Darlene Davisson, Nurse Practitioner Jodi Bertagnolli, Nurse Clinician Employee Health 2nd floor - Ruby Memorial Hospital 6:30am – 4:30pm M-F 304-598-4160 Darlene Davisson, Nurse Practitioner Jodi Bertagnolli, Nurse Clinician

See Us For: Immunizations Laser Eye Exams(for specific departments only) Color blind testing (all residents) Flu shots, Hepatitis A vaccines and Lipid panels Reporting needlesticks and bloodborne pathogen exposures

Tuberculosis Testing IGRA blood test will be done on ALL new employees. If a PPD TB skin test is placed, employee must return for result reading at 48-72 hrs after placement. For those HCW’s with a history of a positive PPD, a copy of the most recent CXR is required. No annual TB test after initial onboarding TB testing is completed. (exception for TB exposure) Everyone will complete an annual online Health Review survey and OSHA Respiratory Survey, through Ready Set. An email will be sent to you during your birth month for completion. All new employee will be screened for TB by an IGRA blood draw. After your initial testing, no future TB testing is required. However, if someone is exposed to TB, additional testing will be required. During your birth month, our records storing system ReadySet will send you an email with to complete your annual Health Review. This must be completed for compliancy.

Required Immunizations * Hepatitis B vaccinations 1,2 & 3 * MMR (Measles, Mumps &Rubella) 1 & 2 * History of Varicella disease or Varivax 1 & 2 * Tdap (Tetanus, Diphtheria and Pertussis) then Tetanus/Diphtheria every 10 years. *Documentation of a positive titer for Hepatitis B, MMR, Varicella antibody level is acceptable. *In addition: Color Blind testing and OSHA Medical Evaluation will be required by all residents. Healthcare workers (HCWs) are at risk for exposure to serious, and sometimes deadly, diseases. If you work directly with patients or handle material that could spread infection, you should get appropriate vaccines to reduce the chance that you will get or spread vaccine-preventable diseases. Protect yourself, your patients, and your family members. Employee Health is here for you to be up-to-date with recommended vaccines

Respiratory Protection Effective April 1, 2011 WVU Healthcare implemented the use of PAPR (Powered Air Purifying Respirators) to enhance patient and staff safety. PAPR’s/CAPR’s are considered to be 50 to 1500 time more protective than the N95 respirator. CAPR’s can be located on crash carts, isolation carts and obtained through The Materials Management department. N95 mask will only be used in extreme emergency situations. Fit testing will only be done on an as needed basis for those required to wear a N95 mask. All residents will be required to complete an annual OSHA Medical Evaluation questionnaire.

Laser Eye Exam Required for: Anesthesiology, OB/GYN, Ophthalmology, ENT, Surgery, Urology, Dermatology and Pulmonary, CVIS and anyone with laser exposure. Exams are completed in Employee Health. Exams must be completed before Laser exposure. Exit Exam are offered

Bloodborne Pathogen Exposure Bloodborne pathogen exposures can occur via: Needlestick injuries, cuts or any sharp that penetrates the skin. Splash or spray of blood or fluid into the eyes, up the nose or into the mouth. Contact of blood or body fluid with open non-intact skin. One of the most important responsibilities Employee Health has is to help prevent and respond to bloodborne pathogen (BBP) exposure. Report any blood exposures at the time of the incident. Do not wait! It is very important that Employee Health is able to take the proper steps in providing you with the best possible care. Do not let the patient leave if an exposure happens, this will delay the response to for needed treatment or unnecessary prolactic treatment.

Bloodborne Pathogen Response Use soap and water to wash areas exposed to potentially infectious fluids as soon as possible after exposure. Flush exposed mucous membranes with water. Flush exposed eyes with water or saline solution. Immediately contact Employee Health (or during off hours to the House Supervisor / Clinical Manager – refer to Bloodborne Pathogen Protocol Sheet) Yet despite all we do to prevent accidents with needles and other exposures, they still occur. Wash area with soap and water for percutaneous exposures or flushing with water or saline for blood exposures to mucous membranes. s Do NOT apply caustic agents, or inject antiseptics or disinfectants into the wound.

Method to the Madness Bloodborne pathogen exposures are able to occur at any level or the organization and in any employee. Along with knowing how to decrease your chance of an exposure it is important to know how to decrease the spread of germs to patients, families and co-workers, through covering coughs and sneezes, as well as, hand hygiene tips.

Hand Hygiene Soap & Water When? 20 seconds WHOLE hand When visibly soiled or contaminated Alcohol Based Foam or Gel Routine cleaning When? Between patients Before and after gloving Before handling food After coughing or sneezing Before and after eating Before and after restroom Hand hygiene is an important tool to utilize when working in a healthcare facility. Not only are you helping to prevent the spreading of germs to yourself, you’re also helping to decrease the chances that a patient or co-worker has germs spread to them.

Reminders Contact Employee Health immediately if you have been exposed to a bloodborne pathogen OR (House Supervisor pager #1678 during off hours) with f/u EH next business day. Complete on-line incident report for any BBP exposure. You must receive an approval sheet from Employee Health to receive your ID badge.