[MCOH-EH] TB exposure screening questions

[PRATER, DEANNA]

This is very helpful.  I appreciate the information.

From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Constance Pugh
Sent: Thursday, December 27, 2018 13:36
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] TB exposure screening questions

CAUTION: This email originated outside of Bay Area Hospital. Do not click links or open attachments unless you recognize the sender and know the content is safe.

Our state health department generally considers an exposure anything starting at 4 hours in a poorly ventilated space such as a car/enclosed room.. you can read more here https://www.oregon.gov/oha/ph/DiseasesConditions/CommunicableDisease/Tuberculosis/Documents/UpdatedGuidanceHCWTBScreening.pdf
We have had one large exposure this year- about 100 staff- and elected to test anyone that had 1 hour + exposure/ involved in invasive procedures. I've attached the questionnaire we developed for staff

Constance Pugh, MSN, RN, CEN
Employee Health Services

Tuality Healthcare
An OHSU Partner
335 S.E. 8th Ave, Hillsboro, OR 97123
Tel: 503-681-1444  | fax: 503-681-4170
constance.pugh at tuality.org<mailto:constance.pugh at tuality.org>
employee.health at tuality.org<mailto:employee.health at tuality.org>

From: MCOH-EH <mcoh-eh-bounces+constance.pugh=tuality.org at mylist.net<mailto:mcoh-eh-bounces+constance.pugh=tuality.org at mylist.net>> On Behalf Of Thrasher, Terri (Terri)
Sent: Thursday, December 27, 2018 1:25 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] TB exposure screening questions


Similar to you..

Was the source patient's mouth and nose covered when coughing, sneezing etc. when you were in the same room?
Did you wear a facemask or shield when with the patient?
Did you wear protective facemask is CPR was initiated
Did you have close contact in room for less than 60 minutes.    Face to face contact?     Invasive procedure performed by you?

Would it be considered a non-exposure if they were with the patient for less than 60 minutes?
We generally only tests those who provided direct care or who respond with positive answers to questions above.
We test immediately and then repeat in 10 weeks.
If we get positive results then we expand our testing to others.

When you have confirmed an exposure?  What are your next steps?   Do you have the employees do a TB test now and then at a later date?


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