[MCOH-EH] Chemotherapy/Biotherapy reproductive hazards and staffing policy

[Michael A. Sauri, MD, MPH&TM, FACP, FACPM]

Dr. Mitchell,

I would interested in a copy of your presentation.

Sincerely,

Michael

 

Michael A. Sauri, MD, MPH&TM, FACP,

FACPM, FACOEM, FRSTM&H, CTropMed

Medical Director

Occupational Health Consultants

15005 Shady Grove Road, Suite 450

Rockville, MD 20850

Tel  301-738-6420

Fax 301-738-2215

 <mailto:msauri at ohcmd.com> msauri at ohcmd.com

 <http://www.ohcmd.com> www.ohcmd.com

 

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Dr Amber H
Mitchell
Sent: Wednesday, May 18, 2016 11:07 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Chemotherapy/Biotherapy reproductive hazards and
staffing policy

 

USP<800> will be implemented in July 2018 based on a combination of guidance
from ONS, ASHP, NIOSH, OSHA and others.  For the first time, it covers all
healthcare workers with potential exposure to hazardous drugs at any point;
compounding, crushing, administering, disposing, transporting, etc.

This chapter applies to all healthcare personnel who handle HD preparations
and all entities which store, prepare, transport, or administer HDs (e.g.,
pharmacies, hospitals and other healthcare institutions, patient treatment
clinics, physicians' practice facilities, or veterinarians' offices).
Personnel who may potentially be exposed to HDs include, but are not limited
to: pharmacists, pharmacy technicians, nurses, physicians, physician
assistants, home healthcare workers, veterinarians, and veterinary
technicians. 

See section on Medical Surveillance lines 666 and on:
http://www.usp.org/sites/default/files/usp_pdf/EN/m7808_pre-post.pdf

 

Here is an example of an action plan (see number 2 below) that may be useful
developed by Dr. Marty Polovich and her colleagues.  We just presented it to
ONS a few weeks ago at their annual conference in San Antonio.  I'd be happy
to send the entire presentation (under separate cover) to anyone who would
like it.

 


Specific Requirement

Action Steps

Target Date

Responsible Person

Resources Needed


1.Designate a person to oversee USP<800> compliance

.Develop position description

.Request applicants

.Identify training/ education needs

.Identify education source

September 2016

John Smith

XX Committee 

Fees: Education/ training 


2.Personnel of reproductive capability confirm understanding of risk in
writing

.Develop policy

.Develop form

.Develop training/ education plan

.Implement policy

December 2016

Susan Jones

Employee Health

XX Committee

 

 

Amber Hogan Mitchell, DrPH, MPH, CPH

President | Executive Director

International Safety Center

PH: +1.713.816.0013

EM: amber.mitchell at internationalsafetycenter.org

Web: www.internationalsafetycenter.org

 

 

From: <Swift>, Melanie Swift <melanie.swift at Vanderbilt.Edu
<mailto:melanie.swift at Vanderbilt.Edu> >
Reply-To: MCOH/EH <mcoh-eh at mylist.net <mailto:mcoh-eh at mylist.net> >
Date: Wednesday, May 18, 2016 at 9:20 AM
To: MCOH/EH <mcoh-eh at mylist.net <mailto:mcoh-eh at mylist.net> >
Subject: Re: [MCOH-EH] Chemotherapy/Biotherapy reproductive hazards and
staffing policy

 

Fundamentally you need a comprehensive program in place that protects all
workers and prevents exposure for everyone. We have training, work
practices, and PPE in place to protect everyone from exposure, regardless of
pregnancy status. Because studies in healthcare workers have shown that
biomarkers for cytotoxic drugs in urine correlate directly with measures of
environmental contamination, we have a program of routine environmental
surveillance with surface wipes to detect trace chemotherapeutic agents.
This demonstrates that we have good controls in place and are not having
contamination. Staff members who are pregnant may still request a temporary
reassignment. These requests are considered through the usual channels for
accommodation requests, and may be granted if feasible. This is more for
peace of mind than a concern that pregnant women are unsafe in the current
environment, given the comprehensive protections in place.

 

 

Melanie Swift, MD

Director, Vanderbilt Occupational Health Clinic

 <http://occupationalhealth.vanderbilt.edu>
http://occupationalhealth.vanderbilt.edu

 

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Wendy
Stephenson
Sent: Wednesday, May 18, 2016 8:11 AM
To: mcoh-eh at mylist.net <mailto:mcoh-eh at mylist.net> 
Subject: [MCOH-EH] Chemotherapy/Biotherapy reproductive hazards and staffing
policy

 

 

 

I'm reaching out to the group on behalf of one of our member hospitals to
find out how other organizations handle the chemotherapy / biotherapy
reproductive hazards and staffing of pregnant, conceiving, and/or
breastfeeding staff members.  Specifically, what policy or procedure is in
place for accommodation or "opting out".  The issue has recently come up due
to adoption of the Lippincott manual online and the more obvious messaging
about the hazards with administering drugs of various sorts (not just
chemo).

 

 

 

 



Wendy Stephenson, MS, ARM, CPHRM, CSP 

Vice President, Risk Management

WSTEPHENSON at PHTS.COM <mailto:WSTEPHENSON at PHTS.COM> 

D803.461.8388  C803.240.8659

O803.731.5300  F 803.731.2849

201 EXECUTIVE CENTER DRIVE, AIKEN BLDG, SUITE 300, COLUMBIA SC 29210

 <http://www.phts.com/> WWW.PHTS.COM

 


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