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Latex Sensitivity: Difference between revisions
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width="20">[[Intellectual Property]]</td> | width="20">[[Intellectual Property]]</td> | ||
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width="20">[[Faculty]]</td> | |||
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[[Safety]] | [[Deadly Weapon]] | [[Shipping Hazardous Materials]] | [[Latex Sensitivity]] | [[Bloodborne Pathogens Exposure]] | [[Waste Handling]] | [[Portable Space Heaters]] | [[Children in the Workplace]] | [[Pets in the Workplace]] | [[Tuberculosis Exposure]] | [[Food, Drinks and Cosmetic Use in Laboratory Areas]] | [[Medical Surveillance]] | [[Threat Assessment | [[Safety]] | [[Deadly Weapon]] | [[Shipping Hazardous Materials]] | [[Latex Sensitivity]] | [[Bloodborne Pathogens Exposure]] | [[Waste Handling]] | [[Portable Space Heaters]] | [[Children in the Workplace]] | [[Pets in the Workplace]] | [[Tuberculosis Exposure]] | [[Food, Drinks and Cosmetic Use in Laboratory Areas]] | [[Medical Surveillance]] | [[Enterprise Threat Assessment Response Team]] | [[Management of Violent or Aggressive Patients/Visitors]] | [[Youth Safety]] | [[Tours]] | [[Small Appliance]] | [[Unmanned Aircraft]] | [[Electric Scooter]] | [[Face Covering]] | ||
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<br />Policy No.: '''2003''' | <br /> | ||
Policy No.: '''2003''' | |||
<br />Effective Date: '''05/15/01''' | <br />Effective Date: '''05/15/01''' | ||
<br />Revised Date: '''12/ | <br />Revised Date: '''12/03/12''' | ||
<br />Reviewed Date: '''12/03/12''' | <br />Reviewed Date: '''12/03/12''' | ||
<br /><br /> | <br /><br /> | ||
<big><big>'''Prevention and Management of Latex Sensitivity Policy'''</big></big> | <big><big>'''Prevention and Management of Latex Sensitivity Policy'''</big></big> | ||
== Basis for Policy == | == Basis for Policy == | ||
The [ | The [https://nebraska.edu/-/media/unca/docs/offices-and-policies/policies/board-governing-documents/board-of-regents-policies.pdf?la=en University of Nebraska Board of Regents Policy] 6.3.5 requires that the [http://www.unmc.edu/ University of Nebraska Medical Center] (UNMC) develop and implement an effective written Injury and Illness Prevention Program (IIPP) which promotes occupational safety and health practices and strives to reduce work-related accidents and injuries on campus. The IIPP is required to comply with Nebraska law and the Nebraska Department of Labor Workplace Safety Consultation Program Rules and Regulations, [http://nebraskalegislature.gov/laws/browse-chapters.php?chapter=48 Neb. Rev. Stat. Secs. 48-443 to 48-446] and [https://www.nebraska.gov/rules-and-regs/regsearch/Rules/Labor_Dept_of/Title-230/Chapter-6.pdf 230 NAC 6], respectively. | ||
== Policy == | == Policy == | ||
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===Patient Care=== | ===Patient Care=== | ||
* All Patient Care areas shall: | * All Patient Care areas shall: | ||
:*Institute a screening process to identify patients who are latex sensitive. The screening process includes the use of the [ | :*Institute a screening process to identify patients who are latex sensitive. The screening process includes the use of the [https://info.unmc.edu/safety/procedures/latex_sensitivity_questions_patients.pdf Latex Sensitivity Screening Questionnaire for Patients]. | ||
:*Implement procedures to minimize risk to latex sensitive patients. | :*Implement procedures to minimize risk to latex sensitive patients. | ||
:*Develop a method to alert staff, on an ongoing basis, regarding patients with latex sensitivity/allergy or those identified as being in a [[#Risk_Groups|high risk]] group for latex allergy. | :*Develop a method to alert staff, on an ongoing basis, regarding patients with latex sensitivity/allergy or those identified as being in a [[#Risk_Groups|high risk]] group for latex allergy. | ||
:*Assess the environment to identify products and equipment containing latex and identify alternative products and equipment. | :*Assess the environment to identify products and equipment containing latex and identify alternative products and equipment. | ||
*Patients with a known allergic response to latex exposure or identified as being in a [[#Risk_Groups|high risk]] group for latex allergy shall be placed on "Latex Precautions." | *Patients with a known allergic response to latex exposure or identified as being in a [[#Risk_Groups|high risk]] group for latex allergy shall be placed on "Latex Precautions." | ||
