His only response was that he realized
holding blood for 90 days would be problematic.
Dr. Hodgson, OSHA Director or
Occupational Medicine and Nursing, is probably the best to weigh
in.
Dr. Hodgson....any thoughts about the
portion of the BBP standard in regards to holding blood for 90 days in
the even the exposed person changes their mind about testing?
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:
Amy Olson <aolson9@jhmi.edu>
To:
'MCOH/EH' <mcoh-eh@mylist.net>,
Date:
09/11/2017 10:58 AM
Subject:
Re: [MCOH-EH]
Holding Blood for HIV testing for 90 days
Sent by:
"MCOH-EH"
<mcoh-eh-bounces@mylist.net>
Kathy,
Out of curiosity, what was
the OSHA response?
AO
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Kathy.Dayvault@dekalbmedical.org
Sent: Monday, September 11, 2017 10:49 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Cc: MCOH-EH <mcoh-eh-bounces+kathy.dayvault=dekalbmedical.org@mylist.net>
Subject: Re: [MCOH-EH] Holding Blood for HIV testing for 90 days
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---------------------------------------
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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.net
MediTrax / 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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CONFIDENTIALITY NOTICE: This e-mail, including attachments, is for the sole use of the individual(s) to whom it is addressed, and may contain confidential and privileged information, including HIPAA protected PHI. Any unauthorized review, use, disclosure, distribution, or reproduction is prohibited. If you have received this e-mail in error, please notify the sender by reply e-mail and destroy this message and its attachments in its entirety.