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:

We use Fast Track in the hospital emergency department, which uses our protocol, and we follow-up the next day.
 
Lawrence D. Budnick, MD, MPH
Director, Occupational Medicine Service
Associate Professor of Medicine
Rutgers University - New Jersey Medical School
65 Bergen Street, Suite GA-167, Newark, NJ 07107
tel 973.972.2900
fax 973.972.2904
 
CONFIDENTIALITY NOTICE: This email communication may contain private, confidential, or legally privileged information intended for the sole use of the designated and/or duly authorized recipient(s). If you are not the intended recipient or have received this email in error, please notify me immediately by email and permanently delete all copies of this email, including all attachments without reading them. If you are the intended recipient, please secure the contents in a manner that conforms to all applicable state and/or federal requirements related to privacy and confidentiality of such information. Thank you.
 
From: MCOH-EH [mailto:mcoh-eh-bounces+budnicla=njms.rutgers.edu@mylist.net] On Behalf Of Higazi, Patricia
Sent: Tuesday, October 27, 2015 3:01 PM
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?
 
Our nursing administrative supervisors handle after hours calls following our protocol.  If they need to they will contact me but they can usually handle.  The employee follows up with us next business day and for follow up if necessary.
 
Patricia Higazi RN BSN COHN
Occupational Health Director
CHKD, Norfolk, VA
Tel: (757) 668 7491
Fax: (757) 668 8775
 
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Spangler, Mary
Sent: Tuesday, October 27, 2015 12:58 PM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] how do you address needlesticks afterhours?
 
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)
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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh@mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):  http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
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List archives (public): http://mylist.net/archives/mcoh-eh/
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Send administrative requests to: drjoe@meditrax.com
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