Yes it must be palpated

Kindest regards,

Terri

Terri L. Thrasher RN MSN

Sr. Director WorkForce Services

HR Operations/HR4U/Benefits-Comp- Leave Administration, Employee Health, Occupational Safety, Environmental Health, 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

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From: MCOH-EH <mcoh-eh-bounces+terri.thrasher=cchmc.org@mylist.net> On Behalf Of Eisenhauer, Julie (TCRHCC) via MCOH-EH
Sent: Wednesday, July 29, 2020 11:22 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Eisenhauer, Julie (TCRHCC) <Julie.Eisenhauer@TCHEALTH.ORG>
Subject: Re: [MCOH-EH] Virtual PPD readings?

We teach it must be palpated without visual first then visual. Why? The read is trying to find the “iceberg” above and below the area. I always tell my new nurses to feel for the “iceberg below the water”. I have experienced induration not only felt above the skin but below it.

Must be palpated by someone who is not related or intimately involved with the patient. The reader must be at a RN, MD, PA, etc..

Sincerely Your Employee Health Nurse.

Julie A. Eisenhauer BSN, RN, CCM

Employee Health Nurse

Tuba City Regional Health Care Corporation

167 North Main Street, PO Box 600

Tuba City, AZ. 86045

Phone:(928)283-2432 ext. 41544

Fax: (928)283-2042

Email: Julie.eisenhauer@tchealth.org

HR Email: TCRHCC@tcheatlh.org

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of Auerbach, Karl
Sent: Tuesday, July 28, 2020 5:52 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Virtual PPD readings?

I agree that the person, their mother, etc should not be the one reading. While most are not going to fudge the reading, in occ med and hospitals especially, there are implications of a positive test that the worker may choose to want to avoid- no matter how good the reading
I have taught nurses without a relationship to the worker and EMTs to read PPD in person and in some instances will accept that reading provided the reader is a trusted partner and its clear cut.
I teach readers to draw a pen point along into the area of induration from 4 directions and then measure. I wonder if the points that are marked have been shown to be reliable I believe they are as reliable if not more reliable than just the finger feeling the raised area and certainly more reliable than visual. And can they then be measured correctly with a virtual view. I think they can but don’t know of any literature or studies.

Karl Auerbach MD

Albany NY

My opinions, nothing more….

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