Re: [Histonet] pregnancy and chemical exposure

[Terri Braud via Histonet]

Hi Val - 
I'm sorry that you feel that your concerns are not being addressed.  I am the 
safety officer for our entire lab as well as the chair on our hospital's 
Environmental Safety and Hazardous Materials Committee.  I do think that Tim 
has a valid point that Xylene is detectable by smell long before it poses a 
danger.  It can be smelled at 0.8ppm to 40ppm and only becomes unacceptable at 
100ppm.
You should have access to your most recent exposure tests which should have 
been performed at the peak of your work exposure process (i.e. using a 
Short-term exposure value (STEL) measure while changing the processor, or 
stainer) This is the best look at your actual exposure.  If this STEL has not 
been done, ask for it to be repeated.  It is cheap and easy. Additionally, you 
should be provided with appropriate PPE which include NITRILE gloves that are 
approved for Chemical use (looks for the label to state "tested and approved 
for use with  Chemotherapy drugs.  Those should be sufficient.) The gloves 
should be changed every 30 minutes of exposure task time, or sooner if the 
gloves are compromised.  You should also have access to air flow studies for 
your fume hood that show it is performing according to specs.
There are no useful studies of xylene exposure and prenatal risk or 
developmental toxicity.  The best overall study can be found at the NIH, but 
the only ones that specifically address this had too many limitations to be 
considered useful and didn't even include exposure levels.
As a tech, I have been in the field for over 40 years, I can tell you that I 
can count over 20 pregnancies amongst me and my coworkers at 3 different 
institutions, with no problems whatsoever, and many of these were in a 
not-so-great  environment as the one I work in now.
As a manager, I would expect that if I gave you the provisions that I 
discussed, (within STEL, appropriate PPE with Nitrile gloves, and an the hood 
air flow check) that you should be able to perform your chemical related tasks 
with no problems. 
My personal advice is the stressing over this problem is not good for you or 
your baby either.  I wish you and your new baby only the best.  Sincerely, Terri

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital
1648 Huntingdon Pike
Meadowbrook, PA 19046
ph: 215-938-3689
fax: 215-938-3874
Care, Comfort, and Heal

Message: 7
Date: Tue, 21 Jan 2020 16:23:15 +
From: "Morken, Timothy" 
To: Val L , "Eck, Allison" 
Cc: Histonet 
Subject: Re: [Histonet] Pregnant in histo lab. Am I safe?

The problem with xylene is that the acceptable air level in the lab is 100ppm 
but humans can detect it by smell at the 5 - 20ppm range. So it seems like it 
is "everywhere" but it could still be at a very low level. What level is safe 
for a pregnancy?  CDC has some info on this:
https://www.cdc.gov/niosh/topics/repro/solvents.html

Tim Morken
Supervisor, Electron Microscopy/Neuromuscular Special Studies
Department of Pathology
UC San Francisco Medical Center

-Original Message-
From: Val L via Histonet  

Sadly I have already been exposed to xylene several times as I cannot avoid the 
smell. It?s everywhere. There are not enough vents in the lab. I don?t know if 
it?s ignorance or malice but my manager and coworkers are not quite informed 
about the dangers that a pregnant woman face in a histology lab.
They feel that if the lab passed a xylene vapor tests and give me a general 
purpose respirator then that?s enough for me to be safe and I can do the same 
work as everybody else. There is a negligent attitude regarding safety in this 
laboratory. Also there has been a negative attitude towards pregnant women like 
if they were are a burden in the lab.  It makes me nervous to work here. I 
don?t think is a healthy work environment.

On Saturday, January 18, 2020, Eck, Allison  wrote:

> From: Valerie Laughlin via Histonet 
> [histonet@lists.utsouthwestern.edu]
> Sent: Saturday, January 18, 2020 7:21 AM
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] Pregnant in histo lab. Am I safe?
>
> Hello everyone. I am currently in the last weeks of my first trimester 
> of my pregnancy.
>> I have asked this question to my Ob-Gyn, family and general pregnancy 
> forums but I wanted to ask people who understand the field of 
> Histotechnology better.
> I have been very concerned about the side effects of the chemicals 
> that might have on my baby.  The lab works with the typical stuff 
> (formaldehyde, xylene, alcohol of different percentages, glacial 
> acetic acid, stains etc) They make the fixative from scratch.
> I had to inform my supervisor and manager. I didn?t get the most 
> positive reaction from them but I don?t care as this is my personal 
> business and I have rights like everybody else.
> I gave them a letter from my doctor informing my pregnancy and that I 
> should be kept away from the chemicals for my own safety.
> They acknowledged the letter but still 

