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Medical Surveillance: Difference between revisions
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#Complete the pre-employment medical surveillance based upon the position description or as determined following a review of the employee job tasks against the medical surveillance criteria. | #Complete the pre-employment medical surveillance based upon the position description or as determined following a review of the employee job tasks against the medical surveillance criteria. | ||
#Participate in an ongoing medical surveillance program based upon the position description or as determined following a review of the employee job tasks against the medical surveillance criteria. | #Participate in an ongoing medical surveillance program based upon the position description or as determined following a review of the employee job tasks against the medical surveillance criteria. | ||
#Following an exposure or other adverse event, notify your supervisor/manager and follow the reporting guidance on the UNMC [https://www.unmc.edu/ehs/ | #Following an exposure or other adverse event, notify your supervisor/manager and follow the reporting guidance on the UNMC [https://www.unmc.edu/ehs/occ-health/incident-reporting.html Incident Reporting] webpage. | ||
=== Supervisor/Manager === | === Supervisor/Manager === | ||
#Update position descriptions as needed to accurately reflect the elements of the job including exposures, personal protective equipment, physical requirements, etc. | #Update position descriptions as needed to accurately reflect the elements of the job including exposures, personal protective equipment, physical requirements, etc. | ||
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#Use Metallic Lead, Inorganic Lead or Organic Lead Soaps and are exposed above the action level for greater than 30 days/year. | #Use Metallic Lead, Inorganic Lead or Organic Lead Soaps and are exposed above the action level for greater than 30 days/year. | ||
#Use Benzene and are exposed above the action level for greater than 30 days/year and based on additional requirements ([https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1028 OSHA 29 CFR 1910.1028 (b)]). | #Use Benzene and are exposed above the action level for greater than 30 days/year and based on additional requirements ([https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1028 OSHA 29 CFR 1910.1028 (b)]). | ||
#Are exposed to or use biohazardous agents as a part of their job activities (to include "occupational exposure" to Bloodborne Pathogens (see [https://www.unmc.edu/ehs/ | #Are exposed to or use biohazardous agents as a part of their job activities (to include "occupational exposure" to Bloodborne Pathogens (see [https://www.unmc.edu/ehs/_documents/occ_health/bbp_exposure_control_plan.pdf UNMC Bloodborne Pathogen Exposure Control Plan)]. | ||
#:NOTE: The [https://www.unmc.edu/ibc/ Institutional Biosafety Committee] "Protocol for Research Involving Biohazardous Materials" must be completed and approved by the campus IBC prior to conducting research on campus with biohazardous agents or in any situation where select agents are used in research or diagnostic procedures. This protocol includes completion of a section entitled, "Risk for Occupational Exposure" which requires the primary investigator to describe precautions necessary to prevent occupational exposure to the biohazardous agent and to list the specific training(s) and vaccination(s) required, if necessary, to handle the biohazardous agents. In addition, the PI or laboratory supervisor is required to obtain a copy of the Post Exposure Agent Specific Protocol for the biohazardous agent being used in the laboratory. | #:NOTE: The [https://www.unmc.edu/ibc/ Institutional Biosafety Committee] "Protocol for Research Involving Biohazardous Materials" must be completed and approved by the campus IBC prior to conducting research on campus with biohazardous agents or in any situation where select agents are used in research or diagnostic procedures. This protocol includes completion of a section entitled, "Risk for Occupational Exposure" which requires the primary investigator to describe precautions necessary to prevent occupational exposure to the biohazardous agent and to list the specific training(s) and vaccination(s) required, if necessary, to handle the biohazardous agents. In addition, the PI or laboratory supervisor is required to obtain a copy of the Post Exposure Agent Specific Protocol for the biohazardous agent being used in the laboratory. | ||
#Use 1,2 - Dibromo-3-Chloropropane, working in a regulated area or may be exposed in an emergency situation ([https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1044 OSHA 29 CFR 1910.1044]). | #Use 1,2 - Dibromo-3-Chloropropane, working in a regulated area or may be exposed in an emergency situation ([https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1044 OSHA 29 CFR 1910.1044]). | ||
