Occupational Medicine



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2408 Wanda Daley Drive Ames, Iowa 50011-3602 (515) 294-5359 www.ehs.iastate.edu Copyright Reviewed 2015 Environmental Health and Safety 2809 Daley Drive Ames, IA 50011-3660 Ph: (515) 294-5359 www.ehs.iastate.edu

2 Occupational Medicine

Directory of Service and Emergency Providers Services Environmental Health and Safety 2408 Wanda Daley Drive (515) 294-5359 Iowa State University Occupational Medicine Department G11 Technical and Administrative Services Facility (TASF), 2408 Pammel Drive (515) 294-2056 McFarland Clinic PC, Occupational Medicine 1018 Duff Avenue (515) 239-4496 Thielen Student Health Center 2647 Union Drive (515) 294-5801 Emergency Emergency - Ambulance, Fire, Police 911 Department of Public Safety/ Iowa State University Police Armory, 2519 Osborn Drive (515) 294-4428 Mary Greeley Medical Center 1111 Duff Avenue (515) 239-2011 3

Table of Contents Directory of Service and Emergency Providers 3 What is the Iowa State University Occupational Medicine Program? 5 How do new personnel become involved in the program? 5 What happens during baseline and periodic medical reviews? 5 Baseline medical review 5 Periodic medical review 6 Re-examination for specific issues 6 Specific workplace hazards with special requirements 6 Serum storage 7 Vaccinations 7 What happens if I change jobs or my workplace hazards change? 7 I am leaving the university. What do I do? 7 What do I do if I become injured, exposed or ill while at work? 7 Medical emergencies 8 Student accidents and iinjuries 8 Exposure monitoring 8 Reporting 8 Is training available? 9 Non-discrimination Statement 10 4

What is the Iowa State University Occupational Medicine Program? Iowa State University recognizes a strong obligation to provide a safe workplace for all personnel. The Iowa State University Occupational Medicine Program is designed to minimize personnel health risks from working with hazardous materials through monitoring and prevention. The program is also intended to enhance the efficiency of existing safety and health programs and keep the university in compliance with all applicable regulations. The Department of Environmental Health and Safety (EH&S) coordinates the participation of Iowa State University personnel in the program. How do new personnel become involved in the program? All new personnel who may be exposed to hazards in the workplace must complete a Hazard Inventory form for Occupational Medical Surveillance at the beginning of their employment. The Hazard Inventory form must be reviewed by a supervisor and submitted to EH&S. Following receipt of the Hazard Inventory form by EH&S, personnel with workplace hazards requiring medical monitoring will be sent a questionnaire titled Information Request. This questionnaire is sent to the individual to further evaluate workplace hazards. This questionnaire must be discussed between the individual and his or her supervisor and returned to EH&S. EH&S will use this information to determine the need for enrollment in the Iowa State University Occupational Medicine Program. If it is determined that the individual s workplace hazards require medical monitoring, the individual will receive notice to contact the Iowa State University Occupational Medicine office and schedule an appointment for a medical review or receive a confidential evaluation form to complete. If the individual s workplace hazards do not require medical monitoring, they will not receive further communication from the Iowa State University Occupational Medicine Program. What happens during baseline and periodic medical reviews? Baseline medical review When an individual is new to the Occupational Medicine Program, a baseline medical review is performed by the ISU Occupational Medicine physician and may include the following: 5

review of workplace history and hazard evaluation general physical examination blood and urine tests vision and hearing tests pulmonary function test immunizations, if necessary referral for any special tests if needed, such as chest x-rays or laser eye exams Periodic medical review A periodic medical review will ensure that tests and immunizations specific to an individual s workplace hazards are current. If an individual feels there is a need for other testing or a more extensive physical examination for a work-related problem, he or she should discuss this with the ISU Occupational Medicine Physician. Periodic medical reviews only apply to personnel exposed to hazards covered under OSHA or other applicable regulations. Once the department has submitted a Hazard Inventory form and the individual has had an initial medical review, they will receive notice prior to subsequent reviews. Re-examination for specific issues Individuals with existing or developing health concerns may be reexamined or referred to their personal physician, as determined by the Iowa State University Occupational Medicine Physician. Specific workplace hazards with special requirements Certain jobs have inherent risks requiring more extensive medical review by the Iowa State University Occupational Medicine office. These specialized workplace hazards will receive specific considerations during the medical review. These hazards include, but are not limited to animal caretaking animal activities (research/teaching) biosafety level 3 pathogens respirator use potential human blood, body fluid or tissue exposure 6

