Training Health

Contamination assessment of an injured individual should be performed by a trained health professional under the supervision of on-the-scene medical personnel. This assessment should include collecting radiation and chemical agent measurements using instrumentation identified in Section 6.12, nasal wipes, and collection of saliva, blood, and other samples for laboratory testing. The distribution of contamination and locations of wounds on the body should be recorded. 

NCI National Cancer Institute. NCI, part of the National Institutes of Health of the United States Department of Health and Human Services, is the federal government s principal agency for cancer research. NCI conducts, coordinates, and funds cancer research, training, health information dissemination, and other programs with respect to the cause, diagnosis, prevention, and treatment of cancer. Access the NCI Web site at http //cancer.gov. [NIH]... 

One useful approach to tackle this problem of drug-induced illness caused by bad prescribing is known as academic detailing , in which a trained health professional meets with the physician in his or her office and functions as a source of neutral, academically oriented, evidence-based knowledge (see www.RxFacts.org). 

III.b. 1.8. Independent medicine information. Often, the only information about medicines that practitioners receive is provided by the pharmaceutical industry and may be biased. Provision of independent (unbiased) information is therefore essential. Drug information centres (DICs) and dmg bulletins are two useful ways to disseminate such information. Both may be run by government or a university teaching hospital or a non-governmental organization, under the supervision of a trained health professional. Whoever runs the DIG or bulletin must (1) be independent of outside influences and disclose any financial or other conflict of interest and... 

Employees should be fully informed of the potential hazards associated with their jobs. Regulations, such as the Occupational Safety and Health Administration (OSHA) Hazard Communication Standard, require that hazard information be communicated not only to employees, but also to users of manufactured products (OSHA Standard 29 CFR 1910.1200 Hazard Communication). Information is communicated partly through material safety data sheets and labels. Education and training of employees about health hazards they may encounter on the job, along with appropriate protective measures, should be conducted by a multidisciplinary health team of relevant specialists and trained health educators. 

CDC, DOD, and NIH should develop new and expand upon current intramural and extramural programs that train health professionals in applied epidemiology and field-based research and training in... 

A. Upon entering a medical treatment facility, patients from a contaminated area should be decontaminated and monitored for radiation. Monitoring by trained health physics personnel may be required to determine when it is proper to discontinue isolation techniques. Such personnel are usually located at the medical group level (see section 3.1). 

The major criterion for filing a report is belief or evidence that a serious adverse reaction has occurred (Henkel, 1999). Generally, the type of reaction to report is one that was not evident during initial drug trials and was not expected to be a common side effect and, therefore, does not appear in the product handout. The reporter is not required to demonstrate or substantiate an actual reaction, yet the reporter needs to believe it has occurred and that future incidents are possible. Since the FDA will probably ask for technical follow-up information on each of these reports, it prefers that a trained health care professional, rather than a client, make the actual reports. A post-marketing safety evaluator examines information from MedWatch reports, and according to Henkel (1999) once the adverse effect has been identified the FDA can take the following actions ... 

In summary, PGDs are most suitable when the use of medicines follows a predictable pattern and is not tailored for individuals with complicated conditions. They are generally most appropriate to manage a single treatment episode or series of episodes of the same condition. Nevertheless, an appropriate person should be identified within any healthcare organization to ensure that only fully competent, qualified and trained health care professionals are allowed to use PGDs. 

NOTE Use of a respirator to reduce exposure to a HAP to below the Toxic Exposure Guideline requires professional expertise to determine the choice and effectiveness of the respirator. The use of a respirator can place strain on respiratory and cardiac systems. A medical exam by a specially trained health professional is needed prior to the use of a respirator to determine if the use of a respirator poses a risk to the health of the wearer. 

Training health practitioners and other professionals involved in the operation, assessment and monitoring of the Pro-Iodo program ... 

This publication is intended to provide educational information for the reader on the covered subject. It is not intended to take the place of personalized medical counseling, diagnosis, and treatment from a trained health professional. 

HazCom area managers ensure that a list of the hazardous chemicals (using identities referenced on the appropriate MSDSs) known to be present in the woik area is accessible to SNL personnel and that SNL personnel are informed of the hazards associated with nonroutine tasks and with chemicals contained in unlabeled pipes. (This may be accomplished through site-specific training, health and safety meetings, and technical woik documents.)... 

Resource Management. It is necessary to document in procedures of the integrated management system the processes of staff selection, reception and training, health surveillance of the workers, PPE s management, worker representation, performance evaluation, evaluation of the working environment and conflict resolution. 

Supporting a robust system to train health and safety professionals, and to sustain trainers. 

Well-trained health and safety officers/advisors/coordinators can play an important role in issue resolution by providing an impartial and skilled source of advice on the hazards and risks involved in the issue, on applicable standards and possible control measures. They may do this through informal contact with management, health and safety representatives or employees. They may also operate as one of the management nominees on the health and safety committee and be asked by the cormnittee to research the issue and so assist the committee to resolve it. 

In New Zealand a trained health and safety representative can issue a hazard notice . An inspector there can issne an infringement notice with an on-the-spot fine if there has previonsly been a hazard notice or an improvement notice issued which was not acted on. 

B Consultation, supervision, procedures, hazard register, job safety analysis, accident investigation and reporting, selection and training, health surveillance, emergency response, etc. 

Health care providers are on-site for all production shifts and are involved in hazard identification and training. Health care providers periodically observe the work areas and activities and are fully involved in hazard identification and training. ... 

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