[MCOH-EH] TB test results

[Darlene Sims]

Good morning,

Our policy and protocol is to wait until TB screening has cleared. We switched our practice from the 2 step PPD to IGRA-TSPOT for new hires about 5 years ago and that has drastically decreased the amount of days between job offer, health assessment clearance and onboard orientation.

Thank you,

Darlene Sims, MSN, FNP-C
Director, Infirmary Employee Health Services

-----Original Message-----
From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of mcoh-eh-request at mylist.net
Sent: Thursday, April 25, 2019 8:01 AM
To: mcoh-eh at mylist.net
Subject: [EXTERNAL] MCOH-EH Digest, Vol 254, Issue 117

Send MCOH-EH mailing list submissions to
        mcoh-eh at mylist.net

To subscribe or unsubscribe via the World Wide Web, visit
        https://mylist.net/listinfo/mcoh-eh
or, via email, send a message with subject or body 'help' to
        mcoh-eh-request at mylist.net

You can reach the person managing the list at
        mcoh-eh-owner at mylist.net

When replying, please edit your Subject line so it is more specific than "Re: Contents of MCOH-EH digest..."


Today's Topics:

   1.  Fw: Fwd: TB test results (Andrea Murphy)
   2. Re:  Duty Restrictions for Nursing/CNA (Jerry Burleson)


----------------------------------------------------------------------

Message: 1
Date: Thu, 25 Apr 2019 13:00:12 +0000 (UTC)
From: Andrea Murphy <rnracket at yahoo.com>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Fw: Fwd: TB test results
Message-ID: <2008710830.340517.1556197212272 at mail.yahoo.com>
Content-Type: text/plain; charset="utf-8"








Good morning,
I have a question related to TB testing for my employee health colleagues. Do you allow new employees to start work before a TB test is completed, whether by PPD or IGRA? My practice has been to wait for a result before giving clearance. I have allowed staff to start work before having titers for MMR, varicella, Hep B but I have always waited for TB results, regardless of what new position they are taking, e.g. office vs clinical. ?????????????????????What is everyone else?s practice??Thank you

Andrea Murphy RN CIC
Infection Prevention / Employee Health





-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190425/0eb3b1fd/attachment-0001.htm>

------------------------------

Message: 2
Date: Thu, 25 Apr 2019 13:01:17 +0000
From: Jerry Burleson <Jerry.Burleson at nhrmc.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Duty Restrictions for Nursing/CNA
Message-ID:
        <BN8PR10MB35377B5FF7FC0DE19965E52F923D0 at BN8PR10MB3537.namprd10.prod.outlook.com>

Content-Type: text/plain; charset="utf-8"

Since our organization is self-insured for WC, we place the injured worker back in their home department and instruct the manager to accommodate the restrictions.  Our department pays the salary of the injured employee while on restrictions as to not penalized the home department for productivity.  If it is a situation as David described, that individual would not be allowed to do patient care, but sedentary work.

Alternatively, the manager could find another department for the injured worker.  If the manager, determines there is no work of any kind and wants to send them home, we inform her/him that they will pay their salary while at home.  This typically deters non-accommodation.

This may be different for organizations that are not self-insured, but we have other entities with insurance policies and follow the same guidelines.

Hope this information helps.

Jerry L. Burleson, RN, MBA
Manager, Employee Health and Clinic
New Hanover Regional Medical Center
PO Box 9000
Wilmington, NC 28403-9000
(910) 667-5663 ? Office
(910) 612-8770 ? Cell
(910) 667-5695 ? Fax
Jerry.burleson at nhmrc.org<mailto:Jerry.burleson at nhmrc.org>

Leading our Community to Outstanding Health

[cid:image002.jpg at 01D16A68.40331E50]

[Forbes Best Logo]

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Mora, Jennifer
Sent: Monday, April 15, 2019 4:12 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Duty Restrictions for Nursing/CNA

** CAUTION: External Email **
Do not click links or attachments unless you recognize the sender and know the content is safe.

