[MCOH-EH] Significant exposure lab work

[Swift, Melanie]

Several people have asked for this interpretive letter off-list, so I'm sharing with the group since we are on the EMR/privacy topic right now.

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 Davis, Sue
Sent: Thursday, January 19, 2017 10:51 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Significant exposure lab work

Melanie,
Do you have a copy of the OSHA Interpretive letter on HIPAA and the EMR?

Thank you,
Sue Davis MS, BSN, RN, CVRN - BC, NE-BC, CCRN-K
Service Leader, Learning Center & Employee Health
Methodist Health System
8601 West Dodge Road, Suite 18, Omaha, NE 68114
Phone:  (402) 354-5694
Learning Center Fax: (402) 354-5466
Employee Health Fax: (402) 354-8819
sue.davis at nmhs.org<mailto:sue.davis at nmhs.org>
Making life easier, one day at a time :)

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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