1. GMP Return to Work
&
Infectious Conditions
(2-GEN-058)
Debbie Daniel, RN BSN COHN-S
2. Impact to Business
As an example, between August 18 and
December 25, 1987, 116 employees at the
three futures exchanges in Chicago developed
clinically diagnosed mumps. Three cases
subsequently occurred in household contacts
of affected exchange employees.
Twenty-one persons developed
complications; nine were hospitalized.
3. Impact to Business
1. The direct medical costs were over $56,000, with
the total work loss probably in excess of 700 days.
2. The potential tort liability was significant: the
mumps virus induced premature labor in a
pregnant employee. Fortunately, the labor was
arrested, preventing a premature birth with the
attendant liability for possible brain injury to the
infant. The report of this epidemic does not discuss
whether any of the infected men were rendered
sterile.
4. Symptoms of Infectious Diseases
• Cough – spread by droplets
• Runny nose and/or congestion – spread by
mucus
• Difficult or noisy breathing
• Vomiting, nausea, or stomachache – spread by
dirty hands
• Diarrhea – spread by dirty hands
• Rash
• Itching
SOP: 8.3 & 8.4, 9.6 & 9.9 & 9.10
5. Symptoms of Infectious Diseases
• Drainage or irritation of eye or other infected
body part
• Fever – disposable thermometers in First Aid
rooms in both buildings.
• Aches or pains: Sore throat, Earache,
Headache, Body ache
• Mouth sores
• Swollen glands
SOP: 8.3 & 8.4, 9.6 & 9.9 & 9.10
6. How Far Do Germs Fly?
Keep 6 feet or
more away from
a coughing or
sneezing co-
worker or family
member
7. Influenza
•Contagious for 1 day prior to symptoms and
up to 5 days after illness begins
•Spread by respiratory droplets and direct
contact
•Prevent by cleaning surfaces and keep at
least a 6 foot distance
•Anti-influenza medications can prevent
onset of illness after exposure or shorten
length of illness
8. Ringworm
•Acquired by direct or indirect contact
with lesions or pets
•Contagious as long as lesions are
present
•Not contagious 24 hours after treatment
12. MRSA or Methicillin-resistant
Staphylococcus Aureus
•Does not respond to usual antibiotics
previously used to treat staphylococcus
•Certain antibiotics continue to be effective
•Spread by direct contact
•Contagious until 24 hours after treatment
started.
•Pus is contagious—keep covered until
lesions dry
14. Conjunctivitis/Pink Eye
•Highly contagious—up to 75% of those exposed
will get it
•Acquired through direct and indirect contact
•Treatment
•Contagious until 24 hours after treatment starts
16. Varicella (chickenpox)
• Acquired through direct and
indirect contact and respiratory
droplets
• Contagious 1-2 days prior to
rash then 6 days after rash or
until lesions crusted
18. Shingles
•Shingles is a reactivation of the
varicella-zoster virus, a type of
herpes virus that causes chickenpox.
•Keep shingles rash covered in
workplace to prevent transmission
19. Strep Throat or Pharyngitis
•Need to treat with antibiotics to prevent Rheumatic Fever
•Acquired through direct contact with …mucus
•You are contagious while you still have symptoms. Most
people stop being contagious 24 hours after they start
antibiotics. If you don't take antibiotics, you may be
contagious for 2 to 3 weeks, even if your symptoms go
away.
21. Common Cold
•Sore throat, runny nose, sneezing
•Acquired through direct and indirect
contact (dirty tissues) and inhalation of
respiratory droplets (Remember 5 ft!)
•Contagious for 24 hours before
symptoms appear to 5 days after onset
•No need for isolation
22. Scabies
• Infestation, not infection.
• The most common symptoms are:
Intense itching, especially at night
A pimple-like rash
Scales or blisters
Sores caused by scratching
23. Scabies
•In its early stages, scabies may be mistaken
for other skin conditions because the rash
looks similar. This image compares acne,
mosquito bites, and scabies.
24. Scabies
What sets scabies apart is the relentless itch. Itching is
usually most severe in children and the elderly. The
female burrows under the skin at night to lay her eggs.
On these pictures you can see an entrance and exit
point.
26. Company Contact Interaction
RTW Note Absences Sick at Work GMP Absences
•Contractor sought
medical treatment
for possible
infectious illness.
•Any type of
Surgery, whether
or not any work
was missed.
Company may
contact Nurse
•No matter how
many days off:
current signs &
symptoms (s/s).
•Off for any
infectious illness
or disease.
Company may
contact Nurse
•Contractor to notify
on-site contact & call
Company Supervisor
before going home for
possible infectious
illness.
•Contractor not feeling
well but no s/s or OTC
medication may take
care of problem –
when nurse onsite.
1. Blistered and/or
peeling sunburn
2. Open sores or wounds
3. Influenza or Upper
respiratory infection
4. Gastrointestinal
infections (stomach
flu)
5. Casts/Braces
6. Eye infections
7. Any Infectious
illnesses or disease
8. Must get PRIOR
clearance to work in
A&B areas.
SOP: 9.12 & 9.11 SOP: 9.9 & 8.5 SOP: 8.4 & 8.5
SOP: 6.1 & 6.2, 8.3 & 8.4,
8.5 & 9.6
Cleaning is wiping off visible dirt. Disinfecting is actually killing the germs on the surface. Read the directions! Have a can of Lysol and a 1-3 minutes wet kill time product to show the difference.
Can live on sheets and towels for 24 hours, so wash all sheets and shared towels every day.
All of these eyes have pink eye.
Anyone who has shingles MUST be cleared by the OHN PRIOR to coming back to work. Any shingles on supper chest up and elbow down, should not come into work, but call the OHN for directions.
