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

[Nancy Rodway]

I do not test further if source is negative as long as the lab is testing also for the p24 antigen.

I am a pathologist as well .... so i see both sides of this issue


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


________________________________
From: MCOH-EH <mcoh-eh-bounces+nrodway=hotmail.com at mylist.net> on behalf of Swift, Melanie <melanie.swift at Vanderbilt.Edu>
Sent: Monday, January 16, 2017 3:04 PM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Baseline Testing on Exposed Employee with Negative Source Results


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



CONFIDENTIALITY NOTICE:

This e-mail message, including attachments, is for the sole use of the intended recipient and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply and destroy all copies of the original message.



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



[cid:B9D70BDC86E5E21ED886ED0CF268673DF58DCAE1 at mailhost6.uiowa.edu]



Notice: This e-mail (including attachments) is covered by the Electronic Communications Privacy Act 18, U.S.C. 2510-2521, It is confidential and may be legally privileged.  If you are not the intended recipient, you are hereby notified that any retention, dissemination, distribution, or copying of this communication is strictly prohibited.  Please reply to the sender that you have received the message in error, then delete it.  Thank you.



________________________________

Notice: This UI Health Care e-mail (including attachments) is covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521 and is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If you are not the intended recipient, any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the sender immediately and delete or destroy all copies of the original message and attachments thereto. Email sent to or from UI Health Care may be retained as required by law or regulation. Thank you.

________________________________
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://mylist.net/archives/mcoh-eh/attachments/20170116/41d86a44/attachment-0001.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.png
Type: image/png
Size: 5218 bytes
Desc: image001.png
URL: <http://mylist.net/archives/mcoh-eh/attachments/20170116/41d86a44/attachment-0001.png>