[MCOH-EH] Coxiella

[Jenkins, Maribeth]

Yes, we have been doing randoms for 2 years now.  We notified all employees 6 months in advance via letter to home mailbox that we would begin this and the reasons why.

We have a house wide pool that our meditrax software picks names from.  We have 3,000 employees and complete 17 randoms/month.  We have high risk areas (ED, ICU, others with increased autonomy, access, etc) screened more often than those in billing offices, without access to narcotics.  We have seen about a 1% catch rate, usually with illegal substances.  Once with alcohol in the 2 year period.

If you want to chat more, you can message me-

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<mailto:mbunn at hendrickhealth.org>
www.ehendrick.org



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
Sent: Tuesday, July 05, 2016 9:39 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Coxiella

I have been asked to start doing random drug testing.
Is anyone doing this (not DOT)?
Willing to share learnings, policy, procedure...anything?
Terri

Terri L. Thrasher RN MSN
Sr. Director HR Professional Services
Employee Health, Occupational Safety, Environmental Health, Workers Compensation, 803-SAFE, Injury Management, Non CCHMC Badging, Early Education and Childcare Center
3333 Burnet Ave
Cincinnati Ohio 45229  MLC 9006
513-636-6240



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Hudson, T. Warner
Sent: Saturday, July 02, 2016 1:35 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Coxiella

Janice moved from USAMRIID a few years ago but is a great resource.  While the MMWR is helpful and at Eagleson June conference a couple years ago we had CDC there to present the MMWR piece and a number of work groups to review it there, the surveillance part leave lots of questions and Roger at UC Davis has had some cases of late and so has de facto become very deep expert in this area.

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<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.ohs.uclahealth.org&d=CwMFAg&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=G-gkTD4I9gN8YNftoFt-K4T9EVzwCGxhcRWOe14qp5M&s=T8juyXJPJUojGdiHKv3aup4YFFBH4omoKYiECqtser8&e=>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Swift, Melanie
Sent: Saturday, July 02, 2016 10:29 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Coxiella

Janice Ruznack (spelling?) at USAMRIID is a good resource. I believe they sometime will even facilitate providing the vaccine under an IND protocol if the work is high risk.

Sent from my iPhone

On Jul 1, 2016, at 8:35 PM, Amy Behrman <behrman at mail.med.upenn.edu<mailto:behrman at mail.med.upenn.edu>> wrote:
There's a fairly recent summary of occupational exposure prevention, management, and surveillance here:

http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6203a1.htm<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.cdc.gov_mmwr_preview_mmwrhtml_rr6203a1.htm&d=CwMFAg&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=G-gkTD4I9gN8YNftoFt-K4T9EVzwCGxhcRWOe14qp5M&s=i_501zovI_iwdY_GKG4mJkAtc31xXrAP1r8QA7hEoRk&e=>

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


On Jul 1, 2016, at 8:00 PM, Wintermeyer, Stephen F. <swinterm at iu.edu<mailto:swinterm at iu.edu>> wrote:
I have been asked to write a protocol for surveillance of researchers who will be working with Coxiella.

I would appreciate any suggestions or references/resources that members of the listserv could suggest.

Thank you.

Stephen Wintermeyer, MD, MPH
Director, IUPUI Campus Health
Associate Professor of Clinical Medicine
Division of Pulmonary, Critical Care, Sleep and Occupational Medicine
IU School of Medicine
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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.
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