HomeMy WebLinkAbout203.009 - Blood Test for Hazardous Materials Exposures
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STANDARD OPERATING PROCEDURES MANUAL
HEALTH AND SAFETY
203.009 BLOOD TEST FOR HAZARDOUS MATERIALS
EXPOSURES
EFFECTIVE: OCTOBER 2007
Current Revision Date: 08/04/21 Next Revision Date: 08/04/23
Author’s Name/Rank: Kevin Reynolds, Captain Review Level: 1
Administrative Support:
Evelyn Yin-Zepeda,
Management Analyst II ADA
PURPOSE
The following procedures have been established to provide a means for Fresno Fire
Department (FFD or Department) members to obtain a blood analysis in the event of
exposure or possible exposure to a hazardous substance. The exposure must be
related to a specific on-duty incident.
APPLICATION
These procedures may be implemented, upon request by the member to the
supervisor, whether or not the hazardous material has been identified or the member
is displaying symptoms of having been contaminated.
Members who are exposed to a hazardous substance resulting in a known injury are
to be treated in accordance with established policy and procedures for obtaining
medical attention and for the completion of injury reports.
OPERATIONAL POLICY
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OPERATIONAL GUIDELINE
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PROCESS
Supervisors, upon receipt of a request from a member for a blood analysis, are
responsible for ensuring the following procedures are satisfactorily completed.
Section 203.009
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1. Transport employee to Kaiser Occupational Health during normal
business hours and advise that a blood test needs to be conducted
for an employee.
a. If the request is made after normal working hours, transport
employee to Kaiser Emergency Room (ER) after hours and
advise that a blood test needs to be conducted for an
employee.
2. Provide the medical facility with specific directions.
a. Test for a specific substance, if known.
b. Perform the blood test for an unknown substance (indicated
above) if the identity of the substance is not known and cannot
be determined in a reasonable amount of time.
c. Instruct the facility to draw the blood and refrigerate it until
additional information can be provided.
I. The medical facility is to be advised of the identity of the
substance to test for within 48 hours after the sample has
been taken. (If necessary, arrangements may be made
to draw another blood sample, or the facility will be
instructed to test for an unknown substance.)
3. The injury reporting process is to be followed as described in
Standard Operating Procedures Manual, Section 203.008,
CAL/OSHA Inspection Protocol.
INFORMATION
The blood test is designated to detect if and to what degree the member has been
exposed to a hazardous material.
The blood test will be for a known substance or, in the case of exposure to an unknown
substance; the blood test will be as indicated below.
Blood Chemistry Calcium Creatinine
Panel to include Cholesterol Triglycerides
Albumin GOTP Direct Bilirubin
A/G Ratio Globulin Potassium
Alkaline phosphatase LDH Annual Cholinesterase
BUN Phosphorus Baseline
Total Protein SGOT Annual Blood Lead
Uric Acid Chloride Mercury, Cadmium, Zinc Baseline
Section 203.009
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Blood samples shall be drawn 6 to 12 hours after the exposure.
In the event of exposure to an unidentified substance, blood samples may be taken
and refrigerated a maximum of 48 hours prior to analysis (after 48 hours, a new blood
sample must be taken).
DEFINITIONS
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CROSS-REFERENCES
Standard Operating Procedures Manual,
Section 203.008, CAL/OSHA Inspection Protocol.
Section 203.009
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