We do if the source is negative, but is high risk, ie IV drug user. We test at BL and 6 months, per our ID MD recommendation and standing orders.
Kit Schweitzer,
RN, BSN, COHN
|
Employee Health Nurse |
Employee Health Oregon Community
PeaceHealth
| 3333 Riverbend Way
| Springfield, OR 97477
office
541-222-2544
|
fax 541-222-2548
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of April Tainter
Sent: Monday, January 16, 2017 6:15 AM
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Baseline Testing on Exposed Employee with Negative Source Results
This message originated outside of PeaceHealth's email system and contains web links. Use caution when clicking on links. VERIFY THE SENDER before opening attachments, clicking links or providing information.
Do any of you continue to test beyond baseline if the source is negative?
April Tainter RN
Employee Health Nurse
ThedaCare Medical Centers-Shawano/New London/Waupaca
P 715-701-0168
F 715-524-9983
CONFIDENTIALITY NOTICE:
This e-mail message, including attachments, is for the sole use of the intended recipient and may contain confidential and privileged information. Any unauthorized
review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply and destroy all copies of the original message.
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)
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
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
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
Notice: This e-mail (including attachments) is covered by the Electronic Communications Privacy Act 18, U.S.C. 2510-2521, It is confidential and may be legally privileged. If
you are not the intended recipient, you are hereby notified that any retention, dissemination, distribution, or copying of this communication is strictly prohibited. Please reply to the sender that you have received the message in error, then delete it.
Thank you.
Notice: This UI Health Care e-mail (including attachments) is covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521 and is intended only for the use of the individual or entity to which it is addressed, and may contain
information that is privileged, confidential, and exempt from disclosure under applicable law. If you are not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication
in error, please notify the sender immediately and delete or destroy all copies of the original message and attachments thereto. Email sent to or from UI Health Care may be retained as required by law or regulation. Thank you.