1 / 22

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.

quincy-mcneil
Download Presentation

Employee Health and Infection Prevention

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  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

More Related