COVID 19 Clinical Post-Exposure Monitoring: Detailed Process
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The specific process for post-exposure monitoring for those who have cared for or otherwise had direct contact with a patient diagnosed with COVID 19 includes the following process:
2019 Novel Coronavirus (COVID-19): Monitoring For Employees
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The 2019 Novel Coronavirus (COVID-19) is a virus that has emerged in Wuhan City (Hubei Province), China and has caused respiratory illness. It appears to have first started from exposure to animals at a seafood and animal market. The incubation period (time from exposure to development of symptoms) can be up to 14 days. Please see the Infection Prevention website for information on patient screening and a comprehensive list of FAQs at https://www.vumc.org/infectioncontrol/.
Exposure to Pertussis
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What is pertussis and how is it spread?
Pertussis is a bacterial infection of the respiratory tract which generally begins with mild upper respiratory symptoms and can progress to severe attacks of coughing (paroxysmal stage), often with a characteristic inspiratory whoop. It is caused by Bordetella pertussis. Transmission occurs by close contact with respiratory secretions from an infected person.
Treatment for Exposure to Respiratory Diseases
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Some of the most common respiratory diseases healthcare workers may be exposed to include pertussis (whooping cough), varicella (chickenpox), tuberculosis, meningococcal infections, and measles. Any time you have an exposure to one of these illnesses for which OHC assesses your contact with the patient, you must fill out a Tennessee First Report of Injury form.
Treatment for Exposure to Nonhuman Primates
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Personnel who are working with a macaque (a specific species of non-human primate) may be exposed to the simian herpes B virus if they sustain a bite or needle stick, a scratch from the animal or a dirty cage, or a splash with the animal's blood or body fluids.
Working with Animals
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Working With Formaldehyde
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Formaldehyde is a chemical used in embalming and tissue preservation, as well as in cold sterilization. Acute exposure to formaldehyde may result in pulmonary edema (fluid in the lungs), central nervous system (CNS) depression, or pneumonitis (inflammation of the lung tissue). Chronic exposure may cause irritation of the skin, mucous membranes or respiratory tract. Repeated exposure to formaldehyde may result in an allergic response. It is also a potential carcinogen. Primary exposure routes are inhalation and skin absorption.
Working with Radioactive Iodine
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When patients are treated with radioactive iodine, their blood and body fluids such as urine and vomit can contain the radioactive drug. Caregivers should understand the risks of exposure. There are two different types of radiation risks:
Thyroid exposure: Having the radioactive iodine absorbed by your thyroid gland.
External beam radiation: Getting radiation exposure from the contaminated body fluids, just like you would from an X-ray.
Preventing thyroid exposure
Toxoplasmosis
Occupational Health Clinic
A parasite called Toxoplasma gondii causes a disease known as toxoplasmosis. Most adults have already had toxoplasmosis; toxoplasmosis shows few or no symptoms 90% of the time. However, pregnant women and individuals with weakened immune systems should be cautious.
Parvovirus B19 Exposure in Pregnancy
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