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A post-exposure treatment algorithm and agent-specific protocols have been developed for biological agents and materials (referred to as the Post Exposure Agent Specific Protocols). Protocols have been established to address agents for the types of exposures that could occur on campus. All IBC applications involving research with biological agents must include information for post-exposure management. Information regarding biological incidents and spills is included in the [https://info.unmc.edu/safety/safety-office/policies-resources/emergprepguide.pdf Emergency Preparedness Guide]. | A post-exposure treatment algorithm and agent-specific protocols have been developed for biological agents and materials (referred to as the Post Exposure Agent Specific Protocols). Protocols have been established to address agents for the types of exposures that could occur on campus. All IBC applications involving research with biological agents must include information for post-exposure management. Information regarding biological incidents and spills is included in the [https://info.unmc.edu/safety/safety-office/policies-resources/emergprepguide.pdf Emergency Preparedness Guide]. | ||
== Incident Reporting == | == Incident Reporting == | ||
UNMC employees, students, and volunteers are required to complete an Incident Report for all accidents/incidents involving injury. Unsafe conditions or "Near-Miss" incidents that did not result in injury, did not involve patients, or occur in clinical areas may be reported to UNMC EHS using the [https:// | UNMC employees, students, and volunteers are required to complete an Incident Report for all accidents/incidents involving injury. Unsafe conditions or "Near-Miss" incidents that did not result in injury, did not involve patients, or occur in clinical areas may be reported to UNMC EHS using the [https://unmc.formstack.com/forms/ehs_incident_report Near Miss/Potential Hazard Form]. See [https://www.unmc.edu/ehs/occ-health/incident-reporting.html Reporting of Research-Related Adverse Event SOP#UNMC-IBC 24] for additional steps for reporting Research-Related Adverse Events. | ||
== Confidentiality and Access to Medical Records == | == Confidentiality and Access to Medical Records == | ||
Each person included as a part of the Medical Surveillance Program will have a confidential medical record including documentation of immunizations and other medical services received through the program. These records will be maintained in EH. <br /> | Each person included as a part of the Medical Surveillance Program will have a confidential medical record including documentation of immunizations and other medical services received through the program. These records will be maintained in EH. <br /> | ||
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== Additional Information == | == Additional Information == | ||
*Contact [mailto:unmcehs@unmc.edu UNMC Environmental Health and Safety] or 402-559-6356 | *Contact [mailto:unmcehs@unmc.edu UNMC Environmental Health and Safety] or 402-559-6356 | ||
*[https://www.unmc.edu/ehs/about/index.html UNMC Environmental Health and Safety] | *[https://www.unmc.edu/ehs/about-us/index.html UNMC Environmental Health and Safety] | ||
*[https://www.unmc.edu/ehs/ | *[https://www.unmc.edu/ehs/occ-health/resources.html UNMC Environmental Health and Safety Policies, Plans and Guidelines] | ||
*Radiation Safety, 402-559-6356 (during business hours) or 402-559-5555 (after normal business hours) | *Radiation Safety, 402-559-6356 (during business hours) or 402-559-5555 (after normal business hours) | ||
*[https://info.unmc.edu/safety/safety-office/policies-resources/emergprepguide.pdf Emergency Preparedness Guide] | *[https://info.unmc.edu/safety/safety-office/policies-resources/emergprepguide.pdf Emergency Preparedness Guide] | ||
*[https://www.unmc.edu/ehs/ | *[https://www.unmc.edu/ehs/_documents/occ_health/bbp_exposure_control_plan.pdf UNMC Bloodborne Pathogen Exposure Control Plan] | ||
*[https://info.unmc.edu/iacuc/docs/policy-for-occupational-health-and-safety.pdf IACUC Policy for Occupational Health and Safety for Personnel with Animal Exposure] | *[https://info.unmc.edu/iacuc/docs/policy-for-occupational-health-and-safety.pdf IACUC Policy for Occupational Health and Safety for Personnel with Animal Exposure] | ||
*[https://www.unmc.edu/ehs/ | *[https://www.unmc.edu/ehs/occ-health/incident-reporting.html UNMC Incident Reporting] | ||
*[https://www.unmc.edu/ehs/ | *[https://www.unmc.edu/ehs/_documents/occ_health/incidentreportform.pdf UNMC Incident Report] | ||
*[https:// | *[https://unmc.formstack.com/forms/ehs_incident_report UNMC Near Miss/Potential Hazard Form] | ||
*[https://www.unmc.edu/ibc/docs/ibc24_adverse_events_09apr2010.doc Reporting of Research-Related Adverse Event SOP#UNMC-IBC 24] | *[https://www.unmc.edu/ibc/docs/ibc24_adverse_events_09apr2010.doc Reporting of Research-Related Adverse Event SOP#UNMC-IBC 24] | ||
*[https://www.osha.gov/sites/default/files/publications/osha3162.pdf Medical Screening and Surveillance Requirements in OSHA Standards: A Guide] | *[https://www.osha.gov/sites/default/files/publications/osha3162.pdf Medical Screening and Surveillance Requirements in OSHA Standards: A Guide] | ||