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Medical Surveillance: Difference between revisions
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[[Safety]] | [[Deadly Weapon]] | [[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]] | [ | [[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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Policy No.: '''2011''' <br /> | Policy No.: '''2011''' <br /> | ||
Effective Date: '''02/15/2011''' <br /> | Effective Date: '''02/15/2011''' <br /> | ||
Revised Date:''' | Revised Date: '''12/02/21'''<br /> | ||
Reviewed Date: <br /> | Reviewed Date: '''12/02/21'''<br /> | ||
<br /> | <br /> | ||
<big>'''Medical Surveillance Policy'''</big> | <big>'''Medical Surveillance Policy'''</big> | ||
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#Wear a respirator. | #Wear a respirator. | ||
#Have exposure to asbestos above the permissible limit or excursion limit for 30 days/year; perform Class 1, 2 or 3 asbestos work for 30 days/year. | #Have exposure to asbestos above the permissible limit or excursion limit for 30 days/year; perform Class 1, 2 or 3 asbestos work for 30 days/year. | ||
#Use any of the following 13 OSHA regulated human carcinogens (OSHA 49 CFR 1910-1003): | #Use any of the following 13 OSHA regulated human carcinogens ([https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1003 OSHA 49 CFR 1910-1003]): | ||
##4-Nitrobiphenyl, CAS 92933; | ##4-Nitrobiphenyl, CAS 92933; | ||
##alpha-Naphthylamine, CAS No. 134327; | ##alpha-Naphthylamine, CAS No. 134327; | ||
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##4-Dimethylaminoazo-benzene, CAS No. 60117; or | ##4-Dimethylaminoazo-benzene, CAS No. 60117; or | ||
##N-Nitrosodimethylamine, CAS No. 62759. | ##N-Nitrosodimethylamine, CAS No. 62759. | ||
#Use Vinyl Chloride and are exposed above the action level (OSHA CFR 49 1910.1017 (b)(1)). | #Use Vinyl Chloride and are exposed above the action level ([https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1017 OSHA CFR 49 1910.1017 (b)(1))]. | ||
#Use Inorganic Arsenic and are exposed above the action level for at least 30 days/year and based on previous exposure (OSHA CFR 49 1910.1018 (b)). | #Use Inorganic Arsenic and are exposed above the action level for at least 30 days/year and based on previous exposure ([https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1018 OSHA CFR 49 1910.1018 (b)]). | ||
#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 (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/safety/BBP_Exposure_Control_Plan.pdf UNMC Bloodborne Pathogen Exposure Control Plan)]. | #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/safety/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 (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]). | ||
#Are exposed to Acrylonitrile above the action level (OSHA 29 CFR 1910. | #Are exposed to Acrylonitrile above the action level ([https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1045 OSHA 29 CFR 1910.1045 (b)]). | ||
#Are exposed to Ethylene Oxide at or above the action for at least 30 days/year (OSHA 29 CFR 1910.1047 (b)). | #Are exposed to Ethylene Oxide at or above the action for at least 30 days/year ([https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1047 OSHA 29 CFR 1910.1047 (b)]). | ||
#Are exposed to Formaldehyde greater than the action level or greater than the short-term exposure limit (OSHA 29 CFR 1910.1048 (b) and 1910.1048 (c)(1)). | #Are exposed to Formaldehyde greater than the action level or greater than the short-term exposure limit ([https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1048 OSHA 29 CFR 1910.1048 (b) and 1910.1048 (c)(1)]). | ||
#Are exposed to Methylenedianiline greater than or equal to the action level for 30 days/year (OSHA 29 CFR 1910.1050 (b). | #Are exposed to Methylenedianiline greater than or equal to the action level for 30 days/year ([https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1050 OSHA 29 CFR 1910.1050 (b)]). | ||
#Are exposed to Cadmium greater than or equal to the action level for 30 days/year (OSHA 29 CFR 1910.1027 (b)). | #Are exposed to Cadmium greater than or equal to the action level for 30 days/year ([https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1027 OSHA 29 CFR 1910.1027 (b)]). | ||
#Are members of a hazardous waste and emergency response (HAZMAT) team. | #Are members of a hazardous waste and emergency response (HAZMAT) team. | ||
More information on medical screening and surveillance can be found in the [https://www.osha.gov/sites/default/files/publications/osha3162.pdf Medical Screening and Surveillance Requirements in OSHA Standards: A Guide]. | More information on medical screening and surveillance can be found in the [https://www.osha.gov/sites/default/files/publications/osha3162.pdf Medical Screening and Surveillance Requirements in OSHA Standards: A Guide]. | ||
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This information is included in the [https://info.unmc.edu/safety/safety-office/policies-resources/emergprepguide.pdf Emergency Preparedness Guide]. | This information is included in the [https://info.unmc.edu/safety/safety-office/policies-resources/emergprepguide.pdf Emergency Preparedness Guide]. | ||
=== Exposures - Chemicals === | === Exposures - Chemicals === | ||
Contact the Campus Emergency Number 402-559-5555 (off campus | Contact the Campus Emergency Number 402-559-5555 (call 911 if off-campus) if the exposure has resulted in the person being grossly contaminated, injured or incapable of rending aid to themselves or if providing assistance to the injured party would put the rescuer at risk. 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 /> | ||
This information is included in the [https://info.unmc.edu/safety/safety-office/policies-resources/emergprepguide.pdf Emergency Preparedness Guide]. | This information is included in the [https://info.unmc.edu/safety/safety-office/policies-resources/emergprepguide.pdf Emergency Preparedness Guide]. | ||
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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://www.unmc.edu/ehs/safety/ehs-incident-report-form.html Near Miss/Potential Hazard Form]. See [https://www.unmc.edu/ibc/docs/ibc24_adverse_events_09apr2010.doc 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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*[https://www.unmc.edu/ehs/safety/incident-reporting.html UNMC Incident Reporting] | *[https://www.unmc.edu/ehs/safety/incident-reporting.html UNMC Incident Reporting] | ||
*[https://www.unmc.edu/ehs/safety/IncidentReportForm.pdf UNMC Incident Report] | *[https://www.unmc.edu/ehs/safety/IncidentReportForm.pdf UNMC Incident Report] | ||
*[https:// | *[https://www.unmc.edu/ehs/safety/ehs-incident-report-form.html 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] | ||