[MCOH-EH] Color Vision

[Palfrey, John]

Here's an interesting one:

A candidate for a radiation dosimetrist position was found to have a color vision deficiency on the pre-placement evaluation.  The job description was silent on whether color vision was important/essential and so, the department manager was consulted.  It turns out that the program used to map the diseased tissue and assign the dose of radiation to be delivered to specific areas is color coded.  With the concern that the dosimetrist's  color vision deficiency could result in an error in tissue irradiated and/or dose delivered, the candidate was referred for ophthalmological evaluation.  The evaluation told us what we already knew and so a practical evaluation was devised and administered by internal subject matter experts in conjunction with OHS staff. The outcome was favorable for the candidate. Of interest, the candidate had completed schooling and worked at another job without ever having color vision tested.

John C. Palfrey, PA-C
Director, Occupational Health Services
774-552-6108
 www.capecodhealth.org


        Expert physicians. Quality hospitals. Superior care. 



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Today's Topics:

   1. Re:  [EXTERNAL] Re:  [External] Re:  Color Vision testing
      (Tebolt, Allison)


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

Message: 1
Date: Wed, 14 Aug 2019 15:02:24 +0000
From: "Tebolt, Allison" <ATebolt at Health-quest.org>
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] [EXTERNAL] Re:  [External] Re:  Color Vision
	testing
Message-ID:
	<CY4PR11MB152823E01BBE7FB6A66C8F389CAD0 at CY4PR11MB1528.namprd11.prod.outlook.com>
	
Content-Type: text/plain; charset="utf-8"

Great post, agree that the point is can they interpret correctly.

From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Swift, Melanie D., M.D. via MCOH-EH
Sent: Wednesday, August 14, 2019 9:29 AM
To: 'MCOH-EH' <mcoh-eh at mylist.net>
Cc: Swift, Melanie D., M.D. <Swift.Melanie at mayo.edu>
Subject: Re: [MCOH-EH] [EXTERNAL] Re: [External] Re: Color Vision testing

This message was sent from an external email address. Do not click links or open attachments from unknown senders.
________________________________
CAP will ask for it, because they are not doctors and no regulator understands how color vision testing actually works and why it cannot ensure accurate point of care testing. However when we doctors explained how color vision and CV testing works, and our lawyers explained our ADA rationale for doing robust competency testing instead of a medical test, the regulators always agreed. (This was at Vandy, haven?t tried it at Mayo yet!)
Same for Joint Commission, CAP, health dept, and others. We are the doctors, they aren?t, and it?s our job to stick our nose in when regulators are wanting us to do senseless medical tests.

If you are doing color vision testing with Ishihara plates, you are NOT detecting blue-yellow CVD, and most point of care tests are in the blue-yellow spectrum. It therefore cannot confirm people can see those colors. Even if you go to the trouble to do extensive CVD testing, it doesn?t matter, because whether they see turquoise or olive, that?s OK -  as long as they can accurately match to the same turquoise or olive on the control strip, and they perform the test correctly.

Sorry. Pet peeve of mine. I?ll shut up now?


Melanie

Melanie Swift, MD, MPH
Medical Director, Mayo Clinic Physician Health Center
Senior Associate Consultant
Assistant Professor of Medicine
Division of Preventive, Occupational, and Aerospace Medicine
Phone 507.284.2560
_______________________________
Mayo Clinic
200 First Street SW
Rochester, MN 55905
www.mayoclinic.org<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.mayoclinic.org_&d=DwMGaQ&c=y10fAQ-MjRVdTmbaCO4gBbko2jPu1Pu3w_E_ih7sRcg&r=G41x_ej2JU4TISTU8wDpPbrbQyuiKRikfacDPmFocAg&m=N_t1F-Pt96mQWddlteiHdac0iXki2jVfQO96IKgPfAY&s=C9ydh-KceEAvE8AcyDxf-hf89sQRsOj9FTkWdiUFcSo&e=>



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of da.sampson via MCOH-EH
Sent: Wednesday, August 14, 2019 7:30 AM
To: MCOH-EH
Cc: da.sampson
Subject: [EXTERNAL] Re: [MCOH-EH] [External] Re: Color Vision testing

I believe that acp certification requires all lab workers to have color testing.



