Our state health dept’s infectious disease physician states that there is no need to do baselines on exposed employees IF the source patient is neg/nonreactive on a particular test.

So therefore we do not.

Denise Smith, RN, COHPM -

Human Resources, Asst. Director

Employee Health and Workers' Compensation

Employee Health Clinic

Lexington Medical Center

2720 Sunset Blvd.

West Columbia, S.C. 29169

803.791.2199 or 939.8734

Fax 803.936.8217

edsmith2@lexhealth.org

Designated Parking spaces for clinic visits are available in the parking lot behind LMP 1 Garage.

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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of mcoh-eh-request@mylist.net
Sent: Monday, January 16, 2017 3:00 PM
To: mcoh-eh@mylist.net
Subject: MCOH-EH Digest, Vol 252, Issue 16

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Today's Topics:

1. Re: Baseline Testing on Exposed Employee with Negative

Source Results (Hinman, Ashley)

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Message: 1

Date: Mon, 16 Jan 2017 19:48:34 +0000

From: "Hinman, Ashley" <ashley-hinman@uiowa.edu>

To: MCOH/EH <mcoh-eh@mylist.net>

Subject: Re: [MCOH-EH] Baseline Testing on Exposed Employee with

Negative Source Results

Message-ID: <6AE5A8F2-B1B0-4991-968F-040EB2366378@uiowa.edu>

Content-Type: text/plain; charset="windows-1252"

We do not do any additional testing/follow-up on source or exposed if source is negative.

Thanks,

Ashley Hinman

On Jan 16, 2017, at 13:47, April Tainter <April.Tainter@thedacare.org<mailto:April.Tainter@thedacare.org>> wrote:

Do any of you continue to test beyond baseline if the source is negative?

April Tainter RN

Employee Health Nurse

<image001.png>

ThedaCare Medical Centers-Shawano/New London/Waupaca P 715-701-0168 F 715-524-9983

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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Swift, Melanie

Sent: Monday, January 16, 2017 7:55 AM

To: 'MCOH/EH'

Subject: Re: [MCOH-EH] Baseline Testing on Exposed Employee with Negative Source Results

Ashley, there are several reasons to draw baseline labs on the employee:

? Source patient testing may be negative in the early stages of infection so a negative source test is not absolute assurance they are not infectious.

? The employee may have an unrecognized infection; when it later comes to light they are likely to associate it with the exposure. A positive baseline test establishes it as a preexisting infection.

? The OSHA Bloodborne Pathogen Standard requires the employer offer baseline testing for HIV and hepatitis B regardless of the source?s status:

1910.1030(f)(3)(iii)(A) The exposed employee's blood shall be collected as soon as feasible and tested after consent is obtained.

1910.1030(f)(3)(iii)(B)<https://www.osha.gov/pls/oshaweb/owalink.query_links?src_doc_type=STANDARDS&src_unique_file=1910_1030&src_anchor_name=1910.1030(f)(3)(iii)(B)> If the employee consents to baseline blood collection, but does not give consent at that time for HIV serologic testing, the sample shall be preserved for at least 90 days. If, within 90 days of the exposure incident, the employee elects to have the baseline sample tested, such testing shall be done as soon as feasible.

Melanie Swift, MD

Director, Vanderbilt Occupational Health Clinic http://occupationalhealth.vanderbilt.edu

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Hinman, Ashley

Sent: Sunday, January 15, 2017 3:00 PM

To: mcoh-eh@mylist.net<mailto:mcoh-eh@mylist.net>

Subject: [MCOH-EH] Baseline Testing on Exposed Employee with Negative Source Results

I was wondering what other facilities are doing when an exposed employee follows up with their designated area (Employee Health) following a blood borne pathogen exposure and the source patient has negative test results. Do you typically draw baseline testing (Hepatitis C and HIV) on the exposed employee even when the source is negative? If so, what is your reasoning for doing so?

Thanks,

Ashley Hinman, RN MSN

Nurse Clinician, Employee Health Clinic

University of Iowa Hospitals and Clinics

200 Hawkins Drive, 1097-1 Boyd Tower

Iowa City, IA 52242

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