SLIDE 1
March 3, 2014
Occupational TB Exposure in Health Care
What’s really going on?
Elayne Preston Shannon Callaghan Nicole Colbert
Our Intentions
- Be Brilliant
- Be Bold
- Be Gone
2
Occupational TB Exposure in Health Care Whats really going on? - - PowerPoint PPT Presentation
Occupational TB Exposure in Health Care Whats really going on? - - PowerPoint PPT Presentation
Occupational TB Exposure in Health Care Whats really going on? March 3, 2014 Elayne Preston Shannon Callaghan Nicole Colbert Our Intentions Be Brilliant Be Bold Be Gone 2 Occupational Health Nurse Call Centre Agent
SLIDE 2
SLIDE 3
Occupational Health Nurse – Call Centre Agent
- Incident Reporting in a WH
Call Centre since 2007
- 2009
- Expanded to deliver
- ccupational health nursing to
FH using the WH Call Centre
- Easy access
- One number to call
- Kingdom wide
3
SLIDE 4
Hey, We could do this for the WHOLE Province!
4
And They Could Pay Us! And We’ll Be Rich – nope, this is healthcare!
SLIDE 5
Provincial Workplace Health Call Centre
5
- Fraser Health
- Vancouver Coastal Health
- Providence Health Care
- Island Health
- Interior Health
- Northern Health
- Provincial Health Services
- Emergency Health Services
SLIDE 6
3 Buckets of Work
- New Employee Health
Histories
- Blood / Body Fluid Exposures
(needle sticks & splashes)
- Communicable Disease
Exposures – including Tuberculosis
- 2000-3000 inbound
calls/month
6
SLIDE 7
Who does this work?
- Elayne Preston
– Manager OH services in the provincial WHCC
- Cathryn Smith
– Program Leader OH services in the WHCC (Supervisor)
- Bryan Heidinger
– Program Assistant
- 10 Occupational Health
Nurses
7
SLIDE 8
WHITE Databases – Event Management
8
SLIDE 9
WHITE Databases
9
SLIDE 10
How TB Works in the WHCC
10
Let us show you……
SLIDE 11
Challenges
- All initial TB exposure
management for Health Authority employees is done by the provincial WHCC
- One event can encompass
several health authorities + EHSC
- WHCC links with local OHNs to
do TB skin tests
- WHITE databases used
exclusively to document
- Need recommendations in
writing
- Clinical Co-ord Committees at
FH, VCH, NH
- Rely on ICP/PH information
about patient movement, crew #s, etc.
- Referrals to TB Control – we
don’t always get the end of the story
11
SLIDE 12
What are we seeing at FH?
- Foreign born, older adult, sick for
a while, weight loss, night sweats, thinks it is pneumonia, bounced around a bit with several hospital visits/stays
- In 2013
– 27 TB Events – 11 Facilities – 139 employees assessed – 125 exposed
12
SLIDE 13
Questions?
13