For shingles, our policy is to require lesions be dry and crusted and covered. I would not be comfortable with "wet" lesions, especially working with immune-comprised/oncology patients.

From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of Tara Dockery <tdockery@oceanbeachhospital.com>
Sent: Thursday, May 30, 2019 2:30 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] C. Diff in Physician

This email was sent from an external source. Don't click links or open attachments from an unknown or unexpected sender. Report suspicious e-mails using the Phish-Alert button in Outlook, if available, or forward to spam@childrens.com.

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 1^st Ave North | P.O. Box H | Ilwaco |WA | 98624

Phone: 360.642.6307 | Cell : 509-760-7397 | Fax: 360-642-6309 |tdockery@oceanbeachhospital.com

www.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

DAVID

COCKRUM

Physician

Faith Regional Physician Services

Occupational Health

(402) 844 8300

2024 Pasewalk Avenue, Suite 2

Norfolk

68701

Click on the logos to learn more about our services.

This message and any attachments are confidential, may contain privileged or legally protected communications or information, and are intended solely for the recipient named above. If you are not the intended recipient, you are notified that any review, distribution, dissemination or copying of this message or any attachment is prohibited. If you have received this message in error, you should immediately notify the sender by a return e-mail and delete the message from your computer system.