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Elements of a medical surveillance program
According to the National Institute for Occupational Safety and Health, the minimum elements of a medical surveillance program for hazardous drugs should include:
Review periodic health questionnaires and laboratory results for trends that may be a sign of health changes due to exposure to hazardous drugs. If health changes are found, the employer should take the following actions:
1. Engineering controls (biological safety cabinets/isolators, ventilation, closed system transfer devices, and closed IV systems).
— Compare performance of controls with recommended standards.
— Conduct environmental sampling when analytical methods are available.
2. Policies for the use of PPE and employee compliance with PPE use and policies.
3. Availability of appropriate PPE such as double gloves, nonpermeable gowns, and respiratory protection.