[MCOH-EH] MCOH-EH Digest, Vol 250, Issue 64

Diane Shaw diane.shaw at tuality.org
Wed Apr 29 09:41:09 PDT 2015


I, as the Employee Health Nurse, do it. If after interviewing the staff member I find that there they cannot tolerate wearing the respirator and cannot be assigned those duties, I do have a physician co-sign. 


Diane M. Shaw, RN, BSN, CIC
Tuality Healthcare
Employee Health Services
335 S.E. 8th Ave
Hillsboro, OR 97123
Phone: 503.681.1444
Fax: 503.681.4170
Tues.-Fri. 0730-1700 hours

The contents of this transmission may be confidential in nature and should be directed only to the addressee. Do not read, copy, or disseminate this material unless you are the intended recipient. If this transmission has reached you in error, please forward this e-mail to the sender to advise, then destroy the message. 


-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of mcoh-eh-request at mylist.net
Sent: Wednesday, April 29, 2015 9:34 AM
To: mcoh-eh at mylist.net
Subject: MCOH-EH Digest, Vol 250, Issue 64

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When replying, please edit your Subject line so it is more specific than "Re: Contents of MCOH-EH digest..."


Today's Topics:

   1. Re:  Respirator medical questionaire (Morelli, Karen J)
   2. Re:  Annual PPDQ's (Leibu, Rachel)
   3. Re:  Annual PPDQ's (Hudson, T. Warner)


----------------------------------------------------------------------

Message: 1
Date: Wed, 29 Apr 2015 13:59:04 +0000
From: "Morelli, Karen J" <kmorelli at emhs.org>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Respirator medical questionaire
Message-ID:
	<8B8E7138F933B54BA8DBB3AEF14A5F1AA10EBFD1 at MARINA.me.emh.org>
Content-Type: text/plain; charset="us-ascii"

At our facility, it is the MD, PA or NP.

Thank you,
Karen Morelli RN, BSN
Employee Health and Occupational Medicine Eastern Maine Healthcare Systems

-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Kuschel-Rapaski, Betty
Sent: Wednesday, April 29, 2015 9:41 AM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Respirator medical questionaire

Good morning,
In regards to the respiratory (N95)  medical questionnaire, who provides the medical clearance for those employees that have answered "yes" to any medical question?  Is the Physician, NP, PA, or Medical assistant?
Thank you.

-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of mcoh-eh-request at mylist.net
Sent: Wednesday, April 29, 2015 9:22 AM
To: mcoh-eh at mylist.net
Subject: MCOH-EH Digest, Vol 250, Issue 62

Send MCOH-EH mailing list submissions to
        mcoh-eh at mylist.net

To subscribe or unsubscribe via the World Wide Web, visit
        https://urldefense.proofpoint.com/v2/url?u=http-3A__mylist.net_listinfo_mcoh-2Deh&d=AwICAg&c=aLnS6P8Ng0zSNhCF04OWImQ_He2L69sNWG3PbxeyieE&r=QrOvUjkDSNi5cIj0aanuZAiY9kpOePSAeEZ7suu85IU&m=bp8Mvl8TrvySCqvti6FTiAhT3hGLC_F6Bt4WLnwNDm8&s=xLnthC-6iWE19RRSkFZA3Ssc31Gmq3tmDha0SQf6bc4&e=
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When replying, please edit your Subject line so it is more specific than "Re: Contents of MCOH-EH digest..."


