Abstract
This issue of Workplace Health & Safety contains a Continuing Nursing Education Module on “Chronic Hepatitis C Screening, Evaluation, and Treatment Update in the Age of Direct-Acting Antivirals.” 1.0 contact hour of continuing nursing education credit will be awarded by AAOHN upon successful completion of the posttest and evaluation.
A certificate will be awarded when the following requirements are met by the participant: (1) Participant logs on to the AAOHN LMS website at www.aaohn.org/education/ online-learning-center and enrolls in the course ($10 members; $15 non-members); (2) The completed posttest and course evaluation are entered online at http://www.aaohn.org by June 2020; (3) A score of 75% (6 correct answers) is achieved by the participant.
Upon completion of this lesson, the occupational health nurse will be able to:
Discuss the epidemiology and natural history of chronic hepatitis C.
Explain the CDC risk-based HCV Screening Recommendations
Describe history, physical, laboratory, and imaging findings used to evaluate individuals with HCV
Discuss treatment goals and approaches to the management of HCV
The American Association of Occupational Health Nurses, Inc. is an Approved Provider of continuing nursing education by the American Association of Occupational Health Nurses, Inc., an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
The American Association of Occupational Health Nurses, Inc. is additionally approved as a CNE provider by the California Board of Registered Nursing (#CEP9283).
Contact hours received for successful completion of the posttest and evaluation may be used for relicensure, certification, and re-certification.
How many people in the U.S. who are infected with HCV remain undiagnosed? 4 - 5 million 3 - 4 million 2 - 2.5 million 1 - 1.5 million
Of the following exposures, which one has the highest risk of HCV transmission? HCV positive inmate spits on corrections officer Nurse sustains need stick-source patient is HCV positive Nursing assistant experiences urine splatter to intact skin from HCV positive patient HCV positive patient bites home health caregiver-whose skin is intact
Which of the following statements for post HCV exposure treatment is TRUE? post exposure treatment is required if source is unknown If HCV antibody/RNA status of employee is positive, immediately begin treatment It is possible for infected workers to spontaneously clear HCV within six months The goal of treatment is no HCV RNA detectable in the blood six weeks after treatment
The OHN knows that of 50 employees who have chronic HCV, _______ will develop hepatocellular carcinoma 45 30 25 15
Of the following employees, which one(s) should receive routine HCV screening? Individuals who received Factor VIII after 1987 Employee who received a kidney transplant in 1999 Individual with renal failure on home peritoneal dialysis Employees who only injected drugs 15 years ago
For workers with cirrhosis, how often should they receive an ultrasound to screen for hepatocellular cancer? quarterly every six months annually every other year
Jaundice is usually present when the serum bilirubin is 0.5 - 1 mg/dl 1 - 2 mg/dl >2 - 3 mg/dl >5 mg/dl