TITLE:	ES&H Manual
DOCUMENT ID:	6800 Occupational Medicine

1.0 Purpose

Jefferson Lab’s Occupational Medicine Department provides a variety of occupational health services, medical monitoring, wellness-related services, and training. They assist with medical emergencies, provide first-aid treatment, and coordinate referrals to qualified off-site providers. All of these services are provided at no cost to employees and with strict medical confidentiality.

Procedures for this program comply with:

• DOE O 243.2 Vital Records
• DOE N 450.7 The Safe Handling, Transfer, and Receipt of Biological Etiologic Agents at Department of Energy Facilities
• 10 CFR 851 Worker Safety and Health Program
• 29 CFR 1910.1030 Bloodborne Pathogens
• 36 CFR 1223 Managing Vital Records
• 49 CFR 171-177 Transportation of Hazardous Material Regulations
• 9 VAC 20-120 Virginia Regulated Medical Waste Management Regulations
• Jefferson Lab Administrative Manual, Section 103.02

2.0 Scope

All new employees undergo an initial medical examination, which provides baseline health information and determines fitness for duty. Individuals exposed to certain hazard issues (e.g., high noise, radiation, welding, oxygen deficiency) also undergo periodic, routine medical monitoring.

NOTE: Individuals under the age of 18 are not allowed to work with hazard issues and are not offered medical monitoring.

All services provided on-site are at no cost to employees. Those who decline required services are responsible for providing Occupational Medicine with comparable medical examination documentation from an outside medical facility. These independent examinations must align with Jefferson Lab protocols. Forms and other requirements are obtained from Occupational Medicine, which is located in Building 28 (Support Service Center) and can be contacted by calling ext. 7539.

3.0 Responsibilities

3.1 Everyone at Jefferson Lab

· Report on-the-job injuries and illnesses to your supervisor/Subcontracting Officer’s Technical Representative/sponsor and Occupational Medicine.

· Provide first aid and/or cardiopulmonary resuscitation/automated external defibrillator (CPR/AED) if willing and qualified.

· Call for help when you or others need medical attention.

· Use personal protective equipment (PPE) (see ES&H Manual Chapter 6620 Personal Protective Equipment Program) and other protective measures to ensure safety.

3.2 Jefferson Lab Employees

· Undergo an initial, and when applicable periodic hazard-based medical evaluation to determine fitness for work.

· Inform Occupational Medicine of any health conditions might require work restrictions.

· Seek medical attention for occupational illnesses and/or injuries.

3.3 Supervisor/Subcontracting Officer’s Technical Representative (SOTR)/Sponsor

· Enforce medical monitoring requirements for workers who perform certain work and/or are exposed to certain hazard issues (e.g., high noise, radiation, welding, oxygen deficiency).

· Ensure that individuals who are injured, ill, or exposed to blood and/or other potentially infectious material receive prompt medical attention.

3.3.1 SOTR also:

· Ensure that subcontractors present to Occupational Medicine for on-the-job injuries and illnesses.

· When applicable, ensure that subcontractors report for medical monitoring as required by their Employee Job Task Analysis (EJTA).

· When exposure to blood and/or other potentially infectious material is anticipated, review and approve subcontractors’ Occupational Safety and Health Administration (OSHA) compliant Bloodborne Pathogens Exposure Control Plan before allowing work to commence.

· Inform security and those assigned to clean the Occupational Medicine clinic regarding the special hazards in the Occupational Medicine facility.

3.4 Environmental, Safety, Health, and Quality (ESH&Q) Professional

· Inform supervisors/SOTRs/sponsors and Occupational Medicine if anyone appears to need medical monitoring, work restriction, or occupational medical assistance.

· Ensure that regulatory changes and other information related to hazard issues are provided to Occupational Medicine.

3.5 Occupational Medicine

· Notify supervisor/SOTR/sponsor of work restrictions or occupational illness and/or injury of individuals under their authority.

· Maintain a panel of approved off-site physicians (i.e., Workers’ Compensation Physician Panel) in the area who care for work-related injuries and illnesses.

· Maintain the Jefferson Lab Bloodborne Pathogens Protection Program.

· Ensure that regulated medical waste is collected and disposed of appropriately.

· Ensure that first aid cabinets are stocked with appropriate materials.

· Ensure that AEDs are properly maintained.

· Ensure that injured/ill individual’s medical files include job-related injuries, referrals, treatment, progress reports, and return to work status.

· Review individual’s medical treatment/requirements in relation to job responsibilities.

· Manage contractual services for regulated medical waste disposal.

· Offer hepatitis B vaccination to employees with potential exposure to blood and/or other potentially infectious material.

o Ensure that employees who decline the hepatitis B vaccination sign a declination form.

4.0 Expectations

Individuals who are exposed to certain hazard issues (e.g., high noise, radiation, welding, oxygen deficiency) require medical monitoring to ensure that they remain medically qualified to perform assigned work. ES&H Manual Chapter 6800 Appendix T1 Medical Monitoring provides guidelines and requirements for this monitoring.

Jefferson Lab’s Occupational Medicine Department provides medical care for injuries and illnesses site wide. ES&H Manual Chapter 6800 Appendix T2 Injuries and Illnesses Requiring First Aid or Emergency Medical Response describes the procedure used for responding to medical incidents.

Occupational exposure to blood and/or other potentially infectious material at Jefferson Lab is considered a medical emergency. ES&H Manual Chapter 6800 Appendix T3 Protection from Bloodborne Pathogens describes the proper handling and cleanup procedure used to minimize and prevent exposure to bloodborne pathogens.

Jefferson Lab manages its regulated medical waste to minimize personnel and environmental contact. ES&H Manual Chapter 6800 Appendix T4 Regulated Medical Waste Management describes how Jefferson Lab handles and disposes of this type of material.

Medical monitoring is required for subcontract employees who perform certain work; or are exposed to certain hazard issues (e.g., high noise, radiation, welding, oxygen deficiency). ES&H Manual Chapter 6800 Appendix T5 Subcontract Employee Medical Monitoring provides guidelines and requirements for this monitoring.

5.0 Revision Summary

Revision 1 – Revised to reflect current laboratory operations.

ISSUING AUTHORITY	TECHNICAL POINT-OF-CONTACT	APPROVAL DATE	EFFECTIVE DATE	EXPIRATION DATE	REV.
ESH&Q Division	Smitty Chandler	05/11/10	05/11/10	05/11/13	1

This document is controlled as an on line file. It may be printed but the print copy is not a controlled document. It is the user’s responsibility to ensure that the document is the same revision as the current on line file. This copy was printed on 5/11/2010.