*[ | *[https://info.unmc.edu/safety/procedures/latex_sensitivity_signs.pdf Signs about latex sensitivity] shall be posted in waiting areas of ambulatory care and diagnostic care areas. These signs shall be designed to alert patients and their family members to notify staff if they are latex sensitive. | ||
===Employee Education/Awareness=== | ===Employee Education/Awareness=== | ||
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*Reactions to natural rubber latex (NRL) gloves can result from either irritation or allergy. There are three possible reactions to NRL gloves. They are: | *Reactions to natural rubber latex (NRL) gloves can result from either irritation or allergy. There are three possible reactions to NRL gloves. They are: | ||
:*Mechanical or Irritant Contact Dermatitis – this is an irritation, not a true allergy. This is the most common reaction to NRL gloves. Because of the intense focus on latex allergy today, many individuals who experience irritant contact dermatitis assume they are experiencing a latex allergy. It is very important to assess reactions carefully to determine their cause so that the right treatment can be implemented. | :*Mechanical or Irritant Contact Dermatitis – this is an irritation, not a true allergy. This is the most common reaction to NRL gloves. Because of the intense focus on latex allergy today, many individuals who experience irritant contact dermatitis assume they are experiencing a latex allergy. It is very important to assess reactions carefully to determine their cause so that the right treatment can be implemented. | ||
:*Allergic Contact Dermatitis (Delayed, or Type IV Hypersensitivity) - a true allergic response, symptoms are localized to area of contact with allergen. | :*Allergic Contact Dermatitis (Delayed, or Type IV Hypersensitivity)- a true allergic response, symptoms are localized to area of contact with allergen. | ||
:*Systemic Allergic Response (Immediate or Type I Hypersensitivity) - the most severe allergic response, an intense allergic reaction which may cause anaphylaxis and death. | :*Systemic Allergic Response (Immediate or Type I Hypersensitivity) - the most severe allergic response, an intense allergic reaction which may cause anaphylaxis and death. | ||
*The table below describes each type of reaction: | *The table below describes each type of reaction: | ||
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|- | |- | ||
| style="width: 30%;"|Not an allergic reaction | | align="top" style="width: 30%;"|Not an allergic reaction | ||
Symptoms do not extend past area of glove contact | Symptoms do not extend past area of glove contact | ||
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Symptoms may extend past glove border | Symptoms may extend past glove border | ||
Symptoms occur much later than with mechanical/irritant contact dermatitis, usually 6-72 hours after gloves removed | Symptoms occur much later than with mechanical/ irritant contact dermatitis, usually 6-72 hours after gloves removed | ||
acute - red appearance, itching, swelling, small blisters | acute - red appearance, itching, swelling, small blisters | ||
chronic - dry, thickened skin; crusting; scabbing sores; papules, peeling, vesicles<br /> | chronic - dry, thickened skin; crusting; scabbing sores; papules, peeling, vesicles<br /> | ||
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| style="width: 30%;"| IgE mediated | | style="width: 30%;"| IgE mediated | ||
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Hives, itching, runny nose, wheezing, difficulty breathing; facial swelling; nausea, abdominal cramping, rapid heart rate, laryngeal edema, bronchospasms, low blood pressure, anaphylactic shock | Hives, itching, runny nose, wheezing, difficulty breathing; facial swelling; nausea, abdominal cramping, rapid heart rate, laryngeal edema, bronchospasms, low blood pressure, anaphylactic shock | ||
|} | |} | ||
==Additional Information== | |||
*Contact the Safety Operations Department | |||
*[https://info.unmc.edu/safety/procedures/latex_sensitivity_questions_patients.pdf Latex Sensitivity Screening Questionnaire for Patients] | |||
[ | *[http://nebraskalegislature.gov/laws/statutes.php?statute=48-443 Neb. Rev. Stat. Secs. 48-443] to [http://nebraskalegislature.gov/laws/statutes.php?statute=48-446 48-446] (use scroll button to move between statute sections) and [https://www.nebraska.gov/rules-and-regs/regsearch/Rules/Labor_Dept_of/Title-230/Chapter-6.pdf 230 NAC 6] | ||
This page maintained by [mailto:dpanowic@unmc.edu dkp]. | |||