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	<title>Comments for OSHA Healthcare Advisor</title>
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		<title>Comment on Authors of N95 study retract findings by Steve</title>
		<link>http://blogs.hcpro.com/osha/2009/11/authors-of-n95-study-retract-findings/comment-page-1/#comment-822</link>
		<dc:creator>Steve</dc:creator>
		<pubDate>Wed, 04 Nov 2009 22:48:52 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.hcpro.com/osha/?p=7430#comment-822</guid>
		<description>Thank You Carol.  Let us not forget some of these very ill patients may actually have TB. A surgical mask is not recommended here.</description>
		<content:encoded><![CDATA[<p>Thank You Carol.  Let us not forget some of these very ill patients may actually have TB. A surgical mask is not recommended here.</p>
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		<title>Comment on Authors of N95 study retract findings by carol</title>
		<link>http://blogs.hcpro.com/osha/2009/11/authors-of-n95-study-retract-findings/comment-page-1/#comment-821</link>
		<dc:creator>carol</dc:creator>
		<pubDate>Wed, 04 Nov 2009 16:23:37 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.hcpro.com/osha/?p=7430#comment-821</guid>
		<description>We are so focused on the H1N1, we seem to forget about all the other highly contagious, infectious diseases that are out there and also need to protect healthcare workers from.</description>
		<content:encoded><![CDATA[<p>We are so focused on the H1N1, we seem to forget about all the other highly contagious, infectious diseases that are out there and also need to protect healthcare workers from.</p>
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		<title>Comment on Authors of N95 study retract findings by David LaHoda</title>
		<link>http://blogs.hcpro.com/osha/2009/11/authors-of-n95-study-retract-findings/comment-page-1/#comment-820</link>
		<dc:creator>David LaHoda</dc:creator>
		<pubDate>Wed, 04 Nov 2009 15:33:28 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.hcpro.com/osha/?p=7430#comment-820</guid>
		<description>While still awaiting the OSHA enforcement guideline for H1N1,  my advice is to follow the CDC interim guidelines which allows for prioritization of N95s based on shortages.

If shortages are not a problem the guidance still recommends fit-tested N95s over face masks when in close contact with confirmed or suspected H1N1 patients. 

If your are not going to use N95s than I suggest a close adherence to the hierarchy of controls listed in this post:

&lt;a href=&quot;//blogs.hcpro.com/osha/2009/10/fast-track-guide-to-h1n1-osha-compliance/&quot; rel=&quot;nofollow&quot;&gt;&quot;Fast-track guide to H1N1 OSHA compliance&quot;&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>While still awaiting the OSHA enforcement guideline for H1N1,  my advice is to follow the CDC interim guidelines which allows for prioritization of N95s based on shortages.</p>
<p>If shortages are not a problem the guidance still recommends fit-tested N95s over face masks when in close contact with confirmed or suspected H1N1 patients. </p>
<p>If your are not going to use N95s than I suggest a close adherence to the hierarchy of controls listed in this post:</p>
<p><a href="//blogs.hcpro.com/osha/2009/10/fast-track-guide-to-h1n1-osha-compliance/" rel="nofollow">&#8220;Fast-track guide to H1N1 OSHA compliance&#8221;</a></p>
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		<title>Comment on Authors of N95 study retract findings by Teresa Deaver</title>
		<link>http://blogs.hcpro.com/osha/2009/11/authors-of-n95-study-retract-findings/comment-page-1/#comment-819</link>
		<dc:creator>Teresa Deaver</dc:creator>
		<pubDate>Wed, 04 Nov 2009 15:30:00 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.hcpro.com/osha/?p=7430#comment-819</guid>
		<description>Since CDC recommendations were based on this study from WALES, is there any hope that CDC will revere it&#039;s decision???</description>
		<content:encoded><![CDATA[<p>Since CDC recommendations were based on this study from WALES, is there any hope that CDC will revere it&#8217;s decision???</p>
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		<title>Comment on Authors of N95 study retract findings by Sarah Maney</title>
		<link>http://blogs.hcpro.com/osha/2009/11/authors-of-n95-study-retract-findings/comment-page-1/#comment-818</link>
		<dc:creator>Sarah Maney</dc:creator>
		<pubDate>Wed, 04 Nov 2009 15:20:45 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.hcpro.com/osha/?p=7430#comment-818</guid>
		<description>Ug. So is it still a &quot;good faith measure&quot; to proceed with fit-testing with the N95s at this point?</description>
		<content:encoded><![CDATA[<p>Ug. So is it still a &#8220;good faith measure&#8221; to proceed with fit-testing with the N95s at this point?</p>
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		<title>Comment on Droplet precautions, car waiting rooms, and other H1N1 tips from the field by Kimberly McHatton</title>
		<link>http://blogs.hcpro.com/osha/2009/10/droplet-precautions-car-waiting-rooms-and-other-h1n1-tips-from-the-field/comment-page-1/#comment-817</link>
		<dc:creator>Kimberly McHatton</dc:creator>
		<pubDate>Wed, 04 Nov 2009 13:48:32 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.hcpro.com/osha/?p=6952#comment-817</guid>
		<description>If a client is diagnosed with the influenza like illness and it is suspected to be the H1N1 virus,how long do they stay in droplet precautions?
I have recommended that patients stay in isloation for 7 days and no longer symptomatic, whichever is the longest. And of course being afebrile for 24 hours without the use of fever reducing medications.  Is this correct?</description>
		<content:encoded><![CDATA[<p>If a client is diagnosed with the influenza like illness and it is suspected to be the H1N1 virus,how long do they stay in droplet precautions?<br />
I have recommended that patients stay in isloation for 7 days and no longer symptomatic, whichever is the longest. And of course being afebrile for 24 hours without the use of fever reducing medications.  Is this correct?</p>
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		<title>Comment on Just for laughs, what&#8217;s wrong with this picture? by David LaHoda</title>
		<link>http://blogs.hcpro.com/osha/2009/06/just-for-laughs-whats-wrong-with-this-picture/comment-page-1/#comment-816</link>
		<dc:creator>David LaHoda</dc:creator>
		<pubDate>Wed, 04 Nov 2009 13:01:18 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.hcpro.com/osha/?p=746#comment-816</guid>
		<description>Links to purchase it are above and &lt;a href=&quot;http://www.hcmarketplace.com/prod-5626-EOSHAB/Respirator-Safety-for-Healthcare-Workers.html&quot; rel=&quot;nofollow&quot;&gt;here.&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>Links to purchase it are above and <a href="http://www.hcmarketplace.com/prod-5626-EOSHAB/Respirator-Safety-for-Healthcare-Workers.html" rel="nofollow">here.</a></p>
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		<title>Comment on Just for laughs, what&#8217;s wrong with this picture? by Myrna M. De Fiesta</title>
		<link>http://blogs.hcpro.com/osha/2009/06/just-for-laughs-whats-wrong-with-this-picture/comment-page-1/#comment-815</link>
		<dc:creator>Myrna M. De Fiesta</dc:creator>
		<pubDate>Wed, 04 Nov 2009 11:46:05 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.hcpro.com/osha/?p=746#comment-815</guid>
		<description>How can we avail of this video, &quot;Respirator Safety for Healthcare Workers&quot;, we need it for our training program for Pandemic Influenza.

