Occupational Health Services U-M Occupational Health Services (OHS) www.mhealthy.umich.edu/ohs Occupational Health Services provides services to the Health System and Ann Arbor campus faculty and staff for the prevention, treatment and rehabilitation of occupational illnesses and injuries. OHS also provides occupational health physical exams, required vaccinations and TB tests, as well as hazard and safety awareness, and information to support the wellbeing of U-M faculty and staff. We work collaboratively with other university departments including: Work~Connections, U-M Faculty and Staff Assistance Program; UMHS Employee Assistance Program, U-M Occupational Safety and Environmental Health, UMHS Safety Management Services, UMHS Infection Control Services, and other internal and external organizations to provide a continuum of services. Our goal is to support a safe and healthful workplace by protecting and enhancing the health and well-being of the University's employees. About OHS Programs and Services Occupational Health Services provides: New employee health assessments Annual TB testing and immunizations Respiratory protection fit testing Assessment and treatment of work related injuries/illnesses On-site physical therapy Medical surveillance exams FAA physicals Assessment of acute non-occupational injury/illness Drug testing (specific to certain groups) Occupational health consultations Updated January, 2013 ©2004 UM-HRD, UMHS 1 Occupational Health Services OHS mission Occupational Health Services’ mission is to promote, protect and secure the well-being of University of Michigan employees through high quality and cost-effective occupational health services. We believe that a healthy, productive workforce and safe working environment are critical to the University of Michigan’s mission of excellence. New Employee Health Assessments Hiring Manager Responsibilities 1. Once a person has accepted a job offer, the hiring supervisor should access OHS’s website located at: www.mhealthy.umich.edu/ohs and use the tool located in the blue ‘Short Cuts’ box (located on the right) to determine if their new employee needs to process through OHS. If yes, then submit to Occupational Health Service a new employee routing form (also located in the ‘Short Cuts’ box). This form will give OHS information about the position and job duties. 2. The hiring supervisor then directs the new employee to Registration. All local calls should be directed to 734-936-4990, and all long distance calls to the toll free number at 1-866-452-9896. 3. Once the hiring supervisor has submitted the new employee routing form and the employee has received their registration (CPI) number, the employee may schedule their appointment for their health assessment. Appointments for new employee health assessments can be made by calling OHS at (734) 764-8021 during our regular business hours. We will make every attempt to schedule an appointment at a time that is convenient for the employee. The visit will take approximately 30 minutes depending upon the requirements for the position. What Happens at a New Employee Health Assessment appointment? At the visit, status of all mandated vaccinations and other relevant health information will be assessed; the new employee will receive a tuberculosis skin test; their color vision may be tested; and, if appropriate, they will be fitted with a mask for use with respiratory isolation patients. The health assessment is individualized to the specific occupational needs of their job. We ask that the new employee bring records of childhood and other immunizations (vaccines) that they have received (e.g. influenza and Tdap). These can usually be obtained through their primary care physician. If they have previously worked in health care, they may be able to obtain these records from their employer. Bringing their records with them will save them time and the effort of having their blood drawn. 2 ©2004 UM-HRD, UMHS Occupational Health Services New Employee, Annual and Post-Exposure Tuberculosis Skin Testing OHS provides a tuberculosis skin testing program that complies with MIOSHA and JCAHO requirements. The program includes testing for new employees, annual testing for specific employees and testing for employees who have been exposed to a patient that may be infectious for tuberculosis. New Employees New employees will receive information about TB testing at the new employee health assessment. All employees — except those with a documented history of a positive TB skin test or a documented TB skin test done within the previous six months — must have a skin test at the new employee health assessment. Employees that work in specific patient care areas must participate in annual TB screening program Employees will have their test read in OHS or, if their work area participates in the “unit read” program, will have it read by a designated professional on their unit and the “Read” must be submitted online via the TB Read form located on the OHS website in the ‘Short Cuts’ box. Compliance with tuberculosis skin testing is considered complete when the test has been read between 48-72 hours after placement and is documented via the online form or by OHS. Employees with a documented history of a positive TB skin test or who may have a false positive TB skin test will have a blood test (QFT) to assess for possible TB infection. A chest Xray must be done if QFT is positive. Annual Testing Occupational Health Service contacts employees and their supervisors via e-mail when their annual skin testing is due. It is expected that employees will report to OHS for skin testing during the month that notice is received. Employees working in remote sites will have their annual testing performed and read at their worksite and then a “Read” form must be submitted. Post-exposure Testing If there has been an exposure to TB at the worksite, Infection Control Services (ICS) will investigate and compile a list of exposed employees to be seen by Occupational Health Services. Supervisors are expected to assist ICS in compiling this list of employees who may have been exposed. Updated January, 2013 ©2004 UM-HRD, UMHS 3 Occupational Health Services Medical Surveillance for Employees Exposed to Potential Hazards Occupational Health Service provides medical surveillance examinations for employees who may be exposed to occupational hazards. The purpose of these examinations is prevention of negative health consequences