[MCOH-EH] Needlestick/Blood and body fluid exposure Evaluations

Hudson, T. Warner TWHudson at mednet.ucla.edu
Wed Feb 11 09:06:13 PST 2015


At UCLA we do require face to face at OH or if not open our EDs and then OB follow up next day. Tests you described; clarify we do source rapid HIV 1 and exposed employee non rapid HIV 1+2. However we will change to 4th gen HIV testing this yr. TW Hudson MD

Sent from my iPhone

On Feb 11, 2015, at 8:50 AM, Wintermeyer, Stephen F. <swinterm at iu.edu<mailto:swinterm at iu.edu>> wrote:

I am reviewing our policy for the management of a needlestick or blood body fluid evaluation.

My understanding is the standard of practice in 2015 is to test a source patient with a Rapid HIV test, HepBsAg and HepCAb tests.

My question for the group is what is the standard of practice of management of the exposed individual.  Obviously, counseling about risks and proper needle handling should be performed.

Do you require that the exposed individual come into the Employee Health clinic for face to face counseling or do you handle that by phone?
Do you test the exposed individual for HIV, HepBsAb and HepC for any exposure, or only if there is a specific reason to do so (such as the source patient is HIV +)?

Stephen Wintermeyer, MD, MPH
Director
Associate Professor of Clinical Medicine

Campus Health
Indiana University-Purdue University Indianapolis
Coleman Hall, Suite 100
1140 West Michigan Street
Indianapolis, IN  46202
317-274-8214

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