[MCOH-EH] Question about requiring TB medications for employees

[Sajjad_Savul at bayhealth.org]

1. Do you refer employees with positive results for evaluation? Yes
2. Are they required to go for eval? Yes. Evaluation & consultation is 
mandatory. For example, a positive (non-new hire) may continue to work if 
CXR negative and no TB symptoms after providing an appointment date with 
State Dept of Health/ ID. If they fail to keep appointment, they may be 
removed from work until evaluation appointment addressed.
3. If treatment is recommended, does the employee have the option of 
refusing treatment? Yes; after evaluated by occupational health. If they 
choose treatment, we offer directly observed treatment in occupational 
health.
4. If treatment is refused by the employee, are there consequences 
associated with refusal? If the employee stops treatment after starting or 
is non-compliant with the treatment regimen, they need evaluated by the 
treating facility & occupational health. They may be temporarily removed 
from work until evaluated for symptoms. The eventual result may be 
refusing treatment, but after proper evaluation.


Sajjad A. Savul, MD, MS, FACOEM
Medical Director
Bayhealth Occupational Health

Dover Office:
1275 S State Street
Dover, DE 19901
Ph.: (302) 678-1303 
Milford Office:
301 Jefferson Avenue
Milford, DE 19963
Ph.: (302) 430-5705 





From:   "Jenkins, Maribeth" <mjenkins at hendrickhealth.org>
To:     "MCOH/EH" <mcoh-eh at mylist.net>
Date:   04/04/2016 08:59 AM
Subject:        Re: [MCOH-EH] Question about requiring TB medications for 
employees
Sent by:        "MCOH-EH" <mcoh-eh-bounces at mylist.net>



Same here as well 
 
Maribeth Jenkins, MSN, RN, LMT, CWC
Employee Wellness Manager
Hendrick Medical Center
1900 Pine Street
Abilene, TX 79601
Phone: (325) 670-3010 
Fax: (325) 670-3051
mjenkins at hendrickhealth.org
www.ehendrick.org
 
 
 
 
 
 
 
 
From: MCOH-EH [
mailto:mcoh-eh-bounces+mjenkins=hendrickhealth.org at mylist.net] On Behalf 
Of Budnick, Lawrence
Sent: Monday, April 04, 2016 7:53 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Question about requiring TB medications for 
employees
 
Exactly the same here as at Penn.
 
Lawrence D. Budnick, MD, MPH
Director, Occupational Medicine Service
Associate Professor of Medicine
Rutgers University - New Jersey Medical School
65 Bergen Street, Suite GA-167, Newark, NJ 07107
tel 973.972.2900
fax 973.972.2904
lawrence.budnick at rutgers.edu
 
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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Amy Behrman
Sent: Sunday, April 03, 2016 11:02 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Question about requiring TB medications for 
employees
 
1. Yes
2. Strongly encouraged and facilitated, but not required
3. Yes
4. No consequences

Amy Behrman,MD
University of Pennsylvania
215-662-3192
 

On Apr 1, 2016, at 4:38 PM, Kathy.Dayvault at dekalbmedical.org wrote:
I am hoping to hear from folks who work in healthcare facilities that are 
considered high risk for TB. 

 I am wondering how you manage employees with positive Skin or IGRA tests 
(all positives not just conversions after a specific exposure) who have 
received recommendations for treatment for latent TB. 

Here are my questions: 

1. Do you refer employees with positive results for evaluation? 
2. Are they required to go for eval 
3. If treatment is recommended, does the employee have the option of 
refusing treatment? 
4. If treatment is refused by the employee, are there consequences 
associated with refusal? 
     Consequences could include disciplinary action, removal from duty, 
termination or not allowing the employee to work in high risk areas. 

I appreciate your time and feedback! 

Thanks, 

Kathy Dayvault, RN, BSN, MPH, COHN-S/CM 
 Manager, Occupational Health and Safety 
 WorksWell Onsite 
 Dekalb Medical  2701 North Decatur Road 
 Decatur, GA 30033 
ph: 404.501.4972 Fax:404-501-2045 
kathy.dayvault at dekalbmedical.org 

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