We draw stat Rapid HIV; Hep B and Hep C
titers for exposures.
We have two separate exposure
panel order sets: 1 for source and one for the exposed employee (or other
person) already set up in Allscripts which contains all three labs.
The provider orders exposure labs. Occ
health follows up and / or refers the employee to be evaluated and
have repeat labs set up.
We draw titers on our employees when
they come for their new hire assessment.
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:
"Tim Crump"
<crumpt@ohsu.edu>
To:
"MCOH/EH"
<mcoh-eh@mylist.net>,
Date:
11/13/2017 12:44 PM
Subject:
Re: [MCOH-EH]
#ExtMail# Re: BBP exposures
Sent by:
"MCOH-EH"
<mcoh-eh-bounces@mylist.net>
I would be interested in
knowing how people are testing workers who have not completed the Hepatitis
B immunization series. Our staff who sustain a needle stick or other
BBFE afterhours are seen in the ED, where they do not necessarily know
their immunization status. They test everyone w/ HepB sAb. My
understanding of CDC recommendations is that workers who have not completed
the series should be tested w/ HepB core Ab, and that surface antibody
is uninterpretable if the immu series is not complete. So my question
is, can the HepB surface antibody be used as a marker of immunity to Hep
B at that moment, or is it misleading and should be put aside when the
immu series is incomplete, potentially making a worker a candidate for
HBIG? Thanks for any insight, Tim
Tim Crump, MSN, FNP
Tim Crump, MSN, FNP
Family Nurse Practitioner
Multnomah Pavilion 1 SE, Suite
1110
Occupational Health
Healthcare Human Resources
Oregon Health & Science University
3181 SW Sam Jackson Park Rd
Mail code: UHN 89
Portland, OR 97239-3098
Department Phone: 503-494-5271
Office Phone: 503-346-1152
Fax: 503-494-4457
Email: crumpt@ohsu.edu
Tues, Thurs, Fri, 8-4:30
The information
contained in this EMAIL message is confidential and protected by law. The
information is intended only for the person or business identified in the
document. If you are not the intended recipient, by sharing or copying
the information you are breaking the law. If you have received this EMAIL
by mistake, please notify the sender of this EMAIL and do not return, copy
or keep the information in the EMAIL.
From: MCOH-EH [mailto:mcoh-eh-bounces+crumpt=ohsu.edu@mylist.net]
On Behalf Of Tara Dockery
Sent: Monday, November 13, 2017 8:24 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] #ExtMail# Re: BBP exposures
My facility, through encouragement
by our epidemiologist, has freed this response from Employee Health and
more turned it into an Emergency Room protocol, they follow the reccommendations
and guidelines, whether its an employee or the public that has been exposed.
Follow up and information would be coordinated through them.
Tara Lee Dockery, IP, MT(ASCP), BS
Infection Prevention and Employee Health
Ocean Beach Hospital and Clinics
174 First Avenue North
Ilwaco, Washington 98624
tdockery@oceanbeachhospital.com
Office Phone 360 – 642 - 6307
Cell Phone 509-760-7397
Fax 360-642-6309
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Timothy Herrick
Sent: Monday, November 13, 2017 8:16 AM
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] #ExtMail# Re: BBP exposures
A question for Kathy Dayvault;
for your pep for travelers; how does this work? Are
you giving meds for travelers to take with them on their trips abroad?
Or does traveler mean something different in this context?
Tim Herrick
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Fair, Susan
Sent: Monday, November 13, 2017 6:20 AM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] #ExtMail# Re: BBP exposures
Our in-house pharmacy makes
us a packet for three days, however, when I then prescribed only #14 with
one refill (if they are tolerating it), the chain pharmacies have all refused
to fill rx unless it is for quantity 34.
Susan Fair, MPAS, PA-C
Yale New Haven Health
Occupational Medicine
New Haven, CT
From: MCOH-EH [mailto:mcoh-eh-bounces+susan.fair=ynhh.org@mylist.net]
On Behalf Of Grubbs, Scott
Sent: Friday, November 10, 2017 6:07 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] #ExtMail# Re: BBP exposures
Re Kathy Dayvault’s comments:
I am curious which meds you
are using for HIV PEP. We have been told that a three day supply
of Truvada was not available, since once the 30 day bottle was opened the
pills had to be used fairly quickly. So, we have been writing
for 30 day supplies even if just for a few days. Have your local
pharmacies figured a way around that?
Thanks!
Scott Grubbs, MD
WorkWell Occupational Health
Greenville, SC
From: MCOH-EH [mailto:mcoh-eh-bounces+scott_grubbs=bshsi.org@mylist.net]
On Behalf Of Kathy.Dayvault@dekalbmedical.org
Sent: Thursday, October 12, 2017 10:45 AM
To: MCOH/EH
Cc: MCOH-EH
Subject: #ExtMail# Re: [MCOH-EH] BBP exposures
We provide initial care for BBF exposures
for students and travelers - meaning we draw initial blood and would give
three days of meds if indicated by a positive HIV source.
Follow up care, including continued blood draws and medications is under
the direction of their WC or school liability insurance.
The involved person is directed to their WC provider/school for further
direction.
For students, this is outlined in our contract with their school/college.
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: "Morelli,
Karen J" <kmorelli@emhs.org>
To: "'mcoh-eh@mylist.net'"
<mcoh-eh@mylist.net>,
Date: 10/12/2017
09:18 AM
Subject: [MCOH-EH]
BBP exposures
Sent by: "MCOH-EH"
<mcoh-eh-bounces@mylist.net>
I am wondering how other clinics bill for blood borne pathogen exposures.
Our company caters to member organization hospitals/practices as
well as many outside our system clients. Historically, we have billed
the member organization for our services. We would like to move to
billing worker’s comp. Getting the worker’s comp information on
our members organizations is not an issue, however, we see many locums,
travelers, etc. that would be covered by other worker’s comp carriers.
How do you go about gathering this information? Do your facilities
charge worker’s comp for BBP exposures?
Thank you for any guidance you may offer!
Karen
Karen Morelli RN, BSN, Clinical Manager
WorkHealth LLC
973-7382
kmorelli@emhs.org
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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM.
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
---------------------------------------
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.