Good morning: We are a small community hospital with 1 Occupational staff (me). We have a protocol and procedure that involves house supervisor and myself.
So an employee has an incident; Clean wound , have patient drawn and report to lab (keeping in mind the 2 hour window for prophylaxis if needed.) House Supervisor is notified whenever I am not available and then results of HIV called directly to employee (to
protect their HIPAA).
If positive then to ER for treatment, counseling, etc. I send an email confirming findings, assign an education piece for Blood Borne pathogens in HealthStream
with 30 days to complete, as well as dates for follow up. I then send lab paperwork to lab. The employee then goes into the computer to our Meditech suite and fills in an event notification.
I review all paperwork and put together a packet for our Occupational Health physician to review. A copy is then scanned to the employee via email of the summary.
I have a book with each of the months and each month I send individual emails for needle stick lab follow ups to remind the employee of labs and date in the month to be drawn.
This may sound complicated but actually takes little time and flows smoothly.
Belinda Mead RN, MSN, PLNC
Education Coordinator and Occupational Health Nurse
Williamson Medical Center
4321 Carothers Parkway
Franklin TN. 37067
Email:
bmead@wmed.org
Phone: 615-435-5128
Fax: 615-435-7403
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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Deborah a Sampson via MCOH-EH
Sent: Wednesday, October 28, 2015 8:00 PM
To: MCOH/EH
Cc: Deborah a Sampson
Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?
The ED and nursing supervisors handle the issue and notify us at EHS (more or less the next business day). Our policy/procedure is not user friendly for them, however,
and we are in the process of trying to figure out how to streamline and make it easier and less prone to errors. Perennial weeds in the process seem to be employee having to wait hours in the ED, getting source consent, ED documenting employee info and results in
the hospital EMR, etc.
Although we are in a small suburban city, our ED is more and more like an inner city ED and the staff are stretched thin. I believe they want to do the right thing, yet
a needlestick doesn't have quite the same priority as gunshot wounds, overdoses, super sick kids, etc... Understandably, needlestick injury protocols often fall to the bottom of the triage priorities list.
Anyone with ideas of how to streamline and simplify the process for after hours staff, I welcome your input.
Deb
Deborah A. Sampson, PhD, FNP-BC, APRN, FAANP, NCRME
On Tuesday, October 27, 2015 3:18 PM, "Sajjad_Savul@bayhealth.org" <Sajjad_Savul@bayhealth.org>
wrote:
ER handles after-hour BBF exposures based on occ health protocol. Employees follow up with occ health in 1-2 days.
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 3:14 PM, "Budnick, Lawrence" <budnicla@njms.rutgers.edu> wrote: