[MCOH-EH] MCOH-EH Digest, Vol 250, Issue 67

Diane Shaw diane.shaw at tuality.org
Wed Apr 29 14:42:51 PDT 2015
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The Employee Health Nurse and one other RN who has been trained do the exam which consists of:

Medical History Questionnaire. This questionnaire also has a section asking for the dates and types of the past three employers. If any gaps in time are  noted, the new hire candidate is asked to explain why.
Color blind test
Immunization review and drawing of titers, as needed
TB questionnaire looking for active symptoms of TB and drawing of Quantiferon TB test.
N95 fit testing
Blood borne pathogen education
TB education
Urine drug screen.
Review of job description and job physical analysis. New hire candidate is asked if they have any questions or concerns and asked if they feel they are able to perform the essential functions of the job. If they do not feel they can or the nurse feels there might be some indication they couldn't (like recent history of a back injury), they are sent for a fitness for duty exam by their provider at their own expense. If they do not have a provider we will help find one or refer them to an occupational health clinic that does these exams.


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

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Sent: Wednesday, April 29, 2015 10:10 AM
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Subject: MCOH-EH Digest, Vol 250, Issue 67

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Today's Topics:

   1. Re:  pre-placement process (Adamo, Philip)
   2. Re:  pre-placement process (Leibu, Rachel)
   3. Re:  pre-placement process (Orford, Robert R., M.D.)
   4. Re:  pre-placement process (Hudson, T. Warner)


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

Message: 1
Date: Wed, 29 Apr 2015 16:51:52 +0000
From: "Adamo, Philip" <Philip.Adamo at umassmemorial.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] pre-placement process
Message-ID:
	<927EF4F192C51044A193A4C7958C574C449094FF at ummscsmbx01.ad.umassmed.edu>
Content-Type: text/plain; charset="us-ascii"

Hello all
As with many of our health care systems, we are asked to use resources wisely. I am interested in what you EHS does for pre-placement evaluations. We have traditionally had NP's do the exams. We have the RN;s do the paper clearances for certain positions, with referral to the NP for red flags.

We are thinking about having RN's perform the basic exam and defer to the NP or MD when there are questions.

Thanks,
Phil Adamo




Philip Adamo, M.D., MPH, FACOEM
Associate Vice President and
Medical Director, Employee Health &
Occupational Injury Care and Wellness
UMass Memorial Medical Center
Hahnemann Campus Suite 201
291 Lincoln Street
Worcester, MA 01605
Phone: 508-334-6179
FAX: 508-334-6433
cell 508-713-3993
philip.adamo at umassmemorial.org

Don't forget your health matters! There are biometric screenings occurring over the next month. What's your thing?  We can help you find it!



......................................................................
The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material.  Any review, transmission, re-transmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited.  If you received this in error, please contact the sender and delete the material from any computer.
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Message: 2
Date: Wed, 29 Apr 2015 16:56:05 +0000
From: "Leibu, Rachel" <Rachel.Leibu at atlantichealth.org>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] pre-placement process
Message-ID:
	<8F1973C6BEE52541BA2B9E01E9D416978B8A8765 at PSEX03.ahsys.org>
Content-Type: text/plain; charset="windows-1252"

That sounds similar to what the Mayo Clinic does.

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 Adamo, Philip
Sent: Wednesday, April 29, 2015 12:52 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] pre-placement process

Hello all
As with many of our health care systems, we are asked to use resources wisely. I am interested in what you EHS does for pre-placement evaluations. We have traditionally had NP's do the exams. We have the RN;s do the paper clearances for certain positions, with referral to the NP for red flags.

We are thinking about having RN's perform the basic exam and defer to the NP or MD when there are questions.

Thanks,
Phil Adamo




Philip Adamo, M.D., MPH, FACOEM
Associate Vice President and
Medical Director, Employee Health &
Occupational Injury Care and Wellness
UMass Memorial Medical Center
Hahnemann Campus Suite 201
291 Lincoln Street
Worcester, MA 01605
Phone: 508-334-6179
FAX: 508-334-6433
cell 508-713-3993
philip.adamo at umassmemorial.org<mailto:philip.adamo at umassmemorial.org>

Don't forget your health matters! There are biometric screenings occurring over the next month. What's your thing?  We can help you find it!



________________________________
The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, transmission, re-transmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer.


