[MCOH-EH] #ExtMail# Re: BBP exposures

[Kathy.Dayvault at dekalbmedical.org]

Sorry, we call agency nurses our travelers.

Thanks,

Kathy Dayvault, RN, BSN, MPH, COHN-S/CM
 Manager, Occupational Health and Safety 
 WorksWell Onsite
 Dekalb Medical  2701 North Decatur Road
 Decatur, GA 30033
ph: 404.501.4972 Fax:404-501-2045
kathy.dayvault at dekalbmedical.org




From:   "Timothy Herrick" <herrickt at ohsu.edu>
To:     "'MCOH/EH'" <mcoh-eh at mylist.net>, 
Date:   11/13/2017 11:16 AM
Subject:        Re: [MCOH-EH] #ExtMail# Re:  BBP exposures
Sent by:        "MCOH-EH" <mcoh-eh-bounces at mylist.net>



A question for Kathy Dayvault;   for your pep for travelers;  how does 
this work?  Are you giving meds for travelers to take with them on their 
trips abroad?  Or does traveler mean something different in this context?
Tim Herrick
 
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Fair, Susan
Sent: Monday, November 13, 2017 6:20 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] #ExtMail# Re: BBP exposures
 
Our in-house pharmacy makes us a packet for three days, however, when I 
then prescribed only #14 with one refill (if they are tolerating it), the 
chain pharmacies have all refused to fill rx unless it is for quantity 34.
 
Susan Fair, MPAS, PA-C
Yale New Haven Health
Occupational Medicine 
New Haven, CT
From: MCOH-EH [mailto:mcoh-eh-bounces+susan.fair=ynhh.org at mylist.net] On 
Behalf Of Grubbs, Scott
Sent: Friday, November 10, 2017 6:07 PM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] #ExtMail# Re: BBP exposures
 
Re Kathy Dayvault’s comments:
I am curious which meds you are using for HIV PEP.  We have been told that 
a three day supply of Truvada was not available, since once the 30 day 
bottle was opened the pills had to be used fairly quickly.    So, we have 
been writing for 30 day supplies even if just for a few days.  Have your 
local pharmacies figured a way around that?
Thanks!
Scott Grubbs, MD
WorkWell Occupational Health
Greenville, SC
 
From: MCOH-EH [mailto:mcoh-eh-bounces+scott_grubbs=bshsi.org at mylist.net] 
On Behalf Of Kathy.Dayvault at dekalbmedical.org
Sent: Thursday, October 12, 2017 10:45 AM
To: MCOH/EH
Cc: MCOH-EH
Subject: #ExtMail# Re: [MCOH-EH] BBP exposures
 
We provide initial care for BBF exposures for students and travelers - 
meaning we draw initial blood and would give three days of meds if 
indicated by a positive HIV source. 

Follow up care, including continued blood draws and medications is under 
the direction of their WC or school liability insurance. 

The involved person is directed to their WC provider/school for further 
direction. 

For students, this is outlined in our contract with their school/college. 

Thanks, 

Kathy Dayvault, RN, BSN, MPH 
 Manager, Occupational Health and Safety 
 WorksWell Onsite 
 Dekalb Medical  2701 North Decatur Road 
 Decatur, GA 30033 
ph: 404.501.4972 Fax:404-501-2045 
kathy.dayvault at dekalbmedical.org 




From:        "Morelli, Karen J" <kmorelli at emhs.org> 
To:        "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net>, 
Date:        10/12/2017 09:18 AM 
Subject:        [MCOH-EH] BBP exposures 
Sent by:        "MCOH-EH" <mcoh-eh-bounces at mylist.net> 




I am wondering how other clinics bill for blood borne pathogen exposures. 
Our company caters to member organization hospitals/practices as well as 
many outside our system clients.  Historically, we have billed the member 
organization for our services.  We would like to move to billing worker’s 
comp.  Getting the worker’s comp information on our members organizations 
is not an issue, however, we see many locums, travelers, etc. that would 
be covered by other worker’s comp carriers.  How do you go about gathering 
this information?  Do your facilities charge worker’s comp for BBP 
exposures? 
  
Thank you for any guidance you may offer! 
Karen 
  
Karen Morelli RN, BSN, Clinical Manager 
WorkHealth LLC 
973-7382 
kmorelli at emhs.org 

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