[MCOH-EH] C. Diff in Physician

[Tara Dockery]

Yvonne and David, thank you both for sending me your opinions and validating my instincts… Last thing we want is for harm to come to our patients when they come for healthcare!
I appreciate the fact that we all feel the same lack of comfort, as we strive to do what is right.

You inspire me to keep up the good fight!

Tara

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Yvonne Noel via MCOH-EH
Sent: Thursday, May 30, 2019 12:51 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: Yvonne Noel <Mary.Noel at childrens.com>
Subject: Re: [MCOH-EH] C. Diff in Physician


For shingles, our policy is to require lesions be dry and crusted and covered. I would not be comfortable with "wet" lesions, especially working with immune-comprised/oncology patients.

Yvonne

________________________________
From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Tara Dockery <tdockery at oceanbeachhospital.com<mailto:tdockery at oceanbeachhospital.com>>
Sent: Thursday, May 30, 2019 2:30 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] C. Diff in Physician

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Interested to know what others do. In the same vein, I have a question about a Clinic Provider who sees patients in a small enclosed area, and she had shingles and came to work. Many of the patients she sees are Oncology patients currently undergoing Chemotherapy. I have seen it written that they should cover the lesions, but would you allow her to come work with the oncology patient while her shingles are still in the wet form?

I had a hard time with this one, but they did not want to reschedule her patients so I think they overruled my concerns…

Tara

Tara Lee Dockery, IP, MT(ASCP), BS | Infection Preventionist and Employee Health
Ocean Beach Hospital and Medical Clinics
174 1st Ave North | P.O. Box H | Ilwaco |WA | 98624
Phone: 360.642.6307 | Cell : 509-760-7397 | Fax: 360-642-6309  |tdockery at oceanbeachhospital.com<mailto:tdockery at oceanbeachhospital.com>

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Cockrum, MD David S
Sent: Thursday, May 30, 2019 12:02 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] C. Diff in Physician

All-

Would like your input. We have a physician diagnosed with C. diff, has had diarrhea for about a month. C. diff was just diagnosed and he has had only 1 dose of oral Vancomyin so far. Should we restrict him from patient care? He does some procedural work – should we restrict only the procedures but allow clinical evaluations?

Thoughts or experience with this? We lost our ID guy a few months ago….aaaaargh!!

David
DAVID​
COCKRUM
,
MD
Physician
Faith Regional Physician Services
Occupational Health
[cid:image002.png at 01D516E8.818CCDD0]
(402) 844 8300<tel:(402)%20844%208300>
[cid:image003.png at 01D516E8.818CCDD0]
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,
Norfolk
,
NE

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