[MCOH-EH] MCOH-EH Digest, Vol 252, Issue 115

Jayme Kasman jkasman at bartonhealth.org
Mon Apr 3 09:52:48 PDT 2017
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We repeat quantiferon testing for low positives. 0.35-1.0 in 1 month. If
the second test is positive, then the patient is considered positive.  If
the second test is less than 0.35, then the patient is considered negative.

For our indeterminate results, we repeat in 1 month. If the second test is
also indeterminate, then we administer at skin test. If the patient has not
had another skin test in the last year, then we do a 2 step. The boosted
result will be more accurate.

Jayme Kasman RN, MSN
Employee Health Nurse
Barton Occupational Health

P. 775.589.8935  F. 775.589.8987

jkasman at bartonhealth.org

www.bartonhealth.org

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On Fri, Mar 31, 2017 at 10:29 AM, <mcoh-eh-request at mylist.net> wrote:

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> Today's Topics:
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>    1. Re:  TB screening  and indeterminates (Spangler, Mary)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Fri, 31 Mar 2017 17:29:37 +0000
> From: "Spangler, Mary" <MSpangler at stanfordhealthcare.org>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] TB screening  and indeterminates
> Message-ID:
>         <DM5PR01MB2700B67E4913C474B40AC4CECD370 at DM5PR01MB2700.prod.
> exchangelabs.com>
>
> Content-Type: text/plain; charset="utf-8"
>
> 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>
> [logo sig.png]                        [Stanford Children Health]
> Confidential Information: This communication and any attachments may
> contain confidential or privileged information for the use by the
> designated recipient(s) named above. If you are not the intended recipient,
> you are hereby notified that you have received this communication in error
> and that any review, disclosure, dissemination, distribution or copying of
> it or the attachments is strictly prohibited. If you have received this
> communication in error, please contact me and destroy all copies of the
> communication and attachments. Thank you.
>
> 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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