JISCMail - OCC-HEALTH Archives

Thank you Sharon; very helpful!

Have a great day.

Best wishes

Sarah

Sarah Jones-Payne, RN, SCPHN, DipHE, BSc(Hons), PgDip, FRSPH.

Occupational Health Specialist

From: [log in to unmask] <[log in to unmask]> on behalf of sharon naylor <[log in to unmask]>
Sent: 12 September 2019 08:51
To: [log in to unmask] <[log in to unmask]>
Subject: Re: [OCC-HEALTH] BBV exposure

Years ago I tried to organise such a service for at risk non NHS employees. Within the last two years I have tried to complete this for another client. The difficulties were the same despite a 15 year gap

Lessons I have learned

People need to attend A&E for initial assessment as this is the o my way to get PEP if needed

Much of what happens next is predicated by the A&E stance, which includes telling people to "go back" to their own OH

You need a process for staff to follow, they need to be responsible for their own actions in the event of a needlestick/exposure injury

Process should include going to A&E, you might like to consider a standard template letter for them to take with them (co tent us another discussion)

Offering to bear the cost helps

For follow up- this differs geographically from being GUM to virology led

Making local arrangements helps, as does forging links with local NHS OH and subcontracting doĺow up to them

Sent from my Samsung Galaxy smartphone.

-------- Original message --------

From: janet oneill <[log in to unmask]>

Date: 12/09/2019 08:01 (GMT+00:00)

To: [log in to unmask]

Subject: Re: [OCC-HEALTH] BBV exposure

This is a very interesting thread

can I ask what the local arrangement is with GUM clinics

do they recharge you or the client or don't charge at all?

thanks very much

On Wed, Sep 11, 2019 at 6:09 PM Deborah Caspi <[log in to unmask]> wrote:

Hi

I have experience of managing this issue in a group of small medical facilities and hospitals. Due to the importance and complexities of prescribing PEP (post exposure prophylaxis), giving accurate and appropriate counselling to recipients needing it etc., I decided it was best to leave it to the experts i.e. make arrangements with your local hospitals' OH or A&E departments or GUM units.

It is too important an area to rely on "hit and miss" delivery... as it is usually quite rare to need PEP (depending on type of services your staff provide) those who dispense it more often are better placed to deliver this service for you.

KR

Deborah Caspi

Get Outlook for Android

From: [log in to unmask] <[log in to unmask]> on behalf of Sarah Jones-Payne <[log in to unmask]>
Sent: Wednesday, September 11, 2019 4:29:35 PM
To: [log in to unmask] <[log in to unmask]>
Subject: [OCC-HEALTH] BBV exposure

Dear Colleagues

Please could you share your experiences and ideas regarding the remote management of BBV exposure/needlestick injuries? In particular, how would you manage the remote prescribing of PrEP (if indicated after a risk assessment)?

My thoughts are that this needs to be a local service, but with an increase in agile working, and remote workers, I am looking to find ways to manage this remotely. There is a possibility of having one fixed site for a clinic/stock of PrEP but this would not always be supplied by the prescribing clinician; this could be worked around through a robust medicine management policy but the practicalities are still unclear. Does anyone have any relatable experience that they are willing to share?

Many thanks in advance,

Sarah Jones-Payne

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