Good afternoon:
 In my opinion, I’d the source patient had consented to having their blood drawn and was informed of the incident , then I don’t see a problem.

While it sounds like an overall low risk exposure , it does help to know the source patient’s infectious disease profile and if they have blood drawn in a timely fashion, it helps guide the decision about whether or not the exposed employee can or should get PEP for HIV. 

  A lot of testing and / or treatment sometimes for BBP 
is based on individual risk factors and the exposed employee’s anxiety level about the incident !! 

Enass. 

Enass Awad A/Rahman,MD,MPH,FACOEM
Occupational and Employee Health Clinic 
UC Davis Health
2221 Stockton Boulevard 
Sacramento,CA,95817 



"We can enrich the world if we choose to embrace our similarities; we can destroy the world if we choose to emphasize our differences."


On Mon, Nov 11, 2024 at 11:51 Lesoski, Darryl via MCOH-EH <mcoh-eh@mylist.net> wrote:

We had an odd request by a large chain grocery store pharmacy and want to ask for your input.  THANKS ahead of time.

 

Pharmacy personnel gave an influenza vaccination, then stuck herself with the needle after administrating the vaccine.

 

Employer Nurse at corporate had BOTH the exposed and source brought to our office wanting us to draw blood on the source in order to fully evaluate the potential BBP exposure and use of prophylaxis treatment.

 

How would you handle such a request?   What guidance do you use for any type of needlestick and/or BBP exposure?  

 

I would appreciate your insight and opinion as I am a bit (OK – a lot troubled!!) by such a request.   THANKS.  Darryl

 

 

Darryl Lesoski, MD, MPH, FACOEM

 

System Medical Director – Occupational Health and Medicine, Employee Health

Munson Medical Center

Munson Occupational Health and Medicine

Email: dlesoski@mhc.net

 

     TRAVERSE CITY

Mailing: 1105 Sixth Street, FFCHC, Occ Medicine 49684

Physical: 550 Munson Avenue, 1st Floor   49686

Office 231-935-8590 | Fax 231-935-8597

     CADILLAC

Address: 803 Lynn Street, Cadillac  49601

Office 231-876-6180 | Fax 231-876-6080

     GRAYLING

Address: 1100 East Michigan Ave, Grayling  49738

Office 989-348-0368 | Fax 989-348-0773

     ELMIRA

Address: 2572 US-131, Elmira   49730

Office 989-731-7700 | Fax 231-231-8714

 

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