[MCOH-EH] [This might be SPAM] MCOH-EH Digest, Vol 250, Issue 154 re: after hours needlesticks

Sajjad_Savul at bayhealth.org Sajjad_Savul at bayhealth.org
Tue Oct 27 13:44:40 PDT 2015
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I saw a couple of mentions of "next day and 6 month follow up". When we need periodic follow up, after the initial (first couple of days), we do 6 week, 12-week and 6-month (and one year if source positive for HIV & Hep C). The patient/ employee may just come in for labs; a provider then calls with results. Provider sees them at least on first visit. 

Saj 

Sajjad A. Savul, MD, MS, FACOEM
Medical Director
Bayhealth Occupational Health

Dover Office:
1275 S State Street
Dover, DE 19901
Ph.: (302) 678-1303 
Milford Office:
301 Jefferson Avenue
Milford, DE 19963
Ph.: (302) 430-5705 

Sent from my iPhone

> On Oct 27, 2015, at 4:25 PM, "Jeff Jacobs, MD" <JacobJef at einstein.edu> wrote:
> 
> 
> Our EDs have the PEP protocols for use when OH is closed, but exposed employees see Occupational health the next business day and for the 6 months of follow up.
> Ours is same as Warner's. Interestingly enough, we were having issues w/ ED staff about getting them to follow the protocols so when we updated them (Truvada/Isentress prophylaxis,etc.) I made a presentation for the ED and our ED residents and we are having a little better success but still have lab work not ordered on employee and  less so for source patient but biggest issue remains that some needlesticks seen initially in ED don't find their way to EHS until I am made aware of exposure through incident report (several months in a few cases). Not sure if others have suggestion to close the loop on incident reporting to EHS from ED?
>  
> Jeff
>  
> Jeffrey A Jacobs, MD, MPH
> Medical Director
> Einstein LiveWell EHS
> 1303 Tabor Rd
> Philadelphia, PA 19141
> 215-456-1084
> FAX: 215-456-1840>>> <mcoh-eh-request at mylist.net> 10/27/2015 3:00 PM >>>
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> Today's Topics:
> 
>    1. Re:  how do you address needlesticks afterhours?
>       (Subin, Kenneth MD)
>    2. Re:  how do you address needlesticks afterhours? (April Tainter)
> 
> 
> ----------------------------------------------------------------------
> 
> Message: 1
> Date: Tue, 27 Oct 2015 14:31:36 -0400
> From: "Subin, Kenneth MD" <ksubin at aomc.org>
> To: "MCOH/EH" <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?
> Message-ID:
> <80408DEC021F134D81B1D0689E6E6C720357F1CB at AOMCEXCH1.arnot_nt.aomc.org>
> Content-Type: text/plain; charset="us-ascii"
> 
> Same at our institution.
> 
> 
> 
> 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 Hudson,
> T. Warner
> Sent: Tuesday, October 27, 2015 1:59 PM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?
> 
> 
> 
> Our EDs have the PEP protocols for use when OH is closed, but exposed
> employees see Occupational health he next business day and for the 6
> months of follow up. 
> 
> Sent from my iPhone
> 
> 
> On Oct 27, 2015, at 10:14 AM, Spangler, Mary <
> MSpangler at stanfordhealthcare.org> wrote:
> 
> How does your institution address needlesticks after hours?  Do
> you have an on-line reporting system, do you have a designated on-call
> person, or do you use the Emergency Department?  Would love to hear from
> other institutions.
> 
> 
> 
> Regards,
> 
> Mary
> 
> 
> 
> Mary Spangler, M.S., N.P., COHN-S
> 
> Director, Occupational Health Services
> 
> Stanford Health Care & Stanford Children's Health Care
> 
> 300 Pasteur Drive, M/C 5205, Stanford, CA 94305-5513
> 
> Office: (650) 725-9583 Fax: (650) 498-7748 (fax)
> 
> mspangler at stanfordhealthcare.org
> 
> 
> 
> 
> <image001.png>                         
> 
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> ------------------------------
> 
> Message: 2
> Date: Tue, 27 Oct 2015 18:46:17 +0000
> From: April Tainter <April.Tainter at thedacare.org>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?
> Message-ID:
> <721C88E9C3C2614C9C6189231FA4750A2B818E0E at EXCHMB4.ad.local>
> Content-Type: text/plain; charset="us-ascii"
> 
> Same here.  Plus they call me with any issues.
> 
> April Tainter RN
> Employee Health Nurse
> [Description: cid:image001.png at 01D0D11B.A449DA50]
> ThedaCare Medical Center-Shawano
> 100 County Road B
> Shawano WI 54166
> P 715-524-1493
> F 715-524-9983
> 
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Subin, Kenneth MD
> Sent: Tuesday, October 27, 2015 1:32 PM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?
> 
> Same at our institution.
> 
> 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]<mailto:[mailto:mcoh-eh-bounces at mylist.net]> On Behalf Of Hudson, T. Warner
> Sent: Tuesday, October 27, 2015 1:59 PM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?
> 
> Our EDs have the PEP protocols for use when OH is closed, but exposed employees see Occupational health he next business day and for the 6 months of follow up.
> 
> Sent from my iPhone
> 
> On Oct 27, 2015, at 10:14 AM, Spangler, Mary <MSpangler at stanfordhealthcare.org<mailto:MSpangler at stanfordhealthcare.org>> wrote:
> How does your institution address needlesticks after hours?  Do you have an on-line reporting system, do you have a designated on-call person, or do you use the Emergency Department?  Would love to hear from other institutions.
> 
> Regards,
> Mary
> 
> Mary Spangler, M.S., N.P., COHN-S
> Director, Occupational Health Services
> Stanford Health Care & Stanford Children's Health Care
> 300 Pasteur Drive, M/C 5205, Stanford, CA 94305-5513
> Office: (650) 725-9583 Fax: (650) 498-7748 (fax)
> mspangler at stanfordhealthcare.org<mailto:mspangler at stanfordhealthcare.org>
> 
> <image001.png>                        [Stanford Children Health]
> Confidential Information: This communication and any attachments may contain confidential or privileged information for the use by the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or the attachments is strictly prohibited. If you have received this communication in error, please contact me and destroy all copies of the communication and attachments. Thank you.
> 
> ---------------------------------------
> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
> List membership is free, but only subscribers may post to the list.
> To post send messages to: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
> To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   http://www.mcoh-eh.net
> MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
> ---------------------------------------
> List archives (public): http://mylist.net/archives/mcoh-eh/
> ---------------------------------------
> Send administrative requests to: drjoe at meditrax.com<mailto:drjoe at meditrax.com>
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> 
> ________________________________
> 
> 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.
> 
> This message (including any attachments) is intended only for the use of the individual or entity to which it is addressed and may contain information that is non-public, proprietary, privileged, confidential, and exempt from disclosure under applicable law. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, notify the sender immediately by telephone and delete this message   
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> To post send messages to: mcoh-eh at mylist.net
> To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   http://www.mcoh-eh.net
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