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TITLE |
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DOCUMENT ID |
6800
Occupational Medicine |
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1.0
Purpose
TJNAFs 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 appropriate medical confidentiality.
Procedures for this program comply with:
· 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, welding, oxygen
deficiency) also undergo periodic, routine medical
monitoring.
Users exposed to certain hazard issues will also undergo periodic, routine medical monitoring.
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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 TJNAF protocols. Forms and other requirements are
obtained from Occupational Medicine (located in
Building 28 [SSC]); call extension 7539 for assistance.
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Required Safety Training by Job
Classification |
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Course |
Bloodborne Pathogens Protection Program Participants |
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Bloodborne Pathogens
Awareness MED03 |
X |
3.0
Responsibilities
Note: Management authority may be delegated to a task-qualified TJNAF employee at the discretion of the responsible manager.
3.1 Everyone at TJNAF
· Report on-the-job injuries and illnesses to your supervisor, technical representative, or sponsor and Occupational Medicine.
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Provide first aid and/or cardiopulmonary
resuscitation (CPR) / automated external
defibrillator (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 TJNAF Employees
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Undergo an initial, and when applicable,
periodic hazard-based medical evaluation to determine fitness for work.
· Inform Occupational Medicine of any health conditions that might require work restrictions.
· Seek medical attention for occupational illnesses and/or injuries.
3.3 Supervisor, Technical Representative (TR), and/or Sponsor
· Enforce medical monitoring requirements for workers who perform certain work and/or are exposed to certain hazard issues (e.g., high noise, welding, oxygen deficiency).
· Ensure individuals who are injured, ill, or exposed to blood and/or other potentially infectious material receive prompt medical attention.
The Technical Representative shall also:
· Ensure subcontractors present to Occupational Medicine for on-the-job injuries and illnesses.
· When applicable, ensure contract employees report for medical monitoring as required by their Job Task Analysis (JTA).
· When exposure to blood and/or other potentially infectious material is anticipated, review and approve the 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 facility about the special hazards within the Clinic.
3.4 Environmental, Safety and Health (ES&H) Professionals
· Inform supervisors, technical representatives, or 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 supervisors, technical representatives, or sponsors of work restrictions or occupational illness and/or injury of individuals under their authority.
· Maintain a panel of approved off-site physicians (refer to the Workers’ Compensation Physician Panel) in the area who care for work-related injuries and illnesses.
· Maintain the Jefferson Lab Bloodborne Pathogens Protection Program.
· Ensure:
o regulated medical waste is collected and disposed of appropriately
o first aid cabinets are stocked with appropriate materials
o AEDs are properly maintained
o injured and/or ill individual’s medical files include job-related injuries, referrals, treatment, progress reports, and return to work status
· Review individual’s medical treatment and/or requirements in relation to their responsibilities.
· Manage contractual services for regulated medical waste disposal.
· Offer the Hepatitis B vaccination to employees with potential exposure to blood and/or other potentially infectious material.
Note: 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, welding, oxygen deficiency) require medical monitoring to ensure that they remain medically qualified to perform assigned work. Chapter 6800 Appendix T1, Medical Monitoring, provides guidelines and requirements for this monitoring.
TJNAFs Occupational Medicine Department provides medical care for injuries and illnesses site wide. describes The procedure used for responding to medical incidents is described in Chapter 6800 Appendix T2, Injuries and Illnesses Requiring First Aid or Emergency Medical Response.
Occupational exposure to blood and/or other potentially
infectious material (OPIM) at Jefferson Lab is considered a medical emergency.
Appendix T3, Protection from Bloodborne Pathogens, describes the proper handling and
cleanup procedure used to minimize and prevent exposure to bloodborne pathogens.
TJNAF manages its regulated medical waste to minimize personnel and environmental contact. Chapter 6800, Appendix T4, Regulated Medical Waste Management, describes how this type of material is handled and disposed of.
Medical monitoring is required for contract employees who perform certain work, or who are exposed to certain hazard issues (such as high noise, welding, oxygen deficiency). Appendix T5, Contract Employee Medical Monitoring, provides guidelines and requirements for this monitoring.
5.0
Revision History
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rev |
summary |
date |
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1.4 |
-
changed TPOC from SChandler to KPadiyar -
removed term radiation throughout;
changed SOTR to TR -
updated hyperlinks, footer, bullets -
updated Revision Summary to this format, Revision History |
06.17.2022 |
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1.3 |
periodic
review – no content changes needed per TPOC -
minor edits only, no approval needed:
updated header and footer; changed SOTR to TR |
05.25.2021 |
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1.2 |
periodic
review – no changes necessary per TPOC |
05.25.2016 |
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revised
chapter to align with changes in Appendix T5 |
07.31.2014 |
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1.1 |
added
required safety training table |
05.20.2014 |
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periodic
review – minor grammatical edits; no substantive
changes required |
05.20.2013 |
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1.0 |
revised
to reflect current laboratory operations |
05.10.2010 |
