Date: Thu, 9 Sep 2004 09:07:54 -0700
Reply-To: Larry Gibbs <lgibbs**At_Symbol_Here**STANFORD.EDU>
Sender: DCHAS-L Discussion List <DCHAS-L**At_Symbol_Here**LIST.UVM.EDU>
From: Larry Gibbs <lgibbs**At_Symbol_Here**STANFORD.EDU>
Subject: Re: Fw: [DCHAS-L] Safety Rules
In-Reply-To: <p06010233bd661ae4daef**At_Symbol_Here**[]>

There is actually a greater incentive to hospitals than inviting OSHA in
and that is the JCAHO accreditation that requires compliance with both
patient care and employee protection requirements.  I would first take this
to the hospital group that manages the JCAHO program and indicate that
failure to comply with the "standard of care" for patients and employees
creates a risk to the personnel involved as well as to the
employees.  Also, your risk manager should be able to support this program
as a preventive control on worker's compensation.  Aside from the obvious
issue of protecting employees, often making a business case for a change in
procedure can be more effective.

Lawrence M. Gibbs, CIH
Associate Vice Provost
Environmental Health and Safety
EH&S - 480 Oak Road
Stanford University
Stanford, CA  94305-8007
Ph:  650/723-7403   Fax:  650/725-3468
e-mail: LGibbs**At_Symbol_Here**
EH&S Web Site

At 07:43 AM 9/9/2004, Gordon Miller wrote:
>There's a good historical precedent, X-rays/CAT scans. The operators
>protect themselves because there is risk to the procedure but they
>get no benefit at all (besides pay and a dosimeter) and because the
>more exposures they get compared to patients means they have much
>greater risk.
>At least you're in the same room as the patient. I've only had one
>x-ray where the operator staid with me while wearing a flexible lead
>apron (a GI series - ugh!).
>>I'm having a similar problem, but in a different industry.  I have
>>moved into healthcare, specifically in an Oncology Clinic and
>>Infusion center.  We have a number of new NIOSH recommendations and
>>OSHA standards coming regarding chemotherapy.  (I don't know how
>>familiar you are with chemo and all the new monoclonal antibodies,
>>etc that are coming out, but I'd take a sulfuric acid splash over a
>>large taxane exposure anyday.) We need to implement a lot of new PPE
>>aside from the gloves the nurses have always worn, and you wouldn't
>>believe the complaints!  They have now convinced the clinic manager
>>and the VP over our clinic that it will be detrimental to patient
>>care because we're going to scare them if the nurses come at them
>>dressed in the full required PPE.  I admit that I would probably be
>>a little scared too if someone came at me dressed head to toe in a
>>gown, gloves and goggles and told me it was to protect themselves
>>from the stuff they were going to put in my body! However we can
>>address the issue with some education.  We are required now to tell
>>patients and their families that their urine, BM, and any other body
>>secretions are toxic for at least 48hrs after treatment, and the
>>nurses are refusing to tell them that also because they "don't want
>>to scare them more than they already are over being diagnosed with
>>cancer".  I'm about ready to "invite" OSHA over for a visit and see
>>how quickly they all change their minds on this little PPE issue.
>>Amy L. Bullis
>>   ----- Original Message -----
>>   From: Chris Wysong
>>   To: DCHAS-L**At_Symbol_Here**LIST.UVM.EDU
>>   Sent: Tuesday, September 07, 2004 9:21 AM
>>   Subject: [DCHAS-L] Fw: [DCHAS-L] Safety Rules
>>   "Help",
>>   I am a new safety in my college of science and am running into
>>problems with the dean.  He does not want to follow standard
>>laboratory practices regarding clothing (short tops, long pants,
>>shoes) because it might scare someone.  His logic behind the pants
>>is they could trap corrosives and cause more damage than if the
>>student was wearing shorts.  Does anyone have any suggestions on how
>>to deal with this issue or knows about an injury resulting from
>>wearing pants as opposed to shorts?
>>   I am trying to convince him, using the ACS guide to laboratory
>>safety but to no avail.  If anyone could offer suggestions it would
>>be appreciated.
>>   Thanks
>>   Chris Wysong

Previous post   |  Top of Page   |   Next post

The content of this page reflects the personal opinion(s) of the author(s) only, not the American Chemical Society, ILPI, Safety Emporium, or any other party. Use of any information on this page is at the reader's own risk. Unauthorized reproduction of these materials is prohibited. Send questions/comments about the archive to
The maintenance and hosting of the DCHAS-L archive is provided through the generous support of Safety Emporium.