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MCN Clinician Guides

 

MCN y Farmworker Justice ofrecen estas guías para ayudar a los médicos en la comprensión de regulaciones de salud y seguridad de los  campesinos.  Información de los Estándares  de Saneamiento de  la Administración de Seguridad y Salud Ocupacional (OSHA) para los campos; la  Ley Federal de Insecticidas, Fungicidas y Rodenticidas (FIFRA) regulado por la Agencia de Protección Ambiental (EPA); la Ley de la Protección de la Calidad de los Alimentos (FQPA) también regulado por el EPA; y el estándar de protección del trabajador (WPS) establecido por el  EPA.

MCN y Farmworker Justice ofrecen estas guías para ayudar a los proveedores de servicios de salud a comprender las regulaciones de salud y seguridad de los trabajadores agrícolas.  Información de los Estándares  de Saneamiento de la Administración de Seguridad y Salud Ocupacional (OSHA) para los campos; la Ley Federal de Insecticidas, Fungicidas y Rodenticidas (FIFRA) regulado por la Agencia de Protección Ambiental (EPA); la Ley de la Protección de la Calidad de los Alimentos (FQPA) también regulado por el EPA; y el estándar de protección del trabajador (WPS) establecido por el EPA.

 

DATE RECORDED: Wednesday, June 17, 2014
PRESENTED BY: Matthew Keifer, MD, MPH, Dean Emanuel Endowed Chair/Director National Farm Medicine Center

Webinar: Pesticide poisonings. Are you prepared?
View Recorded Webinar Participant Evaluation

EOH iconMCN’s Environmental and Occupational Health Programs

Learn more about MCN’s training and technical assistance programs to help clinicians and health centers improve the recognition and management of pesticide exposures and other environmental/occupational health conditions.

 

Mistakes can be dangerous. Accurate identification of pesticides responsible for a patient's illness is important to avoid iatrogenic errors with respect to acute treatment.  Join us for an important webinar that will focus on key decision points in the diagnosis of pesticide exposures and emphasize the usefulness of the newly revised resource for clinicians - The Recognition and Management of Pesticide Poisonings, 6th ed.  Through interactive case studies, this webinar will illustrate effective recognition and treatment of patients over exposed to pesticides. 


The webinar, sponsored by Migrant Clinicians Network, the National Farm Medicine Center and AgriSafe Network features Dr. Keifer, a board certified occupational medicine specialist and internationally renowned researcher regarding pesticides and agricultural health and safety. For over 30 years, Dr. Keifer has focused his clinical practice and research largely on farmworkers. 

SPONSORED BY: AgriSafe Network, Migrant Clinicians Network, and the National Farm Medicine Center

OBJECTIVES: Participants will be able to:

  1. Better recognize the signs and symptoms of pesticide overexposure
  2. Identify key decision points in diagnosing pesticide exposures
  3. Demonstrate an understanding of how to use The Recognition and Management of Pesticide Poisonings, 6th ed. in a clinical setting

We encourage all participants to order The Recognition and Management of Pesticide Poisonings, 6th ed. prior to attending this webinar. Order here. PDF versions are also available at http://www2.epa.gov/pesticide-worker-safety/recognition-and-management-pesticide-poisonings
If you have experienced any trouble ordering your copy please contact: kbrennan@migrantclinician.org 

 

 

 

CLINICAL TOOLS & RESOURCES

 
 

PATIENT EDUCATION MATERIALS

 
 

ARCHIVED WEBINARS & TRAINING RESOURCES

 
 

LOCAL PESTICIDE RESOURCES

 

The following will provide information regarding the pesticides used in your areas:

Three concise and effective environmental/occupational health screening questions for the primary care provider. English and Spanish. MCN, 2014.

An EHR-friendly version of these screening questions was developed through MCN's Workers & Health Program. This can be used as a reference for integration into the health center's Electronic Health Record. 

Download Resource

Haz-Map® is an occupational health database designed for health and safety professionals and for consumers seeking information about the adverse effects of workplace exposures to chemical and biological agents. The main links in Haz-Map are between chemicals and occupational diseases. These links have been established using current scientific evidence.

Protocolos de las pruebas de colinesterasa (ChE) y su algoritmo para proveedores de cuidados de salud

Estas herramientas clínicas sobre la colinesterasa (ChE) proporcionan a los proveedores de servicios de salud un esquema conciso y sencillo para guiar el monitoreo de los niveles de ChE en pacientes que trabajan con la Clase I y Clase II de Organofosforados (OPs) u OPs y N-metil-carbamatos.    


MCN's Pesticide Clinical Guidelines and Pesticide Exposure Assessment Form assist in the recognition and management of acute pesticide exposures in primary care settings.

The pesticide guidelines were adapted from guidelines developed by Dr. Dennis H. Penzell, a former medical director of a Community and Migrant Health Center with experience in large-scale pesticide exposure incidents.

The Acute Pesticide Exposure Form was adapted from the data collection on an acute pesticide exposed patient tool developed by Matthew C. Keifer, MD, MPH, Director of the National Farm Medicine Center, appearing in the EPA's Recognition and Management of Pesticide Exposures, 6th Edition, EPA 2013.

These resources were developed with guidance from MCN's Environmental and Occupational Health Advisory Committee - a panel of healthcare professionals and researchers with expertise in pesticides and migrant health.

The importance of clinical diagnostic tools and biomonitoring of exposures to pesticides as well the role of clinicians in pesticide reporting and the challenges clinicians face in accurately diagnosing patients exposed to pesticides are described in a presentation by Matthew Keifer, MD, MPH and Amy K. Liebman, MPA. Click on the link for an APHA policy resolution underscoring the need for clinical diagnostic tools and biomomitoring of exposures to pesticides. This policy supports the information outlined by in the presentation.

The Toolkit is a combination of easy-to-use reference guides for health providers and user friendly health education materials on preventing exposures to toxic chemicals and other substances that affect infant and child health.

Outlines the knowledge and skills that health professionals need to have about pesticides. This document is part of a national initiative aimed at ensuring that pesticides issues become integral elements of education and practice of primary care providers. English and Spanish

American Association of Poison Control Centers Offers a listing of regional Poison Control Centers. Poison Control Centers provide information regarding possible or actual environmental or occupational exposures and recommended treatments. The website offers education for children and adults.

Northwest Coalition for Alternatives to Pesticides - promotes healthy solutions to pest problems and publishes the Journal on Pesticide Reform.

Pesticide Action Network of North America - promotes healthier, more effective pest management and houses the Pesticide Action Network Pesticide Database - a database of pesticide toxicity and regulatory information. The reference section provides general information about pesticides and their health effects.

Beyond Pesticides/National Coalition Against the Misuse of Pesticides provides pesticide fact sheets, action alerts and information on what to do in a pesticide emergency.