[MCOH-EH] Operating Procedures for HIV patients

[Tim Crump]

We do not have a policy for this.  While I can see the rationale, it also seems to have some ethical implications that veer from the use of universal standard precautions for all patients.  While we have not been able to get our own OR's to adopt blunt sutures, it would seem to me that they should be used in all instances where they are acceptable rather than just in patients w/ HIV.  I would also note that many patients who are identified as HIV positive are on treatment and may have an indictable viral load.  The risk of HIV transmission would be tremendously lower with them than with a patient who is newly infected and not yet identified as HIV+.  I don't mean any of this to sound judgmental, but I do think we must balance the concern of stigmatizing certain patients with whether we will truly enhance worker safety.  Best, Tim

Tim Crump, MSN, FNP
Tim Crump, MSN, FNP
Family Nurse Practitioner
Multnomah Pavilion 1 SE, Suite 1110
Occupational Health
Healthcare Human Resources

Oregon Health & Science University
3181 SW Sam Jackson Park Rd
Mail code: UHN 89
Portland, OR 97239-3098
Department Phone: 503-494-5271
Office Phone: 503-346-1152
Fax: 503-494-4457
Email: crumpt at ohsu.edu<mailto:crumpt at ohsu.edu>

Mon-Fri, 7:30-4:00

[cid:3381310330_334556]

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From: MCOH-EH <mcoh-eh-bounces+crumpt=ohsu.edu at mylist.net> On Behalf Of Leibu, Rachel
Sent: Monday, December 30, 2019 8:45 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Operating Procedures for HIV pateints


HI Everyone,



I hope you are all having a great holiday season.  Does anyone have a  policy related to operating in HIV patients? For example, mentioning the diagnosis during the time out, use of blunt needles or bovies?


Rachel Leibu, MD, MBA, MS, FACOEM
Medical Director Occupational Medicine Services
Atlantic Health System
973-829-4277

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