[MCOH-EH] PPDs
Upfal, Mark
mupfal at dmc.org
Thu Jul 14 10:50:47 PDT 2016
It depends on your facility risk assessment. Low risk requires baseline only. Medium risk requires periodic testing (annual). You can look to OSHA enforcement guidance which is based on CDC guidlines.
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Patti Vomish
Sent: Wednesday, July 13, 2016 7:18 AM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] PPDs
Good Morning!
My hospital administrators are requesting that we stop our tuberculosis program. They would like to only place PPDs on new employees. This makes me a little nervous.
I know this has had to come on this site.
Is there anyway I can find what I am looking for here?
Thank you,
Patti Vomish
Patricia L. Vomish RN COHN
Employee Health & Safety Nurse
401 E. Murphy Ave.
Connellsville, PA. 15601
Phone 724-626-2444
Fax 724-626-2445
email - pvomish at highlandshospital.org
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From: MCOH-EH [mcoh-eh-bounces+pvomish=highlandshospital.org at mylist.net] On Behalf Of mcoh-eh-request at mylist.net [mcoh-eh-request at mylist.net]
Sent: Tuesday, July 12, 2016 3:00 PM
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Subject: MCOH-EH Digest, Vol 251, Issue 158
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Today's Topics:
1. Re: Should pregnant health care workers be restricted from
caring for patients with active Shingles? (arlen rollins)
2. Re: Should pregnant health care workers be restricted from
caring for patients with active Shingles?
(Michael A. Sauri, MD, MPH&TM, FACP, FACPM)
3. Re: Should pregnant health care workers be restricted from
caring for patients with active Shingles? (Hudson, T. Warner)
----------------------------------------------------------------------
Message: 1
Date: Tue, 12 Jul 2016 08:08:11 -0700
From: arlen rollins <arlenrollins at gmail.com>
To: "MCOH/EH" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Should pregnant health care workers be
restricted from caring for patients with active Shingles?
Message-ID:
<CAHaiO641Usq3XhGYEkm1KeC9d_fPpLNZ+VqF-QEMMhnSsS5kGA at mail.gmail.com>
Content-Type: text/plain; charset="utf-8"
Sounds like a good idea, I would defer to the CDC Arlen
On Tue, Jul 12, 2016 at 7:17 AM, Craig Thorne <Craig.Thorne at erickson.com>
wrote:
> Everyone, a question came up today from one of our nursing homes that
> I could use your help with, if you have a reference:
>
>
>
> *Should pregnant health care workers be restricted from caring for
> patients with active Shingles?*
>
>
>
> Thank you.
>
>
>
> Craig Thorne
>
>
>
> Craig D. Thorne, M.D., MPH, MBA
>
> Vice President and Medical Director
>
> Employee Health and Wellness
>
> Erickson Living
>
> 813 Maiden Choice Lane, Catonsville, MD. 21228-3679
>
> 443-257-0903 cell (preferred)
>
> 410-402-2224
>
> 410-469-3007 fax
>
> http://www.ericksonliving.com
>
>
>
>
>
> The information in this email is intended only for the person or
> entity to which it is addressed and may contain confidential and/or
> privileged material. Any review, retransmissions, 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 receive this email in error, please contact the
> sender and delete the material from any computer.
>
> ---------------------------------------
> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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--
Dr. Arlen J. Rollins
Tel:216 410 4970
Fax: 480 247 2821
arlenrollins at gmail.com
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Message: 2
Date: Tue, 12 Jul 2016 11:33:53 -0400
From: "Michael A. Sauri, MD, MPH&TM, FACP, FACPM" <msauri at ohcmd.com>
To: "'MCOH/EH'" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Should pregnant health care workers be
restricted from caring for patients with active Shingles?
