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Chemo surveillance

  • 1.  Chemo surveillance

    Posted 15 days ago
    Hello!
    Our facility is looking at revamping our medical surveillance prior to working with HD agents.
    Currently we are performing a baseline lab/ physical prior to employment to those that are working in oncology and administering hazardous drugs.
    What are other facilities doing in regards to medical surveillance and what staff is included in this?
    We have inpatient and outpatient units. (Med surg, IR, Urology, OB, etc) and we are wondering who should all be included in this?

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    Lisa Nordick RN BSN OCN
    Lake Region Health Care
    Rothsay MN
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  • 2.  RE: Chemo surveillance

    Posted 14 days ago
    Hi. If it helps to see a published survey of what institutions are doing for medical surveillance, earlier this year there was "Medical Surveillance Programs for Workers Exposed to Hazardous Medications: A Survey of Current Practices in Health Care Institutions" https://www.ncbi.nlm.nih.gov/pubmed/30475315 -- "A cross-sectional survey was distributed to members of the American College of Occupational and Environmental Medicine and the National Comprehensive Cancer Network. 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."

    ONS has "What are medical surveillance recommendations for those who administer chemotherapy and biotherapy?" https://www.ons.org/faq/medical-surveillance -- it links to the "Sample Medical History Questionnaire for Hazardous Drug Handlers" https://www.ons.org/sites/default/files/Safe%20Handling%20Medical%20Surveillance%20Questionnaire.pdf

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    Mark Vrabel
    INFORMATION RESOURCES SUPERVISOR
    Oncology Nursing Society
    Pittsburgh PA
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