Re: [Histonet] Pregnancy guide for working in histology

[Katelin Tellechea via Histonet]

Hi Carol,
I did a poster presentation on this topic at the NSH Symposium in Long
Beach, 2016.
I would be happy to send you a copy of my poster. I also wrote a blog
article about my research for the poster found here:
https://www.fixationonhistology.com/home/my-pregnancy-in-the-lab-researching-safety-considerations
The Block also has the abstract, podcast interview, and a Safety Snippet of
my poster.
Please contact me directly if you have any other questions or I can help in
any way.
Katelin


On Thu, Sep 6, 2018, 10:01 AM Carol Torrence via Histonet <
histonet@lists.utsouthwestern.edu> wrote:

> Good morning!
>
> Could some of you chime in on guidelines you go by for those employee that
> are expecting a baby.  I have removed employee from xylene exposure during
> staining and cover slipping but am on the fence about grossing.  At this
> time the employee has been removed from grossing.  All grossing is done
> under an exhaust hood.  Our exposure badges have always read well below
> limits.  Thanks in advance!
>
> Carol M. Torrence, HT(ASCP)
>
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Re: [Histonet] Pregnancy guide

[Terri Braud via Histonet]

Remember that contamination can also be by skin absorption.  With that in mind, 
we provide thick Nitrile gloves with instruction to change them at least every 
30 minutes, or less if they show any signs of deterioration.  We have great 
ventilation and beyond that, when we wear our fume badges, we perform the worst 
exposure tasks, so when calculated, the exposure shows what it would be like if 
we did that task for 8 hours a day - and we STILL are way under the limit. The 
result: No restrictions of duties - 5 babies born to employees here without a 
single problem in 12 years.
However, with that said, I would never ask a pregnant technician to hand 
coverslip more than the occasional slide.
Just my 2cents - T

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital
1648 Huntingdon Pike
Meadowbrook, PA 19046
ph: 215-938-3689
fax: 215-938-3874
Care, Comfort, and Heal
  

 2. Pregnancy guide for working in histology (Carol Torrence)
Message: 2
Date: Thu, 6 Sep 2018 16:43:47 +
From: Carol Torrence 
To: "histonet@lists.utsouthwestern.edu"

Subject: [Histonet] Pregnancy guide for working in histology
Message-ID:

Content-Type: text/plain; charset="us-ascii"

Good morning!

Could some of you chime in on guidelines you go by for those employee that are 
expecting a baby.  I have removed employee from xylene exposure during staining 
and cover slipping but am on the fence about grossing.  At this time the 
employee has been removed from grossing.  All grossing is done under an exhaust 
hood.  Our exposure badges have always read well below limits.  Thanks in 
advance!

Carol M. Torrence, HT(ASCP)



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Re: [Histonet] Pregnancy guide for working in histology

[Rene J Buesa via Histonet]

Both formalin and xylene (and any other dangerous fumes) have to be avoided 
during pregnancy BUT if you have an efficient fumes hood to do grossing, then 
you should monitor exposure. Somebody NOT pregnant should gross with a personal 
formalin badge and, depending on the exposure result, then you may allow the 
pregnant employee to do grossing or not.René 

On Thursday, September 6, 2018 1:08 PM, Carol Torrence via Histonet 
 wrote:
 

 Good morning!

Could some of you chime in on guidelines you go by for those employee that are 
expecting a baby.  I have removed employee from xylene exposure during staining 
and cover slipping but am on the fence about grossing.  At this time the 
employee has been removed from grossing.  All grossing is done under an exhaust 
hood.  Our exposure badges have always read well below limits.  Thanks in 
advance!

