[MCOH-EH] [EXTERNAL] Delayed Source Patient HIV Results

[Carr, Jennifer L.]

Jamie,
Since we are part of a Hospital System, these results are called back to the House Supervisor after hours. We do also have ALL of our exposures seen in our ED for exposure counseling and education (baseline labs are also obtained) by a provider as soon as the incident occurs. If risk is identified outside of the results or the source was not able to be identified, the provider can assist the employee to make a tentative informed decision.

We have a 3-day supply of PEP meds available for dispensing in our ED by the provider. The employee can get their Workers Compensation pharmacy card and pick up meds at any pharmacy after that.

The last 2 employees that have opted to begin PEP, stopped due to symptoms. This is unfortunate due to the cost and manner that the medications are packaged.

Thanks, Jennifer


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Subject: [EXTERNAL] [MCOH-EH] Delayed Source Patient HIV Results

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Hello,



I am interested in understanding what other organizations do for blood and body fluid exposures for if/when a source patient’s HIV test results are not back before the Employee Health Clinic closes. Does a clinician follow up the next business day since HIV PEP can be initiated within 72 hours of exposure? Do you start the employee on HIV PEP until the results are received?



Or does a clinician stay on-call to receive those results later in the evening and follows up with the employee once the results are received? If this is the case and the employee requires HIV PEP due to a positive HIV test result, where does the individual present to obtain the medications?



Any information would be much appreciated!



Thank you,

Jamie



Jamie Hayden RN, BSN
she/her/hers – What are personal pronouns?<https://www.mypronouns.org/>
Lead RN
Employee Health Services
700 University Bay Drive Suite 101

Madison, WI 53705
Office: (608) 263-7535
jhayden at uwhealth.org<mailto:jhayden at uwhealth.org>
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