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

[Kathy.Dayvault at dekalbmedical.org]

Hi Dr. Grubs, 

The initial 3 doses is prescribed in the ED and is dispensed by our in 
house pharmacy, this most typically occurs over the weekend.

Obviously, there is no issue with being able to use the rest of the 
bottle. 

We see a moderate to large number of HIV + patients in our ED who often 
end up being admitted.

Thanks,

Kathy

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:   "Grubbs, Scott" <Scott_Grubbs at bshsi.org>
To:     MCOH/EH <mcoh-eh at mylist.net>, 
Date:   11/10/2017 06:19 PM
Subject:        Re: [MCOH-EH] #ExtMail# Re:  BBP exposures
Sent by:        "MCOH-EH" 
<mcoh-eh-bounces+kathy.dayvault=dekalbmedical.org at mylist.net>



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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