[MCOH-EH] Subject: Re: Chemotherapy/Biotherapy reproductive hazards

[Mazo, James]

If possible I also would be interested in your presentation

Sent from my iPhone

> On May 18, 2016, at 2:32 PM, Sharon Petersen <Sharon.Petersen at imail.org> wrote:
>
> Dr. Mitchell I would like a copy of your presentation.
>
> Thank-you.
>
> Sharon Petersen
> Director, Employee Health Operations
> Intermountain Healthcare
> sharon.petersen at imail.org
>
>
>
> -----Original Message-----
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of mcoh-eh-request at mylist.net
> Sent: Wednesday, May 18, 2016 9:22 AM
> To: mcoh-eh at mylist.net
> Subject: MCOH-EH Digest, Vol 251, Issue 72
>
> Send MCOH-EH mailing list submissions to
>    mcoh-eh at mylist.net
>
> To subscribe or unsubscribe via the World Wide Web, visit
>    https://urldefense.proofpoint.com/v2/url?u=http-3A__mylist.net_listinfo_mcoh-2Deh&d=CwICAg&c=ajsCdbKXBnPSZ1CsuYmR1NgEQaYIvevprKIyRSOv7g0&r=DT24XWf8a1jhsOsi1MWc5Zq0Uyjc4W9Y3VqK80rlIRo&m=crc63SpyzKqfyjcV6ZEY7EtGEnO3MD4WwgzNrUfRxjk&s=qv5WXu9Uy-TVaMws-t71TIcUU4i1R7j5aGvoyw2yyQ0&e=
> or, via email, send a message with subject or body 'help' to
>    mcoh-eh-request at mylist.net
>
> You can reach the person managing the list at
>    mcoh-eh-owner at mylist.net
>
> When replying, please edit your Subject line so it is more specific than "Re: Contents of MCOH-EH digest..."
>
>
> Today's Topics:
>
>   1. Re:  Chemotherapy/Biotherapy reproductive hazards and
>      staffing policy (Dr Amber H Mitchell)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Wed, 18 May 2016 15:06:51 +0000
> From: Dr Amber H Mitchell
>    <amber.mitchell at internationalsafetycenter.org>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Chemotherapy/Biotherapy reproductive hazards
>    and staffing policy
> Message-ID:
>    <D361F99F.1892D%amber.mitchell at internationalsafetycenter.org>
> Content-Type: text/plain; charset="iso-8859-1"
>
> 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: https://urldefense.proofpoint.com/v2/url?u=http-3A__www.usp.org_sites_default_files_usp-5Fpdf_EN_m7808-5Fpre-2Dpost.pdf&d=CwICAg&c=ajsCdbKXBnPSZ1CsuYmR1NgEQaYIvevprKIyRSOv7g0&r=DT24XWf8a1jhsOsi1MWc5Zq0Uyjc4W9Y3VqK80rlIRo&m=crc63SpyzKqfyjcV6ZEY7EtGEnO3MD4WwgzNrUfRxjk&s=TyvhNogc1HFLbMKlfT1l-7jbE1i-JDfgrBTdy8Tjo08&e=
>
> 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 https://urldefense.proofpoint.com/v2/url?u=http-3A__occupationalhealth.vanderbilt.edu&d=CwICAg&c=ajsCdbKXBnPSZ1CsuYmR1NgEQaYIvevprKIyRSOv7g0&r=DT24XWf8a1jhsOsi1MWc5Zq0Uyjc4W9Y3VqK80rlIRo&m=crc63SpyzKqfyjcV6ZEY7EtGEnO3MD4WwgzNrUfRxjk&s=5nFNAStiWm8EDsvKuE4mbHneGbhwex0GGRTV7ETmjUs&e=
>
> 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).
>
>
>
>
> [PHTS Bar for Email Signature copy]
> 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 WWW.PHTS.COM<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.phts.com_&d=CwICAg&c=ajsCdbKXBnPSZ1CsuYmR1NgEQaYIvevprKIyRSOv7g0&r=DT24XWf8a1jhsOsi1MWc5Zq0Uyjc4W9Y3VqK80rlIRo&m=crc63SpyzKqfyjcV6ZEY7EtGEnO3MD4WwgzNrUfRxjk&s=FIOYQk7vnIUcPAE2bd44kGlzkXLmlw0VWKmZdDA3f6U&e= >
>
> -------------- next part --------------
> An HTML attachment was scrubbed...
> URL: <https://urldefense.proofpoint.com/v2/url?u=http-3A__mylist.net_archives_mcoh-2Deh_attachments_20160518_e4a8b635_attachment.html&d=CwICAg&c=ajsCdbKXBnPSZ1CsuYmR1NgEQaYIvevprKIyRSOv7g0&r=DT24XWf8a1jhsOsi1MWc5Zq0Uyjc4W9Y3VqK80rlIRo&m=crc63SpyzKqfyjcV6ZEY7EtGEnO3MD4WwgzNrUfRxjk&s=ONjbP1WU9kKRNMm64yG1FcYmYM8YFaOjsEi0MCK9D1c&e= >
> -------------- next part --------------
> A non-text attachment was scrubbed...
> Name: image001.jpg
> Type: image/jpeg
> Size: 32577 bytes
> Desc: image001.jpg
