[MCOH-EH] [External] Source Patient lab ordering for bloodborne pathogen exposures

[David S. Cockrum]

Amy-

Thanks for sharing your process, I’m taking notes!

I’m curious – is the secure application a feature built into your Occ Health EMR (whichever one you use), or is it OTS software that has been locally developed for the purpose? We are finding some benefit from using SmartSheets for some of our surveillance processes and I wonder if something like that could be used as that initial point of event intake (after sorting through appropriate privacy concerns, etc).

David

From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Behrman, Amy via MCOH-EH
Sent: Tuesday, October 14, 2025 8:31 PM
To: mcoh-eh at mylist.net
Cc: Behrman, Amy <behrman at pennmedicine.upenn.edu>
Subject: Re: [MCOH-EH] [External] Source Patient lab ordering for bloodborne pathogen exposures **EXTERNAL**

There may be a lot of state-to-state law variability, in addition to institutional variability, affecting our answers. I'm happy to share our workflow: Exposed HCP report body fluid exposures via a secure application which notifies EH providers

There may be a lot of state-to-state law variability, in addition to institutional variability, affecting our answers.  I'm happy to share our workflow:


  *   Exposed HCP report body fluid exposures via a secure application which notifies EH providers and case managers of the event and pushes source testing instructions to the affected HCP.

  *   The exposed HCP then notifies their manager and reports to EH/ED for care.

  *   Meanwhile, the manager notifies a source patient provider to consent the source patient and order source labs within the EMR. Source labs are ordered as a standardized 'Occupational Exposure' panel. BBP testing ordered by this panel

     *   is expedited in the lab

     *   is charged to EH rather than to the source patient's insurance.

  *   Results go to the source patient's ordering provider inbox to ensure appropriate clinical follow up for the source patient.

  *   EH case managers and providers also follow up on those source results to guide further treatment or testing for the exposed HCP.

Comments always welcome, Amy


Amy J Behrman, MD, FACP, FACOEM

Chief, Occupational Medicine

Professor, Perelman School of Medicine

University of Pennsylvania

3400 Spruce Street

Philadelphia, PA  19104



________________________________
From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Edgette, Dan G <DEdgette at uwhealth.org<mailto:DEdgette at uwhealth.org>>
Sent: Tuesday, October 14, 2025 5:30 PM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net> <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [External] [MCOH-EH] Source Patient lab ordering for bloodborne pathogen exposures


Some people who received this message don't often get email from dedgette at uwhealth.org<mailto:dedgette at uwhealth.org>. Learn why this is important [aka.ms]<https://urldefense.com/v3/__https:/aka.ms/LearnAboutSenderIdentification__;!!Eh6P0A!RmstUaK-Z6j4peKbKWlKcF-Mb5f9EXnkxs6SzozjLggygvqv3ksAOwGJnjhPMfEshnuZEx0Yge--XaFKq_nlfu27dQ$>


I am trying to do some outreach to Employee Health departments from other organizations to inquire about how source patient labs are ordered for bloodborne pathogen exposures. Our current system in event of a BBP exposure is to order source patient labs and HIV consent on a paper lab order (fillable PDF), fax to core lab, and then lab transcribes the order and enters it into HealthLink. We are looking into the possibility of entering orders directly in HealthLink but I was hoping to understand what other organizations are doing.



Thanks,

Dan





Dan Edgette RN BSN

he/him/his – What are personal pronouns? [mypronouns.org]<https://urldefense.com/v3/__https:/www.mypronouns.org/__;!!Eh6P0A!RmstUaK-Z6j4peKbKWlKcF-Mb5f9EXnkxs6SzozjLggygvqv3ksAOwGJnjhPMfEshnuZEx0Yge--XaFKq_k-dC7Nkg$>

RN Clinic Manager

UW Health Employee Health Services

700 University Bay Drive Suite 101

Madison, WI 53705

Phone (608) 263-7535

Fax (608) 262-7284

DEdgette at uwhealth.org<mailto:DEdgette at uwhealth.org>

[cid:image001.png at 01DC3DA9.71E2AB40]




IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:

This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20251015/43ba2cc5/attachment-0001.htm>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.png
Type: image/png
Size: 1350 bytes
Desc: image001.png
URL: <https://mylist.net/archives/mcoh-eh/attachments/20251015/43ba2cc5/attachment-0001.png>