[MCOH-EH] EXTERNAL: MCOH-EH Digest, Vol 257, Issue 173
Deanna Prater
dprater at luhonline.com
Wed Aug 31 15:34:13 PDT 2022
[MCOH-EH] staff influenza vaccine waiver process
We don't require a waiver for Influenza. They simply indicate why they refuse.
Deanna Prater
Director of Infection Control, Employee Health & Safety
Lower Umpqua Hospital
600 Ranch Road
Reedsport, Oregon 97467
Office: (541) 271-6323
Fax: (541) 271-6353
"If you change the way you look at things, the things you look at change."
________________________________
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Sent: Wednesday, August 31, 2022 2:10 PM
To: mcoh-eh at mylist.net <mcoh-eh at mylist.net>
Subject: EXTERNAL: MCOH-EH Digest, Vol 257, Issue 173
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Today's Topics:
1. staff influenza vaccine waiver process
(Mullinax, Ross A LCDR USN NAVHOSP PORS VA (USA))
2. Re: Fit Testing (Darlene Sims)
3. Re: Fit Testing (Wendland, Douglas)
4. Re: Fit Testing (Jennifer Carr)
----------------------------------------------------------------------
Message: 1
Date: Wed, 31 Aug 2022 18:40:05 +0000
From: "Mullinax, Ross A LCDR USN NAVHOSP PORS VA (USA)"
<ross.a.mullinax.mil at mail.mil>
To: "mcoh-eh at mylist.net" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] staff influenza vaccine waiver process
Message-ID:
<206643D403AAA34193D23BDF5E9DB1CAC5EC3080 at USATHU5D.easf.csd.disa.mil>
Content-Type: text/plain; charset="us-ascii"
All,
I'm just starting in a new MCOH job. We apparently have a panel committee of experts that decide on influenza waivers among staff. The committee is mostly healthcare personnel but also the hospital chaplain, with myself (the occ health doc) as the chair of the committee. It appears that historically the committee adjudicates requests for both medical and religious waivers from getting their annual flu shot. That doesn't seem right to me at all. There are many more religious requests than medical. I am curious to know how this process works at other institutions for flu waivers, medical vs. religious. Thank you!
Ross Mullinax
------------------------------
Message: 2
Date: Wed, 31 Aug 2022 19:31:12 +0000
From: Darlene Sims <Darlene.sims at infirmaryhealth.org>
To: "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Fit Testing
Message-ID: <84ecfb7dd71c4015a78dd72cbc4d76dd at infirmaryhealth.org>
Content-Type: text/plain; charset="us-ascii"
Employee Health is responsible for monitoring compliance and fit testing required staff. Our organization has 6000 employees; however, not all require N95 fit testing and fit test on an average 300 employees/month. I oversee three Employee Health offices, one office located on the campus of each of our hospitals.
One office has 3 Portacount machines, as that location services the larger of the employee population, one office has two and my third office has one. We currently have 5 N95 Models,
All have two different sizes, with the exception of one. When someone is unable to be fitted, my team trains on a CAPR. We also have a vendor who comes on site occasionally to fit for the half face respirator.
This was primarily during the COVID surge when there was a mask shortage; however, I am currently working with our leadership to purchase a small quantity of half face respirators and the solution to train my team, then be able to also fit employees if unsuccessful in N95 fitting due to the limited number of CAPR available.
Thank you,
Darlene Sims, FNP-C
Director, Infirmary Employee Health Services
-----Original Message-----
From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of mcoh-eh-request at mylist.net
Sent: Wednesday, August 31, 2022 11:32 AM
To: mcoh-eh at mylist.net
Subject: [EXTERNAL] MCOH-EH Digest, Vol 257, Issue 171
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Today's Topics:
1. Re: Fit Testing (Jennifer Carr)
2. Re: Fit Testing (Schweitzer, Kit)
----------------------------------------------------------------------
Message: 1
Date: Tue, 30 Aug 2022 16:18:39 +0000
From: Jennifer Carr <CarrJ at monhealthsys.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Fit Testing
Message-ID:
<BL0PR02MB6481B5E7A19AAF72A59BE6D0CF799 at BL0PR02MB6481.namprd02.prod.outlook.com>
Content-Type: text/plain; charset="utf-8"
This is somewhat of a hot potato for us as we do not have the funds to outsource nor have not been able to increase our budget to incorporate this responsibility.
We have paired with our clinical educators to incorporate the fit testing into their clinical orientation. Employee Health continues to collect and review the medical questionnaire and fit test all other departments that do not have an assigned clinical educator or attend a clinical orientation.