from exposure to potential hazards. This prevention is accomplished in two ways; education regarding the hazard and how to avoid exposure and baseline and periodic medical data to monitor for health effects. OSHA standards require examinations for some hazards, such as noise, respirators and formaldehyde. Other examinations, e.g. exposure to hazardous drugs, are recommended but not required. If an examination is required, employees will be contacted by OHS regarding their appointment. If an employee does not comply, supervisors will be notified. Evaluation and Treatment for Blood borne Pathogens Exposures What are blood borne pathogens? Blood borne pathogens refer to viruses that can be transmitted through the blood or certain other body fluids. What is a body substance exposure? A body substance exposure is defined as exposure to blood or other moist body fluids: - with a contaminated sharp that pierces the skin (such as a scalpel or needle) - exposure to eyes, mouth, other mucous membranes - exposure to non-intact skin Exposure to blood borne pathogens must be reported immediately to Occupational Health Service. How do I report an exposure? If an employee experiences a body substance exposure they should immediately do the following: Wash the area well with soap and water. For exposures to the eye, rinse with clear water for 10 minutes. To report a body substance exposure, Alpha or numeric pager Occupational Health Service 24 hours per day at beeper #5356. During OHS clinic hours, the Occupational Health nurse will return the page. After OHS hours, the page will be answered by appropriate staff in the Emergency Department. 4 ©2004 UM-HRD, UMHS Occupational Health Services Assessment and Treatment of Work-Related Injuries and Illnesses The University of Michigan is committed to providing a safe and healthy working environment for employees. If an employee has a concern about potentially unsafe working conditions or hazards, (s)he should discuss this with her/his supervisor and Safety Management Services. Worksites will be assessed and recommended actions will be addressed. Phone number to Safety Management Services: 764-4427. Safety Officer: Bruce Cadwallender In the event of an on-the-job injury or a work related illness, Occupational Health Services works with the employee, supervisor, Work~Connections and Human Resources to ensure highquality medical treatment and to facilitate a quick recovery to full function. We will work with staff and supervisors to identify tasks that the employee is able to do while recovering from an injury. Multiple studies have demonstrated that working within the restrictions, rather than being off work, is the best way to facilitate recovery. Supervisors need to work with OHS, Work~Connections, and the Return to Work Coordinator, if appropriate, to ensure that the employee is working safely within their restrictions, remains productive and feels valued. Injury or Illness Report Form When a work-related injury/illness happens, it is very important that staff and their supervisor complete a Work~Connections Injury or Illness Report Form which can be found online on the Work~Connections website under FORMS. This form documents the injury/illness and is used by the supervisor to look for things that might be done to avoid future incidents. These incident reports are sent to both Occupational Health Services (Fax 734-998-6562 or hand delivered by patient) and Work~Connections where they are used to identify trends for safety improvement, to comply with state regulations and to authorize treatment and wage benefits. Questions regarding compensation, wage replacement, medical expenses, etc. should be directed to Work~Connections. The local number to call is 734-615-0643. The toll free number is 1-877-869-5266. Updated January, 2013 ©2004 UM-HRD, UMHS 5 Occupational Health Services Non-occupational injury/illness treatment Occupational Health Services is not a primary care provider. However, we want to help UMHS employees stay productive and healthy at work. We understand that it may be difficult for UMHS employees to leave the medical campus to visit their PCP for an acute non-emergent matter. Therefore, we offer limited services for simple, acute conditions that may be diagnosed and treated in one visit (e.g. upper respiratory infections, such as colds, cough, sore throat; seasonal allergy symptoms; ear infections; conjunctivitis; acute skin rashes and minor skin infections; urinary tract infections; minor sprains/strains; blood pressure checks; etc.) This service is free of charge to the employee and is on a strictly walk-in basis so there may be a wait as they will be worked in between other scheduled OHS patients. For other problems (e.g. abdominal pain, dizziness, chronic headaches, non-chronic aches/pains), employees should be directed to their primary care provider or the Emergency Room. Please note, OHS is not the correct place to direct PTO use problems or off-work excuses. Occupational Health Consultation The staff of Occupational Health Services is available to answer questions regarding the relationship between an employee’s job and their health and how to maximize their health on the job. Concerns and questions For concerns about how an employee’s job may be affecting their health and what they can do to improve their safety at work, please call OHS at (734) 764-8021 and set up an appointment for a consultation. 6 ©2004 UM-HRD, UMHS Occupational Health Services Hours Monday - Friday; 7:00 a.m. – 4:30 p.m. A provider is available by pager (#5356) 24-7 for evaluation of body substance exposures. After hours, injuries and other urgent concerns should be directed to the UMHS Emergency Department. How to Contact Us Occupational Health Services is located on the third floor of the Med Inn Building. C380 Med Inn Building, Box 0838 University of Michigan Hospitals Ann Arbor, MI 48109-5838 Phone: Fax: Web: (734) 764-8021 (734) 763-7405 www.mhealthy.umich.edu/ohs Directions to OHS Driving directions can be found on the OHS Web site at: http://www.hr.umich.edu/mhealthy/programs/occupational/pdf/ohs_driving_directions.pdf A Map of the Med Inn Building can be found at: http://www.hr.umich.edu/mhealthy/programs/occupational/pdf/medinn_directions.pdf Parking is available for OHS off-site patients in the Med Inn flat lot between the Med Inn Building and the CVC. Several spots are designated for OHS patients. Updated January, 2013 ©2004 UM-HRD, UMHS 7