[MCOH-EH] [EXTERNAL] Re: PPDs
Thanassi, Wendy
Wendy.Thanassi at va.gov
Thu Jul 14 11:43:46 PDT 2016
This is the direction the MMWR update will go- toward less annual
screening and more risk-based assessments.
That said, would someone kindly send me some copies of your " annual
updates a TB History, Risk Assessment and/or Symptom Screen" and we'll
see if we can adapt them for our setting?
Thank you!
Wendy
Wendy.thanassi at va.gov
Palo Alto VA, California
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Deborah
S. Camp
Sent: Thursday, July 14, 2016 10:43 AM
To: MCOH/EH
Subject: [EXTERNAL] Re: [MCOH-EH] PPDs
We do QFT's on new hires. On annual updates a TB History, Risk
Assessment and Symptom Screen is done. With no red flags, employee is
cleared for a year. This is based on the 2005 CDC guidelines.
Thanks
Newberry County Memorial Hospital
Newberry, SC
Deb Camp, RN, EH
Office: 803-405-7257
Fax: 803-405-7516
-----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
________________________________________
From: MCOH-EH [mcoh-eh-bounces+pvomish=highlandshospital.org at mylist.net]
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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
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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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DO.
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To become a subscriber, or to change your subscription options (turn off
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