Funny you should ask this. When I stepped into the role of Occupational Health, we discovered the same. We are now collaborating with Med Staff to know when a new Provider/Resident is coming on board so that we can ensure immunizations are on file and that their fit testing/PAPR training is completed. Right now, due to shortage of N-95s, we are only testing Just In Time, to those who know they are caring for a patient that warrants a respirator. Not doing routine fit testing to preserve supplies.
We’ve run into an interesting set of circumstances that differs from my experience in academic medical centers and the VA, where there was a very structured approach to this. And it may be that private sector healthcare, with specialty physician groups and hospitals, with their mix of contractual relationships (“Russian nesting dolls” comes to mind, is just very very different. There have been some problems with physician groups that have agreements / contracts with hospitals where there doesn’t appear to be a structured approach to hazard identification and risk management, i.e., no one trains them, does fit-testing, or provides them with N95s when appropriate. Do your hospitals do something like that? Do your medical staff by laws address this? The hospital infection control program?
Just curiosity whether this is a common problem out there, what you’ve tried, and whether you’ve found solutions…
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