[MCOH-EH] Fit Testing

Tina Schmitt SchmittT at childrensdayton.org
Wed Aug 31 19:28:01 PDT 2022 

Our medical exemptions are reviewed by a clinical panel consisting of ID, IP, and myself. The religious exemptions are evaluated by our legal team. 

The initial questionnaire is managed by EH nurses along with FIT testing compliance. The individual department educators complete the FIT testing for their employees. 

Tina Schmitt, MSN, RN, CCRN-K
Director, Employee Health and Wellness

Dayton Children's Hospital
One Children's Plaza
Dayton, Ohio 45404-1815
O: 937-641-3505 
F: 937-641-6190 
E: schmittt at childrensdayton.org 





 
-----Original Message-----
From: MCOH-EH <mcoh-eh-bounces+schmittt=childrensdayton.org at mylist.net> On Behalf Of Thanassi, Wendy via MCOH-EH
Sent: Wednesday, August 31, 2022 7:34 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Thanassi, Wendy <Wendy.Thanassi at va.gov>
Subject: Re: [MCOH-EH] Fit Testing

Dayton Children's Alert: This is an external email. Exercise caution, do not click on links or open attachments in questionable emails.

At our VA, Occupational Health is responsible for the medical clearance for N95s and that's all. We document the medical clearance from forms that are filled out, and then Safety Service does the fit testing. Sometimes Safety has contracted fit testers, it depended on the volumes. I worked for years to remove fit testing itself from the OH clinic.

Wendy

Wendy Thanassi MA, MD, MRO
BC: Emergency Medicine
Chief, Occupational Health Service
Palo Alto VA Health Care System
Palo Alto, CA 94304
650-380-1131 cell

Clinical Professor, Affiliate
General Medicine and Population Health
Stanford Medical Center and Hospitals

-----Original Message-----
From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Darlene Sims
Sent: Wednesday, August 31, 2022 12:31 PM
To: 'mcoh-eh at mylist.net' <mcoh-eh at mylist.net>
Subject: [EXTERNAL] Re: [MCOH-EH] Fit Testing

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


This email originated from outside of Infirmary Health. Do not click links or open attachments unless you validate the sender and know the content is safe.



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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://nam11.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.peacehealth.org%2F&data=05%7C01%7Cschmittt%40childrensdayton.org%7C0afb9ae6bfa04a526e3608da8ba9623a%7C56cfe0adab2d4e0493ac4154f73bb9d6%7C0%7C0%7C637975856873580028%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=AnygJnaLNMrBRsyb6Ovzxxp%2FLIcv1uGKKVBscbs54zk%3D&reserved=0>  |  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.

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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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