Vha directive 1134-2025

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VHA Directive 1188, Animals on Veterans Health Administration (VHA) Property includes clarification that a service animal can only be a dog that is individually trained to do work or perform tasks to assist a person with a disability.
Transmission. The most common form of transmission of Legionella is inhalation of contaminated aerosols from contaminated water. Sources of aerosols that have been linked with transmission of Legionella include air conditioning cooling towers, hot and cold water systems, humidifiers and whirlpool spas.
Legionella bacteria grow best between temperatures of 20C 45C with optimum growth temperature being 35C 40C. High temperatures (minimum 60C) the bacteria.
This increase follows the implementation of Veterans Health Administration directive 1192.01 in August 2020, which explicitly required VA HCP to either receive influenza vaccination or obtain an exemption annually as a condition of employment.
There currently is no specific OSHA standard for Legionellosis; however, Section 5(a)(1) of the Occupational Safety and Health (OSH) Act of 1970, 29 USC 654(a)(1), (referred to as the General Duty Clause) requires employers to furnish to each worker employment and a place of employment which are free from recognized
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Veterans Health Administration (VHA) Directive 1073(1), Moderate Sedation by Non- Anesthesia Providers, dated December 20, 2022, restricts the use of specific medications to providers with significant training in the administration and monitoring of medications defined as anesthetic agents.
In 2021, the VHA updated its Directive 1061 (initially issued in 2014) outlining prevention and control practices to be implemented to reduce the risk of exposure to Legionella. The directive applies to VHA-owned buildings in which people stay overnight.
Clozapine is AMENDED October 7, 2022 Page 5 May 17, 2022 VHA DIRECTIVE 1108.17(1) 2 not a controlled substance medication. Prescribers must be certified to prescribe clozapine by enrolling in the Clozapine REMS program but prescribing does not require a DEA registration.

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