Occupational TB Exposure in Health Care Whats really going on? - PowerPoint PPT Presentation

Occupational TB Exposure in Health Care What’s 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 • Incident Reporting in a WH Call Centre since 2007 • 2009 • Expanded to deliver occupational health nursing to FH using the WH Call Centre • Easy access • One number to call • Kingdom wide 3

Hey, We could do this for the WHOLE Province! And They Could Pay Us! And We’ll Be Rich – nope, this is healthcare! 4

Provincial Workplace Health Call Centre • Interior Health • Fraser Health • Northern Health • Vancouver Coastal Health • Provincial Health Services • Providence Health Care • Emergency Health Services • Island Health 5

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

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

WHITE Databases – Event Management 8

WHITE Databases 9

How TB Works in the WHCC Let us show you…… 10

Challenges • All initial TB exposure • Need recommendations in management for Health writing Authority employees is done by • Clinical Co-ord Committees at the provincial WHCC FH, VCH, NH • One event can encompass • Rely on ICP/PH information several health authorities + about patient movement, EHSC crew #s, etc. • WHCC links with local OHNs to • Referrals to TB Control – we do TB skin tests don’t always get the end of • WHITE databases used the story exclusively to document 11

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

Questions? 13