Paul
Would you send a copy of your cyto questionnaire to us in Stafford please.
Address: The Occupational health and safety services
The whichurch building
Staffordshire General Hospitals NHS trust
Weston Road
Stafford
ST16 3SA
Thanks
Pam Turner OHN
> -----Original Message-----
> From: Paul Darcy [SMTP:[log in to unmask]]
> Sent: 19 June 2003 09:50
> To: [log in to unmask]
> Subject: Re: Surveillance
>
> Re Cytotoxic surveillance
>
> It seems that I cannot get a definitive answer regarding surveillance.
> We perform a baseline FBC for cytotoxic handlers prior to their exposure
> to see if there is a pre-existing condition. We only perform a repeat
> test one month after a significant occupational exposure such as
> needlestick injury, skin contamination or unreconstituted or
> reconstituted drugs, inhalation of powder for accidental vial
> breakages.
>
> We also send an annual questionnaire to cytotoxic handlers to ascertain
> any unreported significant exposure, unusual illness, pregnancy or birth
> defects.
>
> Having looked at lots of research for one of my degree assignments I
> found a tremendous range of surveillance from nil to regular blood tests
> or urine mutagenicity screening.
>
> The HSE have published recent research about cytotoxic drugs including
> their preparation and handling in an isolator but I cannot locate the
> reference for you. However, have a look at the American Occupational
> Health & Safety Administration handbook as there is a whole chapter
> relating to hazardous drugs including cytotoxic/ antineoplastic drugs.
>
> http://www.osha.gov/dts/osta/otm/otm_vi/otm_vi_2.html#6
>
> It would be helpful to be updated.
>
>
>
> Paul D'Arcy,
> Occupational Health Manager (Acting)
>
> Occupational Health
> Hammersmith Hospital
>
> Developing And Supporting People To Make Healthcare Better
>
> Direct Line 020 8383 1024
> Internal Ext 31024
>
>
>
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