Director
Einstein LiveWell EHS
1303 Tabor Rd
Philadelphia, PA 19141
215-456-1084
FAX: 215-456-1840>>> <mcoh-eh-request at mylist.net> 12/11/2014 1:06 PM >>>
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Today's Topics:
1. MMR & VZ - proof of immunity (Upfal, Mark)
2. Re: MMR & VZ - proof of immunity (Hudson, T. Warner)
3. Re: MMR & VZ - proof of immunity (Hudson, T. Warner)
4. Re: MMR & VZ - proof of immunity (Kent, Susan K)
----------------------------------------------------------------------
Message: 1
Date: Thu, 11 Dec 2014 13:02:26 -0500
From: "Upfal, Mark" <mupfal at dmc.org>
To: "'MCOH/EH'" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] MMR & VZ - proof of immunity
Message-ID:
<9EE8412E15F7E148AAA54922744E618D312D15 at MAIL03.dmcnt1.local>
Content-Type: text/plain; charset="us-ascii"
For MMR & VZ, does your organization require proof of immunity for employees
and staff? Are the requirements the same or different for new employees vs.
newly credentialed physicians on medical staff?
Mark Upfal, MD, MPH
Corp Medical Director, DMC Occupational Health Services
4201 Saint Antoine, UHC 4G-3
Detroit, MI 48201
(313) 993-0509
www.dmc.org/ohs
__________________________________________
This e-mail message and any attachments may be privileged and confidential
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------------------------------
Message: 2
Date: Thu, 11 Dec 2014 18:05:55 +0000
From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] MMR & VZ - proof of immunity
Message-ID:
<2134A5387858914BBE80D079ECF6880C3C78FE1B at SOPEXMB3.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"
We require documentation of 2 MMR at least 28 days apart or protective
titers for employees of the Health System. New house staff are the same.
MDs employed by Health System are the same. Other faculty MDs are a group
we do not have our arms around yet.
Warner
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 at mednet.ucla.edu
<mailto:twhudson at mednet.ucla.edu%3cmailto:twhudson at mednet.ucla.edu>
<mailto:twhudson at mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org
<http://cp.mcafee.com/d/k-Kr6zqb2bParzPzVKVJd55BeZQn63qqabatXFTodFEEIFTKyU-r
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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Upfal, Mark
Sent: Thursday, December 11, 2014 10:02 AM
To: 'MCOH/EH'
Subject: [MCOH-EH] MMR & VZ - proof of immunity
For MMR & VZ, does your organization require proof of immunity for employees
and staff? Are the requirements the same or different for new employees vs.
newly credentialed physicians on medical staff?
Mark Upfal, MD, MPH
Corp Medical Director, DMC Occupational Health Services
4201 Saint Antoine, UHC 4G-3
Detroit, MI 48201
(313) 993-0509
www.dmc.org/ohs<http://www.dmc.org/ohs
<http://cp.mcafee.com/d/2DRPoQ93hJ5x5VBdNVNYTsSCyyODuWbz1Jd55BeZQXI6QQkmkXTh
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__________________________________________
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------------------------------
Message: 3
Date: Thu, 11 Dec 2014 18:06:24 +0000
From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] MMR & VZ - proof of immunity
Message-ID:
<2134A5387858914BBE80D079ECF6880C3C78FE53 at SOPEXMB3.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"
I meant to say same for VZ
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 at mednet.ucla.edu
<mailto:twhudson at mednet.ucla.edu%3cmailto:twhudson at mednet.ucla.edu>
<mailto:twhudson at mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org
<http://cp.mcafee.com/d/FZsScz9J5x5VBdNVNYTsSCyyODuWbz1Jd55BeZQXI6QQkmkXThsv
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From: Hudson, T. Warner
Sent: Thursday, December 11, 2014 10:06 AM
To: 'MCOH/EH'
Subject: RE: MMR & VZ - proof of immunity
We require documentation of 2 MMR at least 28 days apart or protective
titers for employees of the Health System. New house staff are the same.
MDs employed by Health System are the same. Other faculty MDs are a group
we do not have our arms around yet.
Warner
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 at mednet.ucla.edu
<mailto:twhudson at mednet.ucla.edu%3cmailto:twhudson at mednet.ucla.edu>
<mailto:twhudson at mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org
<http://cp.mcafee.com/d/FZsS76Qm4nCkT7D7PtPqqabatXEKc6QQkmkXTjKMrjhhpjLt5NYS
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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Upfal, Mark
Sent: Thursday, December 11, 2014 10:02 AM
To: 'MCOH/EH'
Subject: [MCOH-EH] MMR & VZ - proof of immunity
For MMR & VZ, does your organization require proof of immunity for employees
and staff? Are the requirements the same or different for new employees vs.
newly credentialed physicians on medical staff?
Mark Upfal, MD, MPH
Corp Medical Director, DMC Occupational Health Services
4201 Saint Antoine, UHC 4G-3
Detroit, MI 48201
(313) 993-0509
www.dmc.org/ohs<http://www.dmc.org/ohs
<http://cp.mcafee.com/d/1jWVIp4zqb2bParzPzVKVJd55BeZQn63qqabatXFTodFEEIFTKyU
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__________________________________________
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________________________________
IMPORTANT WARNING: This email (and any attachments) is only intended for the
use of the person or entity to which it is addressed, and may contain
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------------------------------
Message: 4
Date: Thu, 11 Dec 2014 18:05:16 +0000
From: "Kent, Susan K" <KentS at empirehealth.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] MMR & VZ - proof of immunity
Message-ID:
<08F2F12E9D65C2438125A428E999AB3C010B682311 at TN001WEXMBX006.US.chs.net>
Content-Type: text/plain; charset="us-ascii"
Proof if immunity to MMR and VZ required for employees - not required for
medical staff
Susan Kent, RN, BSN | Employee Health | Worker Compensation | Leave of
Absence | VALLEY HOSPITAL | ROCKWOOD HEALTH SYSTEM | 12606 East Mission Ave.
| Spokane Valley, WA 99216 | Tel: 509.473.5744 | Fax: 509.473.5886 |
kents at empirehealth.org
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Upfal, Mark
Sent: Thursday, December 11, 2014 10:02 AM
To: 'MCOH/EH'
Subject: [MCOH-EH] MMR & VZ - proof of immunity
For MMR & VZ, does your organization require proof of immunity for employees
and staff? Are the requirements the same or different for new employees vs.
newly credentialed physicians on medical staff?
Mark Upfal, MD, MPH
Corp Medical Director, DMC Occupational Health Services
4201 Saint Antoine, UHC 4G-3
Detroit, MI 48201
(313) 993-0509
www.dmc.org/ohs<http://www.dmc.org/ohs
<http://cp.mcafee.com/d/k-Kr3xAg6wUSyMyYOCUYU-rKrjhhpjLt5NwSCyyODuWtS3qqabat
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og6PiWq83h0dygo2Vsq2VEw3F4vFc0Ph06qDCy1dwQsw6q80SB6_d40USUYrlI-Ku-hC> >
__________________________________________
This e-mail message and any attachments may be privileged and confidential
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violation of the law. Please contact the sender immediately by replying to
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This message (including any attachments) is confidential and intended solely
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be the views of Tenet Healthcare Corporation.
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End of MCOH-EH Digest, Vol 249, Issue 7
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