Protocol for the Follow-up of Emergency Service Workers Exposed to Infectious Diseases

Procedure

Category: Control of Infectious Diseases
Subject: Protocol for the Follow-up of Emergency Service Workers Exposed to Infectious Diseases
Division: N/A
Procedure Number: CA.82.02.112
Effective Date: January 1996

PROCEDURE

Under the Health Protection and Promotion Act (HPPA), Wellington-Dufferin-Guelph Public Health (WDGPH) routinely follows up on reports of infectious diseases of public health importance and is responsible for case and contact management.  When a report of infectious disease is received where an Emergency Service Worker (ESW) has been identified as a contact, WDGPH will notify the Designated Officer (DO) and/or the ESW of the potential risk and recommendations for follow-up.

When an ESW has potentially been exposed to an infectious disease of public health importance during his/her work, the DO and/or ESW may contact the Medical Officer of Health (MOH) or designate to review the potential risks associated with the exposure and receive recommendations for follow up.

NOTE: All blood exposures must be sent to local emergency for immediate assessment. Refer to the HPDCD(S)2  Infectious Disease Reporting Protocol for Emergency Services Workers algorithm for an overview of this process.

The Medical Officer of Health or designate will:

1. Review and assess the details of the potential exposure with the DO and/or ESW. The DO and/or ESW may report/document the details of the exposure using the HPDCD(F)28 Infectious Disease Incident Report for Emergency Service Workers.

2. Document the details of the exposure incident and any follow-up recommended on HPDCD(F)10  Progress Notes-Infectious Disease Follow-Up.

3. Contact health care facilities and other persons (i.e. infection control practitioners and/or attending physicians) for information on the source case, as necessary if he/she agrees that the ESW may have been exposed.

4. Refer to the applicable disease-specific guidance documents and resources for information on contact follow-up and post-exposure management.

  • Infectious Diseases Protocol, 2009
  • WDGPH Guidance Documents
  • Control of Communicable Diseases Manual, David L. Heymann, MD, Editor
  • Red Book, Committee on Infectious Diseases, American Academy of Pediatrics
  • Canadian Immunization Guide, Public Health Agency of Canada
  • CID(FS)56 Recommendations for an Integrated Protocol: Management of Blood/Body Fluid Exposures
  • Managing Exposures to Blood and Body Fluids (Flip Book)

5. Inform the DO and/or ESW as soon as possible, but no later than 48 hours after receiving the request, of any specific action that should be taken, including accessing medical care by the ESW.

6. Follow up with the DO and/or ESW to ascertain what actions have been taken.

7. Ensure completed follow-up documentation is filed alphabetically by name in the discharge files of the appropriate office.

 

REFERENCES AND RELATED FORMS, POLICIES AND PROCEDURES

CA.82.01.112   Protocol for the Follow-up of Emergency Service Workers Exposed to Infectious Diseases
Health Promotion and Protection Act
Infectious Diseases Protocol, 2009
WDGPH Guidance Documents
Control of Communicable Diseases Manual, David L. Heymann, MD, Editor
Red Book, Committee on Infectious Diseases, American Academy of Pediatrics
Canadian Immunization Guide, Public Health Agency of Canada
Managing Exposures to Blood and Body Fluids (Flip Book)

APPROVED BY

Rob Thompson