Medical Surveillance Programs for Workers Exposed to Hazardous Medications: A Survey of Current Practices in Health Care Institutions

Laura E. Breeher, Robin G. Molella, Andrew I. Vaughn, Melanie D. Swift, Aaron Spaulding, Carol M. Brueggen, Judith Green-McKenzie, Richard D. Newcomb

Research output: Contribution to journalArticle


OBJECTIVE: To assess current medical surveillance monitoring practices for health care workers who prepare, handle, or administer hazardous medications. METHODS: A cross-sectional survey was distributed to members of the American College of Occupational and Environmental Medicine and the National Comprehensive Cancer Network. RESULTS: Forty-six of the 91 survey respondents indicated that their institution had a hazardous medication surveillance program. We identified the most frequent laboratory (complete blood count) and physical (skin) examination components. A health history was frequently used. Statistical analysis did not suggest an association between institutions with greater resources and presence of a surveillance program. CONCLUSIONS: A consensus standard for medical monitoring was not reported by the respondents. We recommend using a standardized surveillance questionnaire and applying uniform laboratory testing across institutions, in addition to establishing a national repository for surveillance data.

Original languageEnglish (US)
Pages (from-to)120-125
Number of pages6
JournalJournal of occupational and environmental medicine
Issue number2
StatePublished - Feb 1 2019


ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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