Sent from my Verizon, Samsung Galaxy smartphone

-------- Original message --------
From: "Tebolt, Allison" <ATebolt at Health-quest.org<mailto:ATebolt at Health-quest.org>>
Date: 8/14/19 8:13 AM (GMT-05:00)
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] [External] Re:  Color Vision testing

Pharmacists and facilities workers should also be tested secondary to electronic wiring and point of care testing.

From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Tara Dockery
Sent: Tuesday, August 13, 2019 8:27 PM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] [External] Re: Color Vision testing

This message was sent from an external email address. Do not click links or open attachments from unknown senders.
________________________________
I screen all my staff because so many things are color coded you never know who may be colorblind.. but not everyone has time for that. I do believe I was required for nursing and Lab for sure to be tested as they had to answer questions about color in testing lab test and other nursing duties.

Tara

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of STEPHANIE COLLINS
Sent: Tuesday, August 13, 2019 3:32 PM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] [External] Re: Color Vision testing

How do you determine which departments get screened?

Warm regards,




[cid:image001.png at 01CE8489.04753820]
Stephanie L. Collins DNP, APRN, FNP-BC
Director Occupational Health
Office of Talent Management
5201 Harry Hines Blvd.
Dallas, Texas 75235
Stephanie.Collins at phhs.org<mailto:Stephanie.Collins-Matthews at phhs.org>
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If you have a question for the Office of Talent Management (OTM), you may reach us via our online OTM Service Portal<https://urldefense.proofpoint.com/v2/url?u=https-3A__parkland.service-2Dnow.com_otm&d=DwMFAg&c=y10fAQ-MjRVdTmbaCO4gBbko2jPu1Pu3w_E_ih7sRcg&r=G41x_ej2JU4TISTU8wDpPbrbQyuiKRikfacDPmFocAg&m=FF7qoVHDTeIeMz0xz-skxEd8x9kOmUswPo1SNrMSCGQ&s=It6NG-H-uiNatbyE5vqEucF1xiDaGmf05xsrsA8Jroo&e=> or by calling 469-419-3000 (ext. 7-3000).

From: MCOH-EH [mailto:mcoh-eh-bounces+stephanie.collins=phhs.org at mylist.net] On Behalf Of PRATER, DEANNA
Sent: Wednesday, August 07, 2019 10:06 AM
To: MCOH-EH
Subject: [External] Re: [MCOH-EH] Color Vision testing

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________________________________
Employee health performs the test.  We simply use the standard book.  We son?t have a policy, and we only test for certain departments.

From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Tim Crump
Sent: Tuesday, August 06, 2019 15:17
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] Color Vision testing

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.

Hello all,

1)            How do you approach color vision testing of employees and who administers the tests?
2)            What kind of Quality Assurance is required on results?
3)            How do you handle reporting of failed tests to supervisors, both procedurally, and with respect to the implications on employees? personal health information being shared with supervisors?
4)            Are these employees given accommodation if necessary?
5)            Care to share your policy?

Thank you for your time and any input you provide.


Tim Crump, MSN, FNP
Tim Crump, MSN, FNP
Family Nurse Practitioner
Multnomah Pavilion 1 SE, Suite 1110
Occupational Health
Healthcare Human Resources

Oregon Health & Science University
3181 SW Sam Jackson Park Rd
Mail code: UHN 89
Portland, OR 97239-3098
Department Phone: 503-494-5271
Office Phone: 503-346-1152
Fax: 503-494-4457
Email: crumpt at ohsu.edu<mailto:crumpt at ohsu.edu>

Mon-Fri, 7:30-4:00

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