[MCOH-EH] Preplacement Physical Demands reviewed by HR

[Kate Miller]

We reviewed NIOSH/CDC and OSHA info on latex and healthcare workers, and I don't find any requirement or recommendation to do a new hire screening for latex allergy. There is very low latex exposure for workers now since our standard gloves are nitrile and even our sterile gloves have a non-latex option. We no longer use gloves with any powder and we don't even have latex balloons in the gift shop.
We dropped our screening tool last year and just include latex in the health history form. If they say that latex is a problem we offer the alternatives and make sure that they have access.


Kate Miller, RN
Caregiver Health Nurse
541-706-4771 (office) 541-706-2694 (fax)
kemiller at stcharleshealthcare.org

St. Charles Health System 2500 NE Neff Road Bend OR 97701 www.stcharleshealthcare.org

Drop In Calendar Link:
Drop-In Clinic Calendar and Locations<http://quality.scmc.org/Lists/Caregiver%20Health%20Dropin%20Calendar/calendar.aspx>




From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Nancy Rodway
Sent: Friday, June 23, 2017 9:59 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Preplacement Physical Demands reviewed by HR


You cannot forget to address the question of latex sensitivity



Nancy Rodway MD MPH FACOEM



Sent from Outlook<http://aka.ms/weboutlook>

________________________________
From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Kate Miller <kemiller at stcharleshealthcare.org<mailto:kemiller at stcharleshealthcare.org>>
Sent: Friday, June 23, 2017 12:30 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Preplacement Physical Demands reviewed by HR


Yes, this is essentially what we do. We do have a very brief health for allergies, chronic diseases and medications. In the acceptance packet is the job description that includes the physical requirements for the job. They have to sign that before we see them. Anything that we did (ie; VS, B/P etc.) would not be reason to deny them the position therefore it became a waste of time. Urine drug screening is done and overseen by HR before we see them so we are not spending time and money on people who don't ever get hired. We do fitness for duty on our PT, Facilities and CP only.

We do; simple health questionnaire screening, TB testing (Quant Gold), immunizations, titers, OSHA Resp Questionnaire Screening, and Fit testing. This currently done the first day of employment but we used to do it in the week preceding their Orientation day.

Much of this was driven by HR and their push back that we couldn't deny employment based on a health screening. They discussed reasonable accommodations for disabilities and strongly felt that the signed agreement in the job description covered the fitness part. If someone came and wasn't able to perform then they could discharge due to falsification of the document. Although I have never seen that happen.







Kate Miller, RN

Caregiver Health Nurse

541-706-4771 (office) 541-706-2694 (fax)

kemiller at stcharleshealthcare.org<mailto:kemiller at stcharleshealthcare.org>



St. Charles Health System 2500 NE Neff Road Bend OR 97701 www.stcharleshealthcare.org<http://www.stcharleshealthcare.org>



Drop In Calendar Link:

Drop-In Clinic Calendar and Locations<http://quality.scmc.org/Lists/Caregiver%20Health%20Dropin%20Calendar/calendar.aspx>









From: MCOH-EH [mailto:mcoh-eh-bounces+kemiller=scmc.org at mylist.net] On Behalf Of Kanchan Dibert
Sent: Friday, June 23, 2017 8:15 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Preplacement Physical Demands reviewed by HR



My community hospital is considering eliminating the preemployment questionnaire. The Human Resources recruiter would have the applicant review the physical demands of the job after being offered the job, and answer one question, " Can you perform the essential functions of this job with or without accommodation?"



Employee Health would perform only four items:

TB skin test

Urine drug screen

Immunization history/titer

Respirator Fit test , if required for the position



I would appreciate some feedback as to whether any other medical centers or community hospitals have a similar process, and whether this process falls within an acceptable medical standard of care.



Is there any supporting documentation I can refer to? I have reviewed the ACOEM Guidance Document, " Guidance for Occupational Health Services in Medical Centers"



Thanks,

Kanchan



Kanchan P. Dibert MD

Medical Director

CaroMont Occupational Medicine and Employee Health

2555 Court Drive, Suite 120

Gastonia, NC 28054

Phone: 704.834.3070

Fax: 704.834. 3073

kanchan.dibert at caromonthealth.org<mailto:kanchan.dibert at caromonthealth.org>

caromonthealth.org











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