I would process it as a Workers compensation claim through the organization providing the vaccine.  This would ensure that labs are paid for by WC carrier and any treatment or follow-up labs would be covered.


Deanna Prater BSN, RN, CPHQ
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.”


From: MCOH-EH <mcoh-eh-bounces+dprater=luhonline.com@mylist.net> on behalf of mcoh-eh-request@mylist.net <mcoh-eh-request@mylist.net>
Sent: Monday, November 11, 2024 11:49 AM
To: mcoh-eh@mylist.net <mcoh-eh@mylist.net>
Subject: EXTERNAL: MCOH-EH Digest, Vol 259, Issue 118
 
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Today's Topics:

   1.  BBP protocols (Lesoski, Darryl)
   2. Re:  Color Deficiency (KAuerbach@aol.com)


----------------------------------------------------------------------

Message: 1
Date: Thu, 7 Nov 2024 20:49:58 +0000
From: "Lesoski, Darryl" <DLESOSKI@mhc.net>
To: MCOH/EH <mcoh-eh@mylist.net>, "kkirkland@aoec.org"
        <occ-env-med-l@listserv.unc.edu>
Subject: [MCOH-EH] BBP protocols
Message-ID:
        <SJ2PR20MB7062B2810598A56D7EB4ED14CD5C2@SJ2PR20MB7062.namprd20.prod.outlook.com>

Content-Type: text/plain; charset="windows-1252"

We had an odd request by a large chain grocery store pharmacy and want to ask for your input.  THANKS ahead of time.

Pharmacy personnel gave an influenza vaccination, then stuck herself with the needle after administrating the vaccine.

Employer Nurse at corporate had BOTH the exposed and source brought to our office wanting us to draw blood on the source in order to fully evaluate the potential BBP exposure and use of prophylaxis treatment.

How would you handle such a request?   What guidance do you use for any type of needlestick and/or BBP exposure?

I would appreciate your insight and opinion as I am a bit (OK - a lot troubled!!) by such a request.   THANKS.  Darryl


Darryl Lesoski, MD, MPH, FACOEM

System Medical Director - Occupational Health and Medicine, Employee Health
Munson Medical Center
Munson Occupational Health and Medicine
Email: dlesoski@mhc.net<mailto:dlesoski@mhc.net>

     TRAVERSE CITY
Mailing: 1105 Sixth Street, FFCHC, Occ Medicine 49684
Physical: 550 Munson Avenue, 1st Floor   49686
Office 231-935-8590 | Fax 231-935-8597
     CADILLAC
Address: 803 Lynn Street, Cadillac  49601
Office 231-876-6180 | Fax 231-876-6080
     GRAYLING
Address: 1100 East Michigan Ave, Grayling  49738
Office 989-348-0368 | Fax 989-348-0773
     ELMIRA
Address: 2572 US-131, Elmira   49730
Office 989-731-7700 | Fax 231-231-8714

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------------------------------

Message: 2
Date: Thu, 7 Nov 2024 00:27:21 +0000 (UTC)
From: "KAuerbach@aol.com" <kauerbach@aol.com>
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Color Deficiency
Message-ID: <1360884996.5413420.1730939241841@mail.yahoo.com>
Content-Type: text/plain; charset="utf-8"

 Dr. Swifts excellent comments on the issue of color deficiency in workers are very pertinent.? ? And unlike some colors on fabrics,the "colors" on the fabric of such issues does not seem to fade.? ?
See JOEM 2000-2001
Editorial?

Should Color Vision Screening Yield a Black or White Answer?
Joyce, Patrick C.
Journal of Occupational and Environmental Medicine.?42(7):679-682, July 2000.
--------------------------------------------------------------------------------------------------------------------------------------Comment?J Occup Environ Med
   -
   -
   -
.?2001 Mar;43(3):197.?doi: 10.1097/00043764-200103000-00001.
Should color vision screening yield a black or white answer?
K Auerbach,?B A Barron
   - PMID:?11285865
?
   - DOI:?10.1097/00043764-200103000-00001
_________________________________________________________________________________
Screening for Color Vision Testing?Should?be Black or White, but Screening Should Not Constitute the Final Answer
Hartenbaum, Natalie P.Journal of Occupational and Environmental Medicine.?43(3):197-198, March 2001.-----------------------------------------------------------------------------------------------------------------------------------------------


