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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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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