[MCOH-EH] #ExtMail# Re: Hazardous drugs Medical Screening Drug Labs

[Grubbs, Scott]

Steven,
I did not receive the last half of this note.  Could you please resend your complete note?  (For some reason, I am not receiving attachments sent to the group and any long notes get cut off...)

Thank you.

Scott Grubbs, MD
WorkWell Occupational Health, St Francis Hospital
Greenville, SC
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From: MCOH-EH [mcoh-eh-bounces at mylist.net] on behalf of Kirkhorn, Steven R. [Steven.Kirkhorn at va.gov]
Sent: Monday, December 11, 2017 10:34 AM
To: mcoh-eh at mylist.net
Subject: #ExtMail# Re: [MCOH-EH] Hazardous drugs Medical Screening Drug   Labs

There is a lack of specifics for Hazardous Drug medical surveillance routine screening labs.  A more targeted approach with specific labs may be indicated for a specific acute exposure rather than general medical surveillance.  I am involved in a process that is looking at this as part of USP 800 implementation as part of a pilot regional coordinated approach in the VISN 23 (upper Midwest)  of the Veterans Health Administration.

Probably a more worthwhile focus is improving employee participation and improving collection and assessment of occupational health questionnaires with reproductive history assessment with better exposure assessment .

I didn’t hear anything to strongly support routine annual laboratory medical evaluation as part of medical surveillance at this year’s ACOH Hazardous Drug medical surveillance update  other than consider baseline labs  for a baseline.



The following is a summary of guidelines from OSHA, NIOSH, USP 800.

OSHA Controlling Occupation

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