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OCCUPATIONAL HEALTH MEDICAL SURVEILLANCE PROGRAM

A) Laboratory Animal Occupational Health Program


B) Other Occupational Health Surveillance Programs

I. PURPOSE

Stanford University is committed to provide a healthy and safe work environment. Per this commitment, as well as to adhering to numerous Cal/OSHA regulations, the University has developed a medical surveillance program. The purpose of this website is to:

II. DEFINITION OF MEDICAL SURVEILLANCE

  • What is medical surveillance?
    Medical surveillance is the process of evaluating the health of employees as it relates to their potential occupational exposures to hazardous agents.
  • What is involved with medical surveillance?
    Generally, affected employees undergo a work history, a medical history, and a medical examination by a licensed physician; these elements are used to establish a baseline of the employees’ health and then used to monitor their future health as it relates to their potential occupational exposures to hazardous agents.

III. EMPLOYEES NEEDING MEDICAL SURVEILLANCE

  • Which job classifications require medical surveillance?
    Most job classifications do not require medical surveillance. Please refer to the medical surveillance matrices linked to this web site. If a particular job classification is not listed, it may not have been evaluated by the IH/Safety Program yet; please contact EH&S @ 5-3209 for assistance or questions.
  • How is the need for medical surveillance determined?
    EH&S’s Industrial Hygiene/Safety Program has evaluated the medical surveillance needs of numerous job classifications throughout the University. Employees’ inclusion in the medical surveillance program was based on Industrial Hygiene/Safety surveys in which exposures to various stressors were evaluated, Cal/OSHA regulations, and consensus standards.

IV. THE MEDICAL SURVEILLANCE EXAMINATION

  • How are medical surveillance exam appointments scheduled?
    The Palo Alto Medical Foundation (PAMF) Occupational Health Department is the University’s contracted medical care provider. Please refer to the Instructions to Supervisors and Employees for Obtaining an Occupational Physical Exam linked to this web site.
  • What protocols will be administered?
    Stanford University has protocols for medical testing and examination for the following stressors:
    1. Animal Care
    2. DOT Driving
    3. Emergency Response/HazMat Operations
    4. General Medical
    5. Hearing Conservation/Noise
    6. Laser Use, Class III or IV
    7. Manual Lifting
    8. Pesticide Application
    9. Respirator Use
    10. Use of Cal/OSHA Regulated Carcinogens
  • What forms will employees need to complete?
    Forms that accompany the protocols have been developed. Certain forms are to be completed by the employee, and other forms by the doctor.

V. RESOURCES FOR THE MEDICAL SURVEILLANCE PROGRAM

  • Stanford University’s Department of Environmental Health and Safety, Industrial Hygiene/Safety Program

Ling Sue Teng, Manager – Industrial Hygiene/Safety Program
Phone: 725-3209,
E-mail: lsteng@leland.stanford.edu

VI. FREQUENTLY ASKED QUESTIONS BY SUPERVISORS

  1. Who pays for the medical examinations?
  • The employer is responsible for bearing the cost of medical surveillance. Please check with your department about billing.
  1. What do I do if employees wish to decline their medical surveillance?
  • Have the employee contact the IH/Safety Program @ 5-3209 so that the employee can speak with EH&S about the benefits of medical surveillance.
  1. What do I do if my employee wants to be evaluated by someone other than the University’s Medical Care Provider?
  • Contact the IH/Safety Program @ 5-3209 to discuss the possibility of the employee being evaluated elsewhere. The University would need to ensure that the employee is receiving an equivalent medical evaluation as would be given by the Palo Alto Medical Foundation.
  1. Are the medical examination and test results confidential?
  • Yes, specific results of the medical examination (e.g., weight, blood pressure, etc.) are kept confidential. However, the medical clearance the University receives will indicate the general conclusions of the doctor (e.g., (a) employee is fit for duty; (b) employee is cleared for respirator use; etc.).
  1. How often will my employee need medical surveillance?
  • The frequency of the medical examinations is generally annual. However, consult the medical surveillance requirements for each job classification which are linked to this web site.
  1. How much do the medical examinations cost?
  • Call the Palo Alto Medical Foundation at 853-2970 for the latest costs for the medical examinations.
  1. What should I do if the operations in my work area change?
  • Please contact the IH/Safety Program @ 5-3209 to inform EH&S whenever there are any of the following changes: (a) change in exposure times; (b) new operation is performed: (c) new types of equipment are used; (d) an increase in major chemical use; (e) a change in exiting engineering controls. These changes can affect the employees’ potential occupational exposures and hence potential need for medical surveillance.
  1. How does medical surveillance differ from an incident where my employee becomes injured or ill while working, or is exposed to a chemical via a spill, etc.?
  • Medical surveillance is a non-emergency process which is used to establish and monitor the employee’s health as it relates to his/her potential occupational exposures to hazardous agents. It should not be confused with medical treatment in follow-up to an injury, illness, or chemical spill on the job. Emergency or acute incidents will be evaluated on immediate basis by doctors either at the Stanford Hospital emergency room or at the Palo Alto Medical Foundation, depending on the severity of the incident. For more information on reporting an emergency injury, illness, or chemical spill exposure, please link to Emergency Preparedness.
  1. I’m planning to become pregnant and have concerns about the chemicals in my workplace, what should I do?
  • The IH/Safety Program provides occupational reproductive hazard consultation on a case by case basis. Contact 5-3209 for assistance.

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