[MCOH-EH] Query about bloodborne pathogen exposures

[Sparhawk, Dana MD]

We have standing orders for the PEP meds for our nurses, and they
consult one of the physicians whenever there are concerns that come up
with the exposure, medical hx, labs, or specific request to see a
physician.  Our nurses here all do an excellent job of counseling and
follow-up. 

 

DS

Dana Sparhawk, MD, MPH

Director, Lifespan Employee and Occupational Health Services

Clinical Assistant Professor, Alpert Medical School, Brown University

Grads Dorm, Rhode Island Hospital

593 Eddy Street

Providence, RI  02903

(401) 444-7412

 

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Adamo,
Philip
Sent: Thursday, August 07, 2014 10:36 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Query about bloodborne pathogen exposures

 

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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