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

mclanzi at aol.com mclanzi at aol.com
Wed May 18 18:41:33 PDT 2016


I too would like a copy. 

Please send to mclanzi at outlook.com

Thank you.

Maria Lanzi, MS, MPH, ANP-BC




-----Original Message-----
From: Belinda D. Mead <bmead at wmed.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Sent: Wed, May 18, 2016 1:29 pm
Subject: Re: [MCOH-EH] Chemotherapy/Biotherapy reproductive hazards and staffing policy



Please send me a copy also.  Thank you!
 

Belinda Mead RN, MSN, PLNC
Education Coordinator and Occupational Health Nurse
Williamson Medical Center
4321 Carothers Parkway
Franklin TN. 37067
Email:bmead at wmed.org
Phone: 615-435-5128
Fax:    615-435-7403
 
 
HIPAA NOTICE:  The information transmitted within this email or in any attached documents is intended solely for the individual or entity to which it is addressed.  That information may contain confidential and/or privileged material.  If you believe you have received this email in error, please immediately contact the sender and delete the material from your system.

 

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Patrick, Regina
Sent: Wednesday, May 18, 2016 11:57 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Chemotherapy/Biotherapy reproductive hazards and staffing policy

 
I would appreciate a copy of the presentation. 
Thank you.
 
ReGina Patrick RN
Associate Health and Wellness 
Human Resources
Lakeland Health
1234 Napier Avenue
Saint Joseph, Michigan 49085
Tele: 269-985-4516
Fax:   269-934-8079
rpatrick at lakelandhealth.org
 
 
 
 

From: MCOH-EH [mailto:mcoh-eh-bounces+rpatrick=lakelandhealth.org at mylist.net]On Behalf Of Thrasher, Terri
Sent: Wednesday, May 18, 2016 12:36 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Chemotherapy/Biotherapy reproductive hazards and staffing policy

 
I would as well.
Terri
 
 
Terri L. Thrasher RN MSN
Sr. Director HR Professional Services
Employee Health, Occupational Safety, Environmental Health, Workers Compensation, 803-SAFE, Injury Management, Non CCHMC Badging, Early Education and Childcare Center
3333 Burnet Ave 
Cincinnati Ohio 45229  MLC 9006
513-636-6240
 
 
 

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net]On Behalf Of Higazi, Patricia
Sent: Wednesday, May 18, 2016 12:11 PM
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Chemotherapy/Biotherapy reproductive hazards and staffing policy

 
Amber 
I would love to see a copy of the presentation
Thank you
 

Patricia Higazi RN BSN COHN
Occupational Health Director
CHKD, Norfolk, VA
Tel: (757) 668 7491
Fax: (757) 668 8775


 

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
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>
Reply-To: MCOH/EH <mcoh-eh at mylist.net>
Date: Wednesday, May 18, 2016 at 9:20 AM
To: MCOH/EH <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

 

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
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
D803.461.8388 C803.240.8659
O803.731.5300 F803.731.2849
201 EXECUTIVE CENTER DRIVE, AIKEN BLDG, SUITE 300, COLUMBIA SC 29210
WWW.PHTS.COM
 



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