[MCOH-EH] Significant exposure lab work

[Spangler, Mary]

We use a coded system that is maintained separately.

Mary
Take 3 minutes to watch this doodle on sharps safety.  https://www.youtube.com/watch?v=mpm_7pNn5GM&feature=youtu.be

Mary Spangler, M.S., N.P., COHN-S
Administrative 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>
Administrative Assistant Michelle Fitch 650-725-2529   mfitch at stanfordhealthcare.org<mailto:mfitch at stanfordhealthcare.org>
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From: MCOH-EH [mailto:mcoh-eh-bounces+mspangler=stanfordhealthcare.org at mylist.net] On Behalf Of Hinman, Ashley
Sent: Tuesday, January 17, 2017 9:07 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Significant exposure lab work

We use ReadySet through Axion for employees that are seen in the Employee Health Clinic.  These records are kept separate than their personal medical records.  If they were to go to the hospital for personal care, their records are kept in Epic.  Hope this is helpful.


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
Phone: (319) 356-3631 or (319) 353-7853; Fax: (319) 384-9697
Pager #: 1690
E-mail: ashley-hinman at uiowa.edu<mailto:ashley-hinman at uiowa.edu>

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Swift, Melanie
Sent: Tuesday, January 17, 2017 10:25 AM
To: MCOH-EH at mylist.net<mailto:MCOH-EH at mylist.net>
Subject: Re: [MCOH-EH] Significant exposure lab work

Jennifer, for argument's sake I'm assuming you are talking about bloodborne pathogen exposures. This touches on OSHA privacy requirements, HIPAA, and is very specific to each institution's setup. You might see internal and external clients and have different privacy requirements for each. Other facilities may be different. I recommend you consult with your own institution's privacy office or legal counsel. If your own employees are compelled to come to your clinic for baseline postexposure labwork, OSHA has issued an interpretive letter saying that just the hospital's routine privacy protections around their EMR are not adequate, and that those labs must have additional privacy protections.

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 Mora, Jennifer
Sent: Tuesday, January 17, 2017 10:15 AM
To: MCOH-EH at mylist.net<mailto:MCOH-EH at mylist.net>
Subject: [MCOH-EH] Significant exposure lab work

Hi All,

There have been questions recently about what lab work should be done after a significant exposure, but I am looking for information on how you maintain those records.  We currently use Epic for our occupational records.  When a significant exposure occurs, the lab work is done on paper and the results come to employee/occupational health.  For outside companies, our practice has been to scan the lab results into the epic record after all the results have come back.   What do you do with the lab results?  Do you keep a paper file for the exposed person?  Do you scan them into the record?

Thanks!

Jen

Jennifer Mora MSN, RN
Business Health and Wellness Coordinator
Stoughton Hospital
900 Ridge Street
Stoughton, WI 53589

Office 608-873-2204
Cell      608-235-4239



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