The information contained in this email is intended only for the use of the person(s) identified above. This communication may contain work product which is privileged and confidential, and may contain content which is regulated by Federal law. If you are not an intended recipient or the employee or agent responsible to deliver this to the intended recipient, you have received this message in error and any review, distribution or copying of it by you is prohibited. If you have received this message in error, please notify the sender immediately, and delete the message. E-mail and communication system messages generated by members of the Atlantic Health System workforce may not necessarily reflect the views of Atlantic Health System, its officers, directors or management.
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Message: 3
Date: Wed, 29 Apr 2015 17:07:24 +0000
From: "Orford, Robert R., M.D." <rorford at mayo.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] pre-placement process
Message-ID: <2f3a88$hr9j0 at ironport10.mayo.edu>
Content-Type: text/plain; charset="us-ascii"

Correct. There may be some variation between Mayo sites, but at Mayo in Arizona we do not have an NP. The RNs do the preplacement eval including some basic labs, vision, hearing, health and immunization questionnaire review, TB and fit testing (where needed) and drug testing. A physician is consulted only in areas of concern or for a positive drug test. The physician also does a paper review and signs off on the nurse's eval.

Bob Orford,
Scottsdale, AZ

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Leibu, Rachel
Sent: Wednesday, April 29, 2015 9:56 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] pre-placement process

That sounds similar to what the Mayo Clinic does.

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 Adamo, Philip
Sent: Wednesday, April 29, 2015 12:52 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] pre-placement process

Hello all
As with many of our health care systems, we are asked to use resources wisely. I am interested in what you EHS does for pre-placement evaluations. We have traditionally had NP's do the exams. We have the RN;s do the paper clearances for certain positions, with referral to the NP for red flags.

We are thinking about having RN's perform the basic exam and defer to the NP or MD when there are questions.

Thanks,
Phil Adamo




Philip Adamo, M.D., MPH, FACOEM
Associate Vice President and
Medical Director, Employee Health &
Occupational Injury Care and Wellness
UMass Memorial Medical Center
Hahnemann Campus Suite 201
291 Lincoln Street
Worcester, MA 01605
Phone: 508-334-6179
FAX: 508-334-6433
cell 508-713-3993
philip.adamo at umassmemorial.org<mailto:philip.adamo at umassmemorial.org>

Don't forget your health matters! There are biometric screenings occurring over the next month. What's your thing?  We can help you find it!



________________________________
The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, transmission, re-transmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer.

The information contained in this email is intended only for the use of the person(s) identified above. This communication may contain work product which is privileged and confidential, and may contain content which is regulated by Federal law. If you are not an intended recipient or the employee or agent responsible to deliver this to the intended recipient, you have received this message in error and any review, distribution or copying of it by you is prohibited. If you have received this message in error, please notify the sender immediately, and delete the message. E-mail and communication system messages generated by members of the Atlantic Health System workforce may not necessarily reflect the views of Atlantic Health System, its officers, directors or management.
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Message: 4
Date: Wed, 29 Apr 2015 17:09:45 +0000
From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] pre-placement process
Message-ID:
	<2134A5387858914BBE80D079ECF6880C3C8AB89D at SOPEXMB3.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"

That is what we do for Health System onboarding.

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 at mylist.net] On Behalf Of Adamo, Philip
Sent: Wednesday, April 29, 2015 9:52 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] pre-placement process

Hello all
As with many of our health care systems, we are asked to use resources wisely. I am interested in what you EHS does for pre-placement evaluations. We have traditionally had NP's do the exams. We have the RN;s do the paper clearances for certain positions, with referral to the NP for red flags.

We are thinking about having RN's perform the basic exam and defer to the NP or MD when there are questions.

Thanks,
Phil Adamo




Philip Adamo, M.D., MPH, FACOEM
Associate Vice President and
Medical Director, Employee Health &
Occupational Injury Care and Wellness
UMass Memorial Medical Center
Hahnemann Campus Suite 201
291 Lincoln Street
Worcester, MA 01605
Phone: 508-334-6179
FAX: 508-334-6433
cell 508-713-3993
philip.adamo at umassmemorial.org<mailto:philip.adamo at umassmemorial.org>

Don't forget your health matters! There are biometric screenings occurring over the next month. What's your thing?  We can help you find it!



________________________________
The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, transmission, re-transmission, dissemination or other use of, or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer.

________________________________

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 information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.
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