> URL: <https://urldefense.proofpoint.com/v2/url?u=http-3A__mylist.net_archives_mcoh-2Deh_attachments_20160518_e4a8b635_attachment.jpg&d=CwICAg&c=ajsCdbKXBnPSZ1CsuYmR1NgEQaYIvevprKIyRSOv7g0&r=DT24XWf8a1jhsOsi1MWc5Zq0Uyjc4W9Y3VqK80rlIRo&m=crc63SpyzKqfyjcV6ZEY7EtGEnO3MD4WwgzNrUfRxjk&s=BcIYA4emITXY6KZnFi6YK3qWdpegHPzY-BJwEmKFmvk&e= >
>
> ------------------------------
>
> Subject: Digest Footer
>
> ---------------------------------------
> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
> List membership is free, but only subscribers may post to the list.
> To post send messages to: mcoh-eh at mylist.net
> To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   https://urldefense.proofpoint.com/v2/url?u=http-3A__www.mcoh-2Deh.net&d=CwICAg&c=ajsCdbKXBnPSZ1CsuYmR1NgEQaYIvevprKIyRSOv7g0&r=DT24XWf8a1jhsOsi1MWc5Zq0Uyjc4W9Y3VqK80rlIRo&m=crc63SpyzKqfyjcV6ZEY7EtGEnO3MD4WwgzNrUfRxjk&s=2EUOzVYnFckYlhPjC6qRU_IDEb-F1Kslzr567awyFjc&e=
> MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
> ---------------------------------------
> List archives (public): https://urldefense.proofpoint.com/v2/url?u=http-3A__mylist.net_archives_mcoh-2Deh_&d=CwICAg&c=ajsCdbKXBnPSZ1CsuYmR1NgEQaYIvevprKIyRSOv7g0&r=DT24XWf8a1jhsOsi1MWc5Zq0Uyjc4W9Y3VqK80rlIRo&m=crc63SpyzKqfyjcV6ZEY7EtGEnO3MD4WwgzNrUfRxjk&s=aAVOpze4WZb5XPA6cfH22Y0sqx67MmzeG928oOvA3A0&e=
> ---------------------------------------
> Send administrative requests to: drjoe at meditrax.com
> ---------------------------------------
> When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying, so the topic of your reply is immediately clear to other list members.
>
> ------------------------------
>
> End of MCOH-EH Digest, Vol 251, Issue 72
> ****************************************
>
> ---------------------------------------
> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
> List membership is free, but only subscribers may post to the list.
> To post send messages to: mcoh-eh at mylist.net
> To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   https://urldefense.proofpoint.com/v2/url?u=http-3A__www.mcoh-2Deh.net&d=CwICAg&c=ajsCdbKXBnPSZ1CsuYmR1NgEQaYIvevprKIyRSOv7g0&r=DT24XWf8a1jhsOsi1MWc5Zq0Uyjc4W9Y3VqK80rlIRo&m=crc63SpyzKqfyjcV6ZEY7EtGEnO3MD4WwgzNrUfRxjk&s=2EUOzVYnFckYlhPjC6qRU_IDEb-F1Kslzr567awyFjc&e=
> MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
> ---------------------------------------
> List archives (public): https://urldefense.proofpoint.com/v2/url?u=http-3A__mylist.net_archives_mcoh-2Deh_&d=CwICAg&c=ajsCdbKXBnPSZ1CsuYmR1NgEQaYIvevprKIyRSOv7g0&r=DT24XWf8a1jhsOsi1MWc5Zq0Uyjc4W9Y3VqK80rlIRo&m=crc63SpyzKqfyjcV6ZEY7EtGEnO3MD4WwgzNrUfRxjk&s=aAVOpze4WZb5XPA6cfH22Y0sqx67MmzeG928oOvA3A0&e=
> ---------------------------------------
> Send administrative requests to: drjoe at meditrax.com
> ---------------------------------------
NOTICE: This email and/or attachments may contain confidential or proprietary information which may be legally privileged. It is intended only for the named recipient(s). If an addressing or transmission error has misdirected this email, please notify the author by replying to this message. If you are not the named recipient, you are not authorized to use, disclose, distribute, make copies or print this email, and should immediately delete it from your computer system. Saint Francis Hospital and Medical Center has scanned this email and its attachments for malicious content. However, the recipient should check this email and any attachments for the presence of viruses. Saint Francis Hospital and Medical Center and its affiliated entities accepts no liability for any damage caused by any virus transmitted by this email.