Harbor:Occupational exposure

Main Topics

• Occupational Exposure
• HIV Prophylaxis (Occupational)

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
  • Obtain OCCUPATIONAL EXPOSURES-ED form (see below)
  • Use form to guide you in assessment of risk and need for testing
  • If exposure warrants rapid HIV test on the source patient, then must give source patient opportunity to opt out of HIV test
  • Only contact HIV service if:
    • Source patient has capacity and opts out OR
    • Source patient lacks capacity
  • Check Affinity for recent (weeks or months) HIV results on source patient
• When to call HIV service:
  • Must fill out form and present exposure case to ED attending prior to contacting HIV service
  • If source patient is HIV+ AND exposure has potential to transmit HIV
    • HIV+ either by history or if rapid HIV is positive at time of exposure
  • Source patient lacks capacity OR chooses to opt out of HIV test
    • Only HIV service has authority to approve testing in these situations

Forms

Occupational Exposure form p.1

Occupational Exposure form p.2

Source

HUCLA