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

[Swift, Melanie]

The OSHA BBP Standard requires collecting the employee's blood as soon as feasible and testing for HIV and HBV serological status after consent is obtained. There is also a requirement to preserve the blood collection for at least 90 days if the employee declines immediate testing. This is regardless of the source patient.

The standard has not been updated to include hepatitis C, but the assumption is that OSHA would expect us to follow Public Health guidelines and also offer baseline Hepatitis C.

Followup testing is not mandated by the standard, and is up to the WC carrier or employer to decide if they cover that or merely notify the employee of the recommendation for followup testing.

Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic
http://occupationalhealth.vanderbilt.edu

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Hudson, T. Warner
Sent: Wednesday, February 11, 2015 11:32 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Needlestick/Blood and body fluid exposure Evaluations

fyi

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] On Behalf Of Subin, Kenneth MD
Sent: Wednesday, February 11, 2015 9:27 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Needlestick/Blood and body fluid exposure Evaluations

Attached are the guidelines we reference.  I believe the PEP line references these as well, unless there is something more updated that I am not aware of.

Ken


Kenneth P. Subin, MD, MPH, CIME, CMRO
Clinical Medical Director
Occupational Medicine
ArnotHealth
Elmira, NY
(607) 737-4539 (p)
(607) 737-7783 (f)



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Wintermeyer, Stephen F.
Sent: Wednesday, February 11, 2015 10:20 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Needlestick/Blood and body fluid exposure Evaluations

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

[IUPUI_ACR.H]


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