[MCOH-EH] Work exclusion for HCW w/ orofacial herpes lesions

[Upfal, Mark]

Agree.

Mark Upfal, MD, MPH
Corp Medical Director, DMC Occupational Health Services
4201 Saint Antoine, UHC 4G-3
Detroit, MI 48201
(313) 993-0509
www.dmc.org/ohs

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sparhawk, Dana P MD
Sent: Wednesday, May 04, 2016 11:51 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Work exclusion for HCW w/ orofacial herpes lesions

I agree here.  We use "dry and crusted" so there is no question.


Dana Sparhawk, MD, MPH, FACOEM
Director, Lifespan Employee and Occupational Health Services
Clinical Assistant Professor, Alpert Medical School, Brown University
Grads Dorm, Rhode Island Hospital
593 Eddy Street
Providence, RI  02903
(401) 444-7412

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
Sent: Tuesday, May 03, 2016 9:28 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Work exclusion for HCW w/ orofacial herpes lesions

It may mean the same but I have found that if you use clearer language like dry and crusted you get better compliance because people have a more shared understanding of what that means...

From: MCOH-EH [mailto:mcoh-eh-bounces+terri.thrasher=cchmc.org at mylist.net] On Behalf Of Angeli Mancuso
Sent: Tuesday, May 03, 2016 5:19 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] Work exclusion for HCW w/ orofacial herpes lesions

I am revising our policy regarding employees with or exposed to communicable disesase and a question has come up regarding work exclusion for orofacial herpes lesions. Currently, our exclusions are written as such:

1)      Herpes: Restrict from care of high risk patients until lesions heal

2)      Varicella: Restrict from care of high risk patients until all lesions dry and crust

To me, heal does not equal dry and crust. The medical director of infection control says they are the same; the medical director of employee health says they are different. And I am stuck in the middle trying to manage a policy that creates controversy and no one agrees on.

How are others managing these definitions?

I appreciate your help.

Be well,
Angeli

Angeli Mancuso, RN, COHN-S/CM
Employee Health & Safety Manager
Ph: 805.569.7866/Internal Ext. 57866
Fax: 805.569.8271
a1mancus at sbch.org<mailto:a1mancus at sbch.org>
www.cottagehealthsystem.org<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.cottagehealthsystem.org_&d=CwMGaQ&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=IWIUUNbmNWoJknP-12GmZto4UYRAUSMDclwiW6qt-Bo&s=hpGC5jGPP6i1DzY2mBPd9PWEMtCh2pvI-VQCX_3wsj8&e=>
[cid:696271416 at 04052016-01B3]



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