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occupational health nursing

What is an OHN? specialty practice that provides health services to workers and worker populations
Focus of OHN? to promote, protect, and restore workers' health within the context of a safe and healthy work environment
Advantages of providing health care in the work setting? list 3 1. individuals spend a substantial amount of time at work and the time spent there is spent on a regular basis 2. employees are a captive audience 3. workforce includes individuals at work
Consequences for not providing health care could include: increase in costs, not only for health care, but also for lost wages
Objectives of OHN? list 3 1. Protect workers from safety and health hazards, including community assessment/survey of area 2. promote a safe and healthful workplace, (exposure surveillance) 3. facilitate efforts of workers and their families to meet their health & welfare needs
Roles of OHN today? list 5 1. case management (gatekeeper for services) 2. counseling and crisis intervention 3. Health promotion (edu programs) 4. Legal and Regulatory compliance 5. Worker and workplace hazard detection - perform research on effects of worker exposures
Describe Case management role? list 5 1. provides txt 2. follow-up and referrals 3. emergency care for job related injuries and illnesses 4. OHN acts as gatekeeper 5. Return-to-work issues
Competence for Work Force, Workplace and the Environment: list 4 1. coordinates client health screening and surveillance programs 2. monitors work environment 3. fosters compliance with current laws and regulations 4. interacts with community organizations that provide health and safety resources
What Competency Category for the OHN "employs ethics and critical thinking in decision making"? Management, Business and Leadership category competency
Ten leading work-related diseases and injuries? Occupational lung disease musculoskeletal injuries occupational CAs Traumatic injury and death CVD Reproductive d/o Neurotoxic d/o Hearing loss dermatological conditions psychological d/o
Secondary Prevention Strategies for work-related injuries/disease? - health surveillance and periodic screenings - elimination or modification of hazard-producing situation - interventions aimed at disability limitation to prevent further harm or deterioration
Tertiary Prevention Strategies for work-related injuries/disease? - intended to restore health: - rehab strategies, such as Return-to-Work or Limited Duty Programs
Workman's Compensation Act: -provides compensation for wages lost AND cost of medical and rehab care associated with a work related injury -not insurance benefit, but protection for employee -worker must follow regimen recommended by physician providing care, otherwise OOP costs
Social Security Act of 1935 supplemental retirement income -created disability - disabled workers could collect if unable to work for SIX months
Federal Coal Mine and Safety Act of 1967 OR Federal Mine Safety and Health Amendments Act of 1977 first legislation that addressed ONE particular occupation/industry -it addressed mine safety and Black Lung Disease (pneumoconiosis)
Occupational Safety and Health Act 1970 -act seeks to provide workers with protection against personal injury and illness resulting from hazardous working conditions Two Agencies: -OSHA - regulatory branch, Dept of Labor -NIOSH - research branch, division of CDC *budgeted EVERY year
Toxic Substance Control Act of 1976 EPA enforced - goal: to ensure that the chemical substances used in the work place do NOT place undue hardship for either employee or environment
Hazard Communication Act of 1990 -adequately educated workers regarding hazards in their workplace -covers ALL employees covered by OHSA
OSHA Blood Borne Pathogens Standard 1992 -work places must offer Hep B vaccine to ALL employees at risk of exposure -workplaces must follow general infection control as recommended by CDC -universal precautions training every year
Family Medical Leave Act 1993 -employers with more than 50 employees MUST provide unpaid leave up to 12 weeks -company MUST continue medical benefits during the leave and MUST ensure the employee can return to the same or comparable job
Needlestick Safety and Prevention Act 2000 -act requires changes in blood borne pathogens standard in OSHA -act responsible for hospitals to provide needless systems
Created by: khirsty