[MCOH-EH] Query about bloodborne pathogen exposures

[Angeli Mancuso]

During business hours, our Employee Health Nurses handle all of this (source patient testing, employee incident intake and blood work). If anyone needs PEP, we send them to our Occ Health clinic for dispensing.
After hours, the employee/physician has to be checked into the ED and seen by a physician to run the protocol. We are trying to define a process to eliminate this as the ED is busy enough but we haven't yet come up with a guaranteed way to run source patient blood without the process being initiated in this manner.
Angeli Mancuso, RN, COHN-S/CM
Employee Health & Safety Manager
Cottage Health System
Ph: 805.569.7866/Internal Ext. 57866
Fax: 805.569.8271
a1mancus at sbch.org<mailto:a1mancus at sbch.org>
www.cottagehealthsystem.org<http://www.cottagehealthsystem.org/>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Hudson, T. Warner
Sent: Wednesday, August 06, 2014 12:17 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Query about bloodborne pathogen exposures

We have OH RNs and OH NPs see the BBPs with myself as back up and our HIV docs paged when indicated and we do have BBP policy and procedures.
Warner
T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health
UCLA Health System and Campus
Office 310.825.9146
Fax 310.206.4585
Pager 800.233.7231  ID 27132
E-mail twhudson at mednet.ucla.edu<mailto:twhudson at mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net]<mailto:[mailto:mcoh-eh-bounces at mylist.net]> On Behalf Of Fair, Susan
Sent: Wednesday, August 06, 2014 12:13 PM
To: 'MCOH/EH'
Subject: [MCOH-EH] Query about bloodborne pathogen exposures

Colleagues,
In your setting, do you always have a PA/APRN/MD/DO see the healthcare worker with a BBP exposure?   The question is whether there are any prohibitions (rationale, regulation, scope of practice) to having an RN do the initial evaluation, give PEP if warranted (under standing orders) and following the HCW during the process of PEP and serial testing (as applicable)?  Our practice has always been that a clinician does this, but there are other entities doing it differently.  Just want to hear your takes on this.
Thanks,
Susan Fair, MPAS, PA-C
YNHH Occupational Health Plus
New Haven, CT



This message originates from the Yale New Haven Health System. The information contained in this message may be privileged and confidential. If you are the intended recipient you must maintain this message in a secure and confidential manner. If you are not the intended recipient, please notify the sender immediately and destroy this message. Thank you.

________________________________

IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.


________________________________

CHS Disclaimer: This electronic mail message is intended exclusively for the individual or entity to which it is addressed. This message, together with any attachment, may contain confidential and privileged information. Any views, opinions or conclusions expressed in this message are those of the individual sender and do not necessarily reflect the views of Cottage Health System, its subsidiaries or affiliates. This document may also contain information covered under the Health Insurance Portability and Accountability Act (HIPAA, PL 104-191) and implementing regulations and must be protected in accordance with those provisions. Re-disclosure without patient consent or as otherwise permitted by law is prohibited. Any unauthorized review, retransmission, use, printing, copying, retention, disclosure, distribution or the taking of any action in reliance upon this information by persons or entities other than the intended recipient is strictly prohibited and may be unlawful. If you have received this message in error, please immediately advise the sender by reply email message to the sender and delete all copies of this message from your system without copying.

________________________________
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://mylist.net/archives/mcoh-eh/attachments/20140806/cf4d75ce/attachment-0001.html>