Copyright © 2016 Wolters Kluwer • All Rights Reserved Chapter 25: Occupational Health Nursing
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Chapter 25:Occupational Health
Nursing
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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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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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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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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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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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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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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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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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Conceptual Frameworks • The epidemiologic triad• Host• Agent• Environment
• Practice models• Hanasaari• Collaboration and reciprocation
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ErgonomicsStudy of the relationship between people and their working environment
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Biological HazardsHazards resulting from living organisms that cause adverse effects on people
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Chemical HazardsGenerated from liquids, solids, dusts, fumes, vapors, and gases
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Physical HazardsHazards that result from the transfer of physical energy to workers
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Psychosocial HazardsAll organizational factors and interpersonal relationships in the workplace that may affect the health of the workers
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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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OHN: Practice• Clinician• Worker assessment• Workplace assessment• Case manager• Counselor/consultant• Health promotion specialist• Manager/administrator• Researcher
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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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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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Implementing Health Promotion in the Workplace
• Developing a team approach• Choosing interventions• Implementing a smoking cessation
program
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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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Emergency Preparedness Planning and Disaster Management
• Concepts of an emergency preparedness plan
• Critical functions of the plan