Jennifer
From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Charles Hackett
Sent: Tuesday, August 30, 2022 10:10 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Fit Testing
Who is responsible for fit testing within your organization?
Do you outsource to a vendor? If so, who do you use?
If internal, what resources are dedicated to the program?
As always
Thank you
Charlie
Charles D Hackett, MD, MPH
Medical Director, Employee and Occupational Health, Lifespan Chief Community and Family Medicine, Rhode Island Hospital Clinical Assistant Professor of Family Medicine, Brown University
________________________________
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Message: 2
Date: Tue, 30 Aug 2022 15:56:21 +0000
From: "Schweitzer, Kit" <KSchweitzer at peacehealth.org>
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Fit Testing
Message-ID:
<MWHPR1001MB21413215CA415A9BCAE5BEA3B1799 at MWHPR1001MB2141.namprd10.prod.outlook.com>
Content-Type: text/plain; charset="utf-8"
We have an internal respiratory team that works out of Employee Health. It includes a program manager, and 2 MA?s. We FIT test the majority of our staff, at hire and annually on their birth month.
We have a separate small office dedicated to annual FIT testing, making appts in Bookings app.
have 2 FIT testing stations in Employee Health for new hire FIT testing and annual FIT testing. We have an Employee Health coordinator/receptionist, that does the majority of our new hires after the RN sees them for onboarding.
We have the 2 MA?s at another location every Monday morning to FIT test onboarding traveler?s, they go to the orientation and do it there.
We go out to our other smaller facilities several days per month for annual testing, 2 outlying small hospitals.
We use portacounts machines for FIT testing.
We really kicked this off at beginning of COVID when our facility was majority PAPR trained, very few FIT tested. We used a vendor to help catch us up out of Washington. And we had additional 2 travelers (as well as present team) to help us get up to speed fast. We haven?t used the vendor since mid 2020 and traveler?s ended about 9 months ago.
It's a big scope of work, we have about 6000 employees, plus many Locums, travelers, students and contracted employees.
Thank you.
Kit Schweitzer, RN, BSN, COHN | Employee Health Nurse | Employee Health Oregon Network PeaceHealth<https://linkprotect.cudasvc.com/url?a=http%3a%2f%2fwww.peacehealth.org%2f&c=E,1,YKUmDYYqKDiElmKwfOqEeSTGvhTPp4w4Pghli-5HNW7AlKT7GIroSXY3ii392YT_a4DC10dYVsYamWSSXEjGrY7vWYxBLCb3d3ChdAcrdg,,&typo=1> | 3333 Riverbend Way | Springfield, OR 97477 [peace-logo-lockup copy_480px]office 541-222-2544 | fax 541-222-2548
From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Charles Hackett
Sent: Tuesday, August 30, 2022 7:10 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Fit Testing
WARNING - UNVERIFIED EXTERNAL EMAIL: This email came from a sender outside of PeaceHealth. Do not open any attachments, click on any links, or provide information unless you recognize the email address it came from and were expecting this message.
Who is responsible for fit testing within your organization?
Do you outsource to a vendor? If so, who do you use?
If internal, what resources are dedicated to the program?
As always
Thank you
Charlie
Charles D Hackett, MD, MPH
Medical Director, Employee and Occupational Health, Lifespan Chief Community and Family Medicine, Rhode Island Hospital Clinical Assistant Professor of Family Medicine, Brown University ________________________________
This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message.
________________________________
Sensitivity: General Business Use. This document contains proprietary information and is intended for business use only.
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End of MCOH-EH Digest, Vol 257, Issue 171
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------------------------------
Message: 3
Date: Wed, 31 Aug 2022 17:08:10 +0000
From: "Wendland, Douglas" <Douglas.Wendland at slhduluth.com>
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Fit Testing
Message-ID: <a8d142fc22c44003a04df8c798cacd68 at slhduluth.com>
Content-Type: text/plain; charset="utf-8"
Good afternoon Charlie.
We do fit testing for our own employees and are looking to expand to outside employers.
Currently, the program is under Occ. Health and Safety. We use qualitative testing with testers in all facilities. Fit testers range from nursing staff to business office staff. We decided to go this way because of the large geographic area that we serve, roughly 250 miles north to south and 150 miles west to east. We will be starting to do quantitative testing at our main hospital soon.
Doug
Douglas M Wendland, MD, MPH
St. Luke's Occupational Medicine
From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Charles Hackett
Sent: Tuesday, August 30, 2022 9:10 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Fit Testing
CAUTION: External Sender - This email originated from outside of St. Luke's.
Please do not click links or open attachments unless you recognize the sender and know the content is safe.
Who is responsible for fit testing within your organization?
Do you outsource to a vendor? If so, who do you use?
