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

[Kris Arnold]

Ed,

At the shop where I work from time to time in Bean town, we start at a
higher level by having a hospital-wide exposure team staffed by Occ Med
NPH/MD and ID Attending/Fellows.  There is also a special nurse counselor
associated with the group to help both the source and exposed persons deal
with the situation if needed.

1.       Are the source’s name and other identifiers redacted from the
requisition and results?


We have a special hand-written requisition to avoid confusion in the EMR.
The source person is provided with a code.  The lab knows to provide the
results to a specified beeper, carried by the on-call person from the
exposure team.


2.       If the source name is associated with the order and result, are
the orders included in the medical record or stored elsewhere?


The order and results are kept in the specific records of the exposure
program.  They do not go to the medical records.


3.       How are the results of the tests shared with the source?


The designated exposure team member contacts the source and the exposed
employee as well as the Occ Med nurse.  If the employee was started on PEP,
the Occ Med nurse is the one who advises (in consultation with ID, if there
is a question) regarding risk profiling for the exposed employee to decide
whether they want to stop PEP. That decision is always left to the exposed
person.

If the exposed person remains on meds, Occ Med follows for labs and
symptoms throughout the course.


Hope this helps.


Kris Arnold

You know where to find me

On Thu, Jan 26, 2017 at 8:24 AM, Galaid Edward I <
Edward.Galaid at ropersaintfrancis.com> wrote:

> 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?
>
> 2.       If the source name is associated with the order and result, are
> the orders included in the medical record or stored elsewhere?
>
> 3.       How are the results of the tests shared with the source?
>
>
>
> 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 <(843)%20906-0519>
>
>
>
>
>
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