We have had the same experience, our rate
of invalids is low, very pleased with service, account support and ease
of use.
Thanks,
Kathy
Kathy Dayvault, RN, BSN, MPH
Manager, Occupational Health and
Safety
WorksWell Onsite
Dekalb Medical 2701 North
Decatur Road
Decatur, GA 30033
ph: 404.501.4972 Fax:404-501-2045
kathy.dayvault@dekalbmedical.org
From:
"Higazi, Patricia"
<Patricia.Higazi@chkd.org>
To:
MCOH/EH <mcoh-eh@mylist.net>,
Date:
02/01/2018 11:07 AM
Subject:
Re: [MCOH-EH]
TB Risk Status - Medium
Sent by:
"MCOH-EH"
<mcoh-eh-bounces+kathy.dayvault=dekalbmedical.org@mylist.net>
We switched to T spot several years ago.
Easier lab draw – requirements not as complicated, so very few indeterminate
results. We have been very happy with the price, turnaround time
and reporting reliability.
Patricia Higazi RN MSN COHN
Occupational Health Director
CHKD, Norfolk, VA
Tel: (757) 668 7852
Fax: (757) 668 8775
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Thrasher, Terri (Terri)
Sent: Thursday, February 01, 2018 7:48 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] TB Risk Status - Medium
I am curious if others consider
using T spot.
A rep has contacted me and
indicates the IDSA says T spot is superior and will only be 1 tube of blood
and the new QFT has no pre analytics and requires 4 tubes.
Any thoughts on this to help
me?
Kindest regards,
Terri
Terri L. Thrasher RN MSN
Sr. Director HR
Employee Health, Occupational
Safety, Environmental Health, Employee Relations, Leave Management HR
Compliance/Policy, Workers Compensation, 803-SAFE, Injury Management, Non
CCHMC Badging, Early Education and Childcare Center
3333 Burnet Ave
Cincinnati Ohio 45229 MLC
9006
513-636-6240
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Thanassi, Wendy
Sent: Tuesday, January 16, 2018 7:00 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] TB Risk Status - Medium
You’re welcome, any time. Here’s another
slide for you.
Wendy
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Lisa Dyrdahl
Sent: Monday, January 15, 2018 9:33 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: [EXTERNAL] Re: [MCOH-EH] TB Risk Status - Medium
Wendy,
Thank you for this, it is
most helpful especially with the citation for the guidelines.
Thanks again!
Lisa Dyrdahl, RN, BSN
Employee Health Nurse
Lisa_Dyrdahl@Valleymed.org
Ph: 425-228-3440 X5720
Fax: 425-656-5066
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Thanassi, Wendy
Sent: Friday, January 12, 2018 12:31 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] TB Risk Status - Medium
Hello Lisa,
Yes, you can test some areas and not others.
The CDC 2005 and 2010 TB guidelines use
the term “setting” for where annual TB testing should be done in medium
and high risk areas. “Setting” allows that a huge hospital like ours
would test certain areas, but not all people in all 102 building on all
of our campuses. “Setting” is generally shared airspace, so if all 6
came through the medicine clinic, that area would become high risk but
the O.R. would not. (Of course shared airspace can be extended indefinitely
to include the whole earth if one gets really energetic…) In sum, such
surveillance should be undertaken in a reasonable manner to capture employees
truly at risk for exposure but without wasting time, money and productivity
hours chasing those who are not.
Newer guidelines will come out soon, and
those are likely to be more flexible.
Wendy
Wendy Thanassi MA, MD
Chief, Occupational Health
Service
Office of the Associate
Director
Palo Alto VAHCS, California
650-493-5000 x 11-65214
Clinical Associate Professor
Stanford Hospital and
Clinics
National Lead, Tuberculosis
Veteran’s Health Administration
10P4Z
Washington, DC
Providing the best Occupational
Medicine Care Anywhere—for VHA Employees and Veterans
VHAOccupationalEnviroMedConsult@va.gov
or https://vaww.portal.va.gov/sites/ohshg/OEMedicineConsults
From: MCOH-EH [mailto:mcoh-eh-bounces+wendy.thanassi=va.gov@mylist.net]
On Behalf Of Deborah A. Pruim via MCOH-EH
Sent: Friday, January 12, 2018 9:08 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Cc: Deborah A. Pruim <dpruim@lcmh.org>
Subject: [EXTERNAL] Re: [MCOH-EH] TB Risk Status - Medium
We are a low risk hospital.
We require annual screening (questionnaire) yearly for all employees.
All new hires are tested
with a 2 step PPD at hire. If they have had BCG we do a Quanteferon
Gold test.
Thanks,
Debbie
Deborah Pruim,
RN, MSN, APN, CNS
Employee Health
Services
Little Company
of Mary Hospital
2800 W. 95th
Street
Evergreen Park,
IL 60805
Monday – Friday
6:30am-3pm
Phone: 708-229-5623
Fax: 708-229-6618
dpruim@lcmh.org
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Lisa Dyrdahl
Sent: Thursday, January 11, 2018 11:31 AM
To: MCOH/EH
Subject: [MCOH-EH] TB Risk Status - Medium
MCOH List Serve,
We have been a Low Risk hospital
for TB and have not performed Annual testing since 2009. We have
now entered Medium Risk, (>6 patients with >200 beds). According
to the 2005 TB Prevention Guidelines we must now:
·
Test
all HCWs on hire – (Which we have always done as Low Risk using QFG)
·
Test
all HCWs at least every 12 months
·
Preform
TB Symptom Screen for all HCWs with baseline negative results
My question for the list
is whether we can test only High Risk Depts for TB or do we have to test
all HCWs throughout the entire hospital?
Do we also need to provide
symptom screening for everyone who test negative on baseline? We
currently do this for all Positive results only.
I had thought there was an
option to either test all employees or only those in Hi Risk areas but
I can’t find this documented.
Thank you.
Lisa Dyrdahl, RN, BSN
Employee Health Nurse
Lisa_Dyrdahl@Valleymed.org
Ph: 425-228-3440 X5720
Fax: 425-656-5066
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