Today's Topics:

   1.  Annual PPDQ's (Morelli, Karen J)
   2. Re:  Annual PPDQ's (Tebolt, Allison)
   3. Re:  Annual PPDQ's (Senior, Cathy (DRMC))
   4. Re:  Annual PPDQ's (Tebolt, Allison)


----------------------------------------------------------------------

Message: 1
Date: Wed, 29 Apr 2015 12:38:53 +0000
From: "Morelli, Karen J" <kmorelli at emhs.org>
To: "mcoh-eh at mylist.net" <mcoh-eh at mylist.net>
Cc: "Allard, Bonnie" <ballard at emhs.org>
Subject: [MCOH-EH] Annual PPDQ's
Message-ID:
        <8B8E7138F933B54BA8DBB3AEF14A5F1AA10EBF71 at MARINA.me.emh.org>
Content-Type: text/plain; charset="us-ascii"

I am wondering how you handle annual ppd questionnaires for those who have had a +ppd or IGRA tuberculosis screening.  We perform our annual questionnaires on 5/1 of each year.  My question is if you hired someone in January, February, March or April and they filled out the questionnaire on hire, would you have them make out a new questionnaire with the annual May surveillance or would you put their next due date as 5/1 of the following year (example someone hired 2/1/15-next due date for questionnaire 5/1/15 or 5/1/16?) Thank you,

Karen Morelli RN, BSN
Employee Health and Occupational Services Eastern Maine Healthcare Systems Phone 973-7335 Fax 973-7081 kmorelli at emh.org

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Message: 2
Date: Wed, 29 Apr 2015 12:57:30 +0000
From: "Tebolt, Allison" <ATebolt at Health-quest.org>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Annual PPDQ's
Message-ID: <E416D5A497D18841AA6D6BA9279A5691F8B38EE4 at hqex2>
Content-Type: text/plain; charset="us-ascii"

I would forward them to the following year unless a known exposure within the organization.

Allison Tebolt, MSN, FNP-BC

Employee Health Coordinator
Vassar Brothers Medical Center
45 Reade Place
Poughkeepsie, NY 12601
(845) 483-6014
fax (845) 483-6109

From: MCOH-EH [mailto:mcoh-eh-bounces+atebolt=health-quest.org at mylist.net] On Behalf Of Morelli, Karen J
Sent: Wednesday, April 29, 2015 8:39 AM
To: mcoh-eh at mylist.net
Cc: Allard, Bonnie
Subject: [MCOH-EH] Annual PPDQ's

I am wondering how you handle annual ppd questionnaires for those who have had a +ppd or IGRA tuberculosis screening.  We perform our annual questionnaires on 5/1 of each year.  My question is if you hired someone in January, February, March or April and they filled out the questionnaire on hire, would you have them make out a new questionnaire with the annual May surveillance or would you put their next due date as 5/1 of the following year (example someone hired 2/1/15-next due date for questionnaire 5/1/15 or 5/1/16?) Thank you,

Karen Morelli RN, BSN
Employee Health and Occupational Services Eastern Maine Healthcare Systems Phone 973-7335 Fax 973-7081 kmorelli at emh.org

-------------------------------------------------------------------------------------------------------------------
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Message: 3
Date: Wed, 29 Apr 2015 09:00:17 -0400
From: "Senior, Cathy (DRMC)" <CESenior at phhealthcare.org>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Annual PPDQ's
Message-ID: <222DF8583BBC7C4CB20DD7562B9DDD5E0F236761FB at ex07>
Content-Type: text/plain; charset="us-ascii"

We do the same here.  Do you require a past negative chest x-ray on start or do you do a chest x-ray on start and then do the tb f/u annually after that?

Cathy Senior RN BSN CDE
Employee Health Director
Penn Highlands DuBois
100 Hospital Avenue
P.O. Box 447
DuBois Pa 15801
Phone 814-375-3392
Fax 814-372-2610
cesenior at phhealthcare.org
https://urldefense.proofpoint.com/v2/url?u=http-3A__www.phhealthcare.org&d=AwICAg&c=aLnS6P8Ng0zSNhCF04OWImQ_He2L69sNWG3PbxeyieE&r=QrOvUjkDSNi5cIj0aanuZAiY9kpOePSAeEZ7suu85IU&m=bp8Mvl8TrvySCqvti6FTiAhT3hGLC_F6Bt4WLnwNDm8&s=LKcnfyL1RgGSJmdAKdwzpnsl6_9P1SUiV0tTpdvN448&e=

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Tebolt, Allison
Sent: Wednesday, April 29, 2015 8:58 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Annual PPDQ's

I would forward them to the following year unless a known exposure within the organization.

