Blood Exposure Protocol on Victim (Exposed Individual)

Message

SRHC Clients:
This is testing on the exposed individual (victim)
See Blood Exposure on Source (BEP) for source suggested protocol.




Test Code
VEPE


Alias/See Also
Blood Exposure Protocol on Exposed Individual
Exposed Individual, Blood Exposure Protocol
SEE ALSO--Blood Exposure Protocol on Source


Includes
Includes  HIV, HCV, HBsAg, and HBsAB
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.  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 Exposure HIV STAT to appropriate person (Employee Health, House Nursing Supervisor, Infection control, Medical provider)


NOTES
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.”  Include whether it is a source or exposed individual.
  3. Call Chemistry at SRHC (4830).  This is not mandatory but helpful for communication and to allow staff to prepare.
  4. If  tests are on a source specimen, order and send to laboratory STAT.
  5. If individual tests are ordered, mark appropriately, or record under “OTHER” or enter appropriate order in computer.  Also, include statement that this is blood exposure and whether it is a source or exposed individual.
  6. Register per instructions on requisition.  Laboratory will enter appropriate order in computer or complete downtime requisition.   
  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 appropriate department.
  10. Laboratory will perform Exposure HIV STAT per Chemistry policy.
  11. Tech will call results of Exposure HIV  STAT to 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 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.