[MCOH-EH] MCOH-EH Digest, Vol 251, Issue 48
Darlene Sims
Darlene.sims at infirmaryhealth.org
Wed May 4 09:26:55 PDT 2016
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Thank You,
Darlene Sims MSN,FNP-C
Director of Infirmary Employee Health
Locations at MIMC, Thomas Hospital ,NBI &ACH
185 Mobile Infirmary Blvd
Mobile, Al 36607
MIMC office (251)435-5957 fax (251)435-3067
Thomas Hospital (251)279-1605 fax (251)279-1606
NBI (251)937-5521 ext 1860
ACH (251)368-6314
darlene.sims at infirmaryhealth.org
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Sent: Wednesday, May 04, 2016 11:15 AM
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Subject: MCOH-EH Digest, Vol 251, Issue 48
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Today's Topics:
1. Re: Work exclusion for HCW w/ orofacial herpes lesions
(Sparhawk, Dana P MD)
2. Re: Work exclusion for HCW w/ orofacial herpes lesions
(Upfal, Mark)
----------------------------------------------------------------------
Message: 1
Date: Wed, 4 May 2016 15:50:43 +0000
From: "Sparhawk, Dana P MD" <dsparhawk at Lifespan.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Work exclusion for HCW w/ orofacial herpes
lesions
Message-ID:
<CY1PR0801MB2154D9B915EC050B57BA5FCBC57B0 at CY1PR0801MB2154.namprd08.prod.outlook.com>
Content-Type: text/plain; charset="utf-8"
I agree here. We use ?dry and crusted? so there is no question.
Dana Sparhawk, MD, MPH, FACOEM
Director, Lifespan Employee and Occupational Health Services Clinical Assistant Professor, Alpert Medical School, Brown University Grads Dorm, Rhode Island Hospital
593 Eddy Street
Providence, RI 02903
(401) 444-7412
This transmission is intended only for the adressee(s) listed above and may contain information that is confidential and/or legally privileged. If you are not the addresse, any use, disclosure, copying, or communication of the contents of this message is prohibited. Please contact me if this message was transmitted in error. Thank you.
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
Sent: Tuesday, May 03, 2016 9:28 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Work exclusion for HCW w/ orofacial herpes lesions
It may mean the same but I have found that if you use clearer language like dry and crusted you get better compliance because people have a more shared understanding of what that means?
From: MCOH-EH [mailto:mcoh-eh-bounces+terri.thrasher=cchmc.org at mylist.net] On Behalf Of Angeli Mancuso
Sent: Tuesday, May 03, 2016 5:19 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] Work exclusion for HCW w/ orofacial herpes lesions
I am revising our policy regarding employees with or exposed to communicable disesase and a question has come up regarding work exclusion for orofacial herpes lesions. Currently, our exclusions are written as such:
1) Herpes: Restrict from care of high risk patients until lesions heal
2) Varicella: Restrict from care of high risk patients until all lesions dry and crust
To me, heal does not equal dry and crust. The medical director of infection control says they are the same; the medical director of employee health says they are different. And I am stuck in the middle trying to manage a policy that creates controversy and no one agrees on.
How are others managing these definitions?
I appreciate your help.
Be well,
Angeli
Angeli Mancuso, RN, COHN-S/CM
Employee Health & Safety Manager
Ph: 805.569.7866/Internal Ext. 57866
Fax: 805.569.8271
a1mancus at sbch.org<mailto:a1mancus at sbch.org>
www.cottagehealthsystem.org<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.cottagehealthsystem.org_&d=CwMGaQ&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=IWIUUNbmNWoJknP-12GmZto4UYRAUSMDclwiW6qt-Bo&s=hpGC5jGPP6i1DzY2mBPd9PWEMtCh2pvI-VQCX_3wsj8&e=>
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CH Disclaimer: This electronic mail message is intended exclusively for the individual or entity to which it is addressed. This message, together with any attachment, may contain confidential and privileged information. Any views, opinions or conclusions expressed in this message are those of the individual sender and do not necessarily reflect the views of Cottage Health, its subsidiaries or affiliates. This document may also contain information covered under the Health Insurance Portability and Accountability Act (HIPAA, PL 104-191) and implementing regulations and must be protected in accordance with those provisions. Re-disclosure without patient consent or as otherwise permitted by law is prohibited. Any unauthorized review, retransmission, use, printing, copying, retention, disclosure, distribution or the taking of any action in reliance upon this information by persons or entities other than the intended recipient is strictly prohibited and may be unlawful. If you have
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Message: 2
Date: Wed, 4 May 2016 12:15:00 -0400
From: "Upfal, Mark" <mupfal at dmc.org>
To: "'MCOH/EH'" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Work exclusion for HCW w/ orofacial herpes
lesions
Message-ID:
<9EE8412E15F7E148AAA54922744E618D034DEFD0596D at MAIL03.dmcnt1.local>
Content-Type: text/plain; charset="us-ascii"
Agree.