Message-ID: <000d01d1dc52$ccc86850$665938f0$@ohcmd.com>
Content-Type: text/plain; charset="us-ascii"
Craig,
The majority of Hospital Infection Control Varicella Prevention policies are based on the 2007 MMWR ACIP's Recommendations for the Prevention of
Varicella (MMWR Vol 56, 6-22-07, RR04, 1-40). Most OB-Gyne will serosurvey
their pregnant patient for evidence of immunity to Varicella in the peri-natal period. Most hospitals will require a Varicella titer on their new hire HCWs as a means to document their immunity prior to working with patients. In my hospital, it is their policy that any HCW (including pregnant HCW) without documented immunity be reassigned away from Varicella patients and active Shingles patients. If a pregnant HCW with no documentation of immunity has already been exposed, they are referred to their OB-Gyne for counselling, to validate their susceptibility to varicella, and for consideration for the administration of VariZIG or VZIG.
Information on VariZIG (which is replacing VZIG) can be found in MMWR
3-3-2006 and MMWR 7-19-13. Since varicella vaccine is not 100% protective,
the ACIP (2007) also recommends that the exposed HCW's with documented immunity monitor themselves for any evidence of varicella infection for 21 weeks (28 days if they received VariZIG or VZIG) following an exposure and report this to Infection Control in their Healthcare facility (ACIP 2007).
I hope this is helpful.
Best wishes,
Michael
Michael A. Sauri, MD, MPH&TM, FACP,
FACPM, FACOEM, FRSTM&H, CTropMed
Medical Director
Occupational Health Consultants
15005 Shady Grove Road, Suite 450
Rockville, MD 20850
301-738-6420
Fax 301-738-2215
<mailto:msauri at ohcmd.com> msauri at ohcmd.com
<http://www.ohcmd.com> www.ohcmd.com
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Craig Thorne
Sent: Tuesday, July 12, 2016 10:18 AM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Should pregnant health care workers be restricted from caring for patients with active Shingles?
Everyone, a question came up today from one of our nursing homes that I could use your help with, if you have a reference:
Should pregnant health care workers be restricted from caring for patients with active Shingles?
Thank you.
Craig Thorne
Craig D. Thorne, M.D., MPH, MBA
Vice President and Medical Director
Employee Health and Wellness
Erickson Living
813 Maiden Choice Lane, Catonsville, MD. 21228-3679
443-257-0903 cell (preferred)
410-402-2224
410-469-3007 fax
http://www.ericksonliving.com
The information in this email is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmissions, 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 receive this email in error, please contact the sender and delete the material from any computer.
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Message: 3
Date: Tue, 12 Jul 2016 18:11:10 +0000
From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Should pregnant health care workers be
restricted from caring for patients with active Shingles?
Message-ID:
<2134A5387858914BBE80D079ECF6880C7554B4BE at SOPEXMB3.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"
We are same as Melanie. 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<mailto:twhudson at mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>
From: MCOH-EH [mailto:mcoh-eh-bounces+twhudson=mednet.ucla.edu at mylist.net] On Behalf Of Swift, Melanie
Sent: Tuesday, July 12, 2016 7:24 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Should pregnant health care workers be restricted from caring for patients with active Shingles?
Hi Craig,
I'm assuming you have a policy to confirm varicella immunity or vaccination at hire.
If a worker has immunity then they should not be restricted, regardless of pregnancy status.
If a worker lacks immunity and can't be vaccinated, then they should be restricted from caring for patients on airborne precautions for disseminated zoster or primary chickenpox, and from direct contact with vesicles.
Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic http://occupationalhealth.vanderbilt.edu
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Craig Thorne
Sent: Tuesday, July 12, 2016 9:18 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Should pregnant health care workers be restricted from caring for patients with active Shingles?
Everyone, a question came up today from one of our nursing homes that I could use your help with, if you have a reference:
Should pregnant health care workers be restricted from caring for patients with active Shingles?
Thank you.
Craig Thorne
Craig D. Thorne, M.D., MPH, MBA
Vice President and Medical Director
Employee Health and Wellness
Erickson Living
813 Maiden Choice Lane, Catonsville, MD. 21228-3679
443-257-0903 cell (preferred)
410-402-2224
410-469-3007 fax
http://www.ericksonliving.com
The information in this email is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmissions, 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 receive this email in error, please contact the sender and delete the material from any computer.
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