[MCOH-EH] Question

Sarah Kemble skemblemd at aol.com
Thu Sep 29 05:07:56 PDT 2016
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Which product?

Sarah Kemble, MD, MPH

Sent from my iPhone

> On Sep 28, 2016, at 4:30 PM, "Sampson, Deborah" <Deborah.Sampson at snhhs.org> wrote:
> 
> I just had someone come in today with a full body rash as well-24 hours after flu vaccine. No other explanation in history for the rash.
> 
> Deborah A. Sampson, PhD, APRN, COHN-S, FAANP
> Director 
> Employee Health and Wellness Services
> Southern New Hampshire Health   P.O.Box 2014   8 Prospect Street   Nashua, NH 03060
> p(603) 281-8583  f (603) 577-5665
> deborah.sampson at snhhealth.org
> 
> 
> 
> 
> 
> -----Original Message-----
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Derrico, Barbara (IHS/OKC/LAW)
> Sent: Wednesday, September 28, 2016 3:22 PM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] Question
> 
> We have had one with rash over entire body directly related to the flu vaccine.  Sent to the ED and treated with steroids.  Three others with site reactions.  
> 
> Barbara Derrico BSN RN
> Lawton Indian Hospital
> OR Supervisor
> Office 2-35   2nd Floor  Day Surgery
> Phone:  580-354-5454
> Fax:  580-354-5212
> Barbara.derrico at ihs.gov
> Follow us on Facebook - http://www.facebook.com/ocaihs https://www.facebook.com/LawtonIHS
> 
> Prevention is Proactive.wash in-wash out.   Every patient-every day!
> 
> CONFIDENTIALITY NOTE: This transmission is intended solely for the use of the individual(s) to whom it is addressed and may contain information that is privileged, confidential, or otherwise exempt from disclosure under applicable law.  If the reader of this message is not the intended recipient, or an authorized representative of the intended recipient, you are hereby notified that any review, retransmission, dissemination, distribution, copying of or taking of any action in reliance upon this communication is strictly prohibited.  If you have received this communication in error, please delete it from your system without copying or forwarding it, and notify the sender of the error by reply e-mail
> 
> 
> 
> 
> 
> 
> -----Original Message-----
> From: MCOH-EH [mailto:mcoh-eh-bounces+barbara.derrico=ihs.gov at mylist.net] On Behalf Of Sampson, Deborah
> Sent: Wednesday, September 21, 2016 1:20 PM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] Question
> 
> Sounds like an unlikely presentation for flu vax rash to me.
> 
> -----Original Message-----
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Belinda D. Mead
> Sent: Wednesday, September 21, 2016 1:16 PM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] Question
> 
> The rash was from his feet to knee bilaterally-splotchy, blanched, no itching, no SOB or chest pain.
> Rash just appeared.
> 
> 
> Belinda Mead RN, MSN, PLNC
> Education Coordinator/Occupational Health Nurse Williamson Medical Center
> 4321 Carothers Parkway
> Franklin, TN. 37067
> Phone 615-435-5128
> FAX  615-435-7403
> Email:bmead at wmed.org
> 
> HIPAA NOTICE:  The information transmitted within this email or in any attached documents is intended solely for the individual or entity to which it is addressed.  That information may contain confidential and/or privileged material.  If you believe you have received this email in error, please immediately contact the sender and delete the material from your system.
> 
> -----Original Message-----
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
> Sent: Wednesday, September 21, 2016 11:39 AM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] Question
> 
> We have seen it but can't conclude it is due to the shot per se Seems likely 
> 
> -----Original Message-----
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Belinda D. Mead
> Sent: Wednesday, September 21, 2016 12:35 PM
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Question
> 
> Good morning: I have a question totally unrelated (sorry) but has anyone seen a rash appear after a flu immunization?  We had an employee who received flu vaccine Friday and yesterday has a rash.  We sent them to ER for eval but was inconclusive of course as relating to injection.
> 
> Belinda Mead RN, MSN, PLNC
> Education Coordinator/Occupational Health Nurse Williamson Medical Center
> 4321 Carothers Parkway
> Franklin, TN. 37067
> Phone 615-435-5128
> FAX  615-435-7403
> Email:bmead at wmed.org
> 
> HIPAA NOTICE:  The information transmitted within this email or in any attached documents is intended solely for the individual or entity to which it is addressed.  That information may contain confidential and/or privileged material.  If you believe you have received this email in error, please immediately contact the sender and delete the material from your system.
> 
> -----Original Message-----
> From: MCOH-EH [mailto:mcoh-eh-bounces+bmead=wmed.org at mylist.net] On Behalf Of Diane Shaw
> Sent: Thursday, September 15, 2016 9:51 AM
> To: mcoh-eh at mylist.net
> Subject: Re: [MCOH-EH] Question
> 
> We switched to IGRA blood draws instead. More costly up front, put saved labor hours chasing down staff for the second step, eliminated the inconvenience of returning to have the TST read, and also eliminated any errors in reading the TST.
> 
> Diane M. Shaw, RN, B.S.N.,CIC, COHN-S
> Employee Health Nurse/Employee Health Services Tuality Healthcare OHSU Partner
> 335 S.E. 8th Ave.
> Hillsboro, OR 97123
> diane.shaw at tuality.org
> tel: 503-681-1444 l fax: 503-681-4170
> 
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> -----Original Message-----
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of mcoh-eh-request at mylist.net
> Sent: Wednesday, September 14, 2016 10:46 AM
> To: mcoh-eh at mylist.net
> Subject: MCOH-EH Digest, Vol 251, Issue 273
> 
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> Today's Topics:
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>   1. Re:  Question (Upfal, Mark)
> 
> 
> ----------------------------------------------------------------------
> 
> Message: 1
> Date: Wed, 14 Sep 2016 13:45:49 -0400
> From: "Upfal, Mark" <mupfal at dmc.org>
> To: "'MCOH/EH'" <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Question
> Message-ID:
>    <9EE8412E15F7E148AAA54922744E618D034DEFD05D34 at MAIL03.dmcnt1.local>
> Content-Type: text/plain; charset="us-ascii"
> 
> [cid:981324517 at 14092016-21DD]
> 
> Mark Upfal, MD, MPH
> Corp Medical Director, DMC Occupational Health Services
> 4201 Saint Antoine, UHC 4G-3
> Detroit, MI 48201
> (313) 993-0509
> www.dmc.org/ohs
> 
> __________________________________________
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> This e-mail message and any attachments may be privileged and confidential and protected information. If you are not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, use, disclosure, dissemination, distribution or copying of this communication may be a violation of the law. Please contact the sender immediately by replying to the message and delete it from your computer. Thank You.
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> ________________________________
> 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:981324517 at 14092016-21E4]
> 
> 
> 
> 
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> This message (including any attachments) is confidential and intended solely for the use of the individual or entity to whom it is addressed, and is protected by law. If you are not the intended recipient, please delete the message (including any attachments) and notify the originator that you received the message in error. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tenet Healthcare Corporation.
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> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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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
> ---------------------------------------
> 
> ---------------------------------------
> 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
> ---------------------------------------
> 
> ---------------------------------------
> 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
> ---------------------------------------
> 
> ---------------------------------------
> 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
> ---------------------------------------
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