Rose Rennell,RN,MS,COHN Campbell 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: s, 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 MASKN- 95 RESPIRATOR  Filters to 1 micron  Effective rate to ( brand dependent)  Filters to 0.5 micron  Effective rate ( NIOSH)  Requires fit testing

BioMaskPAPR  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 employment Safety vs non safety device

 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