Ed, 

At the shop where I work from time to time in Bean town, we start at a higher level by having a hospital-wide exposure team staffed by Occ Med NPH/MD and ID Attending/Fellows.  There is also a special nurse counselor associated with the group to help both the source and exposed persons deal with the situation if needed. 

1.       Are the source’s name and other identifiers redacted from the requisition and results?  


We have a special hand-written requisition to avoid confusion in the EMR. The source person is provided with a code.  The lab knows to provide the results to a specified beeper, carried by the on-call person from the exposure team.  


2.       If the source name is associated with the order and result, are the orders included in the medical record or stored elsewhere?


The order and results are kept in the specific records of the exposure program.  They do not go to the medical records.  


3.       How are the results of the tests shared with the source?


The designated exposure team member contacts the source and the exposed employee as well as the Occ Med nurse.  If the employee was started on PEP, the Occ Med nurse is the one who advises (in consultation with ID, if there is a question) regarding risk profiling for the exposed employee to decide whether they want to stop PEP. That decision is always left to the exposed person.  

If the exposed person remains on meds, Occ Med follows for labs and symptoms throughout the course. 


Hope this helps.


Kris Arnold

You know where to find me


On Thu, Jan 26, 2017 at 8:24 AM, Galaid Edward I <Edward.Galaid@ropersaintfrancis.com> wrote:

Inquiry re policies of how to manage source testing, warehousing, release of results.  Couldn’t find anything in the OEM-L archive;  there are state-to-state variations in regulations on how to handle.

 Cross-Posted with OEM-L.

 

I’m confident that this has been already worked out by others….appreciate insight from the list:

 

1.       Are the source’s name and other identifiers redacted from the requisition and results?

2.       If the source name is associated with the order and result, are the orders included in the medical record or stored elsewhere?

3.       How are the results of the tests shared with the source?

 

Ed Galaid

 

Edward I. Galaid, MD, MPH
ABIM, ABPM (Occ Med, PH&GPM)

Medical Director, Occupational Health Partners

Roper St. Francis Healthcare   Charleston, SC

Member, ACOEM Task Group on Medical Guidance for Law Enforcement Officers

843-906-0519

 

 



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