   -


Screening for Color Vision Testing?Should?be Black or White, but Screening Should Not Constitute the Final Answer
Joyce, Patrick C.Journal of Occupational and Environmental Medicine.?43(3):198, March 2001.----------------------------------------------------------------------------------------------------------------------------------------------Book Reviews
Color Vision in the Occupational Setting: Analysis and Testing

Lesser, Robert L. MD

Editor(s): Borak, Jonathan MD
Author InformationJournal of Occupational and Environmental Medicine?51(4):p 510, April 2009.?|?DOI:?10.1097/JOM.0b013e318
Color Vision in the Occupational Setting: Analysis and Testing
Bernard Blais. 85 pp, 2008. Richmond Products. ISBN: 978-0-9718598-5-2. Available at:?https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fwebportal.acoem.org%2fPurchase%2fSearchCatalog.aspx&c=E,1,UT0wpxpMO2Iqrt8MoxRRsLAHhya_q2ck-x1vV7FV7IXKplJWNCoKesFqGDHbbnPJvP16lI4Dw0WCox_pALRFN3b03BKvbeMNZoiBXGGS2A,,&typo=1.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Full disclosure- yeah, that was me.? I must have been a teen at the time ":)

While I absolutely am in favor of tests that can help a person define their health status and identify problems, I favor functional testing rather than screening testing in this instance- though old habits are hard to change and such screening is often requested by employers or is part of a standard package of testing.
Karl Auerbach MDTiconderoga, NY
My opinions, nothing more...

    On Monday, October 28, 2024 at 02:44:16 PM EDT, Swift, Melanie D., M.D., M.P.H. via MCOH-EH <mcoh-eh@mylist.net> wrote:


Hi Melissa,

I?m sharing a link to the MCOH-EH archives where this issue has previously been discussed extensively:https://linkprotect.cudasvc.com/url?a=https%3a%2f%2f32290571.isolation.zscaler.com%2fprofile%2f9028e808-d25a-465c-b3c4-eb6dd43f81f5%2fzia-session%2f%3fcontrols_id%3d74571eee-65e0-495e-90f9-c2358f8aad11%26region%3dcle%26tenant%3d9bdf164cfefd%26user%3d4321d50d9ebffaf0704f98f4b44d4c59dbf2df1c45b99c8e9e4c6234b4018a52%26original_url%3dhttps%253A%252F%252Fmylist.net%252Fhtdig%252Fmcoh-eh%252F2014-May%252F000032.html%26key%3dsh-1%26hmac%3dec8c42ebc38db1e1b3ec23d30a995659bb27e34b0acbfdd7c5ef538e88b77827&c=E,1,oB3EOSYUP8v-CqvfU75XWOugCd41XU4G2bZ-jUSs1amijH7R89h2jdJqeL1PSJxwBuQHRTcH6q3DMS5WMfDR9wWMivbgpEIA5hSaJqnBWgsPMh_eJ3doK7_LXPp2&typo=1

 ?

 ?

Hope this helps,

 ?

Melanie

 ?

From: MCOH-EH <mcoh-eh-bounces@mylist.net>On Behalf Of Griffin, Melissa (BHS)
Sent: Friday, October 25, 2024 12:38 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: [EXTERNAL] [MCOH-EH] Color Deficiency

 ?

Are your facilities completing a color deficiency screening (Ishihara) on patient facing candidates?

If they have some degree of deficiency what are the next steps??

 ?

Thanks

 ?

 ?



Melissa Griffin, BSN, RN

Manager

Employee Health Services

Baptist Health

Working Remote

Address provided upon request

 ?

1-833-743-0528 Office

502.259.4628 Direct

Melissa.griffin3@bhsi.com

https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fBaptistHealth.com&c=E,1,dt3mHn31dngT2CtG8WSUMRcRTlJCeGrnYZoRxvp0YHfp5yl-2zRIm-geqpD3LtgenzAfjXQC2VKL9_jKdlu_Pg-jxRFLmYIMdB7Nt09m2yy1buwzZzOT532RgmM,&typo=1

 ?

 ?

 ?

 ?

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