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

[Swift, Melanie]

We do.
Source patients can test negative in early stages of infection so we offer f/u testing for everyone. It also can forestall against future WC claims if you show they were negative after the exposure.

Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic
http://occupationalhealth.vanderbilt.edu

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of April Tainter
Sent: Monday, January 16, 2017 8:15 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Baseline Testing on Exposed Employee with Negative Source Results

Do any of you continue to test beyond baseline if the source is negative?

April Tainter RN
Employee Health Nurse

[Description: Description: cid:image001.png at 01D0D11B.A449DA50]

ThedaCare Medical Centers-Shawano/New London/Waupaca
P 715-701-0168
F 715-524-9983

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Swift, Melanie
Sent: Monday, January 16, 2017 7:55 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Baseline Testing on Exposed Employee with Negative Source Results

Ashley, there are several reasons to draw baseline labs on the employee:

*         Source patient testing may be negative in the early stages of infection so a negative source test is not absolute assurance they are not infectious.

*         The employee may have an unrecognized infection; when it later comes to light they are likely to associate it with the exposure. A positive baseline test establishes it as a preexisting infection.

*         The OSHA Bloodborne Pathogen Standard requires the employer offer baseline testing for HIV and hepatitis B regardless of the source's status:

1910.1030(f)(3)(iii)(A) The exposed employee's blood shall be collected as soon as feasible and tested after consent is obtained.

1910.1030(f)(3)(iii)(B)<https://www.osha.gov/pls/oshaweb/owalink.query_links?src_doc_type=STANDARDS&src_unique_file=1910_1030&src_anchor_name=1910.1030(f)(3)(iii)(B)> If the employee consents to baseline blood collection, but does not give consent at that time for HIV serologic testing, the sample shall be preserved for at least 90 days. If, within 90 days of the exposure incident, the employee elects to have the baseline sample tested, such testing shall be done as soon as feasible.



Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic
http://occupationalhealth.vanderbilt.edu

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Hinman, Ashley
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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