Occupational Health Flashcards
an effective OHP should have an effective psot-exposure management plan that includes what information?
-policies and procedures that address confidentailty of exposed and source persons and how to manage the exposure
-education and training of workers to address misconceptions and fears
-resources for rapid access to clinical care
-PEP
-recommendations for source testing for the source person and HCP
core antibody (anti-HBc) means what>
natural infection. Surface antibodies will be the only antibody found in vaccinated individuals.
when is someone with HBV excluded from work?
-when they perform exposure prone procedures
-exclude until HBV e antigen is negative
what are work restrictions for herpetic whitlow?
restrict from patient contact and patients environment
when should HBIG be administered (timeframe)
within 24 hours
what are the 3 players in the notification process?
- exposed public safety or emergency response employee
- the DICO
- the representative from the medical facility to which the source patient was transported
describe the process for BBP exposures
-call DICO
-DICO determines whether exposure occured
-if it did, DICO will contact the medical facility to which the patient was transported to request source patient testing
What does the DICO do?
act as a liason between the medical facility and exposed emergency response personnel
-they establish whether an actual exposure occured
when is the HCV antibody test recommended?
4-6 months after exposure
-followup testing is not currently recommended for HCP exposed to blood from a source patient that tests positive for HCV antibodies but negative for HCV RNA.
when is testing after HIV exposure done?
initial, 12 weeks, 6 months
when is measles transmitted?
3-4 days before the rash appears.
true or false. HCP have a 13x greater risk of measles acquisition/
true
what is the mumps incubatin?
16-18 days. healthcare transmission is uncommon
when is varicella contagious?
2 days before symptoms onset
for HCP who don’t have blood test immunity to MMR, what is the vaccine schedule?
measles or mumps: 2 doses
rubella: one dose
lab workers exposed to meningococcus should get what vaccines?
meningococcal conjugate vaccine and serogroup B meningococcal vaccine
true or false. Physical exams have not been shown to be cost-effective for reducing injuries and illness or preventing infections?
True
what are the 3 TB risk screening classification?
- low risk
- medium risk
- potential ongoing transmission
What is the screening protocol for individuals who have documented history of having tested positive for TB?
-baseline individual risk assessment and TB symptom screen upon hire
-a repeat TB test is not required
is annual TB testing recommended?
No unless there is an exposure
what are some goals of an effective HCP immunization program?
-high rates of immunization: 100% goal. Religious and medical exemptions/proof of immunity
-device and implement specific vaccine policies: determine which diseases to include and have immunizations addressing them
-education about vaccines: benefits and risks of a vaccine. Continue updates as new info emerges. communicate rates and outbreaks caused by VPD routinely.
-justify the cost: prevention vs. controlling outbreaks
how can you enforce mandatory vaccines?
-send notices
-follow up with those who have declined for medical reasons to evaluate whether contraindications still apply
-require as a condition of employment
-remove from schedule
-relate compliance with performance appraisals or credentialing
-enforcing disciplinary action for HCO who fail to get vaccinated
how can you address common vaccine uptake barriers?
-schedule convenient times for immunizations
-subsize costs
-educational programs
