[MCOH-EH] Fw: Fwd: TB test results

[Nancy Rodway]

I do not let a HCW begin patient exposure until he/she has received, at least, the first MMR, Varicella, etc.  The adverse outcome for this demographic (primarily women of childbearing age) of MMR or varicella infection is far too great (especially with the current outbreaks) to risk exposure of the HCW and, potentially, the fetus to such a pathogen.

Nancy Rodway MD MPH FACOEM


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From: MCOH-EH <mcoh-eh-bounces at mylist.net> on behalf of Hanna, Raye Nell <HANNAR1 at covhs.org>
Sent: Thursday, April 25, 2019 9:12 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Fw: Fwd: TB test results


Good morning,

We wait for the TB Test, IGRA to come back before we start them. It takes a little longer sometimes for the MMR, Vricells and Hep B Titers so we don’t let that hold up their start date.

Raye Nell



Raye Nell Hanna, RN, MPH, COHN-S

Manager Caregiver Health

Covenant Health

3719 22nd St, Lubbock, TX 79408

Phone 806-725-0098 or 806-725-0629

Fax 806-725-0581

www.covenanthealth.org<http://www.covenanthealth.org/>

[cid:image002.png at 01D4FB3E.A8C98430]Creating healthier communities, together



From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Andrea Murphy via MCOH-EH
Sent: Thursday, April 25, 2019 8:00 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: Andrea Murphy <rnracket at yahoo.com>
Subject: [MCOH-EH] Fw: Fwd: TB test results







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
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