[MCOH-EH] Hazardous Drug Medical Screening Labs

[Chow, Curtis - MMCR]

We are readying out acute care hospitals for the hazardous drug surveillance per the USP 800 going into effect July 2018. Regarding laboratory testing. The OSHA guidelines state a CBC w Diff is needed but suggest others. One of our facilities is utilizing a urine dip and CMET. Do you feel this is adequate/overkill/inadequate? I realize the urine dip and CMET evaluates the end process of drug breakdown: kidney/liver but am looking for sound medical recommendations. I want to minimize interpretation of labs, costs, etc but want to collect data that will be sufficient to make medical decisions at baseline, periodic and for their exit evaluation. Thank you so much and Happy Holidays to you all.

Curtis

Curtis Chow, FNP, PA, COHN-S, COEE, CEES, CSPHP
Employee Health Coordinator
Dignity Health, Mercy Medical Center, Redding
Employee Health Department
2175 Rosaline Ave.
Redding, CA. 96001
530-225-6194 (O)
530-526-5150 (M)
530-225-7281 (F)
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