We do the same.

From:	"Vining, Lynn A" <lynn-vining@uiowa.edu>
To:	MCOH/EH <mcoh-eh@mylist.net>
Date:	08/06/2014 05:02 PM
Subject:	Re: [MCOH-EH] Bloodborne pathogens exposures
Sent by:	"MCOH-EH" <mcoh-eh-bounces+kmccracken=mcleodhealth.org@mylist.net>

We have an RN do the initial screening with MD consultation as needed if PEP or other medication is indicated. Our Emergency department covers screening on off hours and they are seen by an MD or PA.
We see all employees back in our clinic for follow-up if they are on PEP.

Lynn Vining, RN, MSN, CPHQ
Nurse Manager, Employee Health Clinic
University of Iowa Hospitals and Clinics
200 Hawkins Drive, 1089 Boyd Tower
Iowa City, IA 52242
Phone: 319-384-9584
Pager: 131-7151
FAX: (319) 384-9697
E-mail: lynn-vining@uiowa.edu

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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Fair, Susan
Sent: Wednesday, August 06, 2014 2:18 PM
To: 'mcoh-eh@mylist.net'
Subject: [MCOH-EH] Bloodborne pathogens exposures

Colleagues,

In your setting, do you always have a PA/APRN/MD/DO see the healthcare
worker with a BBP exposure? The question is whether there are any
prohibitions (rationale, regulation, scope of practice) to having an RN do the initial evaluation, give PEP if warranted (under standing
orders) and following the HCW during the process of PEP and serial testing (as applicable)? Our practice has always been that a clinician does this, but there are other entities doing it differently. Just want to hear your takes on this.

Thanks,

Susan Fair, MPAS, PA-C

YNHH Occupational Health Plus

New Haven, CT

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