Employees are encouraged to report their illness to the Hospital Sick Line after reporting their illness per their departmental guidelines. Employees are asked to leave a message on the Sick Line (extension 2273), noting only the type of illness and their department. Employees will not need to leave identifying information (name or phone number) unless the Nebraska Orthopedic Hospital is in an outbreak situation.

Please refer to the “Employee Illness Trending” chart for types of contagious illnesses, initial symptoms and return-to-work guidelines.

Disease Initial Symptoms May Return to Work Using Good Hygiene,
Standard Precautions AND
Nausea, Vomiting and/or Diarrhea
GI “flu” (Viral Gastroenteritis) Norovirus Sudden onset vomiting, watery non-bloody diarrhea with abdominal cramps and nausea; low grade fever for 24-60 hours durations After diarrhea causes and able to physically perform job. ☺
C-diff Watery, mucous diarrhea, cramps, abdominal pain. After diarrhea ceases.
Shigella Diarrhea with fever and nausea After diarrhea ceases. ☺♣
Salmonella Vomiting, mild diarrhea, fever, and headache After 2 negative stool cultures. ☺♣
Giardia Diarrhea, bloating, abdominal cramping After diarrhea ceases. ☺♣
E-coli0157 Severe bloody diarrhea and abdominal cramps After diarrhea ceases. ☺♣
Cryptosporidiosis Severe, watery diarrhea After diarrhea ceases. ☺♣
Campylobacter Bloody diarrhea, nausea, abdominal pain After diarrhea ceases. ☺♣
Fever with cold-like illness
Common cold
Sore throat, fever, cough, congestion, sneezing, minor body aches After fever is gone and able to physically perform job. Must contain or cover cough and nasal secretions.
Strep throat-Group A Sore throat; possible high fever 24 hours after initiation o antibiotic treatment.
Pertussis (whooping cough) Deep, hard cough After 5 days or appropriate treatment or other regimen ordered by physician. ☺♣
Mono (Infectious mononucleosis) Sore throat, fever, swollen glands, and feeling tired. Avoiding transfer of saliva. No work restrictions.
Pneumonia Cough, chills, hard to breath, fever According to physician recommendations. ☺
Tuberculosis – active Bad cough with night chills and fever After 14 days of treatment or upon physician recommendations. ☺♣
Fever with body aches and pains
Flu (influenza) Sudden onset of fever, headache, body aches, cough, sore throat. 7 days after onset of symptoms. ☺♣
SARS High fever, headache, body aches. Mild respiratory symptoms 10 days after fever. ☺♣
West Nile Virus Fever, headache, body aches, nausea According to physician recommendations. ☺♣
Skin Rashes
Chicken pox (varicella) Blister-like lesions on face, scalp or trunk All blisters have formed scabs ☺♣
Impetigo ( Group A strep) Oozing red, round blisters containing pus-like material. Form a flat honey-colored crust. 24 hours after initiation of antibiotic treatment
Hand, foot and mouth disease (cox sackie virus) Rash on hands and feet. Ulcers in mouth. Fever After fever is gone and lesions are dry.
Rubella (German Measles) Diffuse red pustule rash, fever. 7 days after onset of rash ☺♣
Measles (rubeola) Rash, high fever, cough, runny nose and red, watery eyes 5 days after onset of rash ☺♣
Shingles (herpes zoster – varicella) Numbness, itching or severe pain followed by clusters of blister-like lesions in a strip-like pattern on one side of the body. If rash is covered. Avoid people who have not had chicken pox. ☺♣
Fifth’s Disease (parvovirus B19) Red patchy rash on face “slapped cheeks”‘
fever, muscle aches may occur.
After fever is gone and physically able to perform job. ☺♣
Scabies Red, tiny blister-like lesions which may form a line. Found on “warm” areas on the body. Itches at night. 24 hours after initiation of treatment. ☺♣
Other infectious diseases
Head lice Severe itching of scalp; nits attached to hair. 24 hours after initiation of treatment.
Pink Eye Both eyes irritated, swollen, and red 24 hours after initiation of antibiotic treatment for bacterial infections; physician recommendations for viral infections.

☺ Contact Employee Health Hotline when diagnosed and prior to returning to work.
♣ Contact Infection Prevention to report illness to Douglas County Health Department


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