[MCOH-EH] [EXTERNAL] Re: Short-time volunteers in health care facilities
Leibu, Rachel
Rachel.Leibu at atlantichealth.org
Fri Jun 17 10:57:40 PDT 2016
What are the group’s requirements for drug screening of such observers?
Rachel Leibu, MD, MBA, MS
Medical Director Occupational Medicine Service
Atlantic Health System
973-971-5440
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thanassi, Wendy
Sent: Friday, June 17, 2016 1:43 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] [EXTERNAL] Re: Short-time volunteers in health care facilities
If they are considered employees, for however short a time, (in gov’t) the facility is responsible for keeping patients safe from their active or insipient disease states; thus a TB clearance before “hire” is always prudent. We would use any clearance in the past 12 mos as adequate, and would use a new IGRA for the others. They probably all have immunization forms that will confirm MMR vaccinations, and likely TB testing as well.
Wendy
Wendy Thanassi MA, MD
National Project Lead, Tuberculosis
Office of Patient Care Services, Occupational Health 10P4Z
U.S. Department of Veterans Affairs
Washington, DC 20420
Chief, Occupational Health
3801 Miranda Avenue
Palo Alto VAHCS
Palo Alto, CA 94304
Wendy.Thanassi at va.gov<mailto:Wendy.Thanassi at va.gov>
650-493-5000 x 65214
[Description: Description: cid:image001.jpg at 01CE4591.3F9AB100]
Providing the best Occupational Medicine Care Anywhere—for VHA Employees and Veterans
VHAOccupationalEnviroMedConsult at va.gov<mailto:VHAOccupationalEnviroMedConsult at va.gov> or https://vaww.portal.va.gov/sites/ohshg/OEMedicineConsults<https://vaww.portal.va.gov/sites/ohshg/OEMedicineConsults>
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sampson, Deborah
Sent: Friday, June 17, 2016 9:53 AM
To: MCOH/EH
Subject: [EXTERNAL] Re: [MCOH-EH] Short-time volunteers in health care facilities
Phil
Is there any data to support 2 hour rule? If so, I’d be interested in a reference to support some policy changes.
From: MCOH-EH [mailto:mcoh-eh-bounces+deborah.sampson=snhhs.org at mylist.net] On Behalf Of Philip Adamo
Sent: Thursday, June 16, 2016 2:00 PM
To: MCOH/EH
Cc: Occ-Env-Med-L at listserv.unc.edu<mailto:Occ-Env-Med-L at listserv.unc.edu>
Subject: Re: [MCOH-EH] Short-time volunteers in health care facilities
Hello Ed
Our general rule is if anyone is sharing more than 2 hours of air space with our patients they need TB in addition to MMRV immunity and Tdap.
Phil Adamo MD MPH
Sent from my iPhone
Sorry for typos
On Jun 16, 2016, at 11:43 AM, Galaid Edward I <Edward.Galaid at RoperSaintFrancis.com<mailto:Edward.Galaid at ropersaintfrancis.com>> wrote:
Cross posting to MCOH and OEM-L.
We have high school and college kids coming through during the summer for a wide range of volunteer and “shadowing” experiences …many of which are the patient care areas. They’re here for between 8 and 40 hours, total.
Is there a consensus as to what we need to do for them, from a medical clearance standpoint, stratified by how much time they’re with us. The least invasive is looking at their immunization records. The most invasive I guess is phlebotomy for an IGRA.
Thanks
Ed Galaid
Edward I. Galaid, MD, MPH
ABIM, ABPM
Medical Director, Occupational Health Partners
Roper St. Francis Healthcare Charleston, SC
Member, ACOEM Task Group on Medical Guidance for Law Enforcement Officers
Member, NFPA 1582 Writing Group - NFPA Technical Committee on Fire Fighter Safety and Health
843-906-0519
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