[MCOH-EH] Medical staff compliance with vaccination requirements

Cisler, Carla K cisler.carla at marshfieldclinic.org
Tue Aug 30 11:56:48 PDT 2016


We require our medical staff to follow titer and immunization requirements of all employees.  We do not require annual TB screening except for a symptom survey for our past positive employees.   We are in the process of relooking at what we do for Locum Tenens.  At this time we require the same titer and immunization requirements.  We require annual TB screening.  We screen all employees have a Hepatitis C antibody done upon hire.  We require Locums to have the Hep C antibody every 6 months if they have had employment in another organization during that 6 month period.  Although CDC does not require this the concern was we do not know their exposure history and do not want to buy a positive Hepatitis C.
Does anyone else do Hepatitis C testing and if so do you include Locums and how frequently do you test? 

Thank you
Carla Cisler, RN, BSN, COHN-S/CM
Manager Employee Health and Safety 
Marshfield Clinic GD-2
Marshfield, WI  54449
715-387-5504 or 715-847-3151
Fax 715-389-5505
cisler.carla at marshfieldclinic.org

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Today's Topics:

   1. Re:  Medical staff compliance with vaccination requirements
      (Hudson, T. Warner)
   2. Re:  Vaccination Consents (Hudson, T. Warner)


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Message: 1
Date: Tue, 30 Aug 2016 14:22:37 +0000
From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Medical staff compliance with vaccination
	requirements
Message-ID:
	<BN6PR12MB141106530DD433C0FC93FCF48EE00 at BN6PR12MB1411.namprd12.prod.outlook.com>
	
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Sadly we do not for medical staff who are not hospital employees.  The majority of MD medical staff are faculty of the school of medicine and at re-credentialing they only must comply with the TB surveillance every 2 years.  If non- compliant with TB or flu they are no able to work. The flu immunization is required every year however and those who were house staff here and at most medical centers did the full immunization titer drill at onboarding and so imperfect as it is it is not a bad as it looks at first.  It would be far better for all new faculty to onboard through occupational health per our requirements for health system employees so I applaud your efforts. 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<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.ohs.uclahealth.org&d=CwICAg&c=KNVzINr6WAqWApikNSnyDeOu0ck0iFwcrMz92MxUhIs&r=U0xAm6It0mK_7MT7fjfRruDioRLlwk5t8JsCnV0vUiLlQXCMzT8bWEiY-SnFZK4s&m=tvTJB-IqMj_x5IX7sm8JSJNc7Nu-PAL_1BZ5JVNmcuM&s=C7Ljrb90VUhKWcJ-f0iwoymPkKRMTfSAW7OpqQnsDdg&e= >

From: MCOH-EH [mailto:mcoh-eh-bounces+twhudson=mednet.ucla.edu at mylist.net] On Behalf Of Shea, Joann
Sent: Tuesday, August 30, 2016 4:49 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Medical staff compliance with vaccination requirements


?        Do any of your organizations require compliance with your immunization requirements for active/inactive medical staff/LIPs during initial credentialing or recredentialing?

?        Do you provide this service in your occupational/employee health department?

?        Do you charge the medical staff or LIPs for this service or provide it free?

?        What do you do if the do not comply..does it hold up their credentialing?



We are proposing to make this part of the credentialing packet.  We have always required it, but didn?t sink any teeth into the program and have a dismal compliance rate as we were only requiring an attestation to be signed without documentation.    Would appreciate any guidance in this area.   Thank you!!!
[TGH_employee health serv-color]
JoAnn Shea, ARNP, MS, COHN-S
Director, Employee Health & Wellness
Work: 813-844-7692    Cell:  813-789-3441    FAX;  813-844-8144    Email:  jshea at tgh.org<mailto:jshea at tgh.org>







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Message: 2
Date: Mon, 29 Aug 2016 14:50:34 +0000
From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Vaccination Consents
Message-ID:
	<BN6PR12MB1411A4348923C6D210965A2B8EE10 at BN6PR12MB1411.namprd12.prod.outlook.com>
	
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We require consents for all vaccines.  For the mass flu events we have signable consents on the iPads we use.

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>
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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Schweitzer, Kit
Sent: Monday, August 29, 2016 7:21 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Vaccination Consents

We require flu vacc consents. We do most of our flu shots at mass vacc clinics and we use an app on an iPad.

Kit Schweitzer, RN, BSN, COHN  |  Employee Health Nurse |  Employee Health Oregon Community PeaceHealth<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.peacehealth.org_&d=CwICAg&c=KNVzINr6WAqWApikNSnyDeOu0ck0iFwcrMz92MxUhIs&r=U0xAm6It0mK_7MT7fjfRruDioRLlwk5t8JsCnV0vUiLlQXCMzT8bWEiY-SnFZK4s&m=tvTJB-IqMj_x5IX7sm8JSJNc7Nu-PAL_1BZ5JVNmcuM&s=QywWhDAHlClPU2HSs5myYMYgcPy8dGW3Ne7WIKXISzE&e= >  |  3333 Riverbend Way |  Springfield, OR 97477 [peace-logo-lockup copy_480px]office 541-222-2544  |  fax 541-222-2548



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Cindy Hansen
Sent: Friday, August 26, 2016 6:07 AM
To: 'mcoh-eh at mylist.net' <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] Vaccination Consents


This message originated outside of PeaceHealth's email system and contains web links. Use caution when clicking on links. VERIFY THE SENDER before opening attachments, clicking links or providing information.
I was curious whether any of your organizations require vaccination consents during the Flu Blitz.  If no consent, do you get an authorization to treat?

ch

Cindy Hansen, RN, MSN, CCM, CSIWCP
Employee Health Manager
Ph:  228-867-4174
Fax:  228-867-4080

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