Bio-monitoring is the study of biological material for the determination of hazardous substances and their metabolized products, as well as the investigation of changes in body substances (effect monitoring).
The Institute for Prevention and Occupational Health of the DGUV (IPA) has developed quality-assured standards for the biological monitoring planned by BG Verkehr. This includes the observance of certain time sequences and the use of prefabricated sample sets. These sets contain, among other things, sample containers and disinfectants for the skin, since already disinfecting plugs or the material of the sample containers can influence the result of the analysis. For the Bio-Monitoring, therefore, only the transit physicians designated by the BG Transport can participate, which were supplied with the sample masses in advance.
Substances studied in bio-monitoring
The preparation, implementation and evaluation are exclusively handled by the Institute for Prevention and Occupational Medicine of the DGUV (IPA). The institute has prepared the entire process, from sample preparation to dispatch to analysis uniformly standardized according to scientific criteria.
The cost of bio-monitoring is borne by BG Transport. If the samples are taken within the framework of the Berufsgenossenschaft (BGV), BG Verkehr will also reimburse the travel expenses for the journey to the doctor under the statutory guidelines.
The procedure at the notified physician
If the affected persons agree to participate in the bio-monitoring, the transplant physician will take a blood and a urine sample and forward these samples to the IPA for analysis. In addition, patients are asked to complete two questionnaires.
It is also possible to bring a blood or urine sample taken by another physician to the designated pass doctors. These samples are also examined. However, due to the unclear quality standards of sampling, transport and storage, the meaningfulness may be restricted.
For a second blood sampling after four weeks, the designated transfer physicians will hand over a sample collection set to the patients. This second blood collection can take the transplant physician, a doctor in an airport clinic or the medical technician by means of the sample packet.
The results of the bio-monitoring are transmitted from the IPA to the first-to-be-passed through physician several weeks after the sampling and from there to the respective patient.
Behavior after a fume event
If health problems occur, affected crewmembers should be called after the landing in Germany without delay a transit physician. Anyone wishing to participate in the bio-monitoring procedure initiated by BG Verkehr must visit one of the airport doctors who are involved in the procedure.
In addition, in Germany, in the case of accidents at work, a largely continuous medical care system for medical diagnostics and medical treatment is ensured so that investigations are possible near the home. A list of approx. 4,000 physicians is available on the Internet. BG transport is responsible for expenses for the near-to-work medical care after occupational accidents.
When reporting a fume event and the supply abroad, the regulations and measures which are issued by the respective employer and which are given during the annual instruction on safety and health at work are also to be observed. This also includes reporting the Fume Event to the employer.
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