Trigger Levels for Health Surveillance Protocols

You can specify different trigger levels for health surveillance protocols. Trigger levels enable you to specify at which exposure ratings the system should trigger a health surveillance protocol and propose the protocol to the physician as needing to be performed.

To do this, the system compares the individual trigger levels with the exposure values that you entered in Infotype 1403 – Long-Term Average and Infotype 1404 – Task-Related Exposure. If a trigger level is exceeded, the system proposes the health surveillance protocol for the persons in question. The system can determine these persons because the agents for health surveillance protocols are assigned to persons by means of objects in the Organizational Management component (for example, Exposure Groups).

See also: Health Surveillance Protocol Triggering

Procedure

  1. To edit the trigger levels, choose Start of the navigation path Basic Data Next navigation step Health Surveillance Protocols Next navigation step Edit Health Surveillance Protocols End of the navigation path on the Occupational Health screen.

  2. Select the required health surveillance protocol and choose Agents with the quick info text Assigned Agents.

  3. The Assign Agents screen appears.

  4. In the Trigger Levels for Agent group box, make entries for the rating of the exposure amount, for the exposure frequency, and for the trigger levels that are relevant for triggering a health surveillance protocol. You do not need to edit all the values. However, if you enter the short-time exposure rating, you must also enter the exposure frequency.

    Note Note

    The system proposes a health surveillance protocol if the actual ratings or frequencies of the respective agents exceed, or are the same as, the trigger levels entered for the protocol.

    End of the note.
Trigger Levels

You can specify the trigger levels for an agent dependent on age and gender. For this, you use the Age From, Age To, and Gender fields on the Assign Agents screen.

You can store the following trigger levels in the system:

  • Long-term average

    This trigger level specifies the rating (A to E) for the long-term average that will cause the system to propose the protocol.

    You specified the long-term average in the Long-Term Average field when you assigned agents to an object in infotype 1403. If the long-term average for the agent exceeds the value specified for the trigger level, the system proposes health surveillance protocols for the persons assigned to the object.

  • Frequency reference values exceeded

    On a scale from 1 to 4, you specify how frequently the reference value must be exceeded before the system proposes a protocol.

    You specified this frequency reference value in the Freq. Ref. Vals Exc. field when you assigned agents to an object in infotype 1403. If the reference value for the agent is exceeded more frequently than specified in the trigger level, the system proposes health surveillance protocols for the persons assigned to the object.

  • Frequency trigger levels exceeded

    Using a scale from 1 to 4, you specify how frequently the trigger level must be exceeded before the system proposes a protocol.

    You specified the frequency value for exceeding the trigger level in the Freq. Trig. Lvl Exc. field when you assigned agents to an object in infotype 1403. If the trigger level entered for the agent is exceeded more frequently than specified in the protocol trigger level, the system proposes health surveillance protocols for the persons assigned to the object.

  • Short-time exposure rating

    This trigger level specifies the rating (A to E) for task-related exposure that will cause the system to propose the protocol.

    You specified the rating for short-time exposure when you assigned agents to an object in infotype 1404 by assigning an exposure frequency to a specific rating (A to E) in the Short Expos. Rating field. If the short-time exposure rating entered for the agent exceeds the specified trigger level, the system proposes health surveillance protocols for the persons assigned to the object.

    Example Example

    The system proposes a health surveillance protocol if the values measured for an agent are between 10% and 50% of the maximum full-shift reference value. Therefore, the trigger level for the task-related exposure is C. The health surveillance protocol is also triggered if the higher ratings A or B are measured.

    End of the example.

  • Exposure frequency

    Using a scale from 1 to 4, you enter the rating (A to E) for exposure frequency that will cause the system to trigger a health surveillance protocol.

    You specified the exposure frequency in the Exposure Frequency field when you assigned agents to an object in infotype 1404. If this value exceeds the value specified for the protocol trigger level, the system proposes health surveillance protocols for the persons assigned to the object.

    Example Example

    The system proposes the protocol if exposure occurs less than once a shift or less than 50 to 100 times a year. Therefore, the trigger level for exposure frequency is 3. The protocol is also triggered if the higher frequency of 4 is measured.

    End of the example.

  • Additional trigger level: long-term average

    This trigger level is an additional criterion for the short-time exposure rating and for exposure frequency. It specifies the rating for the long-term average (A to E) that will cause the system to trigger a health surveillance protocol.

    You specified the long-term average in the Long-Term Average field when you assigned agents to an object in infotype 1403. The system uses this value whenever the values for the short-term exposure rating and exposure frequency (see above) fail to trigger a protocol. If this value exceeds the value specified for the protocol trigger level, the system proposes health surveillance protocols for the persons assigned to the object.

  • Skin exposure

    Using a scale from 1 to 4, you specify the rating for the risk of skin exposure effects that will cause the system to trigger a health surveillance protocol and assign persons/exposure groups.

    You specified the risk of skin exposure in the Skin Exposure field when you assigned agents to an object in infotype 1404. If the risk of skin exposure effects entered for the agent exceeds the value specified for the protocol trigger level, the system proposes health surveillance protocols for the persons assigned to the object.

  • Skin absorption

    Using a scale from 1 to 4, you specify the rating for the risk of skin absorption that will cause the system to trigger a health surveillance protocol.

    You specified the risk of skin absorption in the Skin Absorptn field when you assigned agents to an object in infotype 1404. If the risk of skin absorption entered for the agent exceeds the value specified for the protocol trigger level, the system proposes health surveillance protocols for the persons assigned to the object.

  • Ingestion

    Using a scale from 1 to 4, you specify the rating for the risk of ingestion effects that will cause the system to trigger a health surveillance protocol and assign persons/exposure groups.

    You specified the risk of ingestion in the Ingestion field when you assigned agents to an object in infotype 1404. If the risk of ingestion effects entered for the agent exceeds the value specified for the protocol trigger level, the system proposes health surveillance protocols for the persons assigned to the object.