Hi-

In the last couple years, we have changed our policy to let employees return to work with restrictions.  If an employee is returning to work with restrictions, then we need to assess to see if they are safe to be working.  See attached chart for how we assess the employee/work restrictions.  The employee needs to have support within the department and we generally don?t let more than one person in a department return with restrictions.

When we have an employee that has work restrictions, the following people discuss the restrictions to determine if the employee is able to return with the restrictions: employee health RN, Human Resource Manager, VP of patient services, and department manager.  Each employee?s restrictions are reviewed on a case by case basis.

I hope that helps,

Jen


Jennifer Mora MSN, RN
Business Health and Wellness Coordinator Stoughton Hospital
900 Ridge Street
Stoughton, WI 53589

Office 608-873-2204
Cell      608-235-4239



From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Cockrum, MD David S
Sent: Monday, April 15, 2019 2:59 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] Duty Restrictions for Nursing/CNA

Recently I placed a nurse on lifting restrictions due to a work-related back injury. The supervisor would not allow her to return to work, stating that lifting restrictions were not allowed at all for nursing staff. After she started to improve, I moved the restrictions up so that they matched the maximum required lifting in the job description. Still, the supervision refused to let the nurse RTW.

When I discussed this with supervision, the response was that all nursing staff must be able to assist/catch a patient who is falling. I certainly understand this line of reasoning, but it is not consistent with the published job description by which we assess fitness for duty upon hire, which is occasional lifting of up to 100 pounds and frequent lifting up to 50 pounds.

Has anyone else experienced this? Is there a nursing standard that I am not aware of that would help support supervision?s position? Without some other official reference, my opinion is that supervision is heading down a road in which no one could actually be physically qualified!

I would welcome your input/opinions!

David
DAVID?


COCKRUM

,

MD



Physician

Faith Regional Physician Services

Occupational Health



[cid:image001.png at 01D4F39C.AD8AF5C0]

(402) 844 8300<tel:(402)%20844%208300>




[cid:image002.png at 01D4F39C.AD8AF5C0]

2024 Pasewalk Avenue, Suite 2

,

Norfolk

,

NE



68701




[http://frhs.org/assets/images/logos/FRHScrosslogo_CMYKpng.png]<http://www.frhs.org/>


[http://frhs.org/assets/images/logos/FRPS-services-logo-color_CMYK.png]<http://www.frpsclinics.org/>


[http://frhs.org/assets/images/logos/stjoelogo_clr-SMALL.png]<http://frhs.org/about-us/locations-and-directions/affiliate-partners/st.-josephs-rehabilitation-care-center>



Click on the logos to learn more about our services.



This message and any attachments are confidential, may contain privileged or legally protected communications or information, and are intended solely for the recipient named above. If you are not the intended recipient, you are notified that any review, distribution, dissemination or copying of this message or any attachment is prohibited. If you have received this message in error, you should immediately notify the sender by a return e-mail and delete the message from your computer system.








Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.


Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190425/e052211b/attachment.htm>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image004.png
Type: image/png
Size: 22884 bytes
Desc: image004.png
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190425/e052211b/attachment.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image005.png
Type: image/png
Size: 443 bytes
Desc: image005.png
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190425/e052211b/attachment-0001.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image006.png
Type: image/png
Size: 531 bytes
Desc: image006.png
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190425/e052211b/attachment-0002.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.jpg
Type: image/jpeg
Size: 2400 bytes
Desc: image001.jpg
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190425/e052211b/attachment.jpg>

------------------------------

Subject: Digest Footer

---------------------------------------
The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM.
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):   http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
---------------------------------------
Send administrative requests to: drjoe at meditrax.com
---------------------------------------
When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying, so the topic of your reply is immediately clear to other list members.


------------------------------

End of MCOH-EH Digest, Vol 254, Issue 117
*****************************************

[https://www.infirmaryhealth.org/sites/default/files/banner/leapfrog.png]<https://www.infirmaryhealth.org/>