[MCOH-EH] Policy Change and Vaccine Status

[Lisa Dyrdahl]

We do not allow employees to decline evidence of serologic immunity or lack thereof.  If an employee does not have vaccination and declines, we must know their immune status for furlough, in event of  exposure or communicable outbreaks.

Lisa Dyrdahl, RN BSN
Employee Health Nurse
Valley Medical Center
Ph 425-690-3088
Lisa_Dyrdahl at Valleymed.org

From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of David S. Cockrum via MCOH-EH
Sent: Friday, May 3, 2024 8:30 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: David S. Cockrum <David.S.Cockrum at hitchcock.org>
Subject: [MCOH-EH] Policy Change and Vaccine Status

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Question for my peers-

Does your program ask employees to update their vaccine status when a hospital policy change impacts their immune status?

Our case: EE onboarded 2015, at that time our policy allowed a verbal report by the employee of past chicken pox (though CDC guidance specified a lab or provider verified diagnosis). Our policy since been updated, though we currently don't even accepted the provider reported history (I may change that part!).

This EE's record was reviewed as part of a routine record review process to help ensure overall program compliance. The lack of proper varicella immunity according to current policy was noted. We are now asking him to get a titer to confirm his immune status (vaccine status not available). For reasons that are not clear, he is refusing because it's "invasive."

Does your program routinely require updating this kind of employee health history status when internal policy changes occur?

Thanks,

David

David S. Cockrum, MD, MPH
He/Him/His
Medical Director & Section Chief
Occupational & Environmental Medicine
Department of Medicine
Tel (603) 653-3881 | Fax (603) 650-0930
Dartmouth-Health.org

Dartmouth Hitchcock Medical Center
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