[MCOH-EH] [EXTERNAL] Re: Testing Color Vision in Healthcare Institutions

[Swift, Melanie D., M.D., M.P.H.]

Agree. Some individual surveyors don’t understand the difference between functional testing as in a competency test, and medical color vision testing. I think this is getting better though and CAP has gone from a strong statement about “color-blind testing” in 2004 to much better wording now.

CAP’s point of care compliance document states:
POC.06950 Visual Color Discrimination Phase I  POCT personnel are tested for difficulty with visual color discrimination. NOTE:  Formal color-blindness testing is not required for personnel who do not perform laboratory tests requiring color discrimination.  Functional testing limited to discrimination of those colored items pertinent to the job is sufficient. Evidence of Compliance: ✓ Record of color discrimination testing OR functional assessment, if indicated
https://webapps.cap.org/apps/docs/education/OnlineCourseContent/2011/LAP/Resources/Checklists/POC.pdf

The Joint Commission recognizes that neither visual acuity nor color vision testing is required for employees, and recognize that an appropriately-designed competency test would be acceptable to assess the employee’s ability to do their job:
https://www.jointcommission.org/standards/standard-faqs/behavioral-health/waived-testing-wt/000001719/

Melanie

From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Wendland, Douglas
Sent: Friday, July 1, 2022 11:24 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Richard Goldberg <Richard.Goldberg at EnvisionHealth.com>
Subject: [EXTERNAL] Re: [MCOH-EH] Testing Color Vision in Healthcare Institutions

We found that color vision is very rarely an essential function in the lab.  Manual Differential on CBC was one task and we created a practical test if anyone has abnormal color vision.  The most common task requiring color vision was actually in the clinic setting with interpreting urine “dipsticks”.  We also created a practical follow-up test for this.

Douglas M Wendland, MD, MPH
St. Luke's Occupational Medicine

From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Shea, Joann via MCOH-EH
Sent: Thursday, June 30, 2022 3:25 PM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: Shea, Joann <jshea at tgh.org<mailto:jshea at tgh.org>>; Richard Goldberg <Richard.Goldberg at EnvisionHealth.com<mailto:Richard.Goldberg at EnvisionHealth.com>>
Subject: Re: [MCOH-EH] [EXTERNAL] Testing Color Vision in Healthcare Institutions


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Our lab accreditation surveyors require annual color vision testing.  Not sure why it has to be annual, but lab educator does the annual testing.

We do color vision on all team members as it is part of our TITMUS vision test .   We don’t have an issue with accommodating team members who are color blind in most cases.

Our surveyors always seem to ask for color vision testing on new hries, mostly related to Point of Care testing.  A lot doesn’t make sense, but its easier for us to just test all on hire so we have the documentation.

JoAnn Shea, APRN, MS, COHN-S
Director, Team Member Health and Wellness
Tampa General Hospital
Office: 813-844-7692
Cell:      813-789-3441
jshea at tgh.org<mailto:jshea at tgh.org>

We Heal. We Teach. We Innovate.
Care for everyone. Every day.
[imageTGH]<https://health.usnews.com/best-hospitals/area/fl/tampa-general-hospital-6391060>

From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Richard Goldberg via MCOH-EH
Sent: Wednesday, June 29, 2022 11:11 AM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: Richard Goldberg <Richard.Goldberg at EnvisionHealth.com<mailto:Richard.Goldberg at EnvisionHealth.com>>
Subject: Re: [MCOH-EH] [EXTERNAL] Testing Color Vision in Healthcare Institutions


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I don’t know a complete list but historically kidney center/dialysis staff who provide direct clinical care have required color vision testing and ability at my affiliated institution

Rick
Sent from my iPhone

On Jun 28, 2022, at 6:33 PM, Rudnick, Howard L <Howard.Rudnick at tuhs.temple.edu<mailto:Howard.Rudnick at tuhs.temple.edu>> wrote:

Cn someone provide a list of those employees in a hospital that require color vision testing in order to do their job?

Howard L. Rudnick, MD,MHA,FACP
Clinical Professor (Adjunct), Department of Medicine
Medical Director, Occupational Health Services
Temple University Health System
Office:  (215) 707-3026
Cell:  (267) 838-7040


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