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Policies,Administrative,UW Health Administrative,Human Resources

Health Clearance to Return to Work or Continue to Work (9.22)

Health Clearance to Return to Work or Continue to Work (9.22) - Policies, Administrative, UW Health Administrative, Human Resources

9.22

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Administrative (Non-Clinical) Policy
This administrative policy applies to the operations and staff of the University of Wisconsin Hospitals and
Clinics Authority (UWHCA) as integrated effective July 1, 2015, including the legacy operations and
staff of University of Wisconsin Hospital and Clinics (UWHC) and University of Wisconsin Medical
Foundation (UWMF).


Policy Title: Health Clearance to Return to Work or Continue to Work
Policy Number: 9.22
Effective Date: July 3, 2017
Chapter: Human Resources
Version: Revision


I. PURPOSE

To provide an occupational health assessment for ill and/or injured employees and ensure they can safely
perform all job duties. The goal of the assessment is to evaluate employee health conditions which, if left
unaddressed, could result in harm to the employee or patients. Employee Health Services (EHS) will be
responsible for conducting the health assessment and will provide return-to-work clearance for
employees. When EHS is closed, referral to the Emergency Department should be limited to the
following urgent/emergent situations:
A. Work-related injuries requiring immediate medical attention.

B. Assessment related to fitness for duty, specifically for employees with signs or symptoms of
impairment (see Hospital Administrative Policy 9.34, Fitness for Duty: Impaired Employee).
C. Acute care (e.g., chest pain).

EHS will not be responsible for any Emergency Department charges incurred as a result of inappropriate
referrals.

II. PROCEDURE

Employees will be referred to EHS to obtain a clearance to return to work or to continue working in the
following circumstances:
A. Any illness/injury occurring during work which compromises the employee's ability to perform
his/her job duties. See attached Appendix A: "Guideline for Managers/Supervisors: When to
Restrict Employees from Work and/or Refer to Employee Health Services".
B. Any leave of absence greater than thirty calendar days involving temporary residence in a foreign
country.
C. Any illness/injury which resulted in an absence of five or more consecutive calendar days,
excluding maternity leaves.
D. An absence of any duration because of the following conditions:
1. Surgery which may result in a work restriction and/or an inability to perform the required
job duties
2. Work related injury/illness

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3. Non-work related injuries/conditions which may impair the employee's ability to perform
required job duties
4. Presence of an infection or symptoms requiring work exclusion (see attached Appendix A:
"Guideline for Managers/Supervisors: When to Restrict Employees From Work and/or
Refer to Employee Health Services")
5. Mental illness
6. Loss of consciousness
7. Disturbed or confused mental functioning
Signs or symptoms of alcohol or drug use/impairment

III. REFERENCES

Bolyard, E. A., Tablan, O. C., Williams, W. W., Pearson, M. L., Shapiro, C. N., Deitchman, S. D., & The
Hospital Infection Control Practices Advisory Committee, (1998). Guideline for infection control in
health care personnel, 1998. American Journal of Infection Control, 26, 289-354.

Administrative Policy 9.34-Fitness for Duty: Impaired Employee.

IV. COORDINATION

Sr. Management Sponsor: VP, Human Resources Operations
Author(s): Manager, Employee Health Services

Approval Committee: Administrative Policy and Procedures Committee, Infection Control Committee


SIGNED BY

Elizabeth Bolt
UW Health Chief Administrative Officer



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Administrative Policy 9.22 - Appendix A:
Guideline for Managers/Supervisors:
When to Restrict Employees from Work and/or Refer to Employee Health Services

This guideline was developed by UW Health Employee Health Services (EHS) in collaboration with
UW Health Infection Control and follows the recommendations of the Centers for Disease Control and
Prevention Guideline for Infection Control in Health Care Personnel. This guideline is intended to assist
managers/supervisors when making decisions regarding employee illness. Our goal is to provide patient
and co-worker safety by minimizing the risk of ill employees transmitting communicable illnesses to their
co-workers, patients or visitors.

Evaluation by EHS may be in-person at 700 University Bay Drive Suite 101 or by phone at
(608) 263-7535, as deemed appropriate by EHS.

Complaint/Symptoms Work Restriction:
Relieve From Duty?
Comments
Cold sore (herpes simplex)
– sores on mouth or face
Possibly
Evaluate by EHS; employee
may be restricted from caring
for patients with open skin
lesions.
Cough – recent onset and
significant (e.g., coughing
fits)
Yes
Evaluate by EHS; employee
will be restricted from work
with significant coughing
(e.g., coughing fits).
Diarrhea Yes Evaluate by EHS.
Fever – equal to or greater
than 100.6 F/38 C
Yes
Evaluate by EHS; employee
will be allowed to return to
work when they are without
fever for more than 24 hours
without use of fever-reducing
medicine.
Lice Yes
Employee may return to work
24 hours after completion of
over-the-counter lice
treatment.
Open/draining lesions –
any location
Yes
Evaluate by EHS; employee
will be restricted until lesions
have resolved (i.e., dry,
crusted, scabbed).



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Pink eye (conjunctivitis) Yes
Evaluate by EHS;
employee will be
restricted until
resolution of infection.
Rash – any rash, including
chickenpox and shingles in
any location
Yes
Evaluate by EHS;
restriction from duty
dependent upon EHS
evaluation.
Sore throat – new onset
Yes
Evaluate by EHS; employee with
positive group A strep will be
restricted from duty for 24 hours
after adequate treatment started.
Upper respiratory
infections/symptoms
(excluding allergy
symptoms)– with fever less
than 100.6 F/38 C
No

Upper respiratory
infections/symptoms
(excluding allergy
symptoms)– with
fever equal to or greater
than 100.6 F/38 C
Yes
Employee may return to work
if clinically improved and/or
without fever for 24 hours.


Important Reminders

When EHS is closed, send the employee home and instruct the employee to contact EHS the next
business day.

Employees with illness or injury for 5 or more calendar days must be cleared to work by EHS before
returning to work.

Please notify Infection Control, by paging the Infection Control Practitioner on call if a cluster of
employees with similar symptoms is identified (e.g., rashes, gastrointestinal symptoms, etc).