potential rabies virus exposure high-level noise exposure cholinesterase-inhibiting pesticide exposure Serum storage Personnel working with or having the potential to work with Biosafety Level 3 pathogens on campus have the option of storing their serum. It is recommended that personnel in these positions have a blood sample collected every five years as part of the Iowa State University Occupational Medicine Serum Storage Program. The sample provides a baseline for testing in the event that an infection is contracted in the workplace. Vaccinations Personnel with duties that may result in exposure to infectious disease agents must be given the option of receiving a vaccination (if available) and must be informed of the risks associated with the vaccination. The Iowa State University Occupational Medicine office generally administers these vaccinations at no cost to the individual. The individual s department may be assessed a charge for the service. What happens if I change jobs or my workplace hazards change? In a university setting, job requirements often change for various reasons, such as a transfer to a new department or new job duties within the same department. Each department supervisor is responsible for evaluating duty changes and ensuring that personnel complete a Hazard Inventory form before new job hazards are encountered. I am leaving the university. What do I do? When an individual participating in the Iowa State University Occupational Medicine program leaves the university, a separation medical review will be offered. This examination will typically consist of the same procedures followed in the baseline medical review. The individual s department is responsible for scheduling this appointment. What do I do if I become injured, exposed or ill while at work? All personnel seeking treatment for work-related injuries, illnesses or exposures should notify their supervisors as soon as possible. 7

Medical emergencies If an injury, illness or exposure necessitates immediate treatment, transport the employee to the Emergency Room at Mary Greeley Medical Center (515-239-2155). If emergency transport is needed, dial 911. Be prepared to provide any relevant safety information, such as a safety data sheet (SDS). When an employee requires emergency treatment, the incident must be reported to EH&S (515-294-5359) as soon as possible. Provide assistance to injured or exposed personnel by following the First Aid Procedures. Student accidents and injuries Students not employed by Iowa State University who are exposed or injured in the classroom or laboratory should seek medical attention at the Thielen Student Health Center (Sheldon and Union Drive, (515) 294-5801), unless emergency transport is required. All accidents and injuries sustained by Iowa State University students while in academic classes or events sponsored by the university must be reported to Risk Management by the student and a university representative using the Student Accident Report Form. Refer to the Accidents and Injuries web page for more information. Exposure monitoring As part of the workplace exposure assessment, exposure monitoring may be performed by EH&S to quantify the level of exposure experienced by employees at Iowa State University. Monitoring results are used to determine if medical surveillance of an employee will be required and whether control measures should be implemented to ensure a safe work environment. Each department and laboratory supervisor is responsible for ensuring that any recommended control measures are implemented. EH&S may perform additional monitoring to determine the effectiveness of control measures. EH&S is available to conduct occupational exposure monitoring whenever a possible exposure or potential health hazard is suspected in the work environment. Reporting All work related injuries, illnesses, or exposures must be reported to the employee s supervisor, even when medical attention is not required or is refused by the employee: A First Report of Injury must be completed through AccessPlus and submitted within 24 hours of the incident. The employee or supervisor may complete the FROI, but supervisors must 8

review, approve and electronically submit the FROI. Supervisors will be prompted to fill out information relating to the Accident Investigation as part of the FROI process. The online questionnaire is listed as Work Injury under the Employee tab once logged into AccessPlus. Questions regarding the form may be forwarded to Human Resource Services at (515) 294-3753. Refer to the Accidents and Injuries web page for more information. Is training available? Yes. Personnel who work under hazardous conditions or with hazardous substances are required to be informed of the types and levels of hazards to which they are exposed. They must be trained in practices for safe work near chemical, biological, radiological, and physical hazards, and for handling emergency situations. This training and information must be provided when the individual is initially assigned, or prior to assignments involving new workplace hazards. Departments, and ultimately supervisors, are responsible for ensuring that appropriate information and training have been provided to personnel. Information on safety training courses provided by EH&S is available through the Learn@ISU. Additionally, on-site training and/or consultation is available to assist Iowa State supervisors and personnel in managing issues related to workers compensation. Call the Iowa State Workers Compensation Office at (515) 294-3753. 9

Non-discrimination Statement Iowa State University does not discriminate on the basis of race, color, age, ethnicity, religion, national origin, pregnancy, sexual orientation, gender identity, genetic information, sex, marital status, disability, or status as a U.S. veteran. Inquiries regarding non-discrimination policies may be directed to Office of Equal Opportunity, 3350 Beardshear Hall, Ames, Iowa 50011, Tel. 515 294-7612, email eooffice@iastate. edu. 10