Blood Exposure Protocol on Source Individual

Message

SRHC Clients:
This is testing on the source patient for the exposure.
See Blood Exposure on Exposed Victim (VEPE) for the victim suggested protocol.




Test Code
BEP


Alias/See Also
Blood Exposure Protocol on Source
Source patient, Blood Exposure Protocol
SEE ALSO--Blood Exposure Protocol on Victim


Includes
Includes HIV, HCV & HBsAg
Plasma held for additional testing if indicated.


Preferred Specimen

2 Pink (K2EDTA) top tubes




Instructions

 Exposure on hospital property
  1. Report exposure to Employee Health, House Nursing Supervisor (if Employee Health is closed), designated officer, or Medical Provider.
  2. Enter appropriate order in computer or complete downtime requisition.  If source testing, order STAT
  3. Appropriate personnel will collect samples as STAT.
  4. Send samples to laboratory STAT.
  5. Laboratory will receive into computer and take samples to appropriate department.
  6. Laboratory will perform Exposure HIV STAT per Chemistry policy.
  7. Chemistry will call results of the Exposure HIV STAT to the appropriate person (Employee Health, House Nursing Supervisor, Infection Control, Medical Provider).

 

NOTE:
If a hospital employee is on hospital business and off hospital property, the employee would be considered under the same conditions as being on hospital property.



Exposure NOT on Hospital property
  1. Complete Laboratory Requisition Form
  2. Record appropriate panel under “OTHER.”  Be sure to state whether it is a source or exposed individual.
  3. Call Chemistry at SRHC (4830).  This is not mandatory, but helpful for communication and also to allow staff to prepare.
  4. If tests are on a source specimen, send to laboratory STAT.
  5. If individual tests are ordered, mark appropriately or record under “OTHER” or enter appropriate order in computer.  Also, include a statement that this is a blood exposure and whether testing is on the source or exposed individual.
  6. Register per instructions on requisition.  Laboratory will enter appropriate order in computer or complete downtime requisition.  If testing is on source individual, order as STAT
  7. Laboratory will give requisition or copy of requisition to Chemistry supervisor or designee.
  8. Collect samples on source as STAT.
  9. Laboratory will receive into computer and take samples to the appropriate department.
  10. Laboratory will perform Exposure HIV STAT per policy.
  11. Tech will call results of the Exposure HIV STAT to the appropriate person (Employee Health 4752, House Nursing Supervisor, Infection Control, Medical provider).


Transport Container
2 Pink (K2EDTA) top tubes


Specimen Stability
14 days if refrigerated


Methodology

Varies by test



Setup Schedule
24/7


Report Available

Varies by test
1-4 days
Exposure HIV results are available stat.




Reference Range
See patient report.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.