Ver el código de «Harbor:Occupational exposure»

*'''Exposure during weekdays (non-holidays), from 7:00a-3:30p:'''
** Send employee directly to Employee Health office for evaluation unless the employee has sustained an injury that warrants ED evaluation (i.e. laceration)
**Goal time from exposure to Employee Health office < 15 minutes
*'''Exposure during all other times:'''
** Employee with potential blood-borne pathogen exposure should be evaluated in ED
*** 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 
***Source patient: Employee's supervisor should tell the source patient's provider to order Rapid HIV, Hep B Surface Antigen and Hep C RNA “HCV RNA RT_PCR Quantitative-PHL” using "Blood or Body Fluid Exposure - Source Patient" order set on source patient (consent not needed if lab already has blood sample to add on test). 
**** '''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''' (HIV=gold top ... as is chem, LFT, TSH)
***Employee: ensure employee has Hep B vaccine; '''no blood testing of the employee in the ED''' for privacy reasons
***'''Call HIV service if the source patient's 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) 
***If HIV Service recommends PEP, ED will prescribe initial prescription and the patient will follow-up at Employee Health the next day; '''first dose can be given in the ED'''
*Message Jeremy Ramon at Employee Health after any exposure to ensure follow-up
*Additional info in "INDUSTRIAL ACCIDENTS" section below


==See Also==
*[[Harbor:Main]]
*[[Harbor:Occupational exposure (dot-phrases)]]
*[[Occupational Exposure]]
*[[HIV Prophylaxis (Occupational)]]

=References=
<References/>
HUCLA

[[Category: Admin]]