From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Giovannetti, Mary
Sent: Tuesday, April 21, 2020 9:25 AM
To: MCOH-EH
Subject: Re: [MCOH-EH] Survey questions....Re: Updated Post-COVID-19 RTW guidance from CDC for HCPs

External:

Are you going to go with the test-based strategy of a 2-swab negative test of cure? Why or Why Not? Here are some of the answers that I might expect.

_X__We are going with the 2-swab because it can give us some confidence that the HCP case is no longer capable of infecting susceptible co-workers and patients

_X_We are going with the 2-swab because CDC said that it is the preferred method

__X_We are relying on CDC expertise

___We feel obligated to go with CDC’s guidance because of medicolegal implications

___Our state health regulators have codified CDC guidance

_ __We are going with the non-test based strategy because we don’t know which of the RNA detected in the PCR is from viable virus or just old fragments

___We are going with the non-test based strategy because we don’t have the resources available to do the tests and get the results back in a reasonable turn around time

___We think that the asymptomatic carrier state is widespread in the community and limits the usefulness of the PCR test.

___Something obvious that I have missed altogether:

Combination of the 3 choices.

Patricia Higazi MSN RN COHN

Occupational Health Director

Children’s Hospital of The King’s Daughters

Norfolk, Virginia 23507

Tel: 757 668 7852

Fax: 757 668 8775

Occupational Health has MOVED to Medical Tower I, 5^th Floor

External:

Are you going to go with the test-based strategy of a 2-swab negative test of cure? Why or Why Not? Here are some of the answers that I might expect.

_X__We are going with the 2-swab because it can give us some confidence that the HCP case is no longer capable of infecting susceptible co-workers and patients

_X_We are going with the 2-swab because CDC said that it is the preferred method

__X_We are relying on CDC expertise

___We feel obligated to go with CDC’s guidance because of medicolegal implications

___Our state health regulators have codified CDC guidance

_ __We are going with the non-test based strategy because we don’t know which of the RNA detected in the PCR is from viable virus or just old fragments

___We are going with the non-test based strategy because we don’t have the resources available to do the tests and get the results back in a reasonable turn around time

___We think that the asymptomatic carrier state is widespread in the community and limits the usefulness of the PCR test.

___Something obvious that I have missed altogether:

Combination of the 3 choices.

Mary C Giovannetti, DNP, APRN, FNP

Manager/Nurse Practitioner| Employee Health

Physician's Center, 100 East Wood St., Suite 204 | Spartanburg, SC 29303

o: 864-560-6514 | f: 864-560-6509 c: 864-497-4087

e: mgiovannetti@srhs.com | w: SpartanburgRegional.com

From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of Galaid Edward I <Edward.Galaid@rsfh.com>
Sent: Thursday, April 16, 2020 12:15 PM
To: mcoh-eh@mylist.net <mcoh-eh@mylist.net>; Occ-Env-Med-L@listserv.unc.edu <Occ-Env-Med-L@listserv.unc.edu>
Subject: [EXTERNAL] [MCOH-EH] Survey questions....Re: Updated Post-COVID-19 RTW guidance from CDC for HCPs

Warning: [This message came from outside of Spartanburg Regional Network]

For those of you who have not seen it: https://www.cdc.gov/coronavirus/2019-ncov/hcp/return-to-work.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhealthcare-facilities%2Fhcp-return-work.html

Are you going to go with the test-based strategy of a 2-swab negative test of cure? Why or Why Not? Here are some of the answers that I might expect.

___We are going with the 2-swab because it can give us some confidence that the HCP case is no longer capable of infecting susceptible co-workers and patients

___We are going with the 2-swab because CDC said that it is the preferred method

___We are relying on CDC expertise

___We feel obligated to go with CDC’s guidance because of medicolegal implications

___Our state health regulators have codified CDC guidance

___We are going with the non-test based strategy because we don’t know which of the RNA detected in the PCR is from viable virus or just old fragments

___We are going with the non-test based strategy because we don’t have the resources available to do the tests and get the results back in a reasonable turn around time

___We think that the asymptomatic carrier state is widespread in the community and limits the usefulness of the PCR test.

___Something obvious that I have missed altogether:

Feel free to call me at the number below if you’d like to share your thoughts that way. I will anonymize and do the aggregate analysis and share.

I hope that soon, queries like this are historical curiosities.

Ed Galaid

Edward I. Galaid, MD, MPH, FACOEM

ABIM, ABPM (OM)

Medical Director, Roper St. Francis Physician Partners Occupational Medicine

Charleston, SC

Member, ACOEM Task Group, Guidance for the Medical Evaluation of Law Enforcement Officers

Special Expert, NFPA Fire Service Occupational Safety & Health (FIX-AAA) Committee

(O) 843-402-5053

Our Mission: Healing all people with compassion, faith and excellence.

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