Medical surveillance programs for workers exposed to hazardous medications: a survey of current practices in health care institutions.

Details

• Personal Author:
  Breeher LE ; Brueggen CM ; Green-McKenzie J ; Molella RG ; Newcomb RD ; Spaulding AC ; Swift MD ; Vaughn AI
• Description:
  Objective: To assess current medical surveillance monitoring practices for health care workers who prepare, handle, or administer hazardous medications. Methods: A cross-sectional survey was distributed to members of the American College of Occupational and Environmental Medicine and the National Comprehensive Cancer Network. Results: Forty-six of the 91 survey respondents indicated that their institution had a hazardous medication surveillance program. We identified the most frequent laboratory (complete blood count) and physical (skin) examination components. A health history was frequently used. Statistical analysis did not suggest an association between institutions with greater resources and presence of a surveillance program. Conclusions: A consensus standard for medical monitoring was not reported by the respondents. We recommend using a standardized surveillance questionnaire and applying uniform laboratory testing across institutions, in addition to establishing a national repository for surveillance data. [Description provided by NIOSH]
• Subjects:
  Hazardous Substances Health Care Facilities Workforce And Services Health Personnel Laboratories Neoplasms Occupational Exposure Occupational Health Safety
• Keywords:
  Author Keywords: Antineoplastics; Chemotherapy; Occupational Disease; Surveillance Toxicology Medical Monitoring; Surveillance; Hazardous Drugs; Health Care Workers; Cross Sectional Studies; Laboratory Testing; Occupational Exposure; Antineoplastic Agents; Chemotherapy;
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Florida ; Minnesota ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 5 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  120-125
• Volume:
  61
• Issue:
  2
• NIOSHTIC Number:
  nn:20065259
• Citation:
  J Occup Environ Med 2019 Feb; 61(2):120-125
• Contact Point Address:
  Laura E. Breeher, MD, MPH, Division of Preventive, Occupational and Aerospace Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905
• Email:
  breeher.laura@mayo.edu
• Federal Fiscal Year:
  2019
• Performing Organization:
  University of Pennsylvania, Philadelphia
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:df59331ecd2cccf0aa7998ea552e61e9eaea8749ebccca6fd66c23858269026a977770ad3fce13999d500541752da6f49d0ba3f77cd59b32d69200951cbc223a
• Download URL:
  https://stacks.cdc.gov/view/cdc/249386/cdc_249386_DS1.pdf
• File Type:
  [PDF - 282.57 KB ]