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| UCSF OCCUPATIONAL HEALTH PROGRAM (OHP) |
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OCCUPATIONAL HEALTH CLINICAL SERVICES UCSF Medical Center and UCSF Campus Employees Working in Clinical Programs Employees working in healthcare settings such as UCSF Medical Center, San Francisco General Hospital, and San Francisco VA Medical Center are required to complete a medical evaluation prior to the start of their employment. The appointment should be scheduled at least a week prior to the anticipated start date. Employees must bring the following to this appointment:
UCSF Campus New campus faculty, post-doctoral students, and employees may have an occupational health assessment as needed based on risk factors, work environment, and OSHA regulations. How to Make an Appointment The UCSF Communicable Disease Surveillance and Vaccination Policy identifies requirements for enterprise-wide communicable disease surveillance and vaccinations to reduce the risk of exposure and the transmission of communicable diseases at its many campus settings and to be compliant with regulations. This policy applies to all students, staff, housestaff, fellows, post-doctoral scholars, trainees, faculty, visiting students and scholars, volunteers, contractors and affiliates who have occupational-based risk due to contact with patients, human subjects, animals, or cell lines, potential for blood-borne pathogen exposure, or other regulatory requirement. Occupational risk categories are defined. The UCSF Occupational Health Services Pre-placement Assessment, Vaccinations, and Surveillance Matrix describes specific requirements and recommendations. This matrix will be updated as new requirements are identified. TB Surveillance and Vaccinations Available at Drop-in Clinics
The supervisor or Human Resources representative can complete a Request for Service form for an existing (e.g. not new) employee and the employee may bring the Request for Service form to a drop-in TB skin test and Vaccination Clinic. An appointment should be scheduled for specialized vaccinations not otherwise listed above as available at the drop-in clinics. Specific Laboratory Research Vaccination Policies UCSF requires every laboratory worker and LARC employee working with or exposed to yellow fever virus 17D (Vaccine Strain) in the laboratory be vaccinated for yellow fever virus or sign a declination form (UCSF Yellow Fever Immunization Policy). Information about the yellow fever vaccine can be found at CDC Recommendations of the Immunization Practices Advisory Committee (ACIP) Yellow Fever Vaccine . UCSF Vaccinia Policy requires people who directly work with and handle vaccinia virus in the research laboratory to receive counseling and educational information and (if it is medically appropriate) be offered Vaccinia (Smallpox) vaccine by Occupational Health Services (OHS) prior to initiating work with vaccinia virus. UCSF follows national guidelines issued by the Centers for Disease Control and Prevention. All veterinary staff, animal care technicians, research personnel, facilities personnel, Environmental Health and Safety Staff, IACUC staff and IACUC Committee members working with, or exposed to, nonhuman primates are required to show evidence of immunity to the measles virus.UCSF requires baseline and annual tuberculosis skin testing (TST) for all occupational groups that meet the definitions of Risk Category I and II defined in the UCSF Communicable Disease Surveillance and Vaccination Policy and have contact with patients or human subjects through their work or research in the UCSF Medical Center and Ambulatory Care Clinic practices. Newly hired Medical Center employees must complete the TB screening process prior to their start of employment date. All eligible personnel must participate annually. Personnel who have tested "positive" in the past are required to have one baseline chest x-ray and then annual symptom review. Chest x-rays will not be performed annually, but only if indicated based on the clinical presentation. At any time, if any employee has symptoms of TB (persistent cough, low grade fevers, unexplained weight loss, night sweats) further evaluation must be done. Please refer to Occupational Health Services.UCSF Occupational Health Services provides pre-placement TB skin testing for new UCSF employees located at San Francisco General Hospital. SFGH-EHS is responsible for annual testing thereafter. UCSF Occupational Health Services provides TB skin testing to UCSF personnel who require screening according to laboratory or animal research protocol guidelines or specific occupational risk and identified on the UCSF Occpational Health Services Pre-Placement Assessments, Vaccinations, and Surveillance Matrix. TB Skin Testing is available on a drop-in basis. Hours of Operation for Mount Zion and Parnassus TB Surveillance and Vaccination Drop-In Clinics. Annual TB Screening Outreach ClinicsTB screening staff and faculty who are available at OHS Drop-In clinics. San Francisco General Hospital provides annual TB surveillance for UCSF personnel at that location. San Francisco Veterans Administration Medical Center provides TB surveillance for UCSF personnel at that location. Student Health Services is responsible for annual testing for UCSF students. Flu Shots Hospital-based staff, faculty, housestaff, and students at UCSF Medical Center and Langey Porter Psychiatric Hospital and Clinics must also meet the requirements of CA Health and Safety Code Section 1288.7(a) and be immunized annually for influenza or complete a Declination Form. Hospital-based UCSF staff and faculty located at SFGH and SF VA should complete the declination forms provided by those facilities. This year, personnel at UCSF, SFGH, and LPPI who decline a flu vaccine, regardless of reason, will be expected to wear a mask for the duration of the flu season whenever they are in patient care areas. See Medical Center Flu Vaccination policy for additional information. UCSF expects to receive a supply of H1N1, or swine flu, vaccine in November. At this time, there is no specific information when this vaccine will be available. If the supply is delivered in stages, patient care employees will receive the vaccine first. For more information, contact Occupational Health Services or check for Influenza Updates. Occupational Health Services assesses health conditions and physical attributes that may influence the effectiveness of or contraindicate a latex respirator mask. Any staff, faculty, housestaff, or student who wears a respirator (e.g. N95 or PAPR) must complete a Medical Clearance prior to fit-testing. The on-line Medical Clearance form is available here. A hardcopy Medical Clearance form is available if there is difficulty accessing the on-line tool. Existing personnel may fax this form to 415-771-4472. Occupational Health Services completes the Medical Clearance and respirator fit-testing for new employees that receive a pre-placement screening. The annual fit-testing renewal is provided by the Office of Environmental Health & Safety. Call 476-1300 to make an appointment for annual fit-testing.Any UCSF employee who sustains a work-related injury or illness must immediately notify their manager or supervisor. The manager will then complete a Supervisor's Report of Injury (SRI). The employee should then contact Occupational Health Services at 415-885-7580 to make an appointment. If the injury requires emergency care, the employee should either call 9-911 or if able, report to the Emergency Department (ED). Employees who are injured after normal clinic hours may be seen in the Long ED if the injury requires immediate attention. Non-urgent conditions (e.g. repetitive motion injuries, dermatitis) should normally be evaluated in the OHS during clinic hours. If an injury occurs:
UCSF Medical Center employees who are absent more than ten (10) days or meet other criteria listed in the Return-to-Work Policy are required to make an appointment in Occupational Health Services prior to returning to work. Employees must provide a written release from their health care provider. Please refer to the UCSF Medical Center Administrative Policy Manual for exact details. Exceptions to this policy are employees out for maternity leave. UCSF Travel Medicine and Immunization Clinic UCSF Occupational Health Services
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