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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

Synonyms

BBP Exposure
Employee Exposure
HIV Employee Exposure
OHS
WHS

 

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

 

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.

Performing Laboratory

Seattle Children's Laboratory

Department

Department: Chemistry

Location: Chem 

Phone Number: (206) 987-2617

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