[MCOH-EH] [EXTERNAL] MCOH-EH Digest, Vol 260, Issue 94 Source Patient Lab ordering for Bloodborne pathogen exposures
Darlene Sims
Darlene.sims at infirmaryhealth.org
Wed Oct 15 10:58:31 PDT 2025
Our process is similar to what Dr. Behrman outlined.
Thank You,
Darlene Sims, MSN, FNP-C
Director, Infirmary Employee Health Services
185 Mobile infirmary blvd
Mobile, Al 36607
MIEH 251-435-3377
THEH 251-279-1605
NBEH 251-239-2036
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Today's Topics:
1. Source Patient lab ordering for bloodborne pathogen
exposures (Edgette, Dan G)
2. Re: [External] Source Patient lab ordering for bloodborne
pathogen exposures (Behrman, Amy)
3. Re: [External] Source Patient lab ordering for bloodborne
pathogen exposures (David S. Cockrum)
----------------------------------------------------------------------
Message: 1
Date: Tue, 14 Oct 2025 21:30:38 +0000
From: "Edgette, Dan G" <DEdgette at uwhealth.org>
To: "mcoh-eh at mylist.net" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Source Patient lab ordering for bloodborne pathogen
exposures
Message-ID:
<DM6PR17MB3866057E4F4F82FECA37291BB2EBA at DM6PR17MB3866.namprd17.prod.outlook.com>
Content-Type: text/plain; charset="us-ascii"
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?<https://www.mypronouns.org/>
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>
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Message: 2
Date: Wed, 15 Oct 2025 00:31:12 +0000
From: "Behrman, Amy" <behrman at pennmedicine.upenn.edu>
To: "mcoh-eh at mylist.net" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] [External] Source Patient lab ordering for
bloodborne pathogen exposures
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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> on behalf of Edgette, Dan G <DEdgette at uwhealth.org>
Sent: Tuesday, October 14, 2025 5:30 PM
To: mcoh-eh at mylist.net <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. Learn why this is important<https://aka.ms/LearnAboutSenderIdentification>
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?<https://www.mypronouns.org/>
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>
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Message: 3
Date: Wed, 15 Oct 2025 11:58:11 +0000
From: "David S. Cockrum" <David.S.Cockrum at hitchcock.org>
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] [External] Source Patient lab ordering for
bloodborne pathogen exposures
Message-ID: <6c3f20b463594d52b844afe252056746 at hitchcock.org>
Content-Type: text/plain; charset="cp1256"
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]
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