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

[Thrasher, Terri]

yes

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Angeli Mancuso
Sent: Wednesday, May 04, 2016 8:51 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Work exclusion for HCW w/ orofacial herpes lesions

Thank you, all, for your input.

Just to be clear, you are using “dry and crusted” for both herpes simplex virus and shingles, correct?

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=yPFQzss5KlrAr4ueDmwsaH7r7GAtOWLStTACWtF1rEE&s=PdLCMBiazD20vxDFKIQUiJzkaunLLrv6OJaBuBczc1U&e=>
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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Hudson, T. Warner
Sent: Tuesday, May 03, 2016 3:53 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Work exclusion for HCW w/ orofacial herpes lesions

Dried and crusted is what we and CDC use.  See #1: http://www.cdc.gov/shingles/hcp/HC-settings.html#healthcare-personnel<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.cdc.gov_shingles_hcp_HC-2Dsettings.html-23healthcare-2Dpersonnel&d=CwMGaQ&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=yPFQzss5KlrAr4ueDmwsaH7r7GAtOWLStTACWtF1rEE&s=LecMZHIJXEtkapciylHp1Mrdw0fUuaXuHo6uqTYN6oA&e=>


T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health
UCLA Health System and Campus
Office 310.825.9146
Fax 310.206.4585
Pager 800.233.7231  ID 27132
E-mail twhudson at mednet.ucla.edu<mailto:twhudson at mednet.ucla.edu>
Website www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.ohs.uclahealth.org&d=CwMGaQ&c=P0c35rBvlN7D8BNx7kSJTg&r=Jmg5o1TWVLt02_ZQHrHWz9cq2GUFrnmW1sIeobramoY&m=yPFQzss5KlrAr4ueDmwsaH7r7GAtOWLStTACWtF1rEE&s=lHPbCY_Lp7utcbb1dEFevIizny8usNPaJTMUF30C9sQ&e=>

From: MCOH-EH [mailto:mcoh-eh-bounces+twhudson=mednet.ucla.edu at mylist.net] On Behalf Of Angeli Mancuso
Sent: Tuesday, May 03, 2016 2:19 PM
To: MCOH/EH
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=yPFQzss5KlrAr4ueDmwsaH7r7GAtOWLStTACWtF1rEE&s=PdLCMBiazD20vxDFKIQUiJzkaunLLrv6OJaBuBczc1U&e=>
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