[MCOH-EH] PPDs
Diane Shaw
diane.shaw at tuality.org
Thu Jul 14 10:52:26 PDT 2016
Patti,
We follow the guidelines from the Oregon Health Authority, which are in accordance with the CDC Guidelines for preventing the transmission of Mycobacterium
tuberculosis in Health-Care Settings. We are a low risk facility and do TB screening only upon hire and post exposure. My two attachments have some helpful links.
Diane M. Shaw, RN, BSN, CIC, COHN-S
Tuality Healthcare
Employee Health Services
335 S.E. 8th Ave
Hillsboro, OR 97123
Phone: 503.681.1444
Fax: 503.681.4170
Tues.-Fri. 0730-1700 hours
The contents of this transmission may be confidential in nature and should be directed only to the addressee. Do not read, copy, or disseminate this material unless you are the intended recipient. If this transmission has reached you in error, please forward this e-mail to the sender to advise, then destroy the message.
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+diane.shaw=tuality.org at mylist.net] On Behalf Of mcoh-eh-request at mylist.net
Sent: Thursday, July 14, 2016 10:38 AM
To: mcoh-eh at mylist.net
Subject: MCOH-EH Digest, Vol 251, Issue 162
Send MCOH-EH mailing list submissions to
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Today's Topics:
1. Re: Angency Nurses (Hudson, T. Warner)
2. PPDs (Patti Vomish)
3. Re: Agency Nurses (April Tainter)
4. Re: Should pregnant health care workers be restricted from
caring for patients with active Shingles? (Upfal, Mark)
----------------------------------------------------------------------
Message: 1
Date: Wed, 13 Jul 2016 23:20:01 +0000
From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Angency Nurses
Message-ID:
<2134A5387858914BBE80D079ECF6880C7554ECB9 at SOPEXMB3.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"
We are same at UCLA
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 at mylist.net] On Behalf Of Sampson, Deborah
Sent: Wednesday, July 13, 2016 12:24 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Angency Nurses
We require of Temps/locums exactly what we require of employees. TB, UDS, Immunity to MMRVz, HepB (or declination) and recent Tdap/TD. UDS must be done and results received prior to starting work and no older than 14 days from start date.
Deb
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Merz, Linda
Sent: Wednesday, July 13, 2016 3:19 PM
To: 'mcoh-eh at mylist.net'
Subject: [MCOH-EH] Angency Nurses
We are going to bring in some agency nurses to help with staffing shortages. How do you handle these individuals for onboarding? Besides proof of vaccination history, do you do ppd's and drug screens on them or do you utilize the documentation from the agency? Are there time limits on when the drug screen or ppd should be repeated at your facility?
Thank you,
Linda Merz, M(ASCP)CM, MLT, CIC
Manager, Infection Prevention & Control/ Employee Health & Wellness
314.525.1207
Linda.Merz at samcstl.org<mailto:Linda.Merz at samcstl.org>
If you could see the germs, you'd wash your hands
This e-mail may contain confidential information. If you are not the intended recipient, promptly delete this message and notify the sender of the delivery error by return e-mail or call us at 314-525-1272. You may not forward, print, copy, distribute, or use the information in this message if you are not the intended recipient.
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Message: 2
Date: Wed, 13 Jul 2016 07:17:53 -0400
From: Patti Vomish <PVOMISH at highlandshospital.org>
To: "mcoh-eh at mylist.net" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] PPDs
Message-ID: <FAD634BCB58832459E0A053D2838ACD76983331105 at exchange>
Content-Type: text/plain; charset="us-ascii"
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] On Behalf Of mcoh-eh-request at mylist.net [mcoh-eh-request at mylist.net]
Sent: Tuesday, July 12, 2016 3:00 PM
To: mcoh-eh at mylist.net
Subject: MCOH-EH Digest, Vol 251, Issue 158
Send MCOH-EH mailing list submissions to
mcoh-eh at mylist.net
To subscribe or unsubscribe via the World Wide Web, visit
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or, via email, send a message with subject or body 'help' to
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When replying, please edit your Subject line so it is more specific than "Re: Contents of MCOH-EH digest..."
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.
> List membership is free, but only subscribers may post to the list.
> To post send messages to: mcoh-eh at mylist.net To become a subscriber,
> or to change your subscription options (turn off
> email while you're on vacation, etc): http://www.mcoh-eh.net
> MediTrax / Occupational Health Systems, Inc. provides financial
> support to ensure the list remains a free resource for the
> occupational health community.
> ---------------------------------------
> List archives (public): http://mylist.net/archives/mcoh-eh/
> ---------------------------------------
> Send administrative requests to: drjoe at meditrax.com
> ---------------------------------------
>
--
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.
________________________________
UCLA HEALTH SCIENCES IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.
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Message: 3
Date: Wed, 13 Jul 2016 19:27:34 +0000
From: April Tainter <April.Tainter at thedacare.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Agency Nurses
Message-ID:
<721C88E9C3C2614C9C6189231FA4750A2B8E501F at EXCHMB4.ad.local>
Content-Type: text/plain; charset="utf-8"
Same here.
April Tainter RN
Employee Health Nurse
[Description: Description: cid:image001.png at 01D0D11B.A449DA50]
ThedaCare Medical Centers-Shawano/New London/Waupaca P 715-701-0168 F 715-524-9983
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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sampson, Deborah
Sent: Wednesday, July 13, 2016 2:24 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Angency Nurses
We require of Temps/locums exactly what we require of employees. TB, UDS, Immunity to MMRVz, HepB (or declination) and recent Tdap/TD. UDS must be done and results received prior to starting work and no older than 14 days from start date.
Deb
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net]<mailto:[mailto:mcoh-eh-bounces at mylist.net]> On Behalf Of Merz, Linda
Sent: Wednesday, July 13, 2016 3:19 PM
To: 'mcoh-eh at mylist.net'
Subject: [MCOH-EH] Angency Nurses
We are going to bring in some agency nurses to help with staffing shortages. How do you handle these individuals for onboarding? Besides proof of vaccination history, do you do ppd?s and drug screens on them or do you utilize the documentation from the agency? Are there time limits on when the drug screen or ppd should be repeated at your facility?
Thank you,
Linda Merz, M(ASCP)CM, MLT, CIC
Manager, Infection Prevention & Control/ Employee Health & Wellness
314.525.1207
Linda.Merz at samcstl.org<mailto:Linda.Merz at samcstl.org>
If you could see the germs, you?d wash your hands
This e-mail may contain confidential information. If you are not the intended recipient, promptly delete this message and notify the sender of the delivery error by return e-mail or call us at 314-525-1272. You may not forward, print, copy, distribute, or use the information in this message if you are not the intended recipient.
DISCLAIMER: The information contained in this transmission may contain privileged and confidential information, including patient information protected by federal and state privacy laws. It is intended only for use by the intended recipient. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this communication is strictly prohibited. The partaking of any action in reliance upon this information by persons or entities other than the intended recipient is illegal and a violation of the regulatory guidance in the Health Insurance Portability and Accountability Act (HIPAA). If you received this in error, please contact the sender immediately and delete the material from all computers.
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Message: 4
Date: Tue, 12 Jul 2016 10:37:21 CDT
From: "Upfal, Mark" <notification at zixmessagecenter.com>
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] Should pregnant health care workers be
restricted from caring for patients with active Shingles?
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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.
To post send messages to: mcoh-eh at mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.net
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Send administrative requests to: drjoe at meditrax.com
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When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying, so the topic of your reply is immediately clear to other list members.
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