[MCOH-EH] Delayed Source Patient HIV Results

[efia james]

Hello,

Currently, organizations follow a set protocol when handling blood and body
fluid exposures, particularly regarding HIV exposures. If a source
patient's HIV test results are not available before the Employee Health
Clinic closes, the standard practice is to assess the employee's risk.

1. If the exposure is deemed high risk, the clinician will initiate HIV PEP
right away, rather than waiting for test results. This PEP can be started
as long as it's within {72 hours} post-exposure.

2. A clinician typically does stay on-call for results (or I send an
employee home with a short supply of PEP), especially if there's a
possibility of requiring immediate action. If results are received later in
the evening indicating a positive status, the employee can usually obtain
HIV PEP from our emergency department or an available on-call pharmacist.

This approach ensures timely care while considering the critical time frame
for initiating PEP treatment.

Best,
Efia

On Tue, Dec 10, 2024 at 9:00 PM Hayden, Jamie R <JHayden at uwhealth.org>
wrote:

> 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
> <xxxx at uwhealth.org>
>
>
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