If internal, what resources are dedicated to the program?
As always
Thank you
Charlie
Charles D Hackett, MD, MPH
Medical Director, Employee and Occupational Health, Lifespan
Chief Community and Family Medicine, Rhode Island Hospital
Clinical Assistant Professor of Family Medicine, Brown University
This St. Luke's communication is intended for the use of the person or entity to whom it is addressed and may contain information that is privileged and confidential, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this information is prohibited. If you have received this message in error, please notify sender immediately
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Message: 4
Date: Wed, 31 Aug 2022 16:38:36 +0000
From: Jennifer Carr <CarrJ at monhealthsys.org>
To: 'MCOH-EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Fit Testing
Message-ID:
<BL0PR02MB6481FD2A181DCF2EFB8B05AACF789 at BL0PR02MB6481.namprd02.prod.outlook.com>
Content-Type: text/plain; charset="utf-8"
Kit,
Who reviews the OSHA Medical Questionnaire? Any medical evaluation that takes place?
Thank you, for sharing. I am glad that you have RT support. How large is your facility?
Jennifer
From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Schweitzer, Kit
Sent: Tuesday, August 30, 2022 11:56 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Fit Testing
We have an internal respiratory team that works out of Employee Health. It includes a program manager, and 2 MA?s. We FIT test the majority of our staff, at hire and annually on their birth month.
We have a separate small office dedicated to annual FIT testing, making appts in Bookings app.
have 2 FIT testing stations in Employee Health for new hire FIT testing and annual FIT testing. We have an Employee Health coordinator/receptionist, that does the majority of our new hires after the RN sees them for onboarding.
We have the 2 MA?s at another location every Monday morning to FIT test onboarding traveler?s, they go to the orientation and do it there.
We go out to our other smaller facilities several days per month for annual testing, 2 outlying small hospitals.
We use portacounts machines for FIT testing.
We really kicked this off at beginning of COVID when our facility was majority PAPR trained, very few FIT tested. We used a vendor to help catch us up out of Washington. And we had additional 2 travelers (as well as present team) to help us get up to speed fast. We haven?t used the vendor since mid 2020 and traveler?s ended about 9 months ago.
It's a big scope of work, we have about 6000 employees, plus many Locums, travelers, students and contracted employees.
Thank you.
Kit Schweitzer, RN, BSN, COHN | Employee Health Nurse | Employee Health Oregon Network
PeaceHealth<https://urldefense.com/v3/__http:/www.peacehealth.org/__;!!NkJaJ5AE!P3C64O79Ng92sH1_dJ4EJDCX7TP5qkKny9QblO2RAiZWLjWO2KN3uitguU4SLqTrMoEgFpoQwpzONpRl06QNAiMQ$> | 3333 Riverbend Way | Springfield, OR 97477
[peace-logo-lockup copy_480px]office 541-222-2544 | fax 541-222-2548
From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Charles Hackett
Sent: Tuesday, August 30, 2022 7:10 AM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] Fit Testing
WARNING - UNVERIFIED EXTERNAL EMAIL: This email came from a sender outside of PeaceHealth. Do not open any attachments, click on any links, or provide information unless you recognize the email address it came from and were expecting this message.
Who is responsible for fit testing within your organization?
Do you outsource to a vendor? If so, who do you use?
If internal, what resources are dedicated to the program?
As always
Thank you
Charlie
Charles D Hackett, MD, MPH
Medical Director, Employee and Occupational Health, Lifespan
Chief Community and Family Medicine, Rhode Island Hospital
Clinical Assistant Professor of Family Medicine, Brown University
________________________________
This message is intended solely for the use of the individual and entity to whom it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable state and federal laws. If you are not the addressee, or are not authorized to receive for the intended addressee, you are hereby notified that you may not use, copy, distribute, or disclose to anyone this message or the information contained herein. If you have received this message in error, immediately advise the sender by reply email and destroy this message.
________________________________
Sensitivity: General Business Use. This document contains proprietary information and is intended for business use only.
________________________________
WARNING: This email originated from outside of Mon Health. Do not click links or open attachments unless you recognize the sender & are expecting the message.
Disclaimer: This e-mail and any attachments are confidential and may be protected by legal privilege and are intended only for the use of the addressee (s) named herein. If you are not the intended recipient, an addressee, or the person responsible for delivering this to an addressee, you are hereby notified that reading, using, copying, or distributing any part of this message is strictly prohibited. If you have received this e-mail in error, please return the e-mail to the sender and promptly delete the copy from your system.
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Subject: Digest Footer
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List membership is free, but only subscribers may post to the list.
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End of MCOH-EH Digest, Vol 257, Issue 173
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