[MCOH-EH] [EXTERNAL] Re: OSHA form for students

[Philip Harber]

Deborah, Karl,

 I completely agree that we must strive for a unitary high standard of
care. *Medical Center OH&S programs serving higher educational institutions*
also occasionally face organizational challenges in addition to the
distinctions created by OSHA, workers compensation, and FERPA coverage
regulations.



Unlike community-based OH&S centers for which the number of students is
limited, the number of students in these institutions far exceeds the
number of employees. In addition, there may be several different clinical
service providers-  student health service, employee health service, and
(sometimes) a hospital employee health service. This unfortunately leads to
significant gaps and duplications. Funding streams also differ.



(Both of the locations at which I worked in the past 20 years even had
distinctions between institutional employees providing health services and
those in other institutional units. It would be interesting to hear the
structures and experiences of MCOH's in other higher education
institutions).



We therefore need to consistently advocate for providing high quality
occupational health services even to “nonemployees” exposed to hazards.



(Of course, providing the “OSHA questionnaire” is only useful if
interpreted by someone who understands respirators and the work conditions
in which they will be used)



Phil Harber

*Philip Harber MD MPH*

email:  philharber at gmail.com or pharber at email.arizona.edu

Office Phone: 520-626-1263

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



On Mon, Mar 22, 2021 at 10:16 AM *Auerbach, Karl* <
KAuerbach at emblemhealth.com> wrote:

> Sadly, while there are plenty of moral/ethical rationales,  financial
> rationales supported by regulations that don’t call for doing it, seem to
> guide actions in many settings.
>
>
>
> Karl Auerbach MD
>
> Albany, NY
>
>
>
> My opinions, noting more…
>
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>
> *From:* MCOH-EH <mcoh-eh-bounces at mylist.net>* On Behalf Of Deborah a
> Sampson *via MCOH-EH
> *Sent:* Saturday, March 20, 2021 6:55 PM
> *To:* MCOH-EH <mcoh-eh at mylist.net>
> *Cc:* *Deborah a Sampson* <da.sampson at yahoo.com>
> *Subject:* [EXTERNAL] Re: [MCOH-EH] OSHA form for students
>
>
>
> Goodness…..isn’t there a moral/ethical rationale to protect all persons
> who provide any  service in a facility regardless of (often somewhat
> arbitrary) employee/student/contractor designations?
>
>
>
> When we see Admins, physicians, and managers  receiving millions in
> “bonuses”  isn’t it a bit disingenuous to even question who gets protected
> and who doesn’t.
>
> Just my 2 cent.
>
> Deb Sampson
>
>
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>
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>
> Sent from Mail
> <https://urldefense.proofpoint.com/v2/url?u=https-3A__go.microsoft.com_fwlink_-3FLinkId-3D550986&d=DwMFaQ&c=KBNavS4imt6liQAiYrIso_AWHVuxKUh5t9r9Wck8xQk&r=pFSs1gYTQT-IusF9JrZnUMk7cq0b4fVe2jDWfkaZwpc&m=yxWZ5KYdbVQqBlRxKEQWf69d081mR46x-s816Vxb5RI&s=SgBdZD8KkzaU1ofyuJ6VUOnug1vYh8rMniHIqI_IS1s&e=>
> for Windows 10
>
>
>
> *From: *Philip Harber <philharber at gmail.com>
> *Sent: *Saturday, March 20, 2021 2:01 PM
> *To: *MCOH-EH <mcoh-eh at mylist.net>
> *Subject: *Re: [MCOH-EH] OSHA form for students
>
>
>
> Another opinion-While OSHA 1910.134 may not apply to "non-employees", many
> feel it is not a good practice to have two people working side-by-side, one
> of whom benefits from protections and the other does not. Also, as noted,
> the distinction between student and employee is sometimes ambiguous.
>
> Incidentally, these issues are discussed in a new book we will be
> releasing in several months on O*ccupational Health in Higher Education
> and Research Institutions*. This developed from an MCOH project, and most
> of the authors of this 74 chapter book are active in MCOH. It will discuss
> both the clinical/technical and the programmatic issues for this
> industry. A high proportion of the issues for this industry overlap
> considerably with those of Medical Center occupational health.
>
> Phil Harber
>
> *Philip Harber MD MPH*
>
> email:  philharber at gmail.com or pharber at email.arizona.edu
>
> Office Phone: 520-626-1263
>
> ----------------------------------
>
>
>
>
>
> On Thu, Mar 18, 2021 at 7:24 PM Smith, Kevin <kmsmith at phoebehealth.com>
> wrote:
>
> David,
>
>
>
> My thought would be to require it, but I would have the college be
> responsible for doing it (co-employment issues), of have it clearly spelled
> out in the contract/memorandum of understanding, that they are
> responsible for it, but they are contracting you to do it, and paying for
> the services. Might want to discuss with your organizations legal dept to
> avoid issues setting it up.
>
>
>
> Good luck.
>
> *From:* MCOH-EH <mcoh-eh-bounces at mylist.net> on behalf of Cockrum, MD
> David S <dcockrum at frhs.org>
> *Sent:* Tuesday, March 16, 2021 4:15 PM
> *To:* MCOH-EH <mcoh-eh at mylist.net>
> *Subject:* [MCOH-EH] OSHA form for students
>
>
>
> Fellow Medical Occ Health experts-
>
>
>
> Do you require students to complete the OSHA Respirator Questionnaire when
> they are mask fitted for rotating in your facilities? My inclination is to
> do it as it is tied to successful fitting of the N-95 respirator, but I was
> wondering if anyone has ever found any legitimate exemption or waiver for
> students (that are not sponsored by your facility, i.e. from a local
> college).
>
>
>
> Thanks,
>
>
>
> David
>
> *DAVID*
>
> *COCKRUM*
>
> *, *
>
> *MD*
>
> *Physician*
>
> *Faith Regional Physician Services*
>
> *Occupational Health*
>
> *(402) 844 8300* <(402)%20844%208300>
>
> 2024 Pasewalk Avenue, Suite 2
>
> ,
>
> Norfolk
>
> ,
>
> NE
>
>
>
> 68701
>
>
> ---------------------------------------
>
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