Notification of Possible Exposure to Infectious DiseasesEmergency response employees (EREs) are at risk of exposure to potentially life-threatening infectious diseases through contact with victims during emergencies. Part G of the Ryan White HIV/AIDS Treatment Extension Act of 2009 requires that medical facilities provide EREs with notification of when they may have been exposed to potentially life-threatening infectious diseases while transporting or serving victims of an emergency. Knowing this information allows EREs the opportunity to seek timely medical care and to make informed decisions about addressing potential health issues arising from their exposures. Show
How it Works NIOSH has developed a list of potentially life-threatening diseases, including emerging infectious diseases, to which EREs may be exposed while transporting or serving emergency victims taken to a medical facility. Along with the list, NIOSH has also developed guidelines describing circumstances in which EREs may be exposed to a listed disease and the manner in which a determination of an exposure shall be made by a medical facility. Medical facilities that receive and treat the victims of an emergency or ascertain the cause of death are responsible for routinely notifying and responding to requests pertaining to any determinations that a victim of an emergency has a listed potentially life-threatening infectious disease, as described in the NIOSH guidelines. When a medical facility determines that a victim of an emergency has a potentially life-threatening airborne or aerosolized infectious disease, the medical facility is responsible for initiating notification to the ERE who transported the victim. If an ERE believes he or she has been exposed to any potentially life-threatening disease on the NIOSH list, and has transported, attended, treated, or assisted the victim pursuant to the emergency, the ERE may initiate a request for notification from the medical facility to which the victim of the emergency was transported. To learn more about the guidelines describing ways employees may be exposed to these diseases and the guidelines describing the manner in which medical facilities should make determinations about exposures, visit the Guidelines page. To learn more about how EREs who believe they have been exposed to a disease on the list can request notification or about how medical facilities should initiate notification if an ERE may have been exposed to an airborne or aerosolized infectious disease on the list, visit the Notification Process page. List of Potentially Life-Threatening Infectious Diseases to Which Emergency Response Employees May Be ExposedDiseases often have multiple transmission pathways. However, for purposes of this classification, diseases routinely transmitted via the aerosol airborne and aerosol droplet routes are so classified, even if other routes, such as contact transmission, also occur. CDC will continue to monitor the scientific literature on these and other infectious diseases. If CDC determines that a newly emerged infectious disease fits criteria for inclusion in the List of Potentially Life-Threatening Infectious Diseases to Which Emergency Response Employees May Be Exposed required by the Ryan White HIV/AIDS Treatment Extension Act of 2009, CDC will amend the list and add the disease. Table 1: List of Potentially Life-Threatening Infectious Diseases to Which Emergency Response Employees May Be Exposed, by Exposure TypeRoutinely Transmitted by Contact or Body Fluid ExposuresRoutinely Transmitted Through Aerosolized Airborne Means[1]Routinely Transmitted Through Aerosolized Droplet Means[2]
These diseases include those caused by any transmissible agent included in the HHS Select Agents Listexternal icon. [5] Many are not routinely transmitted human to human but may be transmitted via exposure to contaminated environments. The HHS Select Agents List is updated regularly and can be found on the National Select Agent Registry Web site: http://www.selectagents.govexternal icon/ [1] Section 2695(b) [42 U.S.C. § 300ff–131(b)]. If you have any questions about the list of potentially life-threatening infectious diseases to which emergency response employees may be exposed and accompanying guidelines, contact CDC/NIOSH Ryan White Coordinator via email or mail. Please provide your return contact information, if seeking a reply. Please do not provide information of a sensitive nature in this email, such as any disease status for yourself or another person. Email: Mail: Ryan
White Act Coordinator If you have questions on other sections of Part G, please contact the call center of U.S. Department of Health and Human Services headquarters at 1-877-696-6775. What is EMTALA and what is its purpose?The Emergency Medical Treatment and Labor Act (EMTALA) requires hospitals with emergency departments to provide a medical screening examination to any individual who comes to the emergency department and requests such an examination, and prohibits hospitals with emergency departments from refusing to examine or treat ...
What is an example of EMTALA?The emergency department staff calls for an ambulance and directs the crew to take the patient to a nearby emergency department without contacting the receiving hospital and arranging for admission. Failure to arrange for a receiving physician to assume care of the patient is an EMTALA violation.
What are the 3 distinct elements of EMTALA?EMTALA defines 3 responsibilities of participating hospitals (defined as hospitals that accept Medicare reimbursement): Provide all patients with a medical screening examination (MSE) Stabilize any patients with an emergency medical condition. Transfer or accept appropriate patients as needed.
What is the most critical law that regulates the health care industry?HIPAA. The federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) was originally passed to protect healthcare for workers between jobs. These days, HIPAA is most directly associated with the protection of confidential patient healthcare information.
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What is the name of the federal act that mandates a procedure by which emergency healthcare providers can find out?
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