We have standing orders for the PEP meds for our nurses, and they consult one of the physicians whenever there are concerns that come up with the exposure, medical hx, labs, or specific request to see a physician. Our nurses here all do an excellent job of counseling and follow-up.

Dana Sparhawk, MD, MPH

Director, Lifespan Employee and Occupational Health Services

Clinical Assistant Professor, Alpert Medical School, Brown University

Grads Dorm, Rhode Island Hospital

593 Eddy Street

Providence, RI 02903

(401) 444-7412

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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Adamo, Philip
Sent: Thursday, August 07, 2014 10:36 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Query about bloodborne pathogen exposures

At our facility the RN’s can do the initial intake and follow up except when PEP is indicated an MD or NP is contacted to write the order.

Phil

Philip Adamo, M.D., MPH, FACOEM

Associate Vice President and

Medical Director, Employee Health &

Occupational Injury Care and Wellness

UMass Memorial Medical Center

Hahnemann Campus Suite 201

291 Lincoln Street

Worcester, MA 01605

Phone: 508-334-6179

FAX: 508-334-6433

cell 508-713-3993

philip.adamo@umassmemorial.org

"THE GREAT USE OF LIFE is to spend it for something that will outlast it."

William James

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Paulson, Jennifer A., R.N.
Sent: Wednesday, August 06, 2014 3:35 PM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Query about bloodborne pathogen exposures

Our RNs do all of our f/u under protocol. They order the lab tests, order PEP, and make a referral to our Infectious Disease dept within 5 days of exposure.

Jennifer Paulson, RN
Nurse Manager, Employee Health and Wellness
Office: 507-304-7021
Cell: 507-380-8082
Fax: 507-385-4882
E-Mail: paulson.jennifer@mayo.edu
_____________________________________
Mayo Clinic Health System
Southwest Minnesota Region
1025 Marsh Street - Room 1208
Mankato, MN 56001
mayoclinichealthsystem.org

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Fair, Susan
Sent: Wednesday, August 06, 2014 2:13 PM
To: 'MCOH/EH'
Subject: [MCOH-EH] Query about bloodborne pathogen 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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