Carol M. Torrence, HT(ASCP)

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Re: [Histonet] Pregnancy and the Histo lab

[Katelin Tellechea via Histonet]

Hi Kimberly,
I did a poster presentation on this topic at the NSH Symposium in Long
Beach, 2016. There is new research that most of us aren't up to date on and
I feel strongly about using it to create a new culture of safety for our
pregnant histotechs.
I would be happy to send you a copy of my poster and I am working with the
NSH Health and Safety Committee to create a user friendly version of it for
The Block.  The Block also has the abstract, podcast interview, and a
Safety Snippet of my poster.
In the Fall 2016 Mikro-Graf newsletter (published by the Michigan Society
of Histotechnologists) my poster findings are published in the lead
article.
Also, you can listen to my podcast interview on the NSH podcast website
http://nshpodcasts.podbean.com (P-17, posted 11/7/2016).
Please contact me directly if you have any other questions or I can help in
any way.
Katelin

On Jul 18, 2017 11:56 AM, "Kimberly Marshall via Histonet" <
histonet@lists.utsouthwestern.edu> wrote:

> Hello from Utah all Histo folks.
>
>I would like some input on Pregnancy and working in a Histology lab.  I
> worked through both pregnancies and had healthy children.  That being said
> I know much has changed in 30 years.  So how are labs dealing with it now?
> Less time around formalin? Xylene?  No pregnant ladies in the Histo lab???
>
>   There is some research out there, but would like to know how other
> histology Supervisors handle it.
>
> Thanks in advance
> Kimberly Marshall H.T. (ASCP)
>
>
>
> Kimberly Marshall H.T.(ASCP)
> Histology Lab Supervisor
> Toll Free 1-800-426-2099
> Fax 801-584-5104
> PO Box 17580
> Salt Lake City, Utah 84107
> www.animalreferencepathology.com
>
> Advancing the art and science of veterinary medicine
>
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Re: [Histonet] Pregnancy and the Histo Lab

[Pairan, Kelly via Histonet]

Hi Kimberly,
I was pregnant last year.  I pretty much did everything that I normally did in 
the lab.  When I thought I may have a prolonged exposure to chemicals (such as 
changing processors), I wore a mask.  The biggest issue I had was that my 
ankles and feet got really swollen.   The histology lab is not a place where 
you can put your feet up and keep working.  My manager did try to get me to sit 
with my feet up as much as possible but it was almost impossible as I do not 
have a desk job.  I ended up being off a week before my due date because of it. 
 My little boy just turned one and he is perfectly fine.

Have a great day!
Kelly

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Re: [Histonet] Pregnancy and the Histo lab

[Amanda Reichard via Histonet]

Hi Kimberly,

I was recently pregnant and stayed away from sentinel node specimens, and 
mounting media (Toluene can cause birth defects).  I am also a supervisor so my 
exposure was limited anyways. I would say whatever the woman is comfortable 
with I would let them be around, except the two I stated above.  If she wasn't 
comfortable with formalin or Americlear (our xylene sub) I would have found 
something else that she could do besides microtomy like filing, send outs, 
cytology etc. I think it's very important that we are as careful as we can be 
in regards to pregnancy in the histology lab.

Amanda


Amanda Reichard, HTL (ASCP)cm
Histology/Cytology Supervisor
Licking Memorial Health Systems
1320 W. Main St.
Newark, OH 43055
(220) 564-4163
areich...@lmhealth.org



-Original Message-
From: Kimberly Marshall via Histonet [mailto:histonet@lists.utsouthwestern.edu]
Sent: Tuesday, July 18, 2017 2:35 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Pregnancy and the Histo lab

Hello from Utah all Histo folks.

   I would like some input on Pregnancy and working in a Histology lab.  I 
worked through both pregnancies and had healthy children.  That being said I 
know much has changed in 30 years.  So how are labs dealing with it now?  Less 
time around formalin? Xylene?  No pregnant ladies in the Histo lab???

  There is some research out there, but would like to know how other histology 
Supervisors handle it.

Thanks in advance
Kimberly Marshall H.T. (ASCP)



Kimberly Marshall H.T.(ASCP)
Histology Lab Supervisor
Toll Free 1-800-426-2099
Fax 801-584-5104
PO Box 17580
Salt Lake City, Utah 84107
www.animalreferencepathology.com

Advancing the art and science of veterinary medicine

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Re: [Histonet] Pregnancy

[Rene J Buesa]

Using carbon masks is acceptable but not the best solution which is assigning 
tasks not requiring working with xylene which is EXTREMELY dangerous.
Please go to http://www.histosearch.com/rene.html
 and read the article about xylene substitution where I discuss precisely this 
issue.
By the way, in that same website you can learn how to dewax and coverslip 
WITHOUT xylene.
René J.

