Rose Rennell,RN,MS,COHNCampbell County Memorial Hospital

Gillette,WY

Identify key elements of a Comprehensive Employee Health Program.

Understand the vital connection between Infection Prevention and Employee Health.

Identify key elements of a Return to Work Program.

Focus is on the employee Provide a safe working environment Provide the necessary tools and knowledge

for employee to do their job safely. Promote health and well-being of employee.

Exposure control Annual Screens/ Health Review TB testing - frequency? Employee Vaccinations Injury Prevention Safe Patient Handling Return to Work/ Light Duty Employee Advocate Illness tracking

Beyond the Exposure Control Plan◦ PPE

Gloves: Latex – nitrile – vinyl Goggles / face shield

◦ Blood borne pathogens◦ Respiratory Protection

N-95 fit testing vs PAPR Surgical mask – Bio mask

◦ Needlestick/BBF post exposure protocol Safety designed sharps Safe needle practices

◦ Hazardous Drug Medical Surveillance

Flu Vaccine Campaign Hepatitis B series Tdap Varivax Zostravax Pneumovax

Improves quality of life for the shift worker Improves productivity and safety for the

employer Employer and Employee must work

together to manage the risk and hazards to prevent fatigue related injury and illness.

reacts more slowly shows poor logic and judgment unable to concentrate, more forgetful loss of appetite, digestive problems decreased immune response Increased cardiac related illness Increased premature labor Increased medication errors

No set recommendations Loss of strength/ de-conditioning 7-10days. Functional job demand determination Pre-work screen-return to work screen-same

◦ > 15 days absence or > 14 days light duty◦ Abdominal surgery◦ Completed prior to reporting to work

Release from physician with stated restrictions

Able to perform normal duties with modifications.

Duration is 8-12 weeks Home dept preferred, or place alternate

dept Consensus with manager/employee/EH RTW screen when released full duty.

Pertussis, N. Meningitides, Influenza? Collect data- who exposed? When? EH reviews vaccination status of exposed

workers EH / IP / IP physician collaboration EH arranges physician referral and tx EH contacts employee for appropriate FU

Hospital Supervisor- Department managers/supervisors

Methods: Emails, faxing, phone, online

Collect info on: s/s, date(s) absence. Any planned procedures/surgeries

GI s/s- diarrhea Any time there is a

cluster of illness within a department.

Monitor the Influenza activity.

Provide lab testing

IP monitors patient communicable disease occurrences- share with EH, ensure the right PPE is used. Do In time education.

SURGICAL MASK N- 95 RESPIRATOR

Filters to 1 micron Effective rate 11.05 to

97.86 ( brand dependent)

Filters to 0.5 micron Effective rate 98.4-

99.8 ( NIOSH) Requires fit testing

BioMask PAPR

Antiviral mask Influenza only

Needlestick Prevention Act 2001 Review your Exposure Log for trends Search top sharp manufacturers for devices

available, work with MM Conduct trials for staff input. Work with Nursing Leadership for final

selection and implementation.

Length of employmentSafety vs non safetydevice

AOHP- EXPO-STAT research for rates in 2011◦ 125 hospitals in 29 States◦ Indicates 321,907 sharp injures, 119,437 BBF

2011◦ Sharp Injury rate overall was 24 per 100 occupied

beds, or as◦ 1.89 per 100 FTE, or 0.53 per 1,000 adjusted

patient days.

CDC, OSHA, NIOSH guidelines AOHP- district, regional, National Other EHN in Wy and CO ANA