Keeping record medicalrecordsrelatedtoexposure

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Unformatted text preview: SMISS THE PATIENT! “Please wait Please here for a few minutes” minutes” Medical Surveillance Medical Baseline Labs HIV antibody (with consent) RPR (Syphilis) Hepatitis B surface antibody HCV antibody If source is known to be Hepatitis C+, also obtain a liver function & HCV RNA tests CBC with differential & platelets, chemistry profile, urine pregnancy test if source is known HIV+ and if exposed personnel chooses to utilize post­exposure prophylaxis Hepatitis B Vaccination Tuberculin skin test, Quantiferon test Rights In the event of a potential exposure to In the event of a potential exposure to BBP, the person is entitled to: Confidential medical evaluation & follow­up Documentation of routes of exposure Identification, documentation, testing & results of the source individual UT Student or Employee Health Services Clinic Source blood draw for testing Counseling Evaluation of reported illness Record Keeping Record Medical records related to exposure incidents must be retained for duration of employment plus 30 years Training records must be maintained for three years Tuberculosis Tuberculosis Caused by Mycobacterium tuberculosis Spread by airborne droplets – coughing, sneezing, speaking Also considered to be bloodborne Patient Assessment for Risk of Tuberculosis Routinely ask all patients: Routinely ask all patients: Do you have a history of TB disease? Do you have symptoms suggestive of TB? TB Presentation & Isolation TB Cough Chest Pain Coughing up blood Weakness Fever or night sweats Weight loss Patients with History or Symptoms of Undiagnosed TB of Should be referred promptly for medical evaluation of possible infection Should not remain in the dental facility any longer than required to arrange a referral Should wear surgical mask while in the dental facility Should have urgent dental care provided in areas that can provide TB isolation Patients with History or Symptoms of Undiagnosed TB (cont.) of Should have elective dental treatment deferred until a physician confirms that the patient does not have infectious TB If diagnosed as having active TB, elective dental treatment should be deferred until no l...
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This note was uploaded on 10/16/2012 for the course PHSCH 265 taught by Professor Fatmaelsayed during the Spring '12 term at American University in Cairo.

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