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Hi, I am just wondering how other organisations follow up on sources of needle stick injuries if the source has been discharged home i.e those from ED discharged home, post op or day procedure cases without any bloods taken.
Do you have a process to call them back in or follow them up in the community to relieve the anxiety of the staff or do as we do and follow up the staff member as if they had been exposed to an unknown positive source with appropriate counselling and follow up?
We have recently had a multiple potential source exposure whereby 1 of the patients had been discharged home post op and our current practice would be not to call them but treat the staff member as if an unknown follow up based on our risk assessment of injury and source – in this instance very low risk. We bleed the other patients where the actual risk was the greatest and offered to follow up the patient when they next visited as an outpatient post op. I have been asked to review our practice with some benchmarking from other organisations.
Thanks for your feedback
Regards Maureen CanningManager Infection Prevention and Control Unit and
Employee Exposure Immunisation Service
Peninsula Health
PO Box 52
Frankston Victoria 3199
97847722
0428119461Peninsula Health – Metropolitan Health Service of the Year 2007 & 2009
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Morning
Patients leaving the our hospital occurs approximately 40% of the time, being a dental hospital the incidents are often not reported until treatment is completed.
If the patient has left the hospital we contact them at home.
The incident is discussed with the patient and pre-test counselling is undertaken.
The source is given the option to return to the hospital or the nearest pathology service to have bloods taken.
A pathology request slip is either faxed to chosen pathology service or posted to the patient.We do not have an internal pathology service so where the blood is taken is not an issue as we pay for external service regardless.
Results are generally receive within a few days.Of course the risk of the injury is determined from the information received from both recipient and source.
If required the incident is discussed with an ID specialist to clarify the risk.We have only been refused once in the last 4 years and treated the incident as unknown.
Language difficulties can be an issue and use of the telephone interpreter service has been successful.
Wendy
Wendy Bacalja
Project Lead – Public Dental Taskforce
Principal Nursing Officer
Infection Control ConsultantDental Health Services Victoria
oral health for better health
The Royal Dental Hospital of Melbourne
720 Swanston Street | Carlton | VIC 3053
T: 03 9341 1151 | M: 0401979497 | F: 03 9341 1214Hi, I am just wondering how other organisations follow up on sources of needle stick injuries if the source has been discharged home i.e those from ED discharged home, post op or day procedure cases without any bloods taken.
Do you have a process to call them back in or follow them up in the community to relieve the anxiety of the staff or do as we do and follow up the staff member as if they had been exposed to an unknown positive source with appropriate counselling and follow up?
We have recently had a multiple potential source exposure whereby 1 of the patients had been discharged home post op and our current practice would be not to call them but treat the staff member as if an unknown follow up based on our risk assessment of injury and source – in this instance very low risk. We bleed the other patients where the actual risk was the greatest and offered to follow up the patient when they next visited as an outpatient post op. I have been asked to review our practice with some benchmarking from other organisations.
Thanks for your feedback
Regards Maureen CanningManager Infection Prevention and Control Unit and
Employee Exposure Immunisation Service
Peninsula Health
PO Box 52
Frankston Victoria 3199
97847722
0428119461Peninsula Health – Metropolitan Health Service of the Year 2007 & 2009
Click here to report this email as spam.
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Hi, we have similar post exposure blood tests arrangements. We call back the concerned patients, and some of them will come back. And when they come back, we will collect relevant blood samples.
Regards,
Sony SO
Nursing Officer, Infection Control Team
Kwong Wah Hospital
HONG KONG SAR, CHINA
Tel:+ 852 3517-2409 Fax: +852 2332-3348 email:sony@ha.org.hk
Please consider the environment before printing this e-mailMorning
Patients leaving the our hospital occurs approximately 40% of the time, being a dental hospital the incidents are often not reported until treatment is completed.
If the patient has left the hospital we contact them at home.
The incident is discussed with the patient and pre-test counselling is undertaken.
The source is given the option to return to the hospital or the nearest pathology service to have bloods taken.
A pathology request slip is either faxed to chosen pathology service or posted to the patient.We do not have an internal pathology service so where the blood is taken is not an issue as we pay for external service regardless.
Results are generally receive within a few days.Of course the risk of the injury is determined from the information received from both recipient and source.
If required the incident is discussed with an ID specialist to clarify the risk.We have only been refused once in the last 4 years and treated the incident as unknown.
Language difficulties can be an issue and use of the telephone interpreter service has been successful.
Wendy
Wendy Bacalja
Project Lead – Public Dental Taskforce
Principal Nursing Officer
Infection Control ConsultantDental Health Services Victoria
oral health for better health
The Royal Dental Hospital of Melbourne
720 Swanston Street | Carlton | VIC 3053
T: 03 9341 1151 | M: 0401979497 | F: 03 9341 1214Hi, I am just wondering how other organisations follow up on sources of needle stick injuries if the source has been discharged home i.e those from ED discharged home, post op or day procedure cases without any bloods taken.
Do you have a process to call them back in or follow them up in the community to relieve the anxiety of the staff or do as we do and follow up the staff member as if they had been exposed to an unknown positive source with appropriate counselling and follow up?
We have recently had a multiple potential source exposure whereby 1 of the patients had been discharged home post op and our current practice would be not to call them but treat the staff member as if an unknown follow up based on our risk assessment of injury and source – in this instance very low risk. We bleed the other patients where the actual risk was the greatest and offered to follow up the patient when they next visited as an outpatient post op. I have been asked to review our practice with some benchmarking from other organisations.
Thanks for your feedback
Regards Maureen CanningManager Infection Prevention and Control Unit and
Employee Exposure Immunisation Service
Peninsula Health
PO Box 52
Frankston Victoria 3199
97847722
0428119461Peninsula Health – Metropolitan Health Service of the Year 2007 & 2009
Click here to report this email as spam.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
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http://www.dhsv.org.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
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***************************************************************************Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
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