[MCOH-EH] Query about bloodborne pathogen exposures

[Adamo, Philip]

At our facility the RN's can do the initial intake and follow up except when PEP is indicated an MD or NP is contacted to write the order.

Phil


Philip Adamo, M.D., MPH, FACOEM
Associate Vice President and
Medical Director, Employee Health &
Occupational Injury Care and Wellness
UMass Memorial Medical Center
Hahnemann Campus Suite 201
291 Lincoln Street
Worcester, MA 01605
Phone: 508-334-6179
FAX: 508-334-6433
cell 508-713-3993
philip.adamo at umassmemorial.org

"THE GREAT USE OF LIFE is to spend it for something that will outlast it."
William James

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Paulson, Jennifer A., R.N.
Sent: Wednesday, August 06, 2014 3:35 PM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Query about bloodborne pathogen exposures

Our RNs do all of our f/u under protocol.  They order the lab tests, order PEP, and make a referral to our Infectious Disease dept within 5 days of exposure.

Jennifer Paulson, RN
Nurse Manager, Employee Health and Wellness
Office: 507-304-7021
Cell: 507-380-8082
Fax: 507-385-4882
E-Mail: paulson.jennifer at mayo.edu<mailto:paulson.jennifer at mayo.edu>
_____________________________________
Mayo Clinic Health System
Southwest Minnesota Region
1025 Marsh Street - Room 1208
Mankato, MN 56001
mayoclinichealthsystem.org



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Fair, Susan
Sent: Wednesday, August 06, 2014 2:13 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



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