Hello Everyone,

We are currently working on this and would value any input:

In light of NIOSH’s updated Hazardous Medication list and more medications being categorized with “Pregnancy Precautions,” especially methotrexate, we would like some information on how other organizations are handling the following:

• For medications with Pregnancy Precautions, such as methotrexate or bosentan, do you restrict pregnant staff from caring for the patient or only from handling the medication?
  • Does this restriction differ for nurses vs. other staff such as Occupational or Physical Therapists? Respiratory Therapy?  
  • Does this restriction also include women who are breastfeeding and attempting to get pregnant and men who are attempting to conceive with their partner?
  • If pregnant staff can care for these patients, do they need to wear PPE?
• How do you alert staff that a patient is receiving a “pregnancy precautions” medication?
• Are there any restrictions for outpatient staff caring for these patients when they come into an outpatient area?
  • If yes, how do you alert staff that they are receiving these medications?

Thank you in advance for your response!

Starla Waite RN

Employee Health Supervisor

Children’s Hospital & Medical Center

8200 Dodge Street • Omaha, NE 68114-4113

402.955.6021 • 402.955.6025 FAX

swaite@ChildrensOmaha.org

We know children. • ChildrensOmaha.org