[MCOH-EH] Source testing in blood/body fluid exposure of HCW
Swift, Melanie
melanie.swift at Vanderbilt.Edu
Wed Feb 22 14:51:39 PST 2017
Responses below
Melanie Swift, MD
Associate Professor of Clinical Medicine
Director, Vanderbilt Occupational Health Clinic
Vanderbilt University Medical Center
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Galaid Edward I
Sent: Thursday, January 26, 2017 7:25 AM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Source testing in blood/body fluid exposure of HCW
Inquiry re policies of how to manage source testing, warehousing, release of results. Couldn't find anything in the OEM-L archive; there are state-to-state variations in regulations on how to handle.
Cross-Posted with OEM-L.
I'm confident that this has been already worked out by others....appreciate insight from the list:
1. Are the source's name and other identifiers redacted from the requisition and results? Source labs are ordered by their treating provider under their own name and MRN.
2. If the source name is associated with the order and result, are the orders included in the medical record or stored elsewhere? Stored in the source patient's medical record.
3. How are the results of the tests shared with the source? Their treating provider, who ordered the testing, is responsible for giving the source patient their own results.
We enter the source patient's ID and lab results in our tracking system, as part of the information stored on that exposure event. This is separate from anyone's medical record.
Ed Galaid
Edward I. Galaid, MD, MPH
ABIM, ABPM (Occ Med, PH&GPM)
Medical Director, Occupational Health Partners
Roper St. Francis Healthcare Charleston, SC
Member, ACOEM Task Group on Medical Guidance for Law Enforcement Officers
843-906-0519
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