[MCOH-EH] Medical clearance for Ebola PPE

[Swift, Melanie]

In this particular application, other issues also come to mind. Insulin pumps could not be accessed, for example. Anyone with a condition causing urinary frequency or urgency would have difficulty. It reminds me very much of the BSL 4 containment requirements, where egress is delayed and people must be in the suits for long periods.

I've put calls in to Emory and NIH to see what they do for clearance.

Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic
http://occupationalhealth.vanderbilt.edu

From: MCOH-EH [mailto:mcoh-eh-bounces+melanie.swift=vanderbilt.edu at mylist.net] On Behalf Of Shea, Joann
Sent: Wednesday, October 22, 2014 4:45 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Medical clearance for Ebola PPE

Here is ours...just a brief one page screening.     We are using the PAPRS with hoods and full body suit.   We are just doing a brief screening and our RN then meets with those with positive responses.  We had three HCWs who could not participate today.   They can elect to see the ARNP if they still want to participate so we can do additional testing and examination.

[TGH_employee health serv-color]
JoAnn Shea, ARNP, MS, COHN-S
Director, Employee Health and Wellness
P.O. Box 1289, Tampa, FL 33601  Mobile: 813-789-3441   Work: 813-844-7692  FAX: 813-844-8144



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Adamo, Philip
Sent: Wednesday, October 22, 2014 5:18 PM
To: MCOH/EH
Cc: MCOH/EH
Subject: Re: [MCOH-EH] Medical clearance for Ebola PPE

Hi Deb
I am at an Ebola task force meeting and just raised this issue. After listening to one of the physician training the nurses he expressed that many complain about being warm, sweaty and anxious. We must  be careful about applying a federal form on more than a respirator issue. My thoughts are:
1. Pregnant health care workers should not work in that PPE.
2. HCW with chronic skin conditions should not be expected to be in the PPE for extended times.
3. HCW with medical conditions that are at risk for dehydration should not work with that level of PPE
4. General question to ask prior to training is do you want to be evaluated by EHS?

At this time we are making this a volunteer based training.

I welcome others to contribute to this conversation.
Phil Adamo M.D.
UMass Memorial Health Care



Sent from my iPhone

On Oct 22, 2014, at 5:08 PM, "Foley MD, Deborah" <DFoley at NCH.ORG<mailto:DFoley at NCH.ORG>> wrote:
Is anyone developing a medical evaluation tool to help determine an employee's ability to work in the PPE recommended for Ebola patient care? We think that a nurse may be in the gear for up to a 4 hour shift. I am considering the long form respiratory questionnaire as a possibility. What are others thinking?

Thanks,
Deborah Foley MD
Employee Health and Safety
Northwest Community Healthcare
Arlington Heights IL
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