[MCOH-EH] TB Risk Status - Medium

[Kathy.Dayvault at dekalbmedical.org]

We have had the same experience, our rate of invalids is low, very pleased 
with service, account support and ease of use.

Thanks,

Kathy

Kathy Dayvault, RN, BSN, MPH
 Manager, Occupational Health and Safety 
 WorksWell Onsite
 Dekalb Medical  2701 North Decatur Road
 Decatur, GA 30033
ph: 404.501.4972 Fax:404-501-2045
kathy.dayvault at dekalbmedical.org




From:   "Higazi, Patricia" <Patricia.Higazi at chkd.org>
To:     MCOH/EH <mcoh-eh at mylist.net>, 
Date:   02/01/2018 11:07 AM
Subject:        Re: [MCOH-EH] TB Risk Status - Medium
Sent by:        "MCOH-EH" 
<mcoh-eh-bounces+kathy.dayvault=dekalbmedical.org at mylist.net>



We switched to T spot several years ago.  Easier lab draw – requirements 
not as complicated, so very few indeterminate results.  We have been very 
happy with the price, turnaround time and reporting reliability.
 
Patricia Higazi RN MSN COHN
Occupational Health Director
CHKD, Norfolk, VA
Tel: (757) 668 7852
Fax: (757) 668 8775

 
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, 
Terri (Terri)
Sent: Thursday, February 01, 2018 7:48 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] TB Risk Status - Medium
 
I am curious if others consider using T spot. 
A rep has contacted me and indicates the IDSA says T spot is superior and 
will only be 1 tube of blood and the new QFT has no pre analytics and 
requires 4 tubes.
 
Any thoughts on this to help me?
 
Kindest regards,
 
Terri
 
Terri L. Thrasher RN MSN
Sr. Director HR 
Employee Health, Occupational Safety, Environmental Health, Employee 
Relations, Leave Management  HR Compliance/Policy, Workers Compensation, 
803-SAFE, Injury Management, Non CCHMC Badging, Early Education and 
Childcare Center
3333 Burnet Ave 
Cincinnati Ohio 45229  MLC 9006
513-636-6240
 
 
 
 
 
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thanassi, 
Wendy
Sent: Tuesday, January 16, 2018 7:00 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] TB Risk Status - Medium
 
You’re welcome, any time. Here’s another slide for you.
 
Wendy
 
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Lisa 
Dyrdahl
Sent: Monday, January 15, 2018 9:33 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [EXTERNAL] Re: [MCOH-EH] TB Risk Status - Medium
 
Wendy,
Thank you for this, it is most helpful especially with the citation for 
the guidelines. 
 
Thanks again!
 
Lisa Dyrdahl, RN, BSN
Employee Health Nurse
Lisa_Dyrdahl at Valleymed.org
Ph: 425-228-3440 X5720
Fax: 425-656-5066
 
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thanassi, 
Wendy
Sent: Friday, January 12, 2018 12:31 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] TB Risk Status - Medium
 
Hello Lisa,
 
Yes, you can test some areas and not others.
 
The CDC 2005 and 2010 TB guidelines use the term “setting” for where 
annual TB testing should be done in medium and high risk areas. “Setting” 
allows that a huge hospital like ours would test certain areas, but not 
all people in all 102 building on all of our campuses. “Setting” is 
generally shared airspace, so if all 6 came through the medicine clinic, 
that area would become high risk but the O.R. would not.  (Of course 
shared airspace can be extended indefinitely to include the whole earth if 
one gets really energetic…) In sum, such surveillance should be undertaken 
in a reasonable manner to capture employees truly at risk for exposure but 
without wasting time, money and productivity hours chasing those who are 
not.
 
Newer guidelines will come out soon, and those are likely to be more 
flexible.
 
Wendy
 
Wendy Thanassi MA, MD
Chief, Occupational Health Service
Office of the Associate Director
Palo Alto VAHCS, California
650-493-5000 x 11-65214
 
Clinical Associate Professor
Stanford Hospital and Clinics
 
National Lead, Tuberculosis
Veteran’s Health Administration 10P4Z
Washington, DC
 

Providing the best Occupational Medicine Care Anywhere—for VHA Employees 
and Veterans
VHAOccupationalEnviroMedConsult at va.gov  or 
https://vaww.portal.va.gov/sites/ohshg/OEMedicineConsults
 
From: MCOH-EH [mailto:mcoh-eh-bounces+wendy.thanassi=va.gov at mylist.net] On 
Behalf Of Deborah A. Pruim via MCOH-EH
Sent: Friday, January 12, 2018 9:08 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: Deborah A. Pruim <dpruim at lcmh.org>
Subject: [EXTERNAL] Re: [MCOH-EH] TB Risk Status - Medium
 
We are a low risk hospital.  We require annual screening (questionnaire) 
yearly for all employees.
All new hires are tested with a 2 step PPD at hire.  If they have had BCG 
we do a Quanteferon Gold test.
Thanks,
Debbie
Deborah Pruim, RN, MSN, APN, CNS
Employee Health Services
Little Company of Mary Hospital
2800 W. 95th Street
Evergreen Park, IL  60805
Monday – Friday
6:30am-3pm
Phone:  708-229-5623
Fax:  708-229-6618
dpruim at lcmh.org

 
 
 
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Lisa 
Dyrdahl
Sent: Thursday, January 11, 2018 11:31 AM
To: MCOH/EH
Subject: [MCOH-EH] TB Risk Status - Medium
 
MCOH List Serve,
We have been a Low Risk hospital for TB and have not performed Annual 
testing since 2009.  We have now entered Medium Risk, (>6 patients with 
>200 beds).   According to the 2005 TB Prevention Guidelines we must now:
·         Test all HCWs on hire – (Which we have always done as Low Risk 
using QFG)
·         Test all HCWs at least every 12 months 
·         Preform TB Symptom Screen for all HCWs with baseline negative 
results
 
My question for the list is whether we can test only High Risk Depts for 
TB or do we have to test all HCWs throughout the entire hospital?
 
Do we also need to provide symptom screening for everyone who test 
negative on baseline?  We currently do this for all Positive results only.
 
I had thought there was an option to either test all employees or only 
those in Hi Risk areas but I can’t find this documented. 
 
Thank you.
 
Lisa Dyrdahl, RN, BSN
Employee Health Nurse
Lisa_Dyrdahl at Valleymed.org
Ph: 425-228-3440 X5720
Fax: 425-656-5066
 
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