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[This special issue of Same-Day Surgery focuses on the most significant infection control issues facing ambulatory surgery managers. In our cover package, we tell you about a recent pilot study that found infection control practices were lacking, and we share lessons learned. Also in this issue, we tell you about a new guideline from the Society for Healthcare Epidemiology of America (SHEA) regarding the management of providers who are infected with hepatitis B, hepatitis C, and HIV. We let you know how this guideline will impact your day-to-day practice.]
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So many elderly patients in the ED are lonely, often troubled by depression, victims of abuse, or facing end-of-life decisions. The emergency physician often is called upon to handle these concerns.
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Do some health care workers infected with HIV or hepatitis B or C pose a risk to their patients? Should they be restricted from performing exposure-prone procedures?
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Kathleen Liever, an Employment Law Associate at Fowler White Boggs in Tampa, FL, says that you should take these steps now to comply with the Genetic Information Nondiscrimination Act (GINA) of 2008:
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Susan A. Randolph, MSN, RN, COHN-S, FAAOHN, clinical assistant professor of the Occupational Health Nursing Program at University of North Carolina at Chapel Hill, says that you should plan occupational health programs and services with these factors in mind:
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When Minneapolis, MN-based General Mills surveyed employees about wellness, they got some good news. "We were quite surprised by finding that employees were very positive, and in fact, wanted more health and fitness activities and events," says Tim Crimmins, MD, vice president of Health, Safety and Environment.
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Consider yourself a member of the "worker's compensation team" as a strategy to reduce costs, says Mary (Penny) B. Nicholls, RN, CCM, COHN-S, a disability consultant with Alabama Power Company in Birmingham and a member of the advisory board for the Deep South Center for Occupational Health & Safety at the University of Alabama at Birmingham.