[MCOH-EH] C. Diff in Physician

[Miriam H. Alexander]

So far great to be here!  Too much sitting around with family but still good!

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From: MCOH-EH <mcoh-eh-bounces at mylist.net> on behalf of Johnson, Cathreen <CaJohnson at coh.org>
Sent: Friday, May 31, 2019 12:22:25 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] C. Diff in Physician


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This is 1998 infection control guidelines, the end has a table.
 Symptomatic would be restricted from patient care.


https://www.cdc.gov/hicpac/pdf/InfectControl98.pdf


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Thank you,

Cathreen

Cathreen Johnson FNPc
Manager, Employee Health Services
City of Hope
626-218-5252
[COH_lockup_3_FNL_RGB_200 (3)]
Flu vaccine is still available M-F 07-10 am Employee Health Duarte Campus or by appointment at extension 82713 or 85252.

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Cockrum, MD David S
Sent: Thursday, May 30, 2019 12:48 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] C. Diff in Physician

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I needed to make a decision, so I erred on the side of caution and have asked the provider to cancel his clinic and procedure patients through tomorrow. We are hopeful that the Vanc will work well and he will be close to 48 hours diarrhea-free by Monday morning and can resume normal operations at that time.

I quickly scrubbed CDC and UpToDate and found virtually nothing about managing HCWs with C. Diff – lots of stuff about managing patients with it. But the risk of contamination and a nosocomial outbreak is just too great in my opinion.

Tara, as for your issue, I agree with your recommendation. “They” (whoever that might be) take on the risk when they overrule the Infection Preventionist!

David

DAVID​
COCKRUM
,
MD
Physician
Faith Regional Physician Services
Occupational Health
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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Tara Dockery
Sent: Thursday, May 30, 2019 2:30 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
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:image006.png at 01D516EC.CE9F0A80]
(402) 844 8300<tel:(402)%20844%208300>
[cid:image007.png at 01D516EC.CE9F0A80]
2024 Pasewalk Avenue, Suite 2
,
Norfolk
,
NE

68701
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