We do not have the capacity in our lab to hold samples and I have had this conversation with an OSHA representative earlier this year.

We strongly encourage employees at the time to go and have their blood drawn, around 90 % of them do.

Technology has advanced, and if they came back requesting labs, we would draw them and perform viral loads on anything positive.

It might not be the best solution especially if the viral load comes into question, we may end up owning it from a WC perspective, after lots of conversation with an ID.

Thanks,

Kathy Dayvault, RN, BSN, MPH
Manager, Occupational Health and Safety
WorksWell Onsite
Dekalb Medical 2701 North Decatur Road
Decatur, GA 30033
ph: 404.501.4972 Fax:404-501-2045
kathy.dayvault@dekalbmedical.org

From: "Thrasher, Terri" <Terri.Thrasher@cchmc.org>
To: MCOH/EH <mcoh-eh@mylist.net>,
Date: 09/11/2017 10:18 AM
Subject: Re: [MCOH-EH] Holding Blood for HIV testing for 90 days
Sent by: "MCOH-EH" <mcoh-eh-bounces+kathy.dayvault=dekalbmedical.org@mylist.net>

I interpreted it the same way.

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Amy Olson
Sent: Monday, September 11, 2017 8:13 AM
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Holding Blood for HIV testing for 90 days

Thanks for your response. I understand what you have described. The OSHA Standard states the following:
1910.1030(f)(3)(iii)(B)
If the employee consents to baseline blood collection, but does not give consent at that time for HIV serologic testing, the sample shall be preserved for at least 90 days. If, within 90 days of the exposure incident, the employee elects to have the baseline sample tested, such testing shall be done as soon as feasible.

Given that certain source testing results would lead to wanting to document baseline HIV status of the employee, it would seem that this particular section of the standard cannot be upheld if an employee actually had a blood draw and opted to NOT consent to HIV testing. Again, I have never encountered this, but it is a possibility and I am curious as to how people are addressing this. Am I missing something?
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Nancy Rodway
Sent: Monday, September 11, 2017 7:15 AM
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Holding Blood for HIV testing for 90 days

As a board certified pathologist and board certified occupational physician, your lab cannot exceed the 30 days without validity studies. And validity studies are cumbersome for the laboratorians.
Why hold them? With post-exposure testing, the source results guide your clinical decision making pretty quickly.

Nancy Rodway MD MS MPH FASCP FCAP FACOEM

Sent from Outlook

From: MCOH-EH <mcoh-eh-bounces+nrodway=hotmail.com@mylist.net> on behalf of Amy Olson <aolson9@jhmi.edu>
Sent: Monday, September 11, 2017 5:59 AM
To: 'MCOH/EH'
Subject: [MCOH-EH] Holding Blood for HIV testing for 90 days

Happy Monday from Florida,
Our hospital is doing well in St. Petersburg. Many thanks to people who have reached out.

As I wait for the sun to rise, I’m going through some things and I have a question. As I understand the BBP standard, we are required to hold an employee’s blood for 90 days so they could decide at a future date to have it tested for HIV. I have yet to run into a situation where an employee deferred testing, but now that I have direct responsibility for the Exposure Control Plan, I have more interest in ensuring what is written is something we can deliver. Our lab is continuing to research, but when I posed the question about holding blood and testing within 90 days, this is the response I got: “It’s not that we can’t hold a sample for 90 days. There isn’t a commercial ref lab that has validated this particular testing for a sample >30 days old. That seems to be the dilemma for HIV ½ analysis.”

What are other people doing? Am I misinterpreting the standard?

Thank you,
Amy Olson
Director, Employee Health and Wellness--------------------------------------- The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO. List membership is free, but only subscribers may post to the list. To post send messages to: mcoh-eh@mylist.net To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.netMediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community. --------------------------------------- List archives (public):http://mylist.net/archives/mcoh-eh/--------------------------------------- Send administrative requests to: drjoe@meditrax.com ---------------------------------------

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