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Copyright © 2016 Wolters Kluwer • All Rights Reserved Chapter 25: Occupational Health Nursing
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Harkness2e chap25 ppt

Mar 21, 2017

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Page 1: Harkness2e chap25 ppt

Copyright © 2016 Wolters Kluwer • All Rights Reserved

Chapter 25:Occupational Health

Nursing

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2Copyright © 2016 Wolters Kluwer • All Rights Reserved

Chapter Highlights• Characteristics of the worker and workplace• Roles and responsibilities of occupational

health nurses• Models for occupational health practice• Worker and workplace assessment• Health promotion in workplace settings• Use of epidemiologic techniques in

occupational health• Emergency preparedness and disaster

management

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3Copyright © 2016 Wolters Kluwer • All Rights Reserved

QuestionIs the following statement true or false?National Institute of Occupational Safety and Health (NIOSH) is the federal agency that sets exposure standards and is responsible for enforcement of safety and health legislation.

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4Copyright © 2016 Wolters Kluwer • All Rights Reserved

AnswerFalseRationale: Occupational Safety and Health Administration (OSHA)—the federal agency that sets exposure standards and is responsible for enforcement of safety and health legislation. National Institute of Occupational Safety and Health (NIOSH)—the federal agency established to help ensure safe and healthy working conditions by conducting scientific research, gathering information, and providing education and training in occupational safety and health.

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5Copyright © 2016 Wolters Kluwer • All Rights Reserved

American Association of Occupational Health Nurses (AAOHN)Professional association of nurses working in a business setting, dedicated to the health and safety of workers, worker populations, and community groups

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6Copyright © 2016 Wolters Kluwer • All Rights Reserved

National Institute of Occupational Safety and Health (NIOSH)

The federal agency established to help ensure safe and healthy working conditions by conducting scientific research, gathering information, and providing education and training in occupational safety and health

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7Copyright © 2016 Wolters Kluwer • All Rights Reserved

Occupational Safety and Health Administration (OSHA)

The federal agency that sets exposure standards and is responsible for enforcement of safety and health legislation

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8Copyright © 2016 Wolters Kluwer • All Rights Reserved

Primary Responsibility• Injury prevention and health

promotion, including recognition of conditions that may harm the individual worker or the community

• Nursing process begins with an assessment of both the worker and the workplace.

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9Copyright © 2016 Wolters Kluwer • All Rights Reserved

The Worker and the WorkplaceThe occupational health nursing process begins with an assessment of both the worker and the workplace.Hazards• Biological• Chemical• Physical• Psychosocial

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10Copyright © 2016 Wolters Kluwer • All Rights Reserved

Conceptual Frameworks • The epidemiologic triad• Host• Agent• Environment

• Practice models• Hanasaari• Collaboration and reciprocation

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11Copyright © 2016 Wolters Kluwer • All Rights Reserved

ErgonomicsStudy of the relationship between people and their working environment

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12Copyright © 2016 Wolters Kluwer • All Rights Reserved

Biological HazardsHazards resulting from living organisms that cause adverse effects on people

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13Copyright © 2016 Wolters Kluwer • All Rights Reserved

Chemical HazardsGenerated from liquids, solids, dusts, fumes, vapors, and gases

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14Copyright © 2016 Wolters Kluwer • All Rights Reserved

Physical HazardsHazards that result from the transfer of physical energy to workers

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15Copyright © 2016 Wolters Kluwer • All Rights Reserved

Psychosocial HazardsAll organizational factors and interpersonal relationships in the workplace that may affect the health of the workers

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16Copyright © 2016 Wolters Kluwer • All Rights Reserved

Occupational Health Nursing (OHN)• History• Standards of practice

• The primary responsibility of the OHN is that of injury prevention and health promotion, including recognition of conditions that may harm the individual worker or the community.

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17Copyright © 2016 Wolters Kluwer • All Rights Reserved

OHN: Practice• Clinician• Worker assessment• Workplace assessment• Case manager• Counselor/consultant• Health promotion specialist• Manager/administrator• Researcher

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18Copyright © 2016 Wolters Kluwer • All Rights Reserved

Root Cause AnalysisA process for understanding and solving a problem with the goal of determining what happened, why it happened, and what can be done to prevent its reoccurrence

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19Copyright © 2016 Wolters Kluwer • All Rights Reserved

Workplace Walk-ThroughA complete survey of the workplace, inside and outside, compiling information as to the presence of hazards, the location of entries and exits, the availability of emergency equipment, and potential trouble spots

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20Copyright © 2016 Wolters Kluwer • All Rights Reserved

Implementing Health Promotion in the Workplace

• Developing a team approach• Choosing interventions• Implementing a smoking cessation

program

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21Copyright © 2016 Wolters Kluwer • All Rights Reserved

Epidemiology and Occupational Health

• Epidemiologic surveillance• Incidence• Prevalence• Ratios

• Epidemiologic studies• The knowledge base generated through

epidemiologic studies is used to identify and prevent injury and disease.

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22Copyright © 2016 Wolters Kluwer • All Rights Reserved

Emergency Preparedness Planning and Disaster Management

• Concepts of an emergency preparedness plan

• Critical functions of the plan