Diferencia entre revisiones de «Harbor:Occupational exposure»

(Modified occupational exposure management)
Sin resumen de edición
 
(No se muestran 16 ediciones intermedias de 5 usuarios)
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==Harbor Management==
* [https://lacounty-my.sharepoint.com/personal/spouv_dhs_lacounty_gov/_layouts/15/stream.aspx?id=%2Fpersonal%2Fspouv%5Fdhs%5Flacounty%5Fgov%2FDocuments%2FBlood%20Exposure%20Presentation%2FBlood%20Exposure%20Presentation%20for%20Healthcare%20Facilities%5FHUCL Employee Health Guidance Video]
*'''Exposure during weekdays (non-holidays), from 7:00a-3:30p:'''
*'''Exposure during weekdays (non-holidays), from 7:00a-3:30p:'''
**Send employee directly to Employee Health office for evaluation
** Send employee directly to Employee Health office for evaluation unless the employee has sustained an injury that warrants ED evaluation (i.e. laceration)
***Except if employee has sustained injury that warrants ED evaluation (i.e. laceration)
**Goal time from exposure to Employee Health office < 15 minutes
**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:'''
*'''Exposure during all other times:'''
**Employee with potential blood-borne pathogen exposure should be evaluated in ED
** 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
*** Charge RN has the exposure packet (needs to be filled out to avoid employee getting the bill)
**If exposure warrants rapid HIV test on the source patient, then must give source patient opportunity to opt out of HIV test
*** <big><big>Use autotext '''.edExposure''' for documentation template and guidance text on when to consult HIV service</big></big>
***'''Source patient''': Orchid '''Blood or Body Fluid Exposure - Source Patient''' order set includes:
**** HIV Antibody/antigen screen
**** Hepatitis B Surface Antigen
**** HCV Quantitative Dx Assay
**** 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 .edExposure autotext)
***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'''
**** '''PEP must be prescribed to the Harbor Pharmacy''' to avoid generating a bill for the employee (patient)
 


==See Also==
==See Also==
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*[[HIV Prophylaxis (Occupational)]]
*[[HIV Prophylaxis (Occupational)]]


=References=
 
<References/>
HUCLA


[[Category: Admin]]
[[Category: Admin]]

Revisión actual - 16:33 27 ene 2026

  • Employee Health Guidance Video
  • 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 .edExposure for documentation template and guidance text on when to consult HIV service
      • Source patient: Orchid Blood or Body Fluid Exposure - Source Patient order set includes:
        • HIV Antibody/antigen screen
        • Hepatitis B Surface Antigen
        • HCV Quantitative Dx Assay
        • 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 .edExposure autotext)
      • 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
        • PEP must be prescribed to the Harbor Pharmacy to avoid generating a bill for the employee (patient)


See Also

Obtenido de «https://www.wikem.org/w/index.php?title=Harbor:Occupational_exposure&oldid=385312»