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Medical Surveillance: Difference between revisions
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The purpose of the medical surveillance program is to evaluate the health of employees related to their potential occupational exposures to hazardous agents. This program will also assure compliance with various regulations which require medical monitoring when employees use certain materials, are exposed to certain biological or physical hazards or are members of certain regulated occupational groups. This policy does not include ergonomic-related illnesses and work-related injuries/illnesses (worker's compensation claims) covered under the University Workers Compensation Program. <br /><br /> | The purpose of the medical surveillance program is to evaluate the health of employees related to their potential occupational exposures to hazardous agents. This program will also assure compliance with various regulations which require medical monitoring when employees use certain materials, are exposed to certain biological or physical hazards or are members of certain regulated occupational groups. This policy does not include ergonomic-related illnesses and work-related injuries/illnesses (worker's compensation claims) covered under the University Workers Compensation Program. <br /><br /> | ||
Those working with animals should refer to the Summary of the UNMC Occupational Health & Safety Program for Personnel with Animal Contact. | Those working with animals should refer to the [http://www.unmc.edu/comparativemed/index.cfm?L1_ID=9&CONREF=12 Summary of the UNMC Occupational Health & Safety Program for Personnel with Animal Contact]. | ||
== Responsibility == | == Responsibility == | ||
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: c. Follow the recommendation for intervention. | : c. Follow the recommendation for intervention. | ||
4. Following any exposure or adverse event, the employee must complete a Confidential Report of Occurrence form for incidents or injuries related occupational exposures to hazardous agents. <br /> | 4. Following any exposure or adverse event, the employee must complete a [http://www.unmc.edu/hr/Forms/ConRptofOccur.pdf Confidential Report of Occurrence] form for incidents or injuries related occupational exposures to hazardous agents. <br /> | ||
=== Supervisor === | === Supervisor === | ||
1. Update position descriptions as needed to accurately reflect the elements of the job including exposures, personal protective equipment, physical requirements, etc. <br /> | 1. Update position descriptions as needed to accurately reflect the elements of the job including exposures, personal protective equipment, physical requirements, etc. <br /> | ||
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Specific test results and other personal medical information generated by these exams will be kept confidential between the employee and medical personnel. The employee can contact the health care professional who performed the exam with any questions regarding the test results. According to federal law, employees have the right to request copies of their medical or exposure records at any time by contacting Employee Health for medical records and Campus Safety for exposure records. | Specific test results and other personal medical information generated by these exams will be kept confidential between the employee and medical personnel. The employee can contact the health care professional who performed the exam with any questions regarding the test results. According to federal law, employees have the right to request copies of their medical or exposure records at any time by contacting Employee Health for medical records and Campus Safety for exposure records. | ||
Campus Safety has adopted these criteria based on OSHA requirements. The criteria are subject to modification upon periodic review. Table 1 lists examples of jobs which required a medical examination. It is not all inclusive. Table 2 lists the medical examination parameters.<br /><br /> | Campus Safety has adopted these criteria based on OSHA requirements. The criteria are subject to modification upon periodic review. [http://info.unmc.edu/safety/PDF/Table%201%20Required%20Medical%20Examination%20by%20Job.pdf Table 1] lists examples of jobs which required a medical examination. It is not all inclusive. [http://info.unmc.edu/safety/PDF/Table%202%20Medical%20Examinations.pdf Table 2] lists the medical examination parameters.<br /><br /> | ||
1. Medical surveillance will be required for employees who: <br /> | 1. Medical surveillance will be required for employees who: <br /> | ||
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: g. Use Metallic Lead, Inorganic Lead, or Organic Lead Soaps and are exposed above the action level for greater than 30 days/year. | : g. Use Metallic Lead, Inorganic Lead, or Organic Lead Soaps and are exposed above the action level for greater than 30 days/year. | ||
: h. Use Benzene and are exposed above the action level for greater than 30 days/year and based on additional requirements. | : h. Use Benzene and are exposed above the action level for greater than 30 days/year and based on additional requirements. | ||
: i. Are exposed to or use biohazardous agents as a part of their job activities (to include "occupational exposure" to Bloodborne Pathogens [see UNMC Bloodborne Pathogen Exposure Control Plan].<br /> | : i. Are exposed to or use biohazardous agents as a part of their job activities (to include "occupational exposure" to Bloodborne Pathogens [see [http://www.unmc.edu/media/infectionk/pdf/unmc_bbp_revised_final_11_2009.pdf UNMC Bloodborne Pathogen Exposure Control Plan]].<br /> | ||
