[MCOH-EH] TB skin test competencies [External]

Leibu, Rachel Rachel.Leibu at atlantichealth.org
Thu Aug 3 05:55:45 PDT 2017


Our your readers RN's and above or do you allow CMA's to read as well.

Rachel Leibu, MD, MBA, MS
Director Occupational Medicine Service
Atlantic Health System
973-971-5440

-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Giovannetti, Mary
Sent: Thursday, August 03, 2017 8:30 AM
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] TB skin test competencies [External]

We do the same thing. Only staff who are specifically trained by us my read our PPDs. We have a reader form with a list of approved readers. CDC says that readers should be trained. 

Mary C Giovannetti, DNP, APRN, BC-FNP
Manager/Nurse Practitioner | Employee Health



853 North Church St, Suite 400 | Spartanburg, SC 29303
o: 864-560-6514 | f: 864-560-6509
e: mgiovannetti at srhs.com | w: SpartanburgRegional.com

-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+mgiovannetti=srhs.com at mylist.net] On Behalf Of Thrasher, Terri
Sent: Wednesday, August 02, 2017 8:56 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] TB skin test competencies [External]

Be aware: [This message came from outside of Spartanburg Regional Network]


I don't think it's a JCstandard but it is best practice that every nurse and MD is not allowed to read a tb skin test.   There is a skill to the reading.

-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Angeli Mancuso
Sent: Wednesday, August 02, 2017 8:34 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] TB skin test competencies

Our policy for annual (and post exposure) TB screening states that every employee able to get a TB skin test must do so at Employee Health & Safety. Reads must also occur here. Occasionally, for employees who don't plan ahead and have to get their tests read on the weekend to avoid our compliance deadline, we ask our house supervisors to read on our behalf. TB screening competency is maintained in personnel files for those authorized to perform this duty.

I get a question regarding why all nurses can't read their own or their co-workers' TB tests instead of returning to employee health. Our stance has always been that we must maintain competency in this skill just as floor nurses maintain competencies that we, as EHNs, do not maintain. I haven't given an IV push med in 8 years so I shouldn't be allowed to do so tomorrow.

Is this a policy you all maintain as well? Are we off the mark and should we consider having any RN document the result of a TB skin test? I've always been under the impression this is a Jt. Commission standard but cannot lay my hands on the exact reference.

Angeli Mancuso, RN, COHN-S/CM
Manager, Employee Health & Safety | Cottage Health P.O Box 689 | 400 W. Pueblo St | Santa Barbara, CA 93102-0689
Office: (805) 569-7866 |  Fax: (805) 569-8271 a1mancus at sbch.org | cottagehealth.org https://na01.safelinks.protection.outlook.com/?url=www.lifewhereyouloveit.org&data=02%7C01%7Crachel.leibu%40atlantichealth.org%7C0ecb358b047f4d82f8e108d4da6baf68%7Cf6f442bea6a04cbebc321f76a10f316b%7C1%7C0%7C636373603425760341&sdata=3UXIOp55VWp6fbl7O0oeFvSM0a%2BKMBBxq6XPbHuBJeE%3D&reserved=0




________________________________

CH Disclaimer: This electronic mail message is intended exclusively for the individual or entity to which it is addressed. This message, together with any attachment, may contain confidential and privileged information. Any views, opinions or conclusions expressed in this message are those of the individual sender and do not necessarily reflect the views of Cottage Health, its subsidiaries or affiliates. This document may also contain information covered under the Health Insurance Portability and Accountability Act (HIPAA, PL 104-191) and implementing regulations and must be protected in accordance with those provisions. Re-disclosure without patient consent or as otherwise permitted by law is prohibited. Any unauthorized review, retransmission, use, printing, copying, retention, disclosure, distribution or the taking of any action in reliance upon this information by persons or entities other than the intended recipient is strictly prohibited and may be unlawful. If you have received this message in error, please immediately advise the sender by reply email message to the sender and delete all copies of this message from your system without copying.

