Blood and body fluid exposures
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Blood and body fluid exposures. Order Tests on “Source” patient via Wiz so results are available in StarPanel when exposed employee receives treatment. When a healthcare worker is exposed to a patient’s blood or infectious body fluids, the stakes are high.

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Blood and body fluid exposures

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Blood and body fluid exposures

Blood and body fluid exposures

Order Tests on “Source” patient via Wiz so results are available in StarPanel when exposed employee receives treatment

OH and SSS 2005


Blood and body fluid exposures

When a healthcare worker is exposed to a patient’s blood or infectious body fluids, the stakes are high.

OH and SSS 2005


Risk of infection after needlestick from an infected patient

Risk of Infection After Needlestick From an Infected Patient

  • Hepatitis B - 1 in 3 needlesticks

  • Hepatitis C –1 in 100 needlesticks

  • HIV -1 in 333 needlesticks & 1 in 1000 splashes

  • Risk is Higher if:

    • the wound is deep

    • the needle was hollow-bore

    • the patient has a high viral load

      CDC - MMWR 1998

OH and SSS 2005


Time is of the essence

Time is of the essence

Antiviral therapy given

within the first 2 hours reduces the risk

by 80%.

OH and SSS 2005


Order tests from wiz on source patient

Order Tests from Wiz on “Source Patient”.

Tests conducted on Source of Exposure

  • Rapid HIV

  • Hepatitis Panel

    Who Should Order Tests On Source?

  • Any MD/NP on Unit the exposure occurred

  • Charge Nurse may enter the orders, conferring with any provider to include as ordering physician

OH and SSS 2005


Timely results on source patient s labs make a difference

Timely Results on “Source Patient’s” Labs Make a Difference

  • OHC and the ED can more accurately determine treatment needed for exposed employee if they have lab results on the “source” within 2 hours.

  • “Source” Lab results can be viewed in StarPanel by OHC or ED and will direct treatment of the employee.

  • If Wiz is down or location doesn’t use Wiz, order Hepatic Panel and Rapid HIV manually.

OH and SSS 2005


Blood and body fluid exposures

Insert screenshot of Wiz

Step 2: Select “evaluate source patient”

Step 1: Type “source” (or “needlestick” or “exposure”)

OH and SSS 2005


Blood and body fluid exposures

The necessary lab tests are bundled together

OH and SSS 2005


Blood and body fluid exposures

Accept all orders in the set. The patient will not be billed.

OH and SSS 2005


Blood and body fluid exposures

****Important****

Make sure the exposed employee goes to Occupational Health or the ED,

regardless of the HIV results.

OH and SSS 2005


When should i go ed or oh

When should I go…ED or OH?

  • Go to Occupational Health during office hours

    7:30am – 5:30pm, Monday – Friday

  • When Occupational Health is closed, go to Emergency Department and identify yourself as an employee who has had an exposure

OH and SSS 2005


Take home points

Take Home Points….

  • If Employee is Exposed, Test “Source” Immediately so Source Labs are available in StarPanel to help guide OH or ED staff in treating exposed employee.

  • Order “Source” patient labs in Wiz from this order set: “Evaluate source patient whose blood/body fluids caused exposure.“ Orders can be entered by any MD or Charge Nurse conferring with an MD.

  • Send exposed employees to Occupational Health, or to the ED after hours, for evaluation. DO NOT TREAT EXPOSED EMPLOYEES YOURSELF!!

  • Always notify supervisor and complete “TN First Report of Work Injury”

OH and SSS 2005


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