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February 2000

Volunteers in For-Profit Settings
Appendix
By Susan J. Ellis

While I'm making the point about the lack of attention of standard-setting bodies to changes having an impact on volunteers, I'd like to add a footnote about hospital services in particular. At the fall national ASDVS conference (American Society of Directors of Volunteer Services--the hospital volunteering association) one topic was raised so often that it became something of a standing joke: tuberculosis testing. For three days, in four sessions, every time I mentioned some new approach to recruiting and involving volunteers, someone would say: "But we can't do that because the rules require every volunteer to get a t.b. test."
This is what led to my statement in the Hot Topic about lack of recognition of “evolving trends affecting who volunteers and what they do.” A policy or rule requiring EVERY volunteer to get a t.b. test is based on the old concept of volunteers working at patient bedsides on a regular schedule all year long. But how can a hospital participate in community volunteer events such as a "Day of Caring" or a Martin Luther King Day service project if "every" volunteer must first be screened? One-timers ought to be exempt--probably with the caveat that they ought not to be assigned direct contact with patients. Also, given the cost and time of testing, volunteers with limited contact with patients ought to be treated more flexibly in terms of this rule.
Let's not forget that every day patients see personal visitors who are not forced to take a t.b. test. Vendors who deliver items to the hospital, possibly even to patient floors (vending machines, water coolers), are not required to be screened, either. So why is it reasonable to enforce a blanket rule on volunteers?

As I often say, this is based on ignorance, not malice. But who is advocating with these powers-that-be to educate them about today's volunteers?

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