[MCOH-EH] Source testing in blood/body fluid exposure of HCW

[Hudson, T. Warner]

We do exactly as Melanie does; I will add that tracking down the treating doctor is not always simple so house staff are often who we reach, occasionally dental exposed patients arrive at our clinic with the source in tow so we order the source test at OH, and that while 98% of source's doctors are fine with going over surprise positive results for HIV, hep B or C, we occasionally find one who is resistant or uncomfortable and have a chat about this.

Warner

T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health
UCLA Health System and Campus
Office 310.825.9146
Fax 310.206.4585
Pager 800.233.7231  ID 27132
E-mail twhudson at mednet.ucla.edu<mailto:twhudson at mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Swift, Melanie
Sent: Wednesday, February 22, 2017 2:52 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Source testing in blood/body fluid exposure of HCW

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<mailto: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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