[MCOH-EH] [EXTERNAL] hazardous drug administration-annual questionnaire and policy

[Thrasher, Terri]

Attached is our chemo surveillance questionnaire... we have not finished the update for hazardous drugs yet.

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Diane Shaw
Sent: Friday, August 25, 2017 11:57 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] [EXTERNAL] hazardous drug administration-annual questionnaire and policy

We are in the process of our surveillance program and I was hoping you might be able to share the annual questionnaire and policy you have in place.

Thank you for the helpful information and discussion you have already provided!

Diane M. Shaw, BSN, RN, COHN-S
Employee Health Nurse/Employee Health Services
Tuality Healthcare
OHSU Partner
335 S.E. 8th Ave.
Hillsboro, OR 97123
diane.shaw at tuality.org<mailto:diane.shaw at tuality.org>
tel: 503-681-1444 l fax: 503-681-4170

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Allen-Hardy, Blythe
Sent: Tuesday, August 01, 2017 3:39 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] [EXTERNAL] hazardous drug administration

I'm fairly new to the organization so still learning how it is determined who's in the program. I'm assuming that a list is giving to occur health by the director of oncology nursing. I can respond back once I get further clarification.

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Blythe Allen-Hardy, MD, FACOEM
Medical Director, Employee Health
Texas Medical Center
6411 Fannin, JB500
Houston, Texas, 77030
W: 713-704-2792
C: 720-840-9593
F: 713-704-6350
Blythe.allen-hardy at memorialhermann.org<mailto:Blythe.allen-hardy at memorialhermann.org>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Thrasher, Terri
Sent: Tuesday, August 01, 2017 1:34 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] [EXTERNAL] hazardous drug administration

How do you determine who to place in surveillance and how many employees are you running through the surveillance labs?
Terri

Kindest regards,

Terri

Terri L. Thrasher RN MSN
Sr. Director HR
Employee Health, Occupational Safety, Environmental Health, Employee Relations, Leave Management  HR Compliance/Policy, 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 Allen-Hardy, Blythe
Sent: Tuesday, August 01, 2017 2:22 PM
To: 'MCOH/EH' <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] [EXTERNAL] hazardous drug administration

Cathy,

At Memorial Hermann we have a surveillance program that I am in the process of updating due to the USP 800 requirements. We have a policy in place in our hospitals on how the drugs are handled etc and it is fairly comprehensive. The medical surveillance I believe as involved checking a CBC, UA and completing an annual questionnaire. I am developing a medical surveillance guideline that will addl laboratory tests such as LFT's, BUN/Cr to the CBC w/diff and UA. Will also add a focused exam component for post exposures.

That may be overkill but I want to make sure we have a comprehensive program. Feel free to contact me for further questions.

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Blythe Allen-Hardy, MD, FACOEM
Medical Director, Employee Health
Texas Medical Center
6411 Fannin, JB500
Houston, Texas, 77030
W: 713-704-2792
C: 720-840-9593
F: 713-704-6350
Blythe.allen-hardy at memorialhermann.org<mailto:Blythe.allen-hardy at memorialhermann.org>

From: MCOH-EH [mailto:mcoh-eh-bounces+blythe.allen-hardy=memorialhermann.org at mylist.net] On Behalf Of Senior, Cathy (Employee Health)
Sent: Tuesday, August 01, 2017 11:42 AM
To: 'MCOH/EH'
Subject: [EXTERNAL] [MCOH-EH] hazardous drug administration



Does anyone have a medical surveillance plan for employees who handle hazardous drugs. We are seeing more administration of these hazardous drugs between starting the intravesical therapy and the biologics that are administered. We follow the ONS guidelines for safe handling of hazardous drugs as outlined in our policy. We already have the appropriate work practice in place including proper use of PPE and education for the staff that handle these drugs. There has been a concern voiced by one of our educators that institutions such as NIOSH have recommendations for medical surveillance to make it a comprehensive prevention program that we do not have in place.  Some of the drugs we administer is  Carboplatin, VP-16, Taxol, Cisplatin, Cytoxan, Erbitux, 5-FU, Abraxane, Gemzar, Herceptin, Parieto and Rituxan to name a few. We also give biologics to out-patients in our short stay unit. Any help would be much appreciated.  Thanks


Cathy Senior RN BSN CDE
Employee Health Director
Penn Highlands DuBois
100 Hospital Avenue
P.O. Box 447
DuBois Pa 15801
Phone 814-375-3392
Fax 814-372-2610
cesenior at phhealthcare.org<mailto:cesenior at phhealthcare.org>
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