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[Editor's note: This is the first part of a two-part series on a new guideline from the Society for Healthcare Epidemiology of America (SHEA) regarding health care providers who are infected with hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). In this issue, we give you an overview of what the guideline did and did not include, which procedures are at greatest risk of transmission to patients, and the recommendations for infected staff. In next month's issue, we discuss how to decide which workers to test and further explain the new guideline.]
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[This special issue of Same-Day Surgery focuses on the most significant infection control issues facing ambulatory surgery managers. In our cover package, we tell you about a recent pilot study that found infection control practices were lacking, and we share lessons learned. Also in this issue, we tell you about a new guideline from the Society for Healthcare Epidemiology of America (SHEA) regarding the management of providers who are infected with hepatitis B, hepatitis C, and HIV. We let you know how this guideline will impact your day-to-day practice.]
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So many elderly patients in the ED are lonely, often troubled by depression, victims of abuse, or facing end-of-life decisions. The emergency physician often is called upon to handle these concerns.
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Do some health care workers infected with HIV or hepatitis B or C pose a risk to their patients? Should they be restricted from performing exposure-prone procedures?
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Kathleen Liever, an Employment Law Associate at Fowler White Boggs in Tampa, FL, says that you should take these steps now to comply with the Genetic Information Nondiscrimination Act (GINA) of 2008:
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Susan A. Randolph, MSN, RN, COHN-S, FAAOHN, clinical assistant professor of the Occupational Health Nursing Program at University of North Carolina at Chapel Hill, says that you should plan occupational health programs and services with these factors in mind: