Unique Plan Description: ED Blood Body Fluid Exposure
Plan Selection Display: ED Blood Body Fluid Exposure
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2020-01-22 09:54:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-01-26 08:08:00
Available at all facilities: Yes

ED Blood Body Fluid Exposure
Laboratory
		NMHS Employees-**Contact Occupational Health during office hours or House Supervisor after hours for ALL exposures requiring lab draw (both source and employees). Paper order sheet to be filled out for ALL Employees and Source to be sent to lab**(NOTE)*
Non Employee Exposed
	Hepatitis B Surface Antibody
		Stat, spec type = Blood
	Hepatitis C Virus (HCV) Antibody with Rflx to PCR Confirmation
		T;N, Stat, spec type = Blood
	HIV-1/2 Ag/Ab Combo - MH/WH/JE
		T;N, Stat, spec type = Blood
	ALT
		
Non Employee Source
	Hepatitis B Surface Antigen
		Stat, spec type = Blood
	Hepatitis C Virus (HCV) Antibody with Rflx to PCR Confirmation
		T;N, Stat, spec type = Blood
	HIV Rapid - MH/WH/JE
		Stat, spec type = Blood
Medications

	tetanus immune globulin
		250 units, Injection, IM-Intramuscular, Once, STAT
		For patients who have already received the Tdap vaccine(NOTE)*
	tetanus-diphth toxoids (Td) adult/adol
		0.5 mL, Injection, IM-Intramuscular, Once, STAT
	Adacel (Tdap) intramuscular suspension
		0.5 mL, Suspension-Injection, IM-Intramuscular, Once, STAT
	hepatitis B adult vaccine 20 mcg/mL intramuscular suspension
		1 mL, Suspension-Injection, IM-Intramuscular, Once, STAT
	hepatitis B adult vaccine 10 mcg/mL intramuscular suspension
		1 mL, Solution-Injection, IM-Intramuscular, Once, STAT
	promethazine oral tablet
		25 mg, Tab, By Mouth, Once, STAT
	ondansetron
		4 mg, Tablet-Disintegrating, By Mouth, Once, STAT
		8 mg, Tablet-Disintegrating, By Mouth, Once, STAT

PEP (Post Exposure Prophylaxis)
	emtricitabine-tenofovir 200 mg-300 mg oral tablet
		1 TAB, Tab, By Mouth, Once, Prophylaxis, STAT
			Comment: if ordered at MJE, will need pharmacy to courier over medication within 1-3 hours in the ED.
	raltegravir
		400 mg, Tab, By Mouth, Once, Prophylaxis, STAT
			Comment:  if ordered at MJE, will need pharmacy to courier over medication within 1-3 hours in the ED.
Consults/Follow-up
	Consult Infectious Disease
		Reason for Referral: significant blood or body fluid exposure

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase