We did clarify with Oregon TB Control and they require that one of the TSTs be at the time of hire so we are only able to use one previous TST in the last year. Since we no longer place skin tests we go ahead
and get a Quant Gold.
Kate Miller, RN
Caregiver Health Nurse
541-706-4771 (office)
541-706-2694 (fax)
kemiller@stcharleshealthcare.org
St. Charles Health System
2500 NE Neff Road Bend OR 97701 www.stcharleshealthcare.org
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“I don’t trust anyone who doesn’t laugh” Maya Angelou
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Thrasher, Terri (Terri)
Sent: Tuesday, March 13, 2018 5:27 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Tb screening on locum providers
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-------- Original message --------
From: Therese Bovee-McKelvey <TMBoveeMcKelvey@evergreenhealthcare.org>
Date: 3/12/18 2:34 PM (GMT-05:00)
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Tb screening on locum providers
We screen as a new hire. For TB we require the following;
·
Two-step TST or a Quantiferon Test - OR
·
Documentation of annual TST’s from at least the last 2 years
o
If last TST is over one year we get a current TST
o
If > 2year gap between TST’s we get a two-step
·
If previous positive TST or newly positive TST/Quantiferon positive
o
Chest x-ray completed within the last 2 years
o
Current signs and symptoms check
Therese
Therese Bovee McKelvey, MN, RN
Sr. Employee Health Nurse - Employee Health
425.899.2278 (P) | 425.899.2277 (F) |
TMBoveeMcKelvey@evergreenhealth.com
EvergreenHealth MS-42,
12040 NE 128th St., Kirkland, WA 98034
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From: MCOH-EH [mailto:mcoh-eh-bounces+tmboveemckelvey=evergreenhealthcare.org@mylist.net]
On Behalf Of Morelli, Karen J
Sent: Monday, March 12, 2018 7:32 AM
To: 'mcoh-eh@mylist.net'
Subject: [MCOH-EH] Tb screening on locum providers
Warning: This email originated from outside of EvergreenHealth.
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Good Morning,
I am curious about what everyone else’s process is for Tb screening on locums providers. I find that, unlike traveling nurses or students, locums don’t necessarily have Tb screening done annually. With traveling nurses and students, it
is a requirement of their school/contract to have this done annually. Therefore, if a student or traveling nurse has had a Tb screen within the last 12 months (and has the documentation) we don’t do anything further. With locums, we have been treating them
like a new hire and going on the MMWR recommendations of testing, thus our screening depends on what documentation they bring us for historical Tb screening. We then move forward to provide them with an updated screening (example, if they bring us a documented
ppd they had 6 months ago, we would plant one more ppd. If they have no documentation, we would just go straight to the IGRA). We are questioned why we don’t treat locums like traveling nurses/students with regard to the Tb screening (and accept one Tb screen
within the last 12 months). I appreciate any knowledge you have on the topic.
Thank you,
Karen Morelli RN, BSN, Clinical Manager
WorkHealth LLC
973-7382
BANGOR | PITTSFIELD | PORTLAND | PRESQUE ISLE
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