[MCOH-EH] [EXTERNAL] Question

Thanassi, Wendy Wendy.Thanassi at va.gov
Thu Sep 15 13:29:24 PDT 2016
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Using an IGRA at pre-hire and then annual TSTs is actually the most
expensive way to run a screening program; not medically bad just more
expensive (really due to lost work time) and less efficient than
sticking with IGRA. However, best of all is as Darlene stated below,
which is IGRA on hire and with exposures only.  (I am editing a Markov
analysis of 8 strategies right now, I'm sure you'll all ask for a copy
this holiday season :) ).

Wendy Thanassi MA, MD

Chief, OH
VA Palo Alto HCS

-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Darlene
Sims
Sent: Thursday, September 15, 2016 12:10 PM
To: 'mcoh-eh at mylist.net'
Subject: [EXTERNAL] [MCOH-EH] Question

For the same reason, we switched to TSPOT's with new hire processing and
exposures only. 

Thank You, 

Darlene Sims MSN,FNP-C
Director of Infirmary Employee Health
Locations at MIMC, Thomas Hospital ,NBI &ACH
185 Mobile Infirmary Blvd
Mobile, Al 36607
MIMC office (251)435-5957 fax (251)435-3067 Thomas Hospital
(251)279-1605 fax (251)279-1606 NBI (251)937-5521 ext 1860 ACH
(251)368-6314 darlene.sims at infirmaryhealth.org


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Sent: Thursday, September 15, 2016 2:00 PM
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Subject: MCOH-EH Digest, Vol 251, Issue 276

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Today's Topics:

   1. Re:  Question (Yvonne Noel)
   2. Re:  Question (Senior, Cathy (Employee Health))


----------------------------------------------------------------------

Message: 1
Date: Wed, 14 Sep 2016 19:08:30 +0000
From: Yvonne Noel <Mary.Noel at childrens.com>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Question
Message-ID: <4b31f7cded134cfda0a18b17f4ed8d90 at exmbxv2.Childrens.med>
Content-Type: text/plain; charset="us-ascii"

We have gone  to using QFT pre-hire and annually.  The fact that no
follow-up visit(s) are needed is one of the great features of using a
blood test, either QFT or T-Spot.  I have heard that some facilities use
the blood test initially on hire, then do PPD screening annually.
Non-compliance could still be an issue, but since only one return visit
is needed, it should be less.
Yvonne Noel, RN, BSN, COHN-S, CIC
Manager Occupational Health
Children's Health/Children's Medical Center Dallas, TX
(214)  456-8983

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Erika
Sweet
Sent: Wednesday, September 14, 2016 1:41 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Question

Same here

Erika Sweet, RN, MSN, NP, CHON-S
Director of Employee Health Services
Los Angeles County Department of Health Services Office (310) 222.2360
FAX (310) 222.5326



From: MCOH-EH
[mailto:mcoh-eh-bounces+esweet=dhs.lacounty.gov at mylist.net] On Behalf Of
Amy Olson
Sent: Wednesday, September 14, 2016 10:59 AM
To: 'MCOH/EH' <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Question

Two experiences from two different organizations.

1.       Employee must complete 2 step before hire

2.       Switched to TB Gold

In both situations, poor compliance was the driver.

Good luck Whitney!

Amy Olson, BSN, MS, COHN-S
Director, Employee Health and Wellness
Johns Hopkins All Children's Hospital
500 Seventh Avenue South, Suite 103
St. Petersburg, FL  33701
P 727-767-8211 | F 727-767-8399
aolson9 at jhmi.edu<mailto:aolson9 at jhmi.edu>
www.HopkinsAllChildrens.org<https://urldefense.proofpoint.com/v2/url?u=h
ttp-3A__www.hopkinsallchildrens.org_&d=CwMFAg&c=kq-I5qPZzvUeSSdLn1ryw389
qklqJeUVcvQsGhZJcVE&r=ePuG4XpYGlpwsTu7VjdDBuhc_yb6C7N35xI402AmFSo&m=u6G4
W49SJK0z3lKNKRbIriDUsKT_EV7DDdiQzfTDpeI&s=HGwTVLpY95nAWvf4tLqdXG0lYJG3AN
lUv2ISX50reVQ&e=>



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Whitney
Shores
Sent: Wednesday, September 14, 2016 1:36 PM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Question

I am new in the Employee Health position.  I am looking for suggestions
to improve the 2step TST compliance.  Currently New hires are screened
and  the first step test is given with instruction to return following
orientation for 2nd step.  This process does not seem efficient as I am
constantly chasing down employees for their 2nd step! Any help would be
appreciated.


Whitney Shores RN
Employee Health & Wellness Coordinator
Jackson Hospital and Clinic
Montgomery, AL
Office 293-8939
Fax 293-8929
[cid:image001.jpg at 01D1C89B.CBB57D10]




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Message: 2
Date: Wed, 14 Sep 2016 15:19:40 -0400
From: "Senior, Cathy (Employee Health)" <CESenior at phhealthcare.org>
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Question
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We switched to doing T-spots on hire and post exposure.


Cathy Senior RN BSN CDE
Employee Health Director
Penn Highlands DuBois
100 Hospital Avenue
P.O. Box 447
DuBois Pa 15801
Phone 814-375-3392
Fax 814-372-2610
cesenior at phhealthcare.org
www.phhealthcare.org
[cid:image002.png at 01D20E9B.69E3C420]

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Whitney
Shores
Sent: Wednesday, September 14, 2016 1:36 PM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Question

I am new in the Employee Health position.  I am looking for suggestions
to improve the 2step TST compliance.  Currently New hires are screened
and  the first step test is given with instruction to return following
orientation for 2nd step.  This process does not seem efficient as I am
constantly chasing down employees for their 2nd step! Any help would be
appreciated.


Whitney Shores RN
Employee Health & Wellness Coordinator
Jackson Hospital and Clinic
Montgomery, AL
Office 293-8939
Fax 293-8929
[cid:image003.jpg at 01D20E9B.69E3C420]




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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band
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