[MCOH-EH] Baseline testing of exposed employee with negative source results. RE: MCOH-EH Digest, Vol 252, Issue 16

Denise Smith (Employee Health) edsmith2 at lexhealth.org
Mon Jan 16 12:11:42 PST 2017
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Our state health dept's infectious disease physician states that there is no need to do baselines on exposed employees IF the source patient is neg/nonreactive on a particular test.

So therefore we do not.



Denise Smith, RN, COHPM -
Human Resources, Asst. Director
Employee Health and Workers' Compensation
Employee Health Clinic
Lexington Medical Center
2720 Sunset Blvd.
West Columbia, S.C.  29169
803.791.2199 or 939.8734
Fax 803.936.8217
edsmith2 at lexhealth.org<mailto:edsmith2 at lexhealth.org>

Designated Parking spaces for clinic visits are available in the parking lot behind LMP 1 Garage.

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Subject: MCOH-EH Digest, Vol 252, Issue 16



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Today's Topics:



   1. Re:  Baseline Testing on Exposed Employee with Negative

      Source Results (Hinman, Ashley)





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Message: 1

Date: Mon, 16 Jan 2017 19:48:34 +0000

From: "Hinman, Ashley" <ashley-hinman at uiowa.edu<mailto:ashley-hinman at uiowa.edu>>

To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>

Subject: Re: [MCOH-EH] Baseline Testing on Exposed Employee with

            Negative Source Results

Message-ID: <6AE5A8F2-B1B0-4991-968F-040EB2366378 at uiowa.edu<mailto:6AE5A8F2-B1B0-4991-968F-040EB2366378 at uiowa.edu>>

Content-Type: text/plain; charset="windows-1252"



We do not do any additional testing/follow-up on source or exposed if source is negative.





Thanks,

Ashley Hinman





On Jan 16, 2017, at 13:47, April Tainter <April.Tainter at thedacare.org<mailto:April.Tainter at thedacare.org<mailto:April.Tainter at thedacare.org%3cmailto:April.Tainter at thedacare.org>>> wrote:



Do any of you continue to test beyond baseline if the source is negative?



April Tainter RN

Employee Health Nurse



<image001.png>



ThedaCare Medical Centers-Shawano/New London/Waupaca P 715-701-0168 F 715-524-9983



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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Swift, Melanie

Sent: Monday, January 16, 2017 7:55 AM

To: 'MCOH/EH'

Subject: Re: [MCOH-EH] Baseline Testing on Exposed Employee with Negative Source Results



Ashley, there are several reasons to draw baseline labs on the employee:



?         Source patient testing may be negative in the early stages of infection so a negative source test is not absolute assurance they are not infectious.



?         The employee may have an unrecognized infection; when it later comes to light they are likely to associate it with the exposure. A positive baseline test establishes it as a preexisting infection.



?         The OSHA Bloodborne Pathogen Standard requires the employer offer baseline testing for HIV and hepatitis B regardless of the source?s status:



1910.1030(f)(3)(iii)(A) The exposed employee's blood shall be collected as soon as feasible and tested after consent is obtained.



1910.1030(f)(3)(iii)(B)<https://www.osha.gov/pls/oshaweb/owalink.query_links?src_doc_type=STANDARDS&src_unique_file=1910_1030&src_anchor_name=1910.1030(f)(3)(iii)(B)> If the employee consents to baseline blood collection, but does not give consent at that time for HIV serologic testing, the sample shall be preserved for at least 90 days. If, within 90 days of the exposure incident, the employee elects to have the baseline sample tested, such testing shall be done as soon as feasible.







Melanie Swift, MD

Director, Vanderbilt Occupational Health Clinic http://occupationalhealth.vanderbilt.edu



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Hinman, Ashley

Sent: Sunday, January 15, 2017 3:00 PM

To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net%3cmailto:mcoh-eh at mylist.net>>

Subject: [MCOH-EH] Baseline Testing on Exposed Employee with Negative Source Results



I was wondering what other facilities are doing when an exposed employee follows up with their designated area (Employee Health) following a blood borne pathogen exposure and the source patient has negative test results.  Do you typically draw baseline testing (Hepatitis C and HIV) on the exposed employee even when the source is negative?  If so, what is your reasoning for doing so?





Thanks,



Ashley Hinman, RN MSN

Nurse Clinician, Employee Health Clinic

University of Iowa Hospitals and Clinics

200 Hawkins Drive, 1097-1 Boyd Tower

Iowa City, IA 52242



[cid:B9D70BDC86E5E21ED886ED0CF268673DF58DCAE1 at mailhost6.uiowa.edu]



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