12-03-13 rtw sop contingency company training
TRANSCRIPT
![Page 1: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/1.jpg)
GMP Return to Work&
Infectious Conditions(2-GEN-058)
Debbie Daniel, RN BSN COHN-S
![Page 2: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/2.jpg)
Impact to Business
As an example, between August 18 and December 25, 1987, 116 employees at the three futures exchanges in Chicago developed clinically diagnosed mumps. Three cases subsequently occurred in household contacts of affected exchange employees.
Twenty-one persons developed complications; nine were hospitalized.
![Page 3: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/3.jpg)
Impact to Business1. The direct medical costs were over $56,000, with the total work loss probably in excess of 700 days.
2. The potential tort liability was significant: the mumps virus induced premature labor in a pregnant employee. Fortunately, the labor was arrested, preventing a premature birth with the attendant liability for possible brain injury to the infant. The report of this epidemic does not discuss whether any of the infected men were rendered sterile.
![Page 4: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/4.jpg)
Symptoms of Infectious Diseases
• Cough – spread by droplets• Runny nose and/or congestion – spread by
mucus• Difficult or noisy breathing• Vomiting, nausea, or stomachache – spread by
dirty hands• Diarrhea – spread by dirty hands• Rash• ItchingSOP: 8.3 & 8.4, 9.6 & 9.9 & 9.10
![Page 5: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/5.jpg)
Symptoms of Infectious Diseases
• Drainage or irritation of eye or other infected body part
• Fever – disposable thermometers in First Aid rooms in both buildings.
• Aches or pains: Sore throat, Earache, Headache, Body ache
• Mouth sores• Swollen glands
SOP: 8.3 & 8.4, 9.6 & 9.9 & 9.10
![Page 6: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/6.jpg)
How Far Do Germs Fly?
Keep 6 feet or more away from a coughing or sneezing co-worker or family member
![Page 7: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/7.jpg)
Influenza•Contagious for 1 day prior to symptoms and up to 5 days after illness begins•Spread by respiratory droplets and direct contact•Prevent by cleaning surfaces and keep at least a 6 foot distance•Anti-influenza medications can prevent onset of illness after exposure or shorten length of illness
![Page 8: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/8.jpg)
Ringworm
•Acquired by direct or indirect contact with lesions or pets•Contagious as long as lesions are present•Not contagious 24 hours after treatment
![Page 9: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/9.jpg)
Ringworm Pictures
![Page 10: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/10.jpg)
Staphylococcal “staph” skin infections
Impetigo
Certain Types of Acne
![Page 11: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/11.jpg)
Staphylococcal “staph” skin infections
Folliculitis
Stye
![Page 12: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/12.jpg)
MRSA or Methicillin-resistantStaphylococcus Aureus
•Does not respond to usual antibiotics previously used to treat staphylococcus
•Certain antibiotics continue to be effective
•Spread by direct contact•Contagious until 24 hours after treatment started. •Pus is contagious—keep covered until lesions dry
![Page 13: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/13.jpg)
MRSA Pictures
MRSA can lead to Cellulitis
![Page 14: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/14.jpg)
Conjunctivitis/Pink Eye
•Highly contagious—up to 75% of those exposed will get it
•Acquired through direct and indirect contact
•Treatment
•Contagious until 24 hours after treatment starts
![Page 15: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/15.jpg)
Conjunctivitis or Pink Eye Pictures
![Page 16: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/16.jpg)
Varicella (chickenpox)
• Acquired through direct and indirect contact and respiratory droplets• Contagious 1-2 days prior to rash then 6 days after rash or until lesions crusted
![Page 17: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/17.jpg)
Chickenpox Picture
![Page 18: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/18.jpg)
Shingles
•Shingles is a reactivation of the varicella-zoster virus, a type of herpes virus that causes chickenpox. •Keep shingles rash covered in workplace to prevent transmission
![Page 19: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/19.jpg)
Strep Throat or Pharyngitis•Need to treat with antibiotics to prevent Rheumatic Fever
•Acquired through direct contact with …mucus
•You are contagious while you still have symptoms. Most people stop being contagious 24 hours after they start antibiotics. If you don't take antibiotics, you may be contagious for 2 to 3 weeks, even if your symptoms go away.
![Page 20: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/20.jpg)
Strep Throat or Pharyngitis Pictures
![Page 21: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/21.jpg)
Common Cold•Sore throat, runny nose, sneezing
•Acquired through direct and indirect contact (dirty tissues) and inhalation of respiratory droplets (Remember 5 ft!)
•Contagious for 24 hours before symptoms appear to 5 days after onset
•No need for isolation
![Page 22: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/22.jpg)
Scabies
• Infestation, not infection.• The most common symptoms are:
Intense itching, especially at nightA pimple-like rashScales or blistersSores caused by scratching
![Page 23: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/23.jpg)
Scabies•In its early stages, scabies may be mistaken for other skin conditions because the rash looks similar. This image compares acne, mosquito bites, and scabies.
![Page 24: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/24.jpg)
ScabiesWhat sets scabies apart is the relentless itch. Itching is usually most severe in children and the elderly. The female burrows under the skin at night to lay her eggs. On these pictures you can see an entrance and exit point.
![Page 25: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/25.jpg)
Basic Infection Control Rules• No Vomiting or Diarrhea for 24 hours• Fever less than 100 degrees for 24 hours
(without taking anything to artificially lower it-aspirin, Tylenol©, ibuprofen, or Aleve©)
• Cough and Secretions must be controlled (Runny nose and watery eyes)
SOP: 9.10
![Page 26: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/26.jpg)
Company Contact Interaction
RTW Note Absences Sick at Work GMP Absences
•Contractor sought medical treatment for possible infectious illness.•Any type of Surgery, whether or not any work was missed.
Company may contact Nurse
•No matter how many days off: current signs & symptoms (s/s).•Off for any infectious illness or disease.
Company may contact Nurse
•Contractor to notify on-site contact & call Company Supervisor before going home for possible infectious illness.•Contractor not feeling well but no s/s or OTC medication may take care of problem – when nurse onsite.
1. Blistered and/or peeling sunburn
2. Open sores or wounds3. Influenza or Upper
respiratory infection4. Gastrointestinal
infections (stomach flu)
5. Casts/Braces6. Eye infections7. Any Infectious
illnesses or disease8. Must get PRIOR
clearance to work in A&B areas.
SOP: 9.12 & 9.11 SOP: 9.9 & 8.5 SOP: 8.4 & 8.5SOP: 6.1 & 6.2, 8.3 & 8.4,
8.5 & 9.6
![Page 27: 12-03-13 RTW SOP Contingency Company Training](https://reader035.vdocument.in/reader035/viewer/2022062223/5886c6031a28abcc7d8b61e7/html5/thumbnails/27.jpg)
Why? To Protect Our Patientsand Our Families & Co-Workers