Program Manual - Saint Louis University

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Employee Health POLICY It is the policy of Saint Louis University that there will be an active Employee Health program developed by the Employee Health staff. The program is to be approved by the SLUHospital Infection Control Committee. SLUCare physicians are members of the committee. The SLUCare program is to be in accordance with Saint Louis University Hospital's (SLUH) approved program from the Infection Control Committee, the SLUHospital Medical Executive Committee, and Administration. In this manual, “health care worker” (HCW) is defined as any person with activities in a health care environment who is at risk for exposure to diseases or who may possibly transmit vaccine preventable diseases. These activities are not limited to contact with patients, blood, or other body fluids from patients. Other types of contact may include: contaminated medical supplies, contaminated medical equipment, contaminated environmental surfaces, or contaminated air. It is recognized that individuals can be subjected to substantial risks associated with exposures even during brief sporadic contact with patients and the health care environment. Personnel classifications may include: attending clinician, autopsy personnel, clerical staff, contractor, dental personnel, dietary worker, emergency medical service personnel, environmental services staff, maintenance worker, medical research lab worker, public safety worker, student, volunteer. It is the policy of Saint Louis University SLUCare that the Employee Health program will include all HCWs with activities at approved health care facilities. The determination of need for work-related health care services will be based on the nature of hazards in the health care environment, the intensity and frequency of health care worker exposure to these hazards, and overall risk assessment. These principles apply to Employee Health policies and procedures. These should not be applied to work related injuries and illnesses. In contrast to Employee Health issues, appropriate worker’s compensation procedures are determined by the employment status of an individual. PURPOSE 1. To perform health assessments at the time of employment to ensure that the HCWs can perform essential functions of the job without undo risk to themselves, fellow HCWs, patients, or visitors. 2. To screen for immunity and ensure appropriate immunizations of all HCWs. 3. To provide evaluation after exposure to potentially infectious diseases and offer appropriate prophylaxis to HCWs who are exposed to infectious diseases or hazards. 4. To provide HCWs with a tuberculosis control program in accordance with the guidelines of the Center for Disease Control, American Thoracic Society, American Lung Society, Public Health Department, and Occupational Safety and Health Administration. To identify HCWs at risk for tuberculosis disease. To investigate and manage tuberculosis infection or tuberculosis disease in HCWs on a routine basis and after exposures to tuberculosis source cases. To prevent transmission and development of tuberculosis disease in HCWs. 5. To evaluate and provide work restrictions for HCWs with non-work related infectious diseases. 6. To provide medical treatment and case management services to employees for work related illnesses or injuries. To provide appropriate work restrictions for work related illnesses or injuries. 7. To maintain accurate Employee Health records. PROCEDURE I. Pre-placement Evaluations II. Immunizations III. Post-exposure Evaluation and Prophylaxis IV. Tuberculosis Policy V. Communicable Disease Work Restrictions VI. Work Related Illnesses/Injuries VII. Maintenance of Health Records E-1
I. Pre-Placement Evaluation A. Medical history. B. Nurse exam. C. Physician review with further exam only as indicated by history or the job. D. Job description - review of essential functions of the job. E. Immunity to Varicella will be documented. F. Immunity to Rubella will be documented. G. Immunity to Measles will be documented. H. Immunity to Hepatitis B will be documented. I. Immunity to Tetanus will be documented. J. Absence of active pulmonary Tuberculosis will be documented. K. Respirator Fit Testing procedure will be done for all direct patient contact HCWs. L. Protective eye wear will be supplied to all direct patient contact HCWs. M. Education by use and demonstration of available needle-less systems and of available sharps with engineered sharps injury protection. N. Absence of artificial nails will documented for all direct patient contact HCWs. O. Education by use and demonstration of SLUCare approved hand hygiene program. II. Immunizations A. Hepatitis B Vaccination: This procedure is written to comply with 1910.1030 Occupational Safety and Health Standard – Toxic and Hazardous Substances – Bloodborne Pathogens. One of #1 - #5 must be completed. 1. HCW provides documentation of positive quantitative antibody to hepatitis B surface antigen. 2. If the HCW is in the process of getting the three-shot series, the series will be completed as appropriate. 3. If the HCW has completed the three-shot series, quantitative antibody to hepatitis B surface antigen will be obtained. 4. If the HCW has not received the vaccine previously, the three-shot series is initiated. 5. If the HCW does not wish to receive the vaccine, a Hepatitis B vaccination refusal must signed. 6. Follow up appointments. a. One month and six month vaccinations will be scheduled at Employee Health. b. One month following the completion of the three-shot series, quantitative antibody to hepatitis B surface antigen will be scheduled at Employee Health. 1) If quantitative antibody to hepatitis B surface antigen is positive, no further action needed. 2) If quantitative antibody to hepatitis B surface antigen is negative, a second three-shot series is initiated. One month following the completion of the second three-shot series, quantitative antibody to hepatitis B surface antigen will be obtained. a) If quantitative antibody to hepatitis B surface antigen is positive, no further action needed. b) If quantitative antibody to hepatitis B surface antigen is negative, the HCW is considered a non-responder. The HCW will be counseled regarding precautions to prevent HBV infection and the procedure for post-exposure evaluation in case of exposure to blood or other potentially infectious material. 7. Follow up testing for existing HCWs: Quantitative antibody to Hepatitis B surface antigen testing is done following blood borne pathogen exposures if not previously documented in the Employee Health HCW file. 8. Records of screening and/or vaccination will be maintained in the Employee Health HCW file. E-2
