[MCOH-EH] employees with immunocompromising diseases

[Susan Higgins]

Max Air CAPR

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Deborah S. Camp
Sent: Monday, February 19, 2018 7:21 PM
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] employees with immunocompromising diseases

What type of respirator is used for employees with facial hair?  FDA does not approve N95's in this scenario.  Administration advising employees do a close shave and fit test for seal.  Thanks in advance.

Sent from my Verizon 4G LTE Droid
On Feb 19, 2018 11:16 AM, "Steivang, Kristen" <Kristen.Steivang at ssmhealth.com<mailto:Kristen.Steivang at ssmhealth.com>> wrote:
The only request like this I can recall would be staff with HIV and the treating provider indicating they could not be around TB or TB  suspect patients.  We then just denied them using a respirator, so they essentially didn't work with specific patient populations. This was not a department or unit specific request, and the staff were aware of the inherent possibility of exposure given working in a hospital setting and were not considered front line staff (ER) staff.  The "no respirator use" could be accommodated.  To date, we have not seen requests like this for our employees with RA/immune modulating drugs.

Kristen L. Steivang MSN, RN, ANP-BC, APNP
Employee Health Services
SSM Health St. Mary's Hospital Madison
700 S Park St.
Madison  WI 53715
608-258-6995
Fax 608-259-3239

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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Philip Adamo
Sent: Friday, February 16, 2018 12:06 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] employees with immunocompromising diseases

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Hello all
We have had requests from employees with asthma and other underlying conditions who have doctors writing notes to exclude them from working in certain areas of the hospital because they are at risk for contracting certain respiratory diseases and the flu. I am not in agreement because we have infection control PPE required for those on respiratory and contact precautions.

I am wondering if you have had the same experience and you have any policy to address this request.

Thanks,
Philip Adamo, M.D., MPH
Senior Medicial Director
Baystate Health
Springfield, MA
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Thank you.
Sturdy Memorial Hospital.
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