Date: Thu, 9 Sep 2004 13:41:27 EDT
Reply-To: ACTSNYC**At_Symbol_Here**CS.COM
Sender: DCHAS-L Discussion List <DCHAS-L**At_Symbol_Here**LIST.UVM.EDU>
From: ACTSNYC**At_Symbol_Here**CS.COM
Subject: Re: Fw: [DCHAS-L] Safety Rules
Comments: To: abullis**At_Symbol_Here**MSN.COM
Re: protective gear for chemo drugs

Tell them to get over it.  My dentist wears a gown, eyewear, and a mask and I
don't conclude my breath is lethal.   (Well, maybe it is.)

It all depends on what patients are told about the procedure and what people
get used to seeing as accepted procedures--even on the TV shows.   Good
communication with patients can handle this.

As for the radioactive 48 hour rule, did you know that someone who had had
one of these procedures in New York during the Republican Convention triggered
the radioactive detectors?

People are going to have to understand that some medical procedures will just
leave them ticking.  We have to weigh one hazard against the other.  If
patients really want a jolt, tell them to get a couple of those popular full body

And while I'm on the subject, I had an MRI with contrast and the injection,
as I remember, was a gadolinium compound.  I was asked to sign an informed
consent form.  But how can I do that when gadolinium has never been evaluated for
its ability to cause cancer or other long-term effects?  I wonder, how many
patients are being informed of that fact before they sign the form?

Monona Rossol, M.S., M.F.A.,
industrial hygienist
Arts, Crafts & Theater Safety, Inc.
Safety Officer,
United Scenic Artist's, Local 829
International Alliance of Theatrical Stage Employes (IATSE)
181 Thompson St., #23
New York NY 10012-2586     212/777-0062

In a message dated 9/9/04 7:24:29 AM Eastern Daylight Time, abullis**At_Symbol_Here**MSN.COM
> 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

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