________________________________

---------------------------------------
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):   https://na01.safelinks.protection.outlook.com/?url=https%3A%2F%2Furldefense.proofpoint.com%2Fv2%2Furl%3Fu%3Dhttp-3A__www.mcoh-2Deh.net%26d%3DDwICAg%26c%3DP0c35rBvlN7D8BNx7kSJTg%26r%3DJmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY%26m%3DPVsUYnUD1TrAO0keXfKJg5uSWyPXXZz_ZkIaQ9TcXbo%26s%3DyPU56Wxb2M8qAcj_WDyk786tM4BQe52PKwgTCR4Ujds%26e&data=02%7C01%7Crachel.leibu%40atlantichealth.org%7C0ecb358b047f4d82f8e108d4da6baf68%7Cf6f442bea6a04cbebc321f76a10f316b%7C1%7C0%7C636373603425760341&sdata=lkPohvdaXi23Tsi7ByBh6MgB6QQf3gs%2FozcC1Ip4MbE%3D&reserved=0=
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): https://na01.safelinks.protection.outlook.com/?url=https%3A%2F%2Furldefense.proofpoint.com%2Fv2%2Furl%3Fu%3Dhttp-3A__mylist.net_archives_mcoh-2Deh_%26d%3DDwICAg%26c%3DP0c35rBvlN7D8BNx7kSJTg%26r%3DJmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY%26m%3DPVsUYnUD1TrAO0keXfKJg5uSWyPXXZz_ZkIaQ9TcXbo%26s%3DRiWKys3IHOsXicmHGU_MUG4UW622KalUqhmYD5Pd1AM%26e&data=02%7C01%7Crachel.leibu%40atlantichealth.org%7C0ecb358b047f4d82f8e108d4da6baf68%7Cf6f442bea6a04cbebc321f76a10f316b%7C1%7C0%7C636373603425760341&sdata=8JcNkGruTHuwNCuNp8AjP68hlgB5AjnV%2F7NMxvPyXOE%3D&reserved=0=
---------------------------------------
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):   https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.mcoh-eh.net&data=02%7C01%7Crachel.leibu%40atlantichealth.org%7C0ecb358b047f4d82f8e108d4da6baf68%7Cf6f442bea6a04cbebc321f76a10f316b%7C1%7C0%7C636373603425760341&sdata=luBWKPMfnwqRcULKXxa6qbmD9Xzr6juSios2%2Bl%2Fl8ZI%3D&reserved=0
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fmylist.net%2Farchives%2Fmcoh-eh%2F&data=02%7C01%7Crachel.leibu%40atlantichealth.org%7C0ecb358b047f4d82f8e108d4da6baf68%7Cf6f442bea6a04cbebc321f76a10f316b%7C1%7C0%7C636373603425760341&sdata=Rxwwpm2xXI7iGhtMi9Gcrrc%2FLajNDb2dGCGfysMO%2B44%3D&reserved=0
---------------------------------------
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):   https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.mcoh-eh.net&data=02%7C01%7Crachel.leibu%40atlantichealth.org%7C0ecb358b047f4d82f8e108d4da6baf68%7Cf6f442bea6a04cbebc321f76a10f316b%7C1%7C0%7C636373603425760341&sdata=luBWKPMfnwqRcULKXxa6qbmD9Xzr6juSios2%2Bl%2Fl8ZI%3D&reserved=0
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fmylist.net%2Farchives%2Fmcoh-eh%2F&data=02%7C01%7Crachel.leibu%40atlantichealth.org%7C0ecb358b047f4d82f8e108d4da6baf68%7Cf6f442bea6a04cbebc321f76a10f316b%7C1%7C0%7C636373603425760341&sdata=Rxwwpm2xXI7iGhtMi9Gcrrc%2FLajNDb2dGCGfysMO%2B44%3D&reserved=0
---------------------------------------
Send administrative requests to: drjoe at meditrax.com
---------------------------------------



The information contained in this email is intended only for the use of the person(s) identified above. This communication may contain work product which is privileged and confidential, and may contain content which is regulated by Federal law. If you are not an intended recipient or the employee or agent responsible to deliver this to the intended recipient, you have received this message in error and any review, distribution or copying of it by you is prohibited. If you have received this message in error, please notify the sender immediately, and delete the message. E-mail and communication system messages generated by members of the Atlantic Health System workforce may not necessarily reflect the views of Atlantic Health System, its officers, directors or management.




More information about the MCOH-EH mailing list