[MCOH-EH] MCOH-EH Digest, Vol 250, Issue 101

Diane Shaw diane.shaw at tuality.org
Thu Jun 18 14:38:38 PDT 2015


Providing them with a PAPR is the ideal, unfortunately these are only readily available in the ED dept. The employee has a right to document their religious belief according to our policy: 

They must be the request to be excused from care involving the wearing of a N95 with their manager.
The manager should excuse the employee from the task, if possible, until the request can be reviewed by the Administrator.
A written determination of whether or not their request can be honored will be given by the manger as soon as possible and a copy will be sent to Human Resources.
If the request is denied and the employee does not agree with it, they can follow the Employee Fair Treatment Policy and pursue it that way.
Refusing to care for a patient in an emergency situation can lead to suspension and possible termination

We have not had any pursue this yet, but I do see it coming as facial hair is becoming more popular.


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: Thursday, June 18, 2015 12:00 PM
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Subject: MCOH-EH Digest, Vol 250, Issue 101

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Today's Topics:

   1. Re:  Respiratory fit test (Viereck, Maryann)
   2. Re:  Respiratory fit test (Hudson, T. Warner)


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Message: 1
Date: Thu, 18 Jun 2015 12:09:04 +0000
From: "Viereck, Maryann" <mviereck at caperegional.com>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Respiratory fit test
Message-ID:
	<7FCF8FE41638F943ACE320C939BC45D9EEE71EF1 at EXSRV1.BTHOSP.INT>
Content-Type: text/plain; charset="us-ascii"

When then have to provide and instruct on use of PAPR's

Maryann Viereck RN,BS,CEN,COHN-S
Employee Health Coordinator
Cape Regional Medical Center
2 Stone Harbor Blvd
Cape May Court House, NJ 08210
phone 609-463-2512
fax 609-463-2910

-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Long, Deryl
Sent: Wednesday, June 17, 2015 7:25 PM
To: MCOH/EH
Subject: [MCOH-EH] Respiratory fit test

We have encountered new employees with beards who refuse to shave due to religious reasons. Has anyone experienced these issues and how do you address?

Sent from my iPad



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Message: 2
Date: Thu, 18 Jun 2015 14:11:15 +0000
From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Respiratory fit test
Message-ID:
	<2134A5387858914BBE80D079ECF6880C3C91EBE2 at SOPEXMB3.ad.medctr.ucla.edu>
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In addition to offering the PAPR option; we try to talk people into shaving since the PAPRs are not always readily available or easy to get on the floors, don, doff and use in busy places like the ED.  Yesterday we onboarded a large group of new UCLA House Staff; many of whom arrive with varieties of facial hair. We are working to bolster the letters that go out in advance encouraging them to shave before onboarding as the fit testing is done doing these large onboarding events and they cannot be fit tested with facial hair except a small moustache or goatee; something that does not touch the N 95 seal areas.  Yesterday many ran and got shaving cream and razors and shaved in time.  I personally spoke with a group of ED residents to explain how common active TB, measles, pertussis, chickenpox, etc. is in the populations seen her and they all quickly decided to change their minds and shave right away so  we probably had 25 who shaved and 4 who opted for PAPRs yesterday, mostly psych re  sidents. I do recall an OSHA letter years ago stating safety in their view trumped religious objections in the realm of respirators; don't have it handy but surely someone does.

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 Website www.ohs.uclahealth.org


-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Long, Deryl
Sent: Wednesday, June 17, 2015 4:25 PM
To: MCOH/EH
Subject: [MCOH-EH] Respiratory fit test

We have encountered new employees with beards who refuse to shave due to religious reasons. Has anyone experienced these issues and how do you address?

Sent from my iPad



________________________________
This email and any files transmitted with it may contain confidential and /or proprietary information in the possession of WellStar Health System, Inc. ("WellStar") and is intended only for the individual or entity to whom addressed. This email may contain information that is held to be 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 unauthorized access, dissemination, distribution or copying of any information from this email is strictly prohibited, and may subject you to criminal and/or civil liability. If you have received this email in error, please notify the sender by reply email and then delete this email and its attachments from your computer. - Thank you.

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End of MCOH-EH Digest, Vol 250, Issue 101
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