[MCOH-EH] [External] Re: Baseline Testing on Exposed Employee with Negative Source Results

[Sampson, Deborah]

We do the same as Nancy
If the employee is positive, then we have a baseline that documents the employee did not get exposure from this incident. It is also an opportunity to assure that an employee who did not know of his/her own positive status gets prompt intervention from a PCP. We have identified 2 HepC + employees- one did not know she was Hep C.
We also use the opportunity to assure that there is  no 'missed opportunity' for updating Td immunization; for identifying hazard that  might be implicated in the exposure and educating staff on prevention.
Deb
Deborah A. Sampson, PhD, APRN, COHN-S, FAANP
Director
Employee Health and Wellness Services
Southern New Hampshire Health   P.O.Box 2014   8 Prospect Street   Nashua, NH 03060
p(603) 281-8583  f (603) 577-5665
deborah.sampson at snhhealth.org<mailto:deborah.sampson at snhhealth.org>

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Nancy Rodway
Sent: Sunday, January 15, 2017 7:17 PM
To: mcoh-eh at mylist.net
Subject: [External] Re: [MCOH-EH] Baseline Testing on Exposed Employee with Negative Source Results




I routinely perform HBV HCV HIV testing on both source and employee (slightly different panels, of course).  If the source is negative, I use the employee testing as an opportunity to review Hep B vaccine status



Nancy Rodway MD MPH FACOEM

Sent from Outlook<http://aka.ms/weboutlook>

________________________________
From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Hinman, Ashley <ashley-hinman at uiowa.edu<mailto:ashley-hinman at uiowa.edu>>
Sent: Sunday, January 15, 2017 3:00 PM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Baseline Testing on Exposed Employee with Negative Source Results

I was wondering what other facilities are doing when an exposed employee follows up with their designated area (Employee Health) following a blood borne pathogen exposure and the source patient has negative test results.  Do you typically draw baseline testing (Hepatitis C and HIV) on the exposed employee even when the source is negative?  If so, what is your reasoning for doing so?


Thanks,

Ashley Hinman, RN MSN
Nurse Clinician, Employee Health Clinic
University of Iowa Hospitals and Clinics
200 Hawkins Drive, 1097-1 Boyd Tower
Iowa City, IA 52242

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