Employee Health Department Highlights

1. Employee Health Department Highlights Employee Health

2. Employee Health Department Goals • Employee Health seeks to provide employees the education, resources and any other assistance needed to perform their job safely and promote physical health through preventive care. Employee Health

3. Employee Health • Employee Health will attain their goal by evaluation, interviewing, monitoring, reporting/ record keeping, teaching, counseling and making referrals to other health care providers. Employee Health

4. Employee Health • Employee Health health requirements are regulated by Department of Health and OSHA. • Other non-regulated services follows CDC and The Joint Commission recommendations. • Staff are required to fulfill certain health requirements for pre-employment and annually during employment. • Example TB screening,health screening and respirator fitting. Employee Health

5. Employee Health Clinic • Employee Health Personnel: • Office hours Employee Health

6. Services Offered Employee Health

7. Services Offered • Tuberculosis screening • Vaccinations available: • T-DAP (Tetanus-Diphtheria-Pertussis) • MMR (Measles, Mumps, Rubella) • Influenza • Hepatitis B • Varivax (certain job classifications) Employee Health

8. Services Offered • Employment laboratory screening • Health Records (hard copies maintained in Human Resources) • Work site injury • Exposure follow-up • First aid and BP monitoring • Counseling and referrals Employee Health

9. Tuberculosis Employee Health

10. Tuberculosis • TB is a disease caused by germs that are spread from person to person through the air. • TB usually affects the lungs, but it can also affect other parts of the body, such as the brain, the kidneys, or the spine. • A person with TB can die if they do not get treatment. Employee Health

11. People with latent TB infection have TB germs in their bodies, but they are not sick because the germs are not active. They do not have symptoms, and cannot spread TB. People with TB disease are sick from TB germs that are active, usually have symptoms of TB disease. People with TB disease of the lungs or throat can spread TB germs. What is the difference between Latent TB Infection and TB Disease? Employee Health

12. Tuberculosis • Symptoms of TB. • Feelings of sickness, fatigue or weakness; weight loss; fever and night sweats; coughing, chest pain, and the coughing up of blood. • Symptoms of TB disease in other parts of the body depend on the area affected. • Additional information can be found at www.cdc.gov/tb . Employee Health

13. Health Care Particulate Respirator and Surgical Mask • 3M 1860/1860S disposable particulate respirator are N95 respirators. • Designed to provide respiratory protection for the wearer to airborne transmissible diseases. • This product has a filter efficiency level of 95% or greater against particulate aerosols free of oil. Employee Health

14. Health Care Particulate Respirator • Full beards or excessive facial hair prevents a good facial seal with the disposable respirator and it’s usage is contraindicated. • If you fail the respirator fit testing or usage of the respirator is contraindicated, please see Employee Health. • When transporting a patient with an airborne transmittable disease, place an isolation mask on the patient. Employee Health

15. What are Bloodborne Pathogens? • Infectious materials in the blood which can cause disease in humans • Exposure can result in serious illness or death Employee Health

16. Who’s at risk? • Anyone who handles blood, blood components or body fluids • Anyone who touches potentially contaminated equipment or surfaces Employee Health

17. How are bloodborne disease transmitted? • Contaminated sharps injuries (needle sticks, broken glass, scalpel blades) • Mucous membrane splash (eye, mouth, nose) • Contact on non intact skin (cuts, rash, blisters, hangnails) Employee Health

18. Bloodborne Pathogens of Concern • Hepatitis B • Hepatitis C • HIV/AIDS Employee Health

19. Hepatitis B • Infection of the liver • Can lead to cirrhosis, liver cancer and death • 20% risk of infection from a contaminated sharp • Virus can survive in dried blood up to 7 days Employee Health

20. Hepatitis C • Most common chronic bloodborne infection in US • Causes liver damage, cirrhosis and liver cancer • Leading reason for liver transplant • 2% risk of infection by contaminated sharp Employee Health

21. Symptoms of viral hepatitis are similar and can include one or more of the following: Fever Fatigue Loss of appetite Nausea Vomiting Abdominal Pain Clay-colored bowel movements Joint pain Jaundice Hepatitis Employee Health

22. Hepatitis • Hepatitis A Vaccination: 2 doses given 6 months apart. Check with PMD for vaccination. • Hepatitis B Preventative vaccination: 3 doses given over 6 months. • Hepatitis C Preventive Vaccination: there is no vaccine for hepatitis C. There are 50,000 needlesticks annually related to HCV infected patients Employee Health

