Greetings!

 

We are in the process of updating our Staff Restrictions from Duty Policy.  It mostly follows the 1998 Guideline for infection Control in Healthcare Personnel by Bolyard et al.

 

Our present policy has no guidelines for staff that end up with Clostridium difficile and I am wondering what other facilities use in these cases?  Our policy covers clinical staff, food service and administrative employees, though often there are different guidelines for different job types. 

 

I am also looking for any clarifications on restrictions for those with Tinea capitis (not that we have a huge problem with this), however our policy presently states exclude until “treated and cleared by a medical provider.”  Both the Infection Prevention MD and I find this vague. This is one of the items that did not come from the 1998 Guideline.  We both agree that treatment should consist of treatment with an oral anti-fungal and twice weekly anti-fungal shampoo, but neither of us is aware of a time period of treatment thought to render this less transmissible.

 

Please include what source you are using for your evidence.

 

Thank you,

 

Jordana McDonald FNP-c

Salem Health Employee Health/Occupational Medicine

Salem Health Medical Group

 

SALEM HEALTH

Hospitals & Clinics

1002 Bellevue Street SE

Salem, OR 97301

Jordana.mcdonald@salemhealth.org

503-814-7250

Fax: 503-814-7253

 

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