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[[Harbor: Harbor ( | *Charge RN has the exposure packet (needs to be filled out to avoid employee getting the bill) | ||
*Use autotext ".edexposureharbor" for documentation template and guidance text on when to consult HIV service | |||
*Check Rapid HIV and Hep C RNA “HCV RNA RT_PCR Quantitative-PHL” on source patient (consent not needed if lab already has blood sample to add on test) and ensure employee has Hep B vaccine; no blood testing of the employee in the ED | |||
**If source patient refuses HIV, it can be added on to a pre-existing blood specimen but the results may not be shared with the patient | |||
*Call HIV service if source patient Rapid HIV is positive or is untestable AND was a clinically meaningful exposure (see occupational exposure template https://www.wikem.org/wiki/Harbor:_Macros_and_Autotext#Occupational_Exposure) | |||
*Message Erika Sweet at Employee Health after any exposure to ensure follow-up | |||
*Additional info in "INDUSTRIAL ACCIDENTS" section below | |||
==Harbor Management== | |||
*'''Exposure during weekdays (non-holidays), from 7:00a-3:30p:''' | |||
**Send employee directly to Employee Health office for evaluation | |||
***Except if employee has sustained injury that warrants ED evaluation (i.e. laceration) | |||
**Goal time from exposure to Employee Health office < 15 minutes | |||
**Have provider for source patient call Employee Health at '''x2360''' | |||
***Gives NP in Employee Health a contact in case of labs need to be drawn on source patient | |||
**Do not draw any labs on source patient, unless asked to do so by the NP in Employee Health | |||
*'''Exposure during all other times:''' | |||
**Employee with potential blood-borne pathogen exposure should be evaluated in ED | |||
**Create and use [[Harbor:Occupational_exposure_(dot-phrases)|"Occupational Exposure" dot-phrases]] to guide evaluation, assess risk, need for testing, and indications for obtaining ID/HIV consult | |||
**If exposure warrants rapid HIV test on the source patient, then must give source patient opportunity to opt out of HIV test | |||
==See Also== | |||
*[[Harbor:Main]] | |||
*[[Harbor:Occupational exposure (dot-phrases)]] | |||
*[[Occupational Exposure]] | |||
*[[HIV Prophylaxis (Occupational)]] | |||
=References= | |||
<References/> | |||
HUCLA | |||
[[Category: Admin]] | [[Category: Admin]] |
Revision as of 20:42, 7 January 2019
- Charge RN has the exposure packet (needs to be filled out to avoid employee getting the bill)
- Use autotext ".edexposureharbor" for documentation template and guidance text on when to consult HIV service
- Check Rapid HIV and Hep C RNA “HCV RNA RT_PCR Quantitative-PHL” on source patient (consent not needed if lab already has blood sample to add on test) and ensure employee has Hep B vaccine; no blood testing of the employee in the ED
- If source patient refuses HIV, it can be added on to a pre-existing blood specimen but the results may not be shared with the patient
- Call HIV service if source patient Rapid HIV is positive or is untestable AND was a clinically meaningful exposure (see occupational exposure template https://www.wikem.org/wiki/Harbor:_Macros_and_Autotext#Occupational_Exposure)
- Message Erika Sweet at Employee Health after any exposure to ensure follow-up
- Additional info in "INDUSTRIAL ACCIDENTS" section below
Harbor Management
- Exposure during weekdays (non-holidays), from 7:00a-3:30p:
- Send employee directly to Employee Health office for evaluation
- Except if employee has sustained injury that warrants ED evaluation (i.e. laceration)
- Goal time from exposure to Employee Health office < 15 minutes
- Have provider for source patient call Employee Health at x2360
- Gives NP in Employee Health a contact in case of labs need to be drawn on source patient
- Do not draw any labs on source patient, unless asked to do so by the NP in Employee Health
- Send employee directly to Employee Health office for evaluation
- Exposure during all other times:
- Employee with potential blood-borne pathogen exposure should be evaluated in ED
- Create and use "Occupational Exposure" dot-phrases to guide evaluation, assess risk, need for testing, and indications for obtaining ID/HIV consult
- If exposure warrants rapid HIV test on the source patient, then must give source patient opportunity to opt out of HIV test
See Also
- Harbor:Main
- Harbor:Occupational exposure (dot-phrases)
- Occupational Exposure
- HIV Prophylaxis (Occupational)
References
HUCLA