Allison Tebolt, MSN, FNP-BC

Employee Health Coordinator
Vassar Brothers Medical Center
45 Reade Place
Poughkeepsie, NY 12601
(845) 483-6014
fax (845) 483-6109

From: MCOH-EH [mailto:mcoh-eh-bounces+atebolt=health-quest.org at mylist.net] On Behalf Of Morelli, Karen J
Sent: Wednesday, April 29, 2015 8:39 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Cc: Allard, Bonnie
Subject: [MCOH-EH] Annual PPDQ's

I am wondering how you handle annual ppd questionnaires for those who have had a +ppd or IGRA tuberculosis screening.  We perform our annual questionnaires on 5/1 of each year.  My question is if you hired someone in January, February, March or April and they filled out the questionnaire on hire, would you have them make out a new questionnaire with the annual May surveillance or would you put their next due date as 5/1 of the following year (example someone hired 2/1/15-next due date for questionnaire 5/1/15 or 5/1/16?) Thank you,

Karen Morelli RN, BSN
Employee Health and Occupational Services Eastern Maine Healthcare Systems Phone 973-7335 Fax 973-7081 kmorelli at emh.org<mailto:kmorelli at emh.org>

-------------------------------------------------------------------------------------------------------------------
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This email and any attached files are confidential and intended solely for the intended recipient(s). If you are not the named recipient you should not read, distribute, copy or alter this email. Any views or opinions expressed in this email are those of the author and do not represent those of Penn Highlands Healthcare or its affiliates.. Warning: Although precautions have been taken to make sure no viruses are present in this email, the company cannot accept responsibility for any loss or damage that arise from the use of this email or attachments.

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Message: 4
Date: Wed, 29 Apr 2015 13:22:03 +0000
From: "Tebolt, Allison" <ATebolt at Health-quest.org>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Annual PPDQ's
Message-ID: <E416D5A497D18841AA6D6BA9279A5691F8B38F3C at hqex2>
Content-Type: text/plain; charset="us-ascii"

If they have had one in the past year, we accept that. If not, we complete at time of hire and then do an annual questionnaire.

Allison Tebolt, MSN, FNP-BC

Employee Health Coordinator
Vassar Brothers Medical Center
45 Reade Place
Poughkeepsie, NY 12601
(845) 483-6014
fax (845) 483-6109

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Senior, Cathy (DRMC)
Sent: Wednesday, April 29, 2015 9:00 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Annual PPDQ's

We do the same here.  Do you require a past negative chest x-ray on start or do you do a chest x-ray on start and then do the tb f/u annually after that?

Cathy Senior RN BSN CDE
Employee Health Director
Penn Highlands DuBois
100 Hospital Avenue
P.O. Box 447
DuBois Pa 15801
Phone 814-375-3392
Fax 814-372-2610
cesenior at phhealthcare.org
https://urldefense.proofpoint.com/v2/url?u=http-3A__www.phhealthcare.org&d=AwICAg&c=aLnS6P8Ng0zSNhCF04OWImQ_He2L69sNWG3PbxeyieE&r=QrOvUjkDSNi5cIj0aanuZAiY9kpOePSAeEZ7suu85IU&m=bp8Mvl8TrvySCqvti6FTiAhT3hGLC_F6Bt4WLnwNDm8&s=LKcnfyL1RgGSJmdAKdwzpnsl6_9P1SUiV0tTpdvN448&e=

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Tebolt, Allison
Sent: Wednesday, April 29, 2015 8:58 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Annual PPDQ's

I would forward them to the following year unless a known exposure within the organization.

