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

[Tara Dockery]

My facility, through encouragement by our epidemiologist, has freed this response from Employee Health and more  turned it into an Emergency Room protocol, they follow the reccommendations and guidelines, whether its an employee or the public that has been exposed. Follow up and information would be coordinated through them.



Tara Lee Dockery, IP, MT(ASCP), BS
Infection Prevention and Employee Health

Ocean Beach Hospital and Clinics
174 First Avenue North
Ilwaco, Washington 98624

tdockery at oceanbeachhospital.com
Office Phone  360 – 642 - 6307
Cell Phone 509-760-7397
Fax  360-642-6309



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Timothy Herrick
Sent: Monday, November 13, 2017 8:16 AM
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] #ExtMail# Re: BBP exposures

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<mailto: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<mailto: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<mailto: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<mailto:kathy.dayvault at dekalbmedical.org>




From:        "Morelli, Karen J" <kmorelli at emhs.org<mailto:kmorelli at emhs.org>>
To:        "'mcoh-eh at mylist.net'" <mcoh-eh at mylist.net<mailto: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<mailto: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<mailto:kmorelli at emhs.org>
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