Developing an ethylene oxide quality assurance program

Regulations concerning the acceptable levels of Ethylene Oxide (EtO) in the hospital work environment have been tightened. The need has increased for both monitoring equipment and for programs to evaluate the results obtained. Development of a program at a community hospital is discussed, with a consideration of equipment cost-effectiveness, availability, and ease of use. The program developed includes both installation of equipment to reduce the levels of EtO in the work area, and purchase of equipment to monitor the EtO levels in the air, and to monitor EtO levels in the "breathing zone" for individual employees. This program also includes the establishment and review of policies concerning the purposes and procedures for EtO use in the hospital. An inservice education program is described, which includes documentation of employee attendance and comprehension, with follow-up to assure compliance with procedures. Monitoring the personnel for exposure to EtO can support the value of instituting such policies.