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HHE determination report no. HHE-78-6-503, Cumberland Outpatient Department of Beth Israel Hospital, Brooklyn, New York.

Authors
Messite-J; Fannick-NL
Source
Cincinnati, OH: U.S. Department of Health, Education, and Welfare, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, HHE 78-6-503, 1978 Jul; :1-3
NIOSHTIC No.
00179830
Abstract
In response to a request from a representative of the nursing staff, an investigation was made of possible methadone (76993) exposures at the Cumberland Outpatient Department of Beth Israel Hospital, Brooklyn, New York, a methadone dispensing clinic. The distribution room measured 12 feet in all dimensions and was enclosed on three sides. Methadone had previously been received in prepackaged doses, but more recently the nurses had to count the contents of each 100 count bottle of methadone-hydrochloride (1095905) and separate tablets or diskets into individual doses. A small amount of pink orange dust, due to chipping and breakage of pills, was noted during the on site visit, on the countertops where the drug was counted. Nurses involved in dispensing the medication reported intermittent sleepiness, itching of the face, nose, and eyes, and dryness of skin on the hands and face. Urine studies indicated no detectable methadone or methadone metabolites at a limit of 1 microgram per milliliter. The authors conclude that there is no evidence of methadone absorption; however, they recommend that skin contact with the tablets and diskets be kept to a minimum by use of instruments for moving the pills on the counting tray, frequent clean up of dust, and periodic hand washing.
Keywords
NIOSH-Author; NIOSH-Health-Hazard-Evaluation; HHE-78-6-503; Region-2; Hazard-Unconfirmed; Health-care-personnel; Metabolic-study; Skin-exposure; Skin-absorption; Urinalysis; Clinical-symptoms; Narcotics; Drug-therapy; Author Keywords: methadone; methadone dispensing clinic; dose counting
CAS No.
76-99-3; 1095-90-5
Publication Date
19780701
Document Type
Field Studies; Health Hazard Evaluation
Fiscal Year
1978
NTIS Accession No.
PB88-224068
NTIS Price
A01
Identifying No.
HHE-78-6-503
NIOSH Division
DSHEFS
Source Name
National Institute for Occupational Safety and Health
State
NY; OH
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