Allison Tebolt, MSN, FNP-BC

Employee Health Coordinator
Vassar Brothers Medical Center
45 Reade Place
Poughkeepsie, NY 12601
(845) 483-6014
fax (845) 483-6109

From: MCOH-EH [mailto:mcoh-eh-bounces+atebolt=health-quest.org at mylist.net] On Behalf Of Morelli, Karen J
Sent: Wednesday, April 29, 2015 8:39 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Cc: Allard, Bonnie
Subject: [MCOH-EH] Annual PPDQ's

I am wondering how you handle annual ppd questionnaires for those who have had a +ppd or IGRA tuberculosis screening.  We perform our annual questionnaires on 5/1 of each year.  My question is if you hired someone in January, February, March or April and they filled out the questionnaire on hire, would you have them make out a new questionnaire with the annual May surveillance or would you put their next due date as 5/1 of the following year (example someone hired 2/1/15-next due date for questionnaire 5/1/15 or 5/1/16?) Thank you,

Karen Morelli RN, BSN
Employee Health and Occupational Services Eastern Maine Healthcare Systems Phone 973-7335 Fax 973-7081 kmorelli at emh.org<mailto:kmorelli at emh.org>

-------------------------------------------------------------------------------------------------------------------
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Health Quest has a secure e-mail policy.

To learn more about this policy and how to send and receive confidential and sensitive information, click Here<https://urldefense.proofpoint.com/v2/url?u=http-3A__userawareness.zixcorp.com_sites_index.php-3Fb-3D34097e0b8324f132014f612bd48e2492-26type-3D1-26p-3D0&d=AwICAg&c=aLnS6P8Ng0zSNhCF04OWImQ_He2L69sNWG3PbxeyieE&r=QrOvUjkDSNi5cIj0aanuZAiY9kpOePSAeEZ7suu85IU&m=bp8Mvl8TrvySCqvti6FTiAhT3hGLC_F6Bt4WLnwNDm8&s=6y3UbXQDL7k_rL8itStY9N0wh05Bj0bpn97xJc9pysw&e= > If you need assistance, please Send a message to the Help Desk<mailto:hqithelpdesk at health-quest.org> or call 845-483-6789.

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This email and any attached files are confidential and intended solely for the intended recipient(s). If you are not the named recipient you should not read, distribute, copy or alter this email. Any views or opinions expressed in this email are those of the author and do not represent those of Penn Highlands Healthcare or its affiliates.. Warning: Although precautions have been taken to make sure no viruses are present in this email, the company cannot accept responsibility for any loss or damage that arise from the use of this email or attachments.


Health Quest has a secure e-mail policy.

To learn more about this policy and how to send and receive  confidential and sensitive information, click the link below.

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If you need assistance, please contact the Help Desk at hqithelpdesk at health-quest.org or call 845-483-6789.
The information contained in this e-mail is intended for the use of the named recipient only. It may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any use, dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify me immediately by using your reply option to advise me of such error. Thank you
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End of MCOH-EH Digest, Vol 250, Issue 62
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Message: 2
Date: Wed, 29 Apr 2015 14:28:31 +0000
From: "Leibu, Rachel" <Rachel.Leibu at atlantichealth.org>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Annual PPDQ's
Message-ID:
	<8F1973C6BEE52541BA2B9E01E9D416978B8A6F0B at PSEX03.ahsys.org>
Content-Type: text/plain; charset="windows-1252"

We request a copy of the CXR that was done after the TST or QFT-G was initially found to be positive.  If that CXR was normal, we do not repeat it at the time of hire.  We also screen our TST or QFT-G positive employees annually at their hire anniversary date as we do for our annual TST's.

Rachel Leibu, MD, MBA, MS
Medical Director Occupational Medicine Service Atlantic Health System
973-971-5440

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Tebolt, Allison
Sent: Wednesday, April 29, 2015 9:22 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Annual PPDQ's

If they have had one in the past year, we accept that. If not, we complete at time of hire and then do an annual questionnaire.

