There may be a lot of state-to-state law variability, in addition to institutional variability, affecting our answers. I'm happy to share our workflow:

Exposed HCP report body fluid exposures via a secure application which notifies EH providers and case managers of the event and pushes source testing instructions to the affected HCP.
The exposed HCP then notifies their manager and reports to EH/ED for care.
Meanwhile, the manager notifies a source patient provider to consent the source patient and order source labs within the EMR. Source labs are ordered as a standardized 'Occupational Exposure' panel. BBP testing ordered by this panel

is expedited in the lab
is charged to EH rather than to the source patient's insurance.

Results go to the source patient's ordering provider inbox to ensure appropriate clinical follow up for the source patient.
EH case managers and providers also follow up on those source results to guide further treatment or testing for the exposed HCP.

Comments always welcome, Amy

Amy J Behrman, MD, FACP, FACOEM

Chief, Occupational Medicine

Professor, Perelman School of Medicine

University of Pennsylvania

3400 Spruce Street

Philadelphia, PA 19104

From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of Edgette, Dan G <DEdgette@uwhealth.org>
Sent: Tuesday, October 14, 2025 5:30 PM
To: mcoh-eh@mylist.net <mcoh-eh@mylist.net>
Subject: [External] [MCOH-EH] Source Patient lab ordering for bloodborne pathogen exposures

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I am trying to do some outreach to Employee Health departments from other organizations to inquire about how source patient labs are ordered for bloodborne pathogen exposures. Our current system in event of a BBP exposure is to order source patient labs and HIV consent on a paper lab order (fillable PDF), fax to core lab, and then lab transcribes the order and enters it into HealthLink. We are looking into the possibility of entering orders directly in HealthLink but I was hoping to understand what other organizations are doing.

Thanks,

Dan

Dan Edgette RN BSN

he/him/his – What are personal pronouns?

RN Clinic Manager

UW Health Employee Health Services

700 University Bay Drive Suite 101

Madison, WI 53705

Phone (608) 263-7535

Fax (608) 262-7284

DEdgette@uwhealth.org