Mark Upfal, MD, MPH
Corp Medical Director, DMC Occupational Health Services
4201 Saint Antoine, UHC 4G-3
Detroit, MI 48201
(313) 993-0509
www.dmc.org/ohs
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This e-mail message and any attachments may be privileged and confidential and protected information. If you are not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, use, disclosure, dissemination, distribution or copying of this communication may be a violation of the law. Please contact the sender immediately by replying to the message and delete it from your computer. Thank You.
________________________________
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sparhawk, Dana P MD
Sent: Wednesday, May 04, 2016 11:51 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Work exclusion for HCW w/ orofacial herpes lesions
I agree here. We use "dry and crusted" so there is no question.
Dana Sparhawk, MD, MPH, FACOEM
Director, Lifespan Employee and Occupational Health Services Clinical Assistant Professor, Alpert Medical School, Brown University Grads Dorm, Rhode Island Hospital
593 Eddy Street
Providence, RI 02903
(401) 444-7412
This transmission is intended only for the adressee(s) listed above and may contain information that is confidential and/or legally privileged. If you are not the addresse, any use, disclosure, copying, or communication of the contents of this message is prohibited. Please contact me if this message was transmitted in error. Thank you.
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
Sent: Tuesday, May 03, 2016 9:28 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Work exclusion for HCW w/ orofacial herpes lesions
It may mean the same but I have found that if you use clearer language like dry and crusted you get better compliance because people have a more shared understanding of what that means...
From: MCOH-EH [mailto:mcoh-eh-bounces+terri.thrasher=cchmc.org at mylist.net] On Behalf Of Angeli Mancuso
Sent: Tuesday, May 03, 2016 5:19 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] Work exclusion for HCW w/ orofacial herpes lesions
I am revising our policy regarding employees with or exposed to communicable disesase and a question has come up regarding work exclusion for orofacial herpes lesions. Currently, our exclusions are written as such:
1) Herpes: Restrict from care of high risk patients until lesions heal
2) Varicella: Restrict from care of high risk patients until all lesions dry and crust
To me, heal does not equal dry and crust. The medical director of infection control says they are the same; the medical director of employee health says they are different. And I am stuck in the middle trying to manage a policy that creates controversy and no one agrees on.
How are others managing these definitions?
I appreciate your help.
Be well,
Angeli
Angeli Mancuso, RN, COHN-S/CM
Employee Health & Safety Manager
Ph: 805.569.7866/Internal Ext. 57866
Fax: 805.569.8271
a1mancus at sbch.org<mailto:a1mancus at sbch.org>
www.cottagehealthsystem.org<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.cottagehealthsystem.org_&d=CwMGaQ&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=IWIUUNbmNWoJknP-12GmZto4UYRAUSMDclwiW6qt-Bo&s=hpGC5jGPP6i1DzY2mBPd9PWEMtCh2pvI-VQCX_3wsj8&e=>
[cid:696271416 at 04052016-01B3]
________________________________
CH Disclaimer: This electronic mail message is intended exclusively for the individual or entity to which it is addressed. This message, together with any attachment, may contain confidential and privileged information. Any views, opinions or conclusions expressed in this message are those of the individual sender and do not necessarily reflect the views of Cottage Health, its subsidiaries or affiliates. This document may also contain information covered under the Health Insurance Portability and Accountability Act (HIPAA, PL 104-191) and implementing regulations and must be protected in accordance with those provisions. Re-disclosure without patient consent or as otherwise permitted by law is prohibited. Any unauthorized review, retransmission, use, printing, copying, retention, disclosure, distribution or the taking of any action in reliance upon this information by persons or entities other than the intended recipient is strictly prohibited and may be unlawful. If you have
received this message in error, please immediately advise the sender by reply email message to the sender and delete all copies of this message from your system without copying.
________________________________
This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation.
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