Interesting case.

First step, if not already done, would be to see if you can have a discussion with the employee to see if you can ascertain the reason for refusal, and if so, whether you can reason with them to overcome their reluctance.

If not successful in this effort, then it boils down to an HR issue, governed by your state regulations and facility policy on testing requirements. CDC of course recommends testing on hire, but ultimately your state regulations and facility policy govern implementation.

Good luck and best wishes!


Kevin M. Smith, MD, MPH, FACOEM
Medical Director
Phoebe Corporate Health
Phoebe Employee Health Services
229-312-9220
229-889-7074 Fax
From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of Stephanie Perkins <Stephanie.Perkins@nbmchealth.com>
Sent: Thursday, March 21, 2024 1:23 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] TB testing (TST): tuberculin skin testing
 
How do you handle an employee who is refusing to do a PPD or Quantiferon-gold? This employee was a rehire in 2015, when this employee was initially hired in the 90’s they had PPDs done, several actually, as they were still checking them
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How do you handle an employee who is refusing to do a PPD or Quantiferon-gold? This employee was a rehire in 2015, when this employee was initially hired in the 90’s they had PPDs done, several actually, as they were still checking them annually. When this employee was rehired in 2015, they declined to redo the PPD. I’ve been working on getting all our employee health files completed, and I came across the incomplete screening in their fire (they filled out the questionnaire, but nothing was administered), reached out to them and they’re declining both a PPD or Quantiferon-gold.

 

Any suggestions, resources, recommendations, etc. would be much appreciated.

 

Stephanie Perkins, MSN RN

Employee Health Nurse

Clinical Educator

North Bend Medical Center

541.267.5151 X 1667

“We are dedicated to providing the best healthcare for our community with compassionate, accessible, and high quality service.”

 

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of Deanna Prater
Sent: Thursday, March 14, 2024 12:21 PM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] TB testing (TST): tuberculin skin testing

 

We allow new hires to have their TB test read at other facilities.  The form is signed by a licensed healthcare worker.

 

Deanna Prater BSN, RN

Director of Infection Control, Employee Health & Safety

Lower Umpqua Hospital

600 Ranch Road

Reedsport, Oregon 97467

Office:  (541) 271-6323

Fax:  (541) 271-6353

dprater@luhonline.com

 

“If you change the way you look at things, the things you look at change.”

 

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