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 [https://www.unmc.edu/iacuc/policies/index.html IACUC Policy for Occupational Health and Safety for Personnel with Animal Contact].
Those working with animals should refer to the [https://www.unmc.edu/iacuc/policies/index.html IACUC Policy for Occupational Health and Safety for Personnel with Animal Contact].
== Responsibility ==  
== Responsibility ==  
=== Employee ===  
=== Employee ===  
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##If intervention is not obvious, call 9-OUCH (9-6824) or page 402-888-OUCH to discuss exposure and determine if medical intervention is needed.   
##If intervention is not obvious, call 9-OUCH (9-6824) or page 402-888-OUCH to discuss exposure and determine if medical intervention is needed.   
##Follow the recommendation for intervention.
##Follow the recommendation for intervention.
#Following any exposure or adverse event, the employee must complete a [http://www.unmc.edu/hr/Forms/FstRprtIncident.pdf Confidential Report of Occurrence] form for incidents or injuries related occupational exposures to hazardous agents. <br />
#Following any exposure or adverse event, the employee must complete a [https://wiki.unmc.edu/index.php/HR_-_Employee_Relations_Forms Confidential Report of Occurrence] form for incidents or injuries related occupational exposures to hazardous agents. <br />
=== Supervisor ===  
=== Supervisor ===  
#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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#Are exposed to Cadmium greater than or equal to the action level for 30days/year.   
#Are exposed to Cadmium greater than or equal to the action level for 30days/year.   
#Are members of a hazardous waste and emergency response (HAZMAT) team.
#Are members of a hazardous waste and emergency response (HAZMAT) team.
=== Exposures - Radioactive Materials ===
=== Exposures - Radioactive Materials ===
#For incidences not involving personal injury:  
#For incidences not involving personal injury:  
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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 [https://info.unmc.edu/safety/procedures/UNMC_FLIPCHART.pdf Emergency Preparedness Guide].
This information is included in the [https://info.unmc.edu/safety/procedures/UNMC_FLIPCHART.pdf Emergency Preparedness Guide].
=== Exposures - Biological Agents and Materials ===
=== Exposures - Biological Agents and Materials ===
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 [https://info.unmc.edu/safety/procedures/UNMC_FLIPCHART.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 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 [https://info.unmc.edu/safety/procedures/UNMC_FLIPCHART.pdf Emergency Preparedness Guide].
== Incident Reporting ==
== Incident Reporting ==
A [http://www.unmc.edu/hr/Forms/FstRprtIncident.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/ibc/docs/ibc24_adverse_events_09apr2010.doc Reporting of Research-Related Adverse Event SOP#UNMC-IBC 24]) <br /><br />
A [https://wiki.unmc.edu/index.php/HR_-_Employee_Relations_Forms 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/ibc/docs/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.
A First Report of Incident Form will need to be completed and signed by the supervisor with input from the employee.
== Confidentiality and Access to Medical Records ==  
== Confidentiality and Access to Medical Records ==  
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*Table 1. [https://info.unmc.edu/safety/procedures/Table1RequiredMedicalExaminationbyJob.pdf Required Medical Examination by Job]  
*Table 1. [https://info.unmc.edu/safety/procedures/Table1RequiredMedicalExaminationbyJob.pdf Required Medical Examination by Job]  
*Table 2. [https://info.unmc.edu/safety/procedures/Table2MedicalExaminations.pdf Medical Examinations - specific examination parameters]  
*Table 2. [https://info.unmc.edu/safety/procedures/Table2MedicalExaminations.pdf Medical Examinations - specific examination parameters]  
*[http://www.unmc.edu/hr/Forms/FstRprtIncident.pdf Confidential Report of Occurrence]
*[https://wiki.unmc.edu/index.php/HR_-_Employee_Relations_Forms Confidential Report of Occurrence]
*First Report of Incident Form
*[http://www.unmc.edu/ibc/docs/ibc24_adverse_events_09apr2010.doc Reporting of Research-Related Adverse Event SOP#UNMC-IBC 24]
*[http://www.unmc.edu/ibc/docs/ibc24_adverse_events_09apr2010.doc Reporting of Research-Related Adverse Event SOP#UNMC-IBC 24]
*See the [http://info.unmc.edu/safety/ Safety] website
*See the [http://info.unmc.edu/safety/ Safety] website