[MCOH-EH] Management of BBPE

Thrasher, Terri (Terri) Terri.Thrasher at cchmc.org
Thu Jan 30 07:51:16 PST 2020


Lennis

These are the tests we initially run:

Source: ALT (SGPT), Rapid HIV, HIV antibody, HBsAb, HBsAg and HCV Elisa.



We don’t have a packet per se… but if you want to send me your own email address I will share the key form we use


Employee: ALT (SGPT), HIV antibody, HBsAb, HBsAg and HCV Elisa. From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Lennis Walker
Sent: Wednesday, January 29, 2020 7:42 PM
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] Management of BBPE

What testing do you do for employee and for source patient? Would you send me a copy of your packet?



Sent from my Sprint Samsung Galaxy S10 5G.



-------- Original message --------
From: "Thrasher, Terri (Terri)" <Terri.Thrasher at cchmc.org<mailto:Terri.Thrasher at cchmc.org>>
Date: 1/29/20 6:02 PM (GMT-06:00)
To:
Subject: [EXTERNAL] Re: [MCOH-EH] Management of BBPE


>>> "Thrasher, Terri (Terri)" 01/29/2020 18:02 >>>

EH will do the source testing.
They go to their employees solution for their own testing and follow up.
Get Outlook for Android<https://aka.ms/ghei36>

________________________________
From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of PRATER, DEANNA <deanna.prater at bayareahospital.org<mailto:deanna.prater at bayareahospital.org>>
Sent: Wednesday, January 29, 2020 6:56:45 PM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Management of BBPE


  *   All BBPEs are seen in Employee Health during our work hours (go to the ED after hours/weekends and notify Nursing Supervisor to assist with Source Pt testing),
  *   Employee Health  follows up to ensure their testing is completed and ensures appropriate counseling and investigation of their exposures occurred.
  *   Employee Health covers the cost of their evaluation and initial testing as well as ED cost.
  *   Employee Health provides recommendations for follow-up testing.

From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Debbra Tatum
Sent: Wednesday, January 29, 2020 15:43
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Management of BBPE

CAUTION: This email originated outside of Bay Area Hospital. Do not click links or open attachments unless you recognize the sender and know the content is safe.

How do you manage non-employee (e.g., student, agency/contract employee, or Licensed Independent Provider) BBPEs that occur in your health care facilities?

Currently, we have our non-employee exposures seen in the ED.  Non-employees are responsible for knowing their school/agency’s policy & procedure for BBPEs while working in one of our health care facilities.  We have provided education to our own staff about how non-employee exposures are to be handled, but almost always there is some issue with the process.  More often than not the ED runs them through as an employee, uses the employee lab slips (this prevents them from having access to the results as they go into our private database in EPIC) and we are billed, we often are tracking down the individual to ensure they have contacted their agency, determine if they received their test results, etc.

We have written a separate policy for the management of non-employee exposures, and plan to make separate non-employee post-exposure packets, however;  I’m not certain that this is going to improve the process (even with education). It could make it more confusing.

To ensure all employee exposures are evaluated adequately and seen in a timely manner, I am considering recommending that we manage all the BBPEs the same within our organization.

  *   All BBPEs would be seen in Employee Health during our work hours (go to the ED after hours/weekends and notify Nursing Supervisor to assist with Source Pt testing),
  *   Employee Health will follow up to ensure their testing is completed, and ensure appropriate counseling and investigation of their exposures occurred.
  *   Employee Health would cover the cost of their evaluation and testing if seen in the ED.
  *   Employee Health will ensure that their agency is notified to ensure any follow up testing or treatment and this would be arranged by their agencies.

Please share how you are handling these exposures and what process is working well for you.


Debbra L. Tatum, RN BSN  |  Employee Health Nurse
GOOD SAMARITAN REGIONAL MEDICAL CENTER
3600 NW Samaritan Drive | Corvallis, OR 97330
P 541-768-5279 | F 541-768-5424
dtatum at samhealth.org<mailto:dtatum at samhealth.org>

THINK SAFE   WORK SAFE    ALWAYS
[cid:image001.png at 01D5D6BC.B436BEA0]


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