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MSP
ENROLLMENT: WHO
MUST ENROLL?
CU employees, students
and volunteers with exposure to
animals, animal tissue
or waste, or human blooborne pathogens (human blood or other potentially
infectious materials) must
enroll in the Medical Surveillance Program (MSP). Principal Investigators
(PI's), Advisors and Supervisors of individuals with these exposures must
require their personnel to enroll in the Medical Surveillance Program
and to complete and document the appropriate training (Zoonotic, OSHA
Bloodborne Pathogens Standard, "Hantavirus," as needed.)
If
requested, a University Veterinarian or the Occupational Health Nurse
will provide additional zoonotic information or training material to instructors
of animal science courses and farm managers for their classes.
ADDITIONAL
TRAINING REQUIREMENTS FOR SOME EXPOSURES:
-
EXPOSURE TO HUMAN BLOOD, TISSUE, CELLS, OR OTHER
POTENTIALLY INFECTIOUS MATERIALS: OSHA
Bloodborne Pathogens Standard training is required
annually for persons with human biohazard exposure.
Training can be taken online at the EHS
website, with documentation accomplished online after completion of
the module. By request,
the Clemson occupational health nurse is available to give group presentations
to departments or facilities needing OSHA Bloodborne
Pathogens Standard training. Persons
who have already had the Hepatitis B series (3 immunizations) or who
do not wish to receive these at this time may submit an OSHA
Hepatitis B Decline form.
- TRAPPING
OF SMALL WILD ANIMALS: persons
planning to trap small wild animals will need to contact the OHN to
arrange for "hantvirus" training. This consists
of specific information, medical clearance for respirator use, respirator
fitting through EHS, and special training by Research Services personnel.
All participants in the protocol should plan to attend this session
together, and it can usually be completed
in a few hours with advance planning. If you will be trapping small wild animals,
please print out and study the Clemson
University Policy for Individuals Participating in the Trapping or Handling
of Small Animals in Field Studies and
bring your copy with you for your appointment with the Occupational
Health Nurse. Please also submit a completed OSHA Respirator Questionnaire
with your other enrollment forms.
THE MSP "ENROLLMENT"
PROCEDURE:
- If
an immunization or additional training is needed,
please
call 656-3076 for an appointment for "MSP enrollment,"
but please send your forms in advance if possible.
- If
no immunization or additional training
is required, enrollment in the Medical Surveillance
Program may be accomplished by printing and completing the 3 forms below
and then submitting them by FAX,
"campus" or U.S. Mail, or by bringing them to the
Medical Surveillance Program office:
Clemson University Medical
Surveillance Program
Joseph
F. Sullivan Center
101
Edwards Hall
Clemson,
SC
29634-0742
FAX:
(864) 656-7694
- Enrollment and
training forms will
be reviewed by the occupational health nurse. Please
be sure to include your email address and office or home phone number
on the "Client Profile" form so you can be easily reached.
- You
will be notified that your enrollment is complete or that it is "pending"
other services.
- If you are participating in an ARC "Animal
Use Protocol" (AUP) or an IBC "Biohazard Protocol," a Medical Surveillance Program certificate
of completion will be sent to the Office
of Research Compliance as soon
as enrollment and training requirements for the protocol have been met.
- You
will be considered "enrolled" in the MSP for your current exposures
or protocol after the above process has been accomplished.
If you change animal species during your affiliation
with Clemson, you will need to complete zoonotic training appropriate
for your new species and submit documentation of the new species training.
- Individuals
who are exposed to unique hazards or hazardous agents
may be required to
receive further training, testing, or surveillance as determined by
current occupational and environmental medical recommendations.
FORMS TO PRINT, COMPLETE, AND SUBMIT FOR MEDICAL SURVEILLANCE PROGRAM
ENROLLMENT:
1. Client
Profile – demographic information. If your name changes during your affiliation
with the University (i.e., due to marriage, etc.), please notify the MSP
receptionist at (864) 656-3076 so we can keep your records current.
2. Occupational Health History
-- will
be evaluated to determine risk associated with your
animal, chemical, biological, or physical exposures. Be sure to
complete all sections, with
particular attention to the following:
- Date of
last Tetanus (Td) booster – You
must submit the date (or an approximation) of your last Tetanus/Td
booster as part of the MSP enrollment process.
Redfern Health er may be
able to provide your Td date if you submitted an immunization record
to them. CU
employees who work with animals/animal tissue, human biohazards, or
soil and know or suspect that it has been >10 years since their
last Td booster can receive
a free Td booster through the Medical Surveillance Program. Please
call 656-3076 for an appointment.
- History of allergies, including food, medication, animals,
dermatitis, nasal allergy, asthma, latex sensitivity, insect sting allergy,
etc.
3.
Zoonotic Training Documentation Form -- complete
this form after you have read and understood the zoonotic information
pertaining to each species with which you will be working.
Submission of this form will indicate your affirmation that the information has
been read and understood.
Women
Planning a Pregnancy should consult with their physician regarding exposures that may present
a unique hazard in pregnancy.
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