I saw a couple of mentions of "next day and 6 month follow up". When we need periodic follow up, after the initial (first couple of days), we do 6 week, 12-week and 6-month (and one year if source positive for HIV & Hep C). The patient/ employee may just come in for labs; a provider then calls with results. Provider sees them at least on first visit. 

Saj 

Sajjad A. Savul, MD, MS, FACOEM
Medical Director
Bayhealth Occupational Health

Dover Office:
1275 S State Street
Dover, DE 19901
Ph.: (302) 678-1303 
Milford Office:
301 Jefferson Avenue
Milford, DE 19963
Ph.: (302) 430-5705 

Sent from my iPhone

On Oct 27, 2015, at 4:25 PM, "Jeff Jacobs, MD" <JacobJef@einstein.edu> wrote:


Our EDs have the PEP protocols for use when OH is closed, but exposed employees see Occupational health the next business day and for the 6 months of follow up.
Ours is same as Warner's. Interestingly enough, we were having issues w/ ED staff about getting them to follow the protocols so when we updated them (Truvada/Isentress prophylaxis,etc.) I made a presentation for the ED and our ED residents and we are having a little better success but still have lab work not ordered on employee and  less so for source patient but biggest issue remains that some needlesticks seen initially in ED don't find their way to EHS until I am made aware of exposure through incident report (several months in a few cases). Not sure if others have suggestion to close the loop on incident reporting to EHS from ED?
 
Jeff
 
Jeffrey A Jacobs, MD, MPH
Medical Director
Einstein LiveWell EHS
1303 Tabor Rd
Philadelphia, PA 19141
215-456-1084
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Today's Topics:

   1. Re:  how do you address needlesticks afterhours?
      (Subin, Kenneth MD)
   2. Re:  how do you address needlesticks afterhours? (April Tainter)


----------------------------------------------------------------------

Message: 1
Date: Tue, 27 Oct 2015 14:31:36 -0400
From: "Subin, Kenneth MD" <ksubin@aomc.org>
To: "MCOH/EH" <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?
Message-ID:
<80408DEC021F134D81B1D0689E6E6C720357F1CB@AOMCEXCH1.arnot_nt.aomc.org>
Content-Type: text/plain; charset="us-ascii"

Same at our institution.



Kenneth P. Subin, MD, MPH, CIME, CMRO

Clinical Medical Director

Occupational Medicine

ArnotHealth

Elmira, NY

(607) 737-4539 (p)

(607) 737-7783 (f)



From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Hudson,
T. Warner
Sent: Tuesday, October 27, 2015 1:59 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?



Our EDs have the PEP protocols for use when OH is closed, but exposed
employees see Occupational health he next business day and for the 6
months of follow up.

Sent from my iPhone


On Oct 27, 2015, at 10:14 AM, Spangler, Mary <
MSpangler@stanfordhealthcare.org> wrote:

How does your institution address needlesticks after hours?  Do
you have an on-line reporting system, do you have a designated on-call
person, or do you use the Emergency Department?  Would love to hear from
other institutions.



Regards,

Mary



Mary Spangler, M.S., N.P., COHN-S

Director, Occupational Health Services

Stanford Health Care & Stanford Children's Health Care

300 Pasteur Drive, M/C 5205, Stanford, CA 94305-5513

Office: (650) 725-9583 Fax: (650) 498-7748 (fax)

mspangler@stanfordhealthcare.org




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Message: 2
Date: Tue, 27 Oct 2015 18:46:17 +0000
From: April Tainter <April.Tainter@thedacare.org>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?
Message-ID:
<721C88E9C3C2614C9C6189231FA4750A2B818E0E@EXCHMB4.ad.local>
Content-Type: text/plain; charset="us-ascii"

Same here.  Plus they call me with any issues.

April Tainter RN
Employee Health Nurse
[Description: cid:image001.png@01D0D11B.A449DA50]
ThedaCare Medical Center-Shawano
100 County Road B
Shawano WI 54166
P 715-524-1493
F 715-524-9983

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Subin, Kenneth MD
Sent: Tuesday, October 27, 2015 1:32 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?

Same at our institution.

Kenneth P. Subin, MD, MPH, CIME, CMRO
Clinical Medical Director
Occupational Medicine
ArnotHealth
Elmira, NY
(607) 737-4539 (p)
(607) 737-7783 (f)

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]<mailto:[mailto:mcoh-eh-bounces@mylist.net]> On Behalf Of Hudson, T. Warner
Sent: Tuesday, October 27, 2015 1:59 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?

Our EDs have the PEP protocols for use when OH is closed, but exposed employees see Occupational health he next business day and for the 6 months of follow up.

Sent from my iPhone

On Oct 27, 2015, at 10:14 AM, Spangler, Mary <MSpangler@stanfordhealthcare.org<mailto:MSpangler@stanfordhealthcare.org>> wrote:
How does your institution address needlesticks after hours?  Do you have an on-line reporting system, do you have a designated on-call person, or do you use the Emergency Department?  Would love to hear from other institutions.

Regards,
Mary

Mary Spangler, M.S., N.P., COHN-S
Director, Occupational Health Services
Stanford Health Care & Stanford Children's Health Care
300 Pasteur Drive, M/C 5205, Stanford, CA 94305-5513
Office: (650) 725-9583 Fax: (650) 498-7748 (fax)
mspangler@stanfordhealthcare.org<mailto:mspangler@stanfordhealthcare.org>

<image001.png>                        [Stanford Children Health]
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