23. HIV/AIDS • Attacks the body’s immune system • Unable to fight off other infections • No Vaccine and No Cure • >6,000 new infections every day Employee Health

24. Symptoms of HIV • Mild flu-like symptoms initially (fever, swollen glands) • May be free of symptoms for months to years • Eventually leads to AIDS and death Employee Health

25. Employee Bloodborne Pathogen Exposure and Prophylaxis Procedure • PURPOSE:To provide direction to staff members in the event of a blood and/or body fluids exposure, needlestick or percutaneous injury. • Immediate First Aid . • If life-threatening, seek treatment in the Emergency Department (ED). • If not life-threatening, perform immediate first aid to the exposure site. Employee Health

26. Employee Bloodborne Pathogen Exposure and Prophylaxis Procedure • Wash wounds or skin with soap and water for at least 20 seconds. • Cover with bandage to prevent further contamination. • Flush mucous membranes with copious amounts of water or saline. • Flush eyes for at least 10-15 minutes with water or saline solution as soon as possible. Employee Health

27. Employee Bloodborne Pathogen Exposure and Prophylaxis Procedure Notification and Evaluation. • Notify designated Charge person, Supervisor/Manager or Department Head. • Notify Employee Health. • Notify House Supervisor if Employee Health is not available: • Employees are to complete Employee Accident Investigation Form Employee Health

28. Employee Bloodborne Pathogen Exposure and Prophylaxis Procedure • If Employee Health is unavailable, seek care from the Emergency Department. • If you are seen in the ED, leave a voicemail message on Ext. with your contact information and a brief message of the event. Employee Health

29. Safety Tips Handling Sharps • Safety Tips. • Never recap needles, bend, or remove. Activate Safety Features • Dispose of used needles in appropriate sharps disposal containers. DON’T OVERFILL, change when reaches fill line • Use appropriate barriers like gloves, eye and face protection, or gowns when known contact with blood-borne pathogens is expected. Employee Health

30. Influenza(Flu) • It is caused by the influenza virus, which can be spread by coughing, sneezing, or nasal secretions. • Anyone can get influenza, but rates of infection are highest among children. For most people, it lasts only a few days. • Flu can cause high fever and pneumonia, and make existing medical conditions worse. Employee Health

31. Influenza • On average, 226,000 people are hospitalized every year because of influenza and 36,000 die – mostly elderly. • Employee Health offers the influenza vaccine every year at no cost. • Influenza vaccine can prevent influenza. Employee Health

32. Influenza • It can cause: • Fever-low (99 F) to high (104 F) usually for 3 days, but may persist for 4 to 8 days. Sometimes fever will go away and return a day later. • Sore throat. • Chills. • Fatigue. • Cough. • Headache. • Muscle aches. Employee Health

33. Influenza • If you have some of these symptoms: • STAY HOME • Rest • Drink Fluids • Take fever reducers (acetaminophen or ibuprofen) Unless you have allergy Employee Health

34. Influenza • But if you: • Are unable to drink enough fluids (urine becomes dark; you may feel dizzy when standing). • Have fever for more than 3 to 5 days. • Feel better, than develop a fever again. • CALL your healthcare provider. Employee Health

35. Latex • Latex allergy S&S: • Red swollen skin, rash, hives, or welts. • Eye tearing or irritation. • Sneezing; Wheezing; Coughing. • Itching. • Difficulty breathing; Chest pains, irregular heart rate. • In severe reactions: anaphylaxis or death can occur. • If you believe you have a latex allergy notify and consult with Employee Health. Employee Health

36. Sick • Stay home when you are sick • If your are contagious check with your Doctor when you can return to work • Call Employee Health for any questions when to stay home and return Employee Health

37. Employee Assistance Program(EAP) WorkLife • A program that helps resolve problems that affect employees personal lives or job performance by providing confidential, professional assistance. • Available to employees and their immediate family member(s). Employee Health

38. Employee Assistance Program(EAP) WorkLife • Services are provided at no cost to the employee or family member(s). • Remember its voluntary, free, and confidential (WorkLife). Employee Health

39. Summary • Remember we do annual TB screening based on your assigned department. • Remember to complete your Physicals. • We welcome and look forward to seeing you for your annual update, flu vaccines and any other employee health issues. • MMMC is a smoke free campus Employee Health