[MCOH-EH] MCOH-EH Digest, Vol 251, Issue 79-copy of presentiaton.

Amy Behrman behrman at mail.med.upenn.edu
Thu May 19 09:25:30 PDT 2016
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Colleagues, 

Given the intense interest in this presentation, Dr. Mitchell has graciously agreed to have the it posted on the ACOEM MCOH webpage. 

If you have a suggestion for a more public site, please contact her with that information directly.

Amy Behrman,MD
University of Pennsylvania
215-662-3192


> On May 18, 2016, at 8:36 PM, Diane Shaw <diane.shaw at tuality.org> wrote:
> 
> I would like one, as well!
> 
> Diane M. Shaw, RN, BSN, CIC, COHN-S
> Tuality Healthcare
> Employee Health Services
> 335 S.E. 8th Ave
> Hillsboro, OR 97123
> Phone: 503.681.1444
> Fax: 503.681.4170
> Tues.-Fri. 0730-1700 hours
> 
> 
> The contents of this transmission may be confidential in nature and should be directed only to the addressee. Do not read, copy, or disseminate this material unless you are the intended recipient. If this transmission has reached you in error, please forward this e-mail to the sender to advise, then destroy the message. 
> 
> 
> 
> -----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 10:07 AM
> To: mcoh-eh at mylist.net
> Subject: MCOH-EH Digest, Vol 251, Issue 79
> 
> Send MCOH-EH mailing list submissions to
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> 
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> 
> Today's Topics:
> 
>  1. Re:  Chemotherapy/Biotherapy reproductive hazards and
>     staffing policy (Michael A. Sauri, MD, MPH&TM, FACP, FACPM)
> 
> 
> ----------------------------------------------------------------------
> 
> Message: 1
> Date: Wed, 18 May 2016 13:12:07 -0400
> From: "Michael A. Sauri, MD, MPH&TM, FACP, FACPM" <msauri at ohcmd.com>
> To: "'MCOH/EH'" <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Chemotherapy/Biotherapy reproductive hazards
>   and staffing policy
> Message-ID: <001401d1b128$690c5880$3b250980$@ohcmd.com>
> Content-Type: text/plain; charset="us-ascii"
> 
> 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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> End of MCOH-EH Digest, Vol 251, Issue 79
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> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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