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Employee Health and Infection Prevention

Employee Health and Infection Prevention. Rose Rennell,RN,MS,COHN Campbell County Memorial Hospital Gillette,WY. Objectives. Identify key elements of a Comprehensive Employee Health Program. Understand the vital connection between Infection Prevention and Employee Health.

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Employee Health and Infection Prevention

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  1. Employee Health and Infection Prevention Rose Rennell,RN,MS,COHN Campbell County Memorial Hospital Gillette,WY

  2. Objectives • 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.

  3. Employee Health 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.

  4. Comprehensive Employee Health program • 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

  5. Exposure Control • 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

  6. Employee vaccinations • Flu Vaccine Campaign • Hepatitis B series • Tdap • Varivax • Zostravax • Pneumovax

  7. Fatigue management • 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.

  8. The Fatigued Worker • 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

  9. Return to Work/ Light duty • 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

  10. Light Duty • 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.

  11. A great Combination

  12. Employee exposure to disease • 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

  13. Tracking Employee illness

  14. Reporting methods • Hospital Supervisor- • Department managers/supervisors • Methods: Emails, faxing, phone, online • Collect info on: s/s, date(s) absence. • Any planned procedures/surgeries

  15. Trends to identify- 2 Way flow • IP monitors patient communicable disease occurrences- share with EH, ensure the right PPE is used. Do In time education. • GI s/s- diarrhea • Any time there is a cluster of illness within a department. • Monitor the Influenza activity. • Provide lab testing

  16. RESPIRATORY PROTECTION • 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 SURGICAL MASK N- 95 RESPIRATOR

  17. Additional options • Antiviral mask • Influenza only BioMask PAPR

  18. Selecting Safety designed sharps • 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.

  19. Length of employment Safety vs non safety device

  20. Compared 2012 -2013 devices

  21. National data • 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.

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

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