Health Hazard Evaluation Report: HETA 99-0313-2802: The Children’s Hospital of Denver, Denver, Colorado

Details

• Personal Author:
  Delaney, Lisa J.
• Corporate Authors:
  National Institute for Occupational Safety and Health
• Description:
  On August 11, 1999, the National Institute for Occupational Safety and Health (NIOSH) received a request for a health hazard evaluation (HHE) from the management of The Children's Hospital of Denver (TCH), to evaluate employees' potential health hazards encountered during inhaled nitric oxide (INO) therapy. NIOSH investigators conducted two site visits to meet with management and observe the use of INO during therapy. During a third visit, personal breathing zone (PBZ) samples and general area (GA) samples were collected for nitric oxide (NO), nitrogen dioxide (NO2), and nitric acid (HNO3). The ventilation system was assessed in the two closets where the NO cylinders are stored, and in the treatment area. All of the PBZ and GA samples collected for NO, NO2, and HNO3 were well below the relevant evaluation criteria for occupational exposures. The respiratory care storage closet and the pediatric intensive care unit (PICU) had adequate ventilation in controlling the low concentrations of NO produced from INO therapy. The PICU had 8-10 air exchanges per hour. A need for ventilation was identified in the NO compressed gas storage closet, which had only a duct leading to the outside of the building. The industrial hygiene sampling data indicate that employees were not overexposed to NO, NO2, or HNO3 at The Children's Hospital of Denver during inhaled nitric oxide therapy. Ventilation was adequate in the pediatric intensive care unit and the respiratory care closet. Recommendations for improved ventilation in the compressed gas storage closet are given in the recommendations section of this report.
• Subjects:
  Anesthesia Health Care Facilities Workforce And Services Health Personnel Nitric Oxide Occupational Health Safety Ventilation
• Keywords:
  Anesthetics Hazard Unconfirmed Health Care Facilities Health Care Personnel Nitric Acid Nitric Oxide Nitrogen Compounds Nitrogen Dioxide Nitrogen Dioxides Nitrogen Oxides Nitrous Oxides Pediatric Hospital Region 8 Specialty Hospitals, Except Psychiatric Ventilation Systems

  More +
• Series:
  Health Hazard Evaluation Reports (HHE)
• Subseries:
  Health Evaluation and Technical Assistance (HETA)
• DOI:
  https://doi.org/10.26616/NIOSHHETA9903132802
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Genre:
  Field Study
• Place as Subject:
  Colorado ; OSHA Region 8
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  14 pdf pages
• Contributor:
  Foote, Penny A. ; Grote, Ardith A. ; Gwin, Kristin K. ; Martinez, Kenneth F. ; McCammon, Jane B. ; Ratliff, Denise
• NIOSHTIC Number:
  nn:20021112
• NTIS Accession Number:
  PB2005-104916
• Citation:
  Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, HETA 99-0313-2802, 2000 Apr ; :1-8
• CAS Registry Number:
  Concentrated Nitric acid (70%) (CAS RN 7697-37-2) ; Nitric oxide (CAS RN 10102-43-9) ; Nitrogen dioxide (CAS RN 10102-44-0)
• Editor(s):
  Arthur, Penny
• Federal Fiscal Year:
  2000
• Peer Reviewed:
  False
• NAICS and SIC Codes:
  8069 - Specialty hospitals exc. psychiatric - (SIC)
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:0185bdd319573bd8f39a14b3e6fccece300300750bb3b228a1228240c810c40231e17afecc5fe910f5933b52d8ede7f7b7b4d11a030740dd332c68402413e411
• Download URL:
  https://stacks.cdc.gov/view/cdc/170959/cdc_170959_DS1.pdf
• File Type:
  [PDF - 207.25 KB ]