Allison Tebolt, MSN, FNP-BC

Employee Health Coordinator
Vassar Brothers Medical Center
45 Reade Place
Poughkeepsie, NY 12601
(845) 483-6014
fax (845) 483-6109

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Senior, Cathy (DRMC)
Sent: Wednesday, April 29, 2015 9:00 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Annual PPDQ's

We do the same here.  Do you require a past negative chest x-ray on start or do you do a chest x-ray on start and then do the tb f/u annually after that?

Cathy Senior RN BSN CDE
Employee Health Director
Penn Highlands DuBois
100 Hospital Avenue
P.O. Box 447
DuBois Pa 15801
Phone 814-375-3392
Fax 814-372-2610
cesenior at phhealthcare.org<mailto:cesenior at phhealthcare.org>
www.phhealthcare.org<http://www.phhealthcare.org>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Tebolt, Allison
Sent: Wednesday, April 29, 2015 8:58 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Annual PPDQ's

I would forward them to the following year unless a known exposure within the organization.

Allison Tebolt, MSN, FNP-BC

Employee Health Coordinator
Vassar Brothers Medical Center
45 Reade Place
Poughkeepsie, NY 12601
(845) 483-6014
fax (845) 483-6109

From: MCOH-EH [mailto:mcoh-eh-bounces+atebolt=health-quest.org at mylist.net] On Behalf Of Morelli, Karen J
Sent: Wednesday, April 29, 2015 8:39 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Cc: Allard, Bonnie
Subject: [MCOH-EH] Annual PPDQ's

I am wondering how you handle annual ppd questionnaires for those who have had a +ppd or IGRA tuberculosis screening.  We perform our annual questionnaires on 5/1 of each year.  My question is if you hired someone in January, February, March or April and they filled out the questionnaire on hire, would you have them make out a new questionnaire with the annual May surveillance or would you put their next due date as 5/1 of the following year (example someone hired 2/1/15-next due date for questionnaire 5/1/15 or 5/1/16?) Thank you,

Karen Morelli RN, BSN
Employee Health and Occupational Services Eastern Maine Healthcare Systems Phone 973-7335 Fax 973-7081 kmorelli at emh.org<mailto:kmorelli at emh.org>

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Message: 3
Date: Wed, 29 Apr 2015 16:34:03 +0000
From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: "Allard, Bonnie" <ballard at emhs.org>
Subject: Re: [MCOH-EH] Annual PPDQ's
Message-ID:
	<2134A5387858914BBE80D079ECF6880C3C8AB3E3 at SOPEXMB3.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"

Ours are not all done on a specific date; to us annual is a year from the last one.  I think we do around 16,000 a year so might be hard to concentrate on specific dates.

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>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>

From: MCOH-EH [mailto:mcoh-eh-bounces+twhudson=mednet.ucla.edu at mylist.net] On Behalf Of Morelli, Karen J
Sent: Wednesday, April 29, 2015 5:39 AM
To: mcoh-eh at mylist.net
Cc: Allard, Bonnie
Subject: [MCOH-EH] Annual PPDQ's

I am wondering how you handle annual ppd questionnaires for those who have had a +ppd or IGRA tuberculosis screening.  We perform our annual questionnaires on 5/1 of each year.  My question is if you hired someone in January, February, March or April and they filled out the questionnaire on hire, would you have them make out a new questionnaire with the annual May surveillance or would you put their next due date as 5/1 of the following year (example someone hired 2/1/15-next due date for questionnaire 5/1/15 or 5/1/16?) Thank you,

Karen Morelli RN, BSN
Employee Health and Occupational Services Eastern Maine Healthcare Systems Phone 973-7335 Fax 973-7081 kmorelli at emh.org<mailto:kmorelli at emh.org>

-------------------------------------------------------------------------------------------------------------------
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Subject: Digest Footer

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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh at mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
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Send administrative requests to: drjoe at meditrax.com
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When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying, so the topic of your reply is immediately clear to other list members.

------------------------------

End of MCOH-EH Digest, Vol 250, Issue 64
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