From: Parker, Helayne hpar...@skaggs.net
To: 'histonet@lists.utsouthwestern.edu' histonet@lists.utsouthwestern.edu 
Sent: Tuesday, March 5, 2013 1:09 PM
Subject: [Histonet] Pregnancy

Hi Gang,
  Thought I would ask some people with some more experience than I in this.  
One of our techs is pregnant-  Yay !!!  She is very early - about 5 weeks.  My 
Lab Director wants her to start wearing a mask due to the chemicals.  So we 
need to ask what sort of precautions need to take place during the pregnancy 
etc.  We also coverslip by hand here out of xylene etc.  I can not remember 
ever working with any pregnant HTs in the past so I honestly do not know.  
Please carbon copy replies to jascholefi...@skaggs.net as well.  We 
predominately work with 10% formalin, reagent grade alcohols, paraplast, 
xylenes, clear-rite 3, Decal I and II (from Surgipath), cytofixative and some 
routine special stain items. Basically the typical myriad of stuff a very small 
routine histo lab would have (no immunos)

Thanks and bunch for your help !


Sincerely,

Helayne Parker, H.T. (ASCP)
Pathology Section Head
Cox Medical Center Branson
P.O. Box 650, Branson, MO 65615
Phone:  417-335-7254
Fax:  417-335-7127
Email:  hpar...@skaggs.net
Web:  www.coxhealth.com/branson


CoxHealth – ranked one of Missouri's Best Hospitals by U.S. News  World Report
COXHEALTH CONFIDENTIALITY NOTICE: This e-mail message, including any 
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RE: [Histonet] Pregnancy

[JStaruk]

We have a form for all pregnant women (and her doctor) to sign.  The form
lists the chemicals she will be exposed to and the potential risks of each
are outlined.  The form also reminds the employee that she should continue
to use universal precautions when working around these chemicals.  I like to
have her doctor acknowledge that he/she is aware of the employee's work
environment and that the employee has her doctor's OK to continue working
here.  I feel that having both sign this form protects us from any possible
liability.

___
James E. Staruk HT(ASCP)
 www.masshistology.com
   www.nehorselabs.com




-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Parker,
Helayne
Sent: Tuesday, March 05, 2013 1:10 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Pregnancy

Hi Gang,
   Thought I would ask some people with some more experience than I in this.
One of our techs is pregnant-  Yay !!!  She is very early - about 5 weeks.
My Lab Director wants her to start wearing a mask due to the chemicals.  So
we need to ask what sort of precautions need to take place during the
pregnancy etc.  We also coverslip by hand here out of xylene etc.  I can not
remember ever working with any pregnant HTs in the past so I honestly do not
know.  Please carbon copy replies to jascholefi...@skaggs.net as well.  We
predominately work with 10% formalin, reagent grade alcohols, paraplast,
xylenes, clear-rite 3, Decal I and II (from Surgipath), cytofixative and
some routine special stain items. Basically the typical myriad of stuff a
very small routine histo lab would have (no immunos)

Thanks and bunch for your help !


Sincerely,

Helayne Parker, H.T. (ASCP)
Pathology Section Head
Cox Medical Center Branson
P.O. Box 650, Branson, MO 65615
Phone:  417-335-7254
Fax:  417-335-7127
Email:  hpar...@skaggs.net
Web:  www.coxhealth.com/branson



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Re: [Histonet] Pregnancy

[Rene J Buesa]

Protecting the employer for a possible liability (and law suit after the fact) 
cannot cover the compensation for a miscarriage or a permanently disabled child.
The issue is not protecting the employer, but protecting the employee and her 
child.
I am sorry, but that is how I see it!
René J.

From: JStaruk jsta...@masshistology.com
To: 'Parker, Helayne' hpar...@skaggs.net; histonet@lists.utsouthwestern.edu 
Sent: Tuesday, March 5, 2013 1:27 PM
Subject: RE: [Histonet] Pregnancy

We have a form for all pregnant women (and her doctor) to sign.  The form
lists the chemicals she will be exposed to and the potential risks of each
are outlined.  The form also reminds the employee that she should continue
to use universal precautions when working around these chemicals.  I like to
have her doctor acknowledge that he/she is aware of the employee's work
environment and that the employee has her doctor's OK to continue working
here.  I feel that having both sign this form protects us from any possible
liability.

