[MCOH-EH] TB screening and indeterminates

[Spangler, Mary]

We are also doing more skin tests these days.

Mary



Take 3 minutes to watch this doodle on sharps safety.  https://www.youtube.com/watch?v=mpm_7pNn5GM&feature=youtu.be

Mary Spangler, M.S., N.P., COHN-S
Administrative Director, Occupational Health Services
Stanford Health Care & Stanford Children’s Health Care
300 Pasteur Drive, M/C 5205, Stanford, CA 94305-5513
Office: (650) 725-9583 Fax: (650) 498-7748 (fax)
mspangler at stanfordhealthcare.org<mailto:mspangler at stanfordhealthcare.org>
Administrative Assistant Michelle Fitch 650-725-2529   mfitch at stanfordhealthcare.org<mailto:mfitch at stanfordhealthcare.org>
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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
Sent: Friday, March 31, 2017 9:23 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] TB screening and indeterminates

I place a ppd at the same time I repeat the QFT

From: MCOH-EH [mailto:mcoh-eh-bounces+terri.thrasher=cchmc.org at mylist.net] On Behalf Of Tara Dockery
Sent: Friday, March 31, 2017 12:12 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] TB screening and indeterminates

For our borderline we had one that was retested in a week, as per the protocol on the reference lab result, and it came back as borderline again. This was expensive, and time consuming. To remedy the situation we did a Mantoux PPD and that came out negative.

When we had an indeterminant employee (seemed to mention they may have had a low lymphocyte count??) rather than retesting the employee because she mentioned she had been taking a new kind of vitamin and supplement, so presuming the employee was healthy and we didn’t want to look into her lymphocyte count and open a can of worms, we decided there could have been an interfering substance and decided to use the old Mantoux skin test PPD, which also came back negative for her.

So in both scenarios, to save time and money, I do believe in the future we will back up with a Mantoux PPD.


This is what I found to work for us
Tara



Tara Lee Dockery, IP, MT(ASCP), BS
Infection Prevention and Employee Health

Ocean Beach Hospital and Clinics
174 First Avenue North
Ilwaco, Washington 98624

tdockery at oceanbeachhospital.com<mailto:tdockery at oceanbeachhospital.com>
Office Phone  360 – 642 - 6307
Cell Phone 509-760-7397
Fax  360-642-6309



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Yvonne Noel
Sent: Friday, March 31, 2017 8:41 AM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] TB screening and indeterminates

If you are using the  Quaniferon Gold test, would you mind sharing your reference ranges?  If you have set up a borderline or indeterminate reference range, can you tell me how individuals who test in this range  are managed, e.g. repeat testing in two months.


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Yvonne Noel, RN, COHN-S, CIC
Manager
Occupational Health & Wellness
O: 214.456.8983
F: 214.456.2665
E: mary.noel at childrens.com<mailto:mary.noel at childrens.com>


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