Thank you.</description>
		<content:encoded><![CDATA[<p>How can we avail of this video, &#8220;Respirator Safety for Healthcare Workers&#8221;, we need it for our training program for Pandemic Influenza.</p>
<p>Thank you.</p>
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		<title>Comment on Ask the expert: Sticks with non-contaminated needles by Rosemary Gray</title>
		<link>http://blogs.hcpro.com/osha/2009/10/ask-the-expert-sticks-with-non-contaminated-needles/comment-page-1/#comment-814</link>
		<dc:creator>Rosemary Gray</dc:creator>
		<pubDate>Tue, 03 Nov 2009 18:57:09 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.hcpro.com/osha/?p=6994#comment-814</guid>
		<description>If the source patient is negative for all ( HIV,HepB and HepC )do you need to do follow up on the person that had the sharp  exposure.We do a baseline on the employee and follow up for 3 months if every thing is negative for the source pt. Some hospitals tell me if every test for the source is negative they only follow up if the employee wants to at 3 months.Can you clarify the standard

Thank You
Rosemary Gray</description>
		<content:encoded><![CDATA[<p>If the source patient is negative for all ( HIV,HepB and HepC )do you need to do follow up on the person that had the sharp  exposure.We do a baseline on the employee and follow up for 3 months if every thing is negative for the source pt. Some hospitals tell me if every test for the source is negative they only follow up if the employee wants to at 3 months.Can you clarify the standard</p>
<p>Thank You<br />
Rosemary Gray</p>
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		<title>Comment on ANA nixes forced flu shots, except under special circumstances by Maureen Luschini</title>
		<link>http://blogs.hcpro.com/osha/2009/10/ana-nixes-forced-flu-shots-except-under-special-circumstances/comment-page-1/#comment-813</link>
		<dc:creator>Maureen Luschini</dc:creator>
		<pubDate>Tue, 03 Nov 2009 18:19:17 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.hcpro.com/osha/?p=7306#comment-813</guid>
		<description>Under bulleted item above: no discrimination against nurses choosing not to be vaccinated, etc. If vaccine is mandatory then choosing not to is not an option. Nurses have an ethical responsibility to their patients to protect from harm. If a safe and effective vaccine is offered as the optimal protection against infection, and is refused, how can the ANA take this stance and then take the rightous stance concerning N95&#039;s. Consistency in approach to protect nurses shjould be ANA&quot;s stance and not that which they cuurently espouse!!</description>
		<content:encoded><![CDATA[<p>Under bulleted item above: no discrimination against nurses choosing not to be vaccinated, etc. If vaccine is mandatory then choosing not to is not an option. Nurses have an ethical responsibility to their patients to protect from harm. If a safe and effective vaccine is offered as the optimal protection against infection, and is refused, how can the ANA take this stance and then take the rightous stance concerning N95&#8217;s. Consistency in approach to protect nurses shjould be ANA&#8221;s stance and not that which they cuurently espouse!!</p>
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