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Occupational Health exposures

Important Note

Employees involved in an accidental exposure should contact the blood exposure hotline for instructions (206) 987-2633. Exposed staff must report to WHS (workforce health and safety) or the Emergency Dept (after hours) within 1-2 hours of exposure so that appropriate medical evaluation and HIV post-exposure prophylaxis can be offered if necessary.

Additional Codes

LAB2993 Employee Exposure Panel

LAB3461 Source Patient Exposure Panel

Sample Requirements

Specimen: Whole Blood

Container(s): Lavender/EDTA AND Gold/SST

Preferred Vol: Source patient - 4 mL per tube; Employee - 4 mL per tube

Minimum Vol: Source patient - 3 mL per tube; Employee - 3 mL per tube

**Additional volume may be required; SEE NOTE BELOW.

 

Note: Source Patient Orderset includes: HIV Antigen and Antibody, Hepatitis B Surface Antigen and Hepatitis C Antibody Screen. Employee Orderset includes: HIV Antigen and Antibody and Hepatitis C Antibody Screen. If additional testing, beyond the defined ordersets for source and/or employee, is marked on the requisition; draw an additional 1 mL Gold/SST.

Processing Instructions

Reject due to:

Spin: Y

Aliquot: Y

Temp: 2 - 8 C

Storage location: Spin both tubes. Transfer serum to a plastic aliquot tube and transfer EDTA plasma to a plastic aliquot tube; affix each aliquot with a label. Place samples in CPA refrigerator racks "Frig D" and "Frig F".

 

Off-site collection: Spin specimens, aliquot, and transport refrigerated.

Stability

Specimen Type Temperature Time
  Room temp

24 h

  Refrigerated 6 d
  Frozen

1 m

 

Performing Laboratory

Seattle Children's Laboratory

Department

Department: Chemistry

Location: Chem 

Phone Number: (206) 987-2617

Synonyms

BBP Exposure
Employee Exposure
HIV Employee Exposure
OHS
WHS

 

Availability

STAT Performed TAT
HIV Ag/Ab- Yes Daily

1 d

Hepatitis testing- No M, W, F 1 - 5 d

TAT for .E HIV Ag/Ab and .S HIV Ag/Ab samples are as follows:  Samples received in lab by 3:00pm will be resulted same day. HIV samples received after 3:00pm will be resulted the next day by 10:00am.

TAT for Hepatitis testing follows normal schedule of MWF dayshift. 


Please contact the Chemistry Department (987-2565 or 987-3694) for testing outside of stated availability.  If Chemistry is unavailable (evenings), contact Lab Medicine on call.

Methodology

Method: Chemiluminescent microparticle immunoassay (CMIA) on the Alinity i and Immunoassay on Bioplex 2200

Analytical Volume: 0.5 mL plasma, 0.5 mL serum

Limitations:

Reference Range

Nonreactive