OHC policy on prefilling syringes, or drawing up vaccine into syringes in advance of the need for it.
We STRONGLY discourage this practice. Loading vaccine into syringes before you are ready to use it increases the risk for medication errors, vaccine contamination, and vaccine wastage.
When time and staff are limited and demand is high, most commonly- used vaccines are available in prefilled syringes from the manufacturer. Manufacturer prefilled syringes are prepared under sterile conditions that meet standards for proper handling and storage and they are individually labeled. Varicella, MMR, and yellow fever vaccines must NEVER be drawn up ahead of time. But there may be situations in which a single vaccine is going to be administered- such as a large influenza campaign- and manufacturer’s prefilled syringes are not available. In these situations, each person giving injections may choose to prefill a few syringes shortly before administration.
In keeping with nursing medication administration guidelines, OHC’s policy is that the person who prepares the medication should be the same person who administers the medication. We recommend that any prefilled syringes should be properly stored and should be used on the same day they are filled. Label each syringe carefully, and keep the filled syringes cool.
Occupational Health Connections (OHC) aims to project a professional image for our clients, patients and colleagues. Dress attire is a very important way to establish a favorable image in order to gain confidence and respect from others whom we interact with.
The following information is intended to serve as a guide to help define appropriate business wear and grooming for all OHC’s employees during designated work days.
These guidelines are not intended to be all-inclusive, rather this content should help set the general parameters for proper business wear and encourage OHC employees to make intelligent judgments about items that are not specifically addressed.
The MA Board of Nursing’s regulation at 244 CMR 9.03(8): Identification Badge, requires that a nurse who holds a valid license and who examines, observes, or treats a patient in any practice setting shall wear an identification badge which visibly discloses at a minimum his or her first name, licensure status and, if applicable, advance practice authorization.
Clothing should be clean, neat and in good condition. Torn, dirty, or frayed clothing is unacceptable. All seams must be finished. Any clothing that has words, terms, or pictures that may be offensive to other employees is unacceptable.
Clothing that reveals too much cleavage, back, chest, stomach or underwear is not appropriate for a place of business.
Hats, caps bandanas, unless for medical conditions, safety purposes or established religious customs are not allowed.
White lab coats should be worn by Occupational Health NPs and RNs interacting with employees.
Dress slacks are acceptable provided they are well fitting, clean and wrinkle-free.
Inappropriate items include jeans of any color, sweatpants, wind suits, short shorts, Bermuda shorts, bib overalls, leggings, spandex or other form-fitting pants.
Dress shirts and pants without tie are acceptable.
For women, shirts, blouses, sweaters and turtlenecks are acceptable.
Inappropriate items include sweatshirts and shirts with large lettering, logos or slogans, and halter-tops.
Dresses and Skirts
Dress and skirt length should be no shorter than four inches above the knee.
Mini-skirts and spaghetti-strap dresses should not be worn to the office.
Dress shoes, loafers, boots, flats, clogs and leather deck shoes are acceptable.
Athletic shoes and sneakers are acceptable provided they are clean and professional in appearance.
High heels are not allowed.
Thongs, and rubber flip-flops and slippers are not acceptable.
As specified by OSHA standards, personnel providing direct patient care must wear closed toe shoes.
There should be no visible body piercing other than pierced ears.
Colognes, perfumes or other products that emit a fragrance are not allowed. There are many visitors to Occupational Health who are sensitive to fragrances.
Questions or Concerns
Any questions regarding the Dress Code policy should be directed to Nancy Clover.
No dress code can cover all contingencies so Occupational Health employees must exert a certain amount of judgment in their choice of clothing to wear when at work. If you experience uncertainty about acceptable attire for work, please ask your supervisor for clarification.
If an item of clothing is deemed to be inappropriate for the office by the employee’s supervisor, the employee may be sent home to change clothes and will be given a verbal warning for the first offense, and progressive disciplinary action will be taken for further dress code violations
Persons who are impaired by substance abuse endanger patients, themselves, and their fellow workers. By prohibiting substance abuse, and by establishing a program to determine whether employees are engaged in substance abuse, this policy seeks to prevent its risks and ill effects. This policy replaces all existing policies concerning substance abuse and drug testing of employees.
2.1. Substance abuse shall mean:
The use or possession of any drug in a manner prohibited by law; and
The use of alcohol or any legal drug or other substance in such a way that the user’s performance as a health care provider is impaired.
2.2. Impaired shall mean that a person’s mental or physical capabilities are reduced below their normal levels (with or without any reasonable accommodation for a disability).
2.3. A positive drug test shall mean any drug test whose results indicate that the employee has committed substance abuse, according to the current NIDA standards and the definitions in this policy.
2.4. A negative drug test shall mean any drug test whose results do not indicate a positive drug test.
2.5. Reasonable cause shall mean that evidence which forms a reasonable basis for concluding that it is more likely than not that a person has engaged in substance abuse. Facts which could give rise to reasonable cause include, but are not limited to:
The odor of alcohol or drugs;
Impaired behavior such as slurred speech and decreased motor coordination;
Marked changes in personality or job performance; and
2.6. Covered employees shall mean all Occupational Health Connection’s (OHC) employees and contractors.
3.0. Work Rules
3.1. Substance abuse is prohibited. Any employee who engages in substance abuse at work or at the client’s site with be discharged.
3.2. Employees who refuse to participate in a drug test required under this policy may be discharged.
3.3. In no event should employees perform their official duties while they are impaired.
3.4. If an employee is convicted (or given first offender treatment, or pleads nolo contendere) in any court for a crime which constitutes substance abuse, they must report this to their supervisor. Employees who fail to do so may be discharged.
4.0. Drug Testing Procedures
4.1. The drug tests required by this policy shall be performed in accordance with the current procedures of the Laboratory or Clinics.
4.2. The tests shall screen for the use of drugs whose use is either illegal, or which are prone to abuse, as determined at the discretion of the President of OHC.
4.3. The results of an employee’s drug test shall be communicated by the laboratory to the President of OHC, who shall notify the employee of any positive drug test.
5.0. Pre-employment Drug Testing
5.1. OHC employees may undergo a drug screening test prior to beginning work or within ten days of reporting for duty as an employee of OHC.
5.2. Any applicant who fails to provide a sample for pre-employment drug testing shall be discharged, or not hired. Any applicants with a positive pre-employment drug test will be discharged, or not hired.
6.0. For Cause Drug Testing
6.1. All employees shall undergo a drug screening test when reasonable cause exists to believe that they have committed substance abuse.
6.2. If authorization for a drug test for cause is given by the President of OHC, then the employee shall be directed to provide a sample for testing immediately. Pending the results of such a test, the employee shall be placed on paid administrative leave, and they shall be removed from duty. It is the responsibility of the impaired employee to arrange for their own safe transportation.
6.3. Employees with a positive for cause drug test may be discharged.
7.0. Counseling and Rehabilitation
7.1. It is recognized and accepted that early treatment is the key to rehabilitation for substance abusers. Employees are encouraged to voluntarily request counseling or rehabilitation before their substance abuse leads to disciplinary or work related problems. If, prior to an arrest for substance abuse, an employee notifies their immediate supervisor that they illegally use a controlled substance, marijuana, or a dangerous drug and is receiving or agrees to receive treatment under a drug abuse and education program, such employee shall be retained for up to one year as long as the employee successfully follows the treatment program.
If the employee fails to successfully follow the program, they must be discharged. No statement made by an employee to their supervisor in complying with this program shall be admissible against the employee in any proceeding. The rights granted in this section shall be available to an employee only once during a five year period, and shall not apply to an employee who has been asked to provide a sample for cause, or an employee who has refused a drug test, or tested positive for controlled substance, marijuana, or a dangerous drug.
8.1. Employees who are disciplined for substance abuse may appeal the discipline.