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

[Shea, Joann]

I live in Florida and our state HIV testing regulations following a significant exposure does not allow for ordering or documenting testing info in the source patients medical records.   We order the test in Employee Health and all documentation and lab results of the source pt are maintained in the exposed HCW Employee Health medical record.   We order testing using source patient name and MRN.

We are not required to get consent prior to testing for HIV, HCV or HBV so we send a letter with the negative results to the source patients home address.  If positive, we will notify the attending physician.

JoAnn

[TGH_employee health serv-color]
JoAnn Shea, ARNP, MS, COHN-S
Director, Employee Health & Wellness
Work: 813-844-7692    Cell:  813-789-3441    FAX;  813-844-8144    Email:  jshea at tgh.org



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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