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

Hudson, T. Warner TWHudson at mednet.ucla.edu
Tue Oct 27 13:54:03 PDT 2015
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Yes the EDs can be a challenge and here at Reagan Hospital we have 50 ED residents; 30 community ED attendings; all of whom rotate and turn over and 27 ED bays so very easy to get distracted.  So a key part of OH follow up is review of what was done.  Our risk management office also gets the claim as these are WC so can help not lose people but agree it is a challenge.
Outlying clinics (we have 180), research and rotations are another huge challenge and probably a different email discussion.
Warner
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+twhudson=mednet.ucla.edu at mylist.net] On Behalf Of Jeff Jacobs, MD
Sent: Tuesday, October 27, 2015 1:25 PM
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] [This might be SPAM] MCOH-EH Digest, Vol 250, Issue 154 re: after hours needlesticks


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
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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<mailto:ksubin at aomc.org>>
To: "MCOH/EH" <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?
Message-ID:
<80408DEC021F134D81B1D0689E6E6C720357F1CB at AOMCEXCH1.arnot_nt.aomc.org<mailto: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]<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>

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Message: 2
Date: Tue, 27 Oct 2015 18:46:17 +0000
From: April Tainter <April.Tainter at thedacare.org<mailto:April.Tainter at thedacare.org>>
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?
Message-ID:
<721C88E9C3C2614C9C6189231FA4750A2B818E0E at EXCHMB4.ad.local<mailto: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]<mailto:[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]><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<mailto:MSpangler at stanfordhealthcare.org%3cmailto: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<mailto:mspangler at stanfordhealthcare.org%3cmailto: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.

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