::NOTE: The 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 trainings and vaccination(s) required, if necessary, to handle the biohazardous agents. In additions, 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. <br /> | ::NOTE: The 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 trainings and vaccination(s) required, if necessary, to handle the biohazardous agents. In additions, 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. <br /> | ||
:j. Use 1,2 - Dibromo-3-Chloropropane, working in a regulated area or may be exposed in an emergency situation. | :j. Use 1,2 - Dibromo-3-Chloropropane, working in a regulated area or may be exposed in an emergency situation. | ||
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: b. Contact the Radiation Health Center Emergency number (ext. 9-5299) for immediate help.<br /><br /> | : b. Contact the Radiation Health Center Emergency number (ext. 9-5299) for immediate help.<br /><br /> | ||
This information is included in the Emergency Preparedness Guide | This information is included in the [http://info.unmc.edu/safety/PDF/UNMC%20FLIPCHART.pdf Emergency Preparedness Guide] | ||
=== Exposures - Chemicals === | === Exposures - Chemicals === | ||
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The poison control center can provide some guidance but will need to know the name of the chemical/substance. In the Omaha area, call 402-955-5555 or call toll-free 1-800-222-1222.<br /><br /> | The poison control center can provide some guidance but will need to know the name of the chemical/substance. In the Omaha area, call 402-955-5555 or call toll-free 1-800-222-1222.<br /><br /> | ||
This information is included in the Emergency Preparedness Guide. <br /> | This information is included in the [http://info.unmc.edu/safety/PDF/UNMC%20FLIPCHART.pdf Emergency Preparedness Guide]. <br /> | ||
=== Exposures - Biological Agents and Materials === | === Exposures - Biological Agents and Materials === | ||
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Contact 9-OUCH (9-6824) or 402-888-OUCH (pager) for guidance. This number will be answered 24/7 by the Medical Call Center triage nurse who will determine where the employee should report for follow up care. Expert consultation will guide the triage process. Case management for all biologic exposures will be completed through Employee Health.<br /><br /> | Contact 9-OUCH (9-6824) or 402-888-OUCH (pager) for guidance. This number will be answered 24/7 by the Medical Call Center triage nurse who will determine where the employee should report for follow up care. Expert consultation will guide the triage process. Case management for all biologic exposures will be completed through Employee Health.<br /><br /> | ||
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 Institutional Biosafety Committee applications involving research with biological agents must include information for post exposure management. Information regarding biological incidents and spills is included in the Emergency Preparedness Guide.<br /><br /> | 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 Institutional Biosafety Committee applications involving research with biological agents must include information for post exposure management. Information regarding biological incidents and spills is included in the [http://info.unmc.edu/safety/PDF/UNMC%20FLIPCHART.pdf Emergency Preparedness Guide].<br /><br /> | ||
== Incident Reporting == | == Incident Reporting == | ||
A Confidential Report of Occurrence form should be completed by the employee anytime there is an occurrence that could have or did result in an injury or damage to property. This includes Research-Related Adverse Events (see Reporting of Research-Related Adverse Event SOP#UNMC-IBC 24) <br /><br /> | A [http://www.unmc.edu/hr/Forms/ConRptofOccur.pdf Confidential Report of Occurrence] form should be completed by the employee anytime there is an occurrence that could have or did result in an injury or damage to property. This includes Research-Related Adverse Events (see [http://www.unmc.edu/media/ibc/ibc24_adverse_events_09apr2010.doc Reporting of Research-Related Adverse Event SOP#UNMC-IBC 24]) <br /><br /> | ||
A First Report of Incident Form will need to be completed and signed by the supervisor with input from the employee.<br /><br /> | A First Report of Incident Form will need to be completed and signed by the supervisor with input from the employee.<br /><br /> | ||
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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 Employee Health. Only immunization/test dates and information pertinent to job exposures, job functions, or risk will be provided to the employee's supervisor. <br /><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 Employee Health. Only immunization/test dates and information pertinent to job exposures, job functions, or risk will be provided to the employee's supervisor. <br /><br /> | ||
== Supplemental Information == | == Supplemental Information == | ||
Table 1. Required Medical Examination by Job | Table 1. [http://info.unmc.edu/safety/PDF/Table%201%20Required%20Medical%20Examination%20by%20Job.pdf Required Medical Examination by Job] | ||
Table 2. Medical Examinations - specific examination parameters <br /><br /> | Table 2. [http://info.unmc.edu/safety/PDF/Table%202%20Medical%20Examinations.pdf Medical Examinations - specific examination parameters] <br /><br /> | ||
For additional information, see the Safety website, contact the Safety Manager (402-559-7315), or see Table 1 and Table 2.<br /> | For additional information, see the [http://info.unmc.edu/safety/ Safety] website, contact the [http://mailto:jhauser@unmc.edu Safety Manager] (402-559-7315), or see [http://info.unmc.edu/safety/PDF/Table%201%20Required%20Medical%20Examination%20by%20Job.pdf Table 1] and [http://info.unmc.edu/safety/PDF/Table%202%20Medical%20Examinations.pdf Table 2].<br /> | ||
This page maintained by dkp. | This page maintained by [http://mailto:dpanowic@unmc.edu dkp]. | ||