House supervisors cover exposures and contact Employee health manager if they have questions. I take the call if she is unavailable. The on-call Infectious Disease physician is called with all known blood borne pathogen exposures and gives counseling to associates at that time.

ReGina

ReGina Patrick RN

Spectrum Health Lakeland

Associate Health

1234 Napier Avenue

Saint Joseph, Michigan 49085

269-985-4516 (office)

269-934-8079 (fax)

From: MCOH-EH <mcoh-eh-bounces+rpatrick=lakelandhealth.org@mylist.net> On Behalf Of Hanna, Raye Nell
Sent: Thursday, March 21, 2019 5:15 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] exposures coverage

Good afternoon,

We have a nurse on call with Standing Orders.

Raye Nell

Raye Nell Hanna, RN, MPH, COHN-S

Manager Caregiver Health

Covenant Health

3719 22^nd St

Lubbock, TX 79410

Phone: 806-725-0098 or 806-725-0629

Fax: 806-725-0581

Email: hannar1@covhs.org

From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of Isakari, Marcia <misakari@ucsd.edu>
Sent: Wednesday, March 20, 2019 1:34 PM
To: mcoh-eh@mylist.net
Subject: [External] [MCOH-EH] exposures coverage

Hi team,

I have a favor to ask the group.

I am reviewing the afterhours coverage for healthcare exposure (meningococcal, ATD, blood) and would greatly appreciate to hear about your site set up.

Question:

Who covers post exposure evaluation and treatment for meningococcal or blood borne after hours and weekends?

a) Emergency department

b) Infectious Control on call

c) Pharmacy -Standing order per hospital protocol

d) Occupational Medicine

e) Nurse with standing order

Your response is greatly appreciated. I will share the results once I receive them.

Thank you,

Marcia Isakari, MD, MPH, FACOEM

Medical Director

Center for Occupational & Enviromental Medicine

UC San Diego