Reply To: Medical Surveillance for Haz Drugs?

  • Carol Oldridge

    Member
    February 10, 2014 at 5:49 pm

    We do have a medical surveillance program at ACH.
    1. Who does the surveillance?
    Our employee health department tracks our medical surveillance. The final determination of medical clearance is done by an outside Occupational Health MD,
    2. Does it include lab work?
    Yes- CBC comprehensive metabolic profile, and UA
    3. Does it include a survey? If so, is it a standard one or did you create your own?
    Yes- The packet includes the following:
     authorization for exam or treatment
     employee information
    detailed medical history (personal, family,and occupational)
    health measurements ( ht, wt, BP, BMI, % body fat)
    authorization to disclose PHI to employee health,
    medical questionnaire the hospital developed that includes medical history questions regarding symptoms, past chemo or radiation therapy, reproductive concerns, occupation of spouse, currently breastfeeding or pregnant?, prostate problems in the last year?, number of hours/week you handle chemo and/or patient body fluids post chemo, list the drugs you have contact with most often, have you been around a chemo spill in the last year?, accidently ingested, inhaled or had contact with chemo the last year?, and very specific questions regarding personal PPE use.
    review of health history for respirator mask clearance
    4. Do the RNs and/or Pharmacists have to sign any type of consent acknowledging the risks of handling hazardous drugs?
    No, but it is disclosed during interviews, when being cleared to start work through employee health, and during orientation. It would probably be a good thing to do with the medical surveillance.
    All new employees that work in areas that care for chemo patients have a baseline assessment completed with employee health and are cleared for 1-3 years depending on the results. Maximum time between surveillance is 3 years.


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    Carol Oldridge
    Arkansas Children’s Hospital
    Sherwood, AR
    United States
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    Original Message:
    Sent: 02-10-2014 05:14 PM
    From: Stephanie Powell
    Subject: Medical Surveillance for Haz Drugs?

    This message has been cross posted to the following Discussions: Outpatient Staff Clinic Issues and Pediatric Chemotherapy Biotherapy Instructors .
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    Hi Everyone, 

    Could anyone share if you have a medical surveillance program for nurses handling chemo/haz drugs? 

    If so, can you please provide answers to the following questions:

    1. Who does the surveillance? Occ. Health? 
    2. Does it include lab work? If so, what kind?
    3. Does it include a survey? If so, is it a standard one or did you create your own?
    4. Do the RNs and/or Pharmacists have to sign any type of consent acknowledging the risks of handling hazardous drugs?

    Thank you for your time!

    Stephanie

    Stephanie Powell, MSN, PCNS-BC, CPON
    Outpatient Oncology Clinical Nurse Specialist
    The Children’s Hospital of Philadelphia
    267-426-0977