We dont charge at the moment but maybe in the future we will!!
Deirdre Gallagher
Occupational Health Service Manager
Tel: 0208 302 2678 ext:4543
-----Original Message-----
From: Bacons [mailto:[log in to unmask]]
Sent: Thursday, August 21, 2003 12:54
To: [log in to unmask]
Subject: Re: Latex and Clearance of Agency staff.
Dear Christine
We also see all clinical attachments and we charge them for everything, ie
CXR's heaf tests, blood tests and immunisations they might need.
----- Original Message -----
From: "Christine Bouckley" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, August 19, 2003 3:32 PM
Subject: Re: Latex and Clearance of Agency staff.
> We sound to have the same system here, we dont do anything more with
> locums..but do see all clinical attatchments- nightmare!!!Do people charge
> clinical attatchments for their vaccines and bloods etc?
> Christine
> -----Original Message-----
> From: Karen Swann [mailto:[log in to unmask]]
> Sent: 19 August 2003 15:36
> To: [log in to unmask]
> Subject: Re: Latex and Clearance of Agency staff.
>
>
> Our personnel dept send copies of Locum HEP B blood test results to us and
> we advise them whether or not they are able to perform EPP - we don't
> routinely do any other health clearance for locums
>
> Karen
> -----Original Message-----
> From: Gallagher Deirdre (RGZ) [mailto:[log in to unmask]]
> Sent: 19 August 2003 15:27 PM
> To: [log in to unmask]
> Subject: Re: Latex and Clearance of Agency staff.
>
> I think the main issues with Latex gloves have been the Powder, but I
> believe the NHS supplies catalogue now only offers powder-free latex
gloves,
> along with Vinyl and nitrile as alternatives.
> How do other NHS Trusts manage to ensure correct screening of agency
staff,
> especially Locum Dr's who work through agencies.I know some agencies do
> employ the services of an OHD to clear their workers, but others assume we
> should do it!!Or worse still, agency clerical staff have had training
> sometime in the past as to how to decide on what constitutes Hep B
> immunity,and they vet the HQ's also and if problems they send on to
another
> Dr!!!
> They are not medically qualified to assess immunisations and certainly not
> HQ info...so why do they receive them???
> Anybody have any experiences of this?
> Deirdre Gallagher
> Occupational Health Service Manager
> Tel: 0208 302 2678 ext:4543
>
>
>
> -----Original Message-----
> From: Christine Bouckley [mailto:[log in to unmask]]
> Sent: Tuesday, August 19, 2003 02:56
> To: [log in to unmask]
> Subject: Re: Latex
>
>
> Thanks Chris,
> I have been aware of these issues, and do also have concerns over
> alternatives not always being the best option! We currently operate with
low
> protein and powder free gloves and seem to have few problems given the
> number of staff using latex gloves and other heathcare appliances..we
offer
> alternatives to those who report problems, but more often than not it
boils
> down to the need for good skin care rather than to the gloves. I dont
think
> we will be rushing into a total latex glove ban. I cannot justify the
> 'change over' well enough ayway at the moment!
> christine
>
> -----Original Message-----
> From: Chris Packham [mailto:[log in to unmask]]
> Sent: 19 August 2003 14:48
> To: [log in to unmask]
> Subject: Latex
>
>
> I would caution against attempting to go latex free altogether and
> particularly against replacing natural rubber latex with vinyl. The thin,
> single use vinyl gloves do not provide the same level of biological
> protection as does natural rubber latex. They puncture easily. Thus by
> changing to vinyl you could be putting the users at increased risk of
> infection. This raises some interesting legal aspects! You must also
> consider disposal of vinyl gloves. They should NOT be incinerated, as this
> releases vinyl monomer and dioxins, extremely hazardous chemicals.
>
> In fact, many studies have shown that low free protein, unpowdered natural
> rubber latex gloves offer optimum biological protection and do not present
a
> significant risk of latex sensitisation. You might also be interested to
> know that in Germany (where a very comprehensive review was carried out by
> Dr. Angelika Heese - Allergien gege Latexhandschuhe, ISBN 3-609-62850-2)
> there is now a regulatory requirement for all natural rubber latex gloves
to
> be unpowdered (Technische Regeln fur Gefahrstoffe, TRGS540).
>
> In fact, several recent studies indicate that the most common cause of
skin
> problems from latex gloves was irritant contact dermatitis, followed by a
> type IV reaction to the chemicals in the latex glove. The type I, latex
> allergy, came in third place.
>
> Of course, if you do have someone who is extremely latex sensitive, then
you
> will have to go to something such as nitrile or polychloroprene
(Neoprene).
> Bear in mind, however, that (a) these are more expensive and (b) they may
> also contain the sentising chemicals for the type IV reaction.
>
> If anyone wants more on this please feel free to contact me. I have a mass
> of information, papers etc. and will willingly discuss latex/latex
policies.
>
> Chris Packham
>
> EnviroDerm Services
> Solutions in skin management
> For information on skin management, technical bulletins and information
> about our support services visit our website (www.enviroderm.co.uk)
> For immediate help e-mail us at [log in to unmask] or phone on +44 1386
> 832 311
>
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