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

[Belinda D. Mead]

Good morning: We are a small community hospital with 1 Occupational staff (me).  We have a protocol and procedure that involves house supervisor and myself. So an employee has an incident; Clean wound , have patient drawn and report to lab (keeping in mind the 2 hour window for prophylaxis if needed.) House Supervisor is notified whenever I am not available and then results of HIV called directly to employee (to protect their HIPAA).

If positive then to ER for treatment, counseling, etc.   I send an email confirming findings, assign an education piece for Blood Borne pathogens in HealthStream with 30 days to complete, as well as dates for follow up.  I then send lab paperwork to lab.  The employee then goes into the computer to our Meditech suite and fills in an event notification.

I review all paperwork and put together a packet for our Occupational Health physician to review.  A copy is then scanned to the employee via email of the summary.  I have a book with each of the months and each month I send individual emails for needle stick lab follow ups to remind the employee of labs and date in the month to be drawn.

This may sound complicated but actually takes little time and flows smoothly.

Belinda Mead RN, MSN, PLNC
Education Coordinator and Occupational Health Nurse
Williamson Medical Center
4321 Carothers Parkway
Franklin TN. 37067
Email: bmead at wmed.org<mailto:bmead at wmed.org>
Phone: 615-435-5128
Fax:    615-435-7403


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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Deborah a Sampson via MCOH-EH
Sent: Wednesday, October 28, 2015 8:00 PM
To: MCOH/EH
Cc: Deborah a Sampson
Subject: Re: [MCOH-EH] how do you address needlesticks afterhours?

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<mailto:Sajjad_Savul at bayhealth.org>" <Sajjad_Savul at bayhealth.org<mailto: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

Sent from my iPhone

On Oct 27, 2015, at 3:14 PM, "Budnick, Lawrence" <budnicla at njms.rutgers.edu<mailto:budnicla at njms.rutgers.edu>> wrote:
We use Fast Track in the hospital emergency department, which uses our protocol, and we follow-up the next day.

Lawrence D. Budnick, MD, MPH
Director, Occupational Medicine Service
Associate Professor of Medicine
Rutgers University - New Jersey Medical School
65 Bergen Street, Suite GA-167, Newark, NJ 07107
tel 973.972.2900
fax 973.972.2904
lawrence.budnick at rutgers.edu<mailto:lawrence.budnick at rutgers.edu>

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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<mailto: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 COHN
Occupational Health Director
CHKD, Norfolk, VA
Tel: (757) 668 7491
Fax: (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<mailto: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-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>
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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):  http://www.mcoh-eh.net<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.
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