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Advanced Dental Education Program i
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GRADUATE ORTHODONTICS PROGRAM MANUA
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The Center For Advanced Dental Educ
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This effort leads to the preparatio
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Dr. Peter H. Buschang (Adjunct Prof
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Dr. Jason Cope (Adjunct Associate P
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Dr. Ernst Taeger (Adjunct Professor
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Saint Louis University Graduate Sch
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SAINT LOUIS UNIVERSITY Center for A
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SERVICE 7. Inculcate both the abili
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• utilize appropriate infection c
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Course List 2009 501 Fundamentals o
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SAINT LOUIS UNIVERSITY CENTER FOR A
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A. Respect for all individuals in t
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at Saint Louis University. Procedur
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• sharing dental or personal deta
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Center For Advanced Dental Educatio
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26 — Admission Policies and Proce
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28 — Admission Policies and Proce
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Acquittal or exoneration of a membe
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E. Members should become familiar w
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Page 47 and 48: E. PATIENT RECORDS Patient records,
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Page 118 and 119: Legal Issues adequacy of clinical r
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Page 128 and 129: FIRST YEAR GRADUATE ORTHODONTIC RES
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Page 132 and 133: CENTER FOR ADVANCED DENTAL EDUCATIO
Page 134 and 135: SAINT LOUIS UNIVERSITY CENTER FOR A
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Maps Directions I HSC Library I Sai
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DEMKO, Dr. Richard Assoc. Clinic Pr
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MILLER, Dr. Jackie 1015 G Washingto
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Mathina. Donna 4704 Candace Dr. St.
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REGISTRATION You will be for three
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Dear Orthodontic Residents: I am pl
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MEMO To: New Residents From: Kathy
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Asha Madhavji 1005 Mississippi Ave.
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i Dan Lovell 1415 Dorothy Ave. Alto
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LONG DISTANCE CODE You will need to
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SAINT LOUIS UNIVERSITY Department o
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o ARTICULATORS Al\l) FACEBOWS - The
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American Vision LP Instrument MISCA
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The Center for Advanced Dental Educ
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• The Center for Advanced Dental
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July 1, 2009 Dear Colleague: 1402 S
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c. Protection is afforded to each p
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occur during the providing of emerg
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combined aggregate. Insurance prote
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SLU Mission Statement The Mission o
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General Information THE UNIVERSITY
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10 - General Information is availab
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THE GRADUATE SCHOOL Administration
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History [Department of History]: M.
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Admission Policies and Procedures A
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applicant forwards transcripts and/
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TUITION/FEES/DEPOSITS Tuition and f
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22 - AdmissionPolicies and Procedur
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24 Admission Policies and Procedure
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26 Admission Policies and Procedure
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28 - Admission Policies and Procedu
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nation will not be scheduled during
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Upon authorization by the Graduate
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envisioned. In particular, the draf
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38 6CR5: Doctor of Philosophy Degre
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and the writing and defense of a th
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sis and treatment of patients at th
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HEALTH CARE ETHICS James M. DuBois,
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Health Care Ethics identify major a
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University Administration and Gradu
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Peter Bernhardt Ph.D., University o
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Noelle Fearn Ph.D., University of M
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David Kaplan Ph.D., University of I
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Paul A. Meluik D.D.S .• Washingto
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KeVlll Rowland Ph.D., West Virginia
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160 Administration and Graduate Fac
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Health Management and Policy, Depar
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Program Manual - Saint Louis University

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