___
James E. Staruk HT(ASCP)
 http://www.masshistology.com/
   http://www.nehorselabs.com/




-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Parker,
Helayne
Sent: Tuesday, March 05, 2013 1:10 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Pregnancy

Hi Gang,
  Thought I would ask some people with some more experience than I in this.
One of our techs is pregnant-  Yay !!!  She is very early - about 5 weeks.
My Lab Director wants her to start wearing a mask due to the chemicals.  So
we need to ask what sort of precautions need to take place during the
pregnancy etc.  We also coverslip by hand here out of xylene etc.  I can not
remember ever working with any pregnant HTs in the past so I honestly do not
know.  Please carbon copy replies to jascholefi...@skaggs.net as well.  We
predominately work with 10% formalin, reagent grade alcohols, paraplast,
xylenes, clear-rite 3, Decal I and II (from Surgipath), cytofixative and
some routine special stain items. Basically the typical myriad of stuff a
very small routine histo lab would have (no immunos)

Thanks and bunch for your help !


Sincerely,

Helayne Parker, H.T. (ASCP)
Pathology Section Head
Cox Medical Center Branson
P.O. Box 650, Branson, MO 65615
Phone:  417-335-7254
Fax:  417-335-7127
Email:  hpar...@skaggs.net
Web:  www.coxhealth.com/branson



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RE: [Histonet] Pregnancy

[Bernice Frederick]

We don't even let them near the stainers, processors or coverslippers. Those 
I've seen that are expecting can't deal with the smell anyway. It's a 
teratogen. I wouldn't risk it either.
Bernice

Bernice Frederick HTL (ASCP)
Senior Research Tech
Pathology Core Facility
ECOGPCO-RL
Robert. H. Lurie Cancer Center
Northwestern University
710 N Fairbanks Court
Olson 8-421
Chicago,IL 60611
312-503-3723
b-freder...@northwestern.edu


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Tuesday, March 05, 2013 12:34 PM
To: JStaruk; 'Parker, Helayne'; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Pregnancy

Protecting the employer for a possible liability (and law suit after the fact) 
cannot cover the compensation for a miscarriage or a permanently disabled child.
The issue is not protecting the employer, but protecting the employee and her 
child.
I am sorry, but that is how I see it!
René J.

From: JStaruk jsta...@masshistology.com
To: 'Parker, Helayne' hpar...@skaggs.net; histonet@lists.utsouthwestern.edu
Sent: Tuesday, March 5, 2013 1:27 PM
Subject: RE: [Histonet] Pregnancy

We have a form for all pregnant women (and her doctor) to sign.  The form lists 
the chemicals she will be exposed to and the potential risks of each are 
outlined.  The form also reminds the employee that she should continue to use 
universal precautions when working around these chemicals.  I like to have her 
doctor acknowledge that he/she is aware of the employee's work environment and 
that the employee has her doctor's OK to continue working here.  I feel that 
having both sign this form protects us from any possible liability.

___
James E. Staruk HT(ASCP)
 http://www.masshistology.com/
   http://www.nehorselabs.com/




-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Parker, Helayne
Sent: Tuesday, March 05, 2013 1:10 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Pregnancy

Hi Gang,
  Thought I would ask some people with some more experience than I in this.
One of our techs is pregnant-  Yay !!!  She is very early - about 5 weeks.
My Lab Director wants her to start wearing a mask due to the chemicals.  So we 
need to ask what sort of precautions need to take place during the pregnancy 
etc.  We also coverslip by hand here out of xylene etc.  I can not remember 
ever working with any pregnant HTs in the past so I honestly do not know.  
Please carbon copy replies to jascholefi...@skaggs.net as well.  We 
predominately work with 10% formalin, reagent grade alcohols, paraplast, 
xylenes, clear-rite 3, Decal I and II (from Surgipath), cytofixative and some 
routine special stain items. Basically the typical myriad of stuff a very small 
routine histo lab would have (no immunos)

Thanks and bunch for your help !


Sincerely,

Helayne Parker, H.T. (ASCP)
Pathology Section Head
Cox Medical Center Branson
P.O. Box 650, Branson, MO 65615
Phone:  417-335-7254
Fax:  417-335-7127
Email:  hpar...@skaggs.net
Web:  www.coxhealth.com/branson



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