[MCOH-EH] how do you address needlesticks afterhours?

Deborah a Sampson da.sampson at yahoo.com
Wed Oct 28 18:00:13 PDT 2015


The ED and nursing supervisors handle the issue and notify us at EHS (more or less the next business day). Our policy/procedure is not user friendly for them, however, and we are in the process of trying to figure out how to streamline and make it easier and less prone to errors. Perennial weeds in the process seem to be employee having to wait hours in the ED, getting source consent, ED documenting employee info and results in the hospital EMR, etc.Although we are in a small suburban city, our ED is more and more like an inner city ED and the staff are stretched thin. I believe they want to do the right thing, yet a needlestick doesn't have quite the same priority as gunshot wounds, overdoses, super sick kids, etc... Understandably, needlestick injury protocols often fall to the bottom of the triage priorities list.
Anyone with ideas of how to streamline and simplify the process for after hours staff, I welcome your input. Deb

Deborah A. Sampson, PhD, FNP-BC, APRN, FAANP, NCRME 


     On Tuesday, October 27, 2015 3:18 PM, "Sajjad_Savul at bayhealth.org" <Sajjad_Savul at bayhealth.org> wrote:
   

 ER handles after-hour BBF exposures based on occ health protocol. Employees follow up with occ health in 1-2 days. 
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 

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On Oct 27, 2015, at 3:14 PM, "Budnick, Lawrence" <budnicla at njms.rutgers.edu> wrote:


<!--#yiv0860173081 _filtered #yiv0860173081 {font-family:"Cambria Math";panose-1:2 4 5 3 5 4 6 3 2 4;} _filtered #yiv0860173081 {font-family:Calibri;panose-1:2 15 5 2 2 2 4 3 2 4;} _filtered #yiv0860173081 {font-family:Tahoma;panose-1:2 11 6 4 3 5 4 4 2 4;} _filtered #yiv0860173081 {font-family:"Arial Narrow";panose-1:2 11 6 6 2 2 2 3 2 4;}#yiv0860173081 #yiv0860173081 p.yiv0860173081MsoNormal, #yiv0860173081 li.yiv0860173081MsoNormal, #yiv0860173081 div.yiv0860173081MsoNormal {margin:0in;margin-bottom:.0001pt;font-size:11.0pt;font-family:"Calibri", sans-serif;}#yiv0860173081 a:link, #yiv0860173081 span.yiv0860173081MsoHyperlink {color:blue;text-decoration:underline;}#yiv0860173081 a:visited, #yiv0860173081 span.yiv0860173081MsoHyperlinkFollowed {color:purple;text-decoration:underline;}#yiv0860173081 p.yiv0860173081MsoAcetate, #yiv0860173081 li.yiv0860173081MsoAcetate, #yiv0860173081 div.yiv0860173081MsoAcetate {margin:0in;margin-bottom:.0001pt;font-size:8.0pt;font-family:"Tahoma", sans-serif;}#yiv0860173081 span.yiv0860173081BalloonTextChar {font-family:"Tahoma", sans-serif;}#yiv0860173081 span.yiv0860173081EmailStyle19 {font-family:"Calibri", sans-serif;color:windowtext;}#yiv0860173081 span.yiv0860173081EmailStyle20 {color:black;}#yiv0860173081 span.yiv0860173081EmailStyle21 {font-family:"Times New Roman", serif;color:black;}#yiv0860173081 .yiv0860173081MsoChpDefault {font-size:10.0pt;} _filtered #yiv0860173081 {margin:1.0in 1.0in 1.0in 1.0in;}#yiv0860173081 div.yiv0860173081WordSection1 {}-->We use Fast Track in the hospital emergency department, which uses our protocol, and we follow-up the next day.  Lawrence D. Budnick, MD, MPHDirector, Occupational Medicine ServiceAssociate Professor of MedicineRutgers University - New Jersey Medical School65 Bergen Street, Suite GA-167, Newark, NJ 07107tel 973.972.2900fax 973.972.2904lawrence.budnick at rutgers.edu  CONFIDENTIALITY NOTICE: This email communication may contain private, confidential, or legally privileged information intended for the sole use of the designated and/or duly authorized recipient(s). If you are not the intended recipient or have received this email in error, please notify me immediately by email and permanently delete all copies of this email, including all attachments without reading them. If you are the intended recipient, please secure the contents in a manner that conforms to all applicable state and/or federal requirements related to privacy and confidentiality of such information. Thank you.  From: MCOH-EH [mailto:mcoh-eh-bounces+budnicla=njms.rutgers.edu at mylist.net] On Behalf Of Higazi, Patricia
Sent: Tuesday, October 27, 2015 3:01 PM
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?  Our nursing administrative supervisors handle after hours calls following our protocol.  If they need to they will contact me but they can usually handle.  The employee follows up with us next business day and for follow up if necessary.  Patricia Higazi RN BSN COHNOccupational Health DirectorCHKD, Norfolk, VATel: (757) 668 7491Fax: (757) 668 8775  From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Spangler, Mary
Sent: Tuesday, October 27, 2015 12:58 PM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] how do you address needlesticks afterhours?  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-SDirector, Occupational Health ServicesStanford Health Care & Stanford Children’s Health Care300 Pasteur Drive, M/C 5205, Stanford, CA 94305-5513Office: (650) 725-9583 Fax: (650) 498-7748 (fax)mspangler at stanfordhealthcare.org<M1.2.png>                        <M1.3.jpg>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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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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