I needed to make a decision, so I erred on the side of caution and have asked the provider to cancel his clinic and procedure patients through tomorrow. We are hopeful that the Vanc will work well and he will be close to 48 hours diarrhea-free
by Monday morning and can resume normal operations at that time.
I quickly scrubbed CDC and UpToDate and found virtually nothing about managing HCWs with C. Diff – lots of stuff about managing patients with it. But the risk of contamination and a nosocomial outbreak is just too great in my opinion.
Tara, as for your issue, I agree with your recommendation. “They” (whoever that might be) take on the risk when they overrule the Infection Preventionist!
David
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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Tara Dockery
Sent: Thursday, May 30, 2019 2:30 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] C. Diff in Physician
This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. If
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abuse@frhs.org .
Interested to know what others do. In the same vein, I have a question about a Clinic Provider who sees patients in a small enclosed area, and she had shingles and came to work. Many of the patients she sees
are Oncology patients currently undergoing Chemotherapy. I have seen it written that they should cover the lesions, but would you allow her to come work with the oncology patient while her shingles are still in the wet form?
I had a hard time with this one, but they did not want to reschedule her patients so I think they overruled my concerns…
Tara
Tara Lee Dockery, IP, MT(ASCP), BS
| Infection Preventionist and Employee Health
Ocean Beach Hospital and Medical Clinics
174 1st Ave North
| P.O. Box H
| Ilwaco
|WA
| 98624
Phone: 360.642.6307 | Cell : 509-760-7397
| Fax: 360-642-6309
|tdockery@oceanbeachhospital.com
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Cockrum, MD David S
Sent: Thursday, May 30, 2019 12:02 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: [MCOH-EH] C. Diff in Physician
All-
Would like your input. We have a physician diagnosed with C. diff, has had diarrhea for about a month. C. diff was just diagnosed and he has had only 1 dose of oral Vancomyin so far. Should we restrict him from patient care? He does some
procedural work – should we restrict only the procedures but allow clinical evaluations?
Thoughts or experience with this? We lost our ID guy a few months ago….aaaaargh!!
David
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