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    Occupational Health Nursing

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    Irene Joy Arellano
    This document discusses occupational health nursing and describes the roles, responsibilities, and interventions of occupational health nurses. It covers topics like legislation impacting occupational health, prevalent occupational health disorders, applying epidemiology to occupational health nursing, and assessing and addressing hazards in the workplace.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Occupational Health Nursing

    Uploaded by

    Irene Joy Arellano
    257 views22 pages
    This document discusses occupational health nursing and describes the roles, responsibilities, and interventions of occupational health nurses. It covers topics like legislation impacting occupational health, prevalent occupational health disorders, applying epidemiology to occupational health nursing, and assessing and addressing hazards in the workplace.

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    This document discusses occupational health nursing and describes the roles, responsibilities, and interventions of occupational health nurses. It covers topics like legislation impacting occupational health, prevalent occupational health disorders, applying epidemiology to occupational health nursing, and assessing and addressing hazards in the workplace.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    257 views22 pages

    Occupational Health Nursing

    Uploaded by

    Irene Joy Arellano
    This document discusses occupational health nursing and describes the roles, responsibilities, and interventions of occupational health nurses. It covers topics like legislation impacting occupational health, prevalent occupational health disorders, applying epidemiology to occupational health nursing, and assessing and addressing hazards in the workplace.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 22

    Occupational Health Nursing

    Dedy Purwito, S.Kep, Ns, M.Sc

    Objectives
    Describe legislation impacting on OHN
    Utilize an occupational health history.
    Identify prevalent occupational health
    disorders.
    Describe the profile of a worker population.
    Apply epidemiology to OHN.
    Describe the roles of the OHN.
    2

    Scope of Occupational Health Problems

    An average of 137 individuals die each day


    Every 5 seconds a worker is injured
    Every 10 seconds a worker is disabled
    Incidence of work-related injuries
    increasing

    Trends

    1/3 of life at work


    Lost time from illness and injury
    Primary care in occupational setting
    Increase the proportion of worksites that
    have health services (Healthy People,
    2010).

    Evolution of Occupational Health


    Part of job
    Horrible accidents
    Occupational, safety, and health administration (OSHA,
    l970)
    set and enforce standards
    National Institute for Occupational Safety and Health
    (NIOSH).
    Identifies, monitors, educates, & researches
    Super fund Amendment & Reauthorization Act
    Nurse key role
    5

    Role of OHN

    Beyond emergency and band aid care


    Largest group of occupational workers
    Diverse levels of preparation
    Multiple roles
    clinician, case manager, educator, consultant,
    researcher, corporate manager, program planner
    skills: provision of emergency care, health assessment,
    workers compensation management
    6

    Characteristics of the Workplace

    High tech
    Health and computer-related occupations
    Increase in part-time and temporary work
    Increase in contractual workers
    Reduced job security
    Increase in shift work
    Development of new chemicals
    7

    Application of the Epidemiological Model

    Host factors:
    age, gender, work practices, health status,
    lifestyle
    greatest risks for accidents?

    Application of the Epidemiological Model

    Types of Agent Factors:

    Biological
    Chemical
    Ergonomic or mechanical
    Physical
    Psychosocial

    Application of the Epidemiological Model

    Environment: all external conditions


    that influence host and agent interaction

    Examples?

    10

    Issues with Occupational Health Programs

    Widely varies
    Organization exemption
    OSHA sanctions
    Limited # of inspectors

    11

    Worker Assessment
    Overall health assessment
    Occupational health assessment
    list current and past jobs
    exposure history
    job titles and responsibilities
    host factors (smoking)
    masked risk: retiree or housewife
    family members
    Assessment Guide
    12

    Workplace Assessment
    Walk-through, plant survey
    What are you looking for?

    Review the Standard Industrial


    Classification (SIC) code
    Describe demographic info. of workers
    Review policies and procedures
    Epi. data collection about injuries and
    illnesses
    13

    Hazard Communication Standard


    Cannot eliminate all toxins
    Report known toxins
    Provide safety education on
    identification, toxicity, and protective
    measures

    14

    Workers Compensation

    Financial compensation
    State laws
    Varies by state
    Prevention is less costly

    15

    Nursing Interventions at the Worksite

    Primary prevention
    Health promotion
    Prenatal care
    Risk reduction
    Immunization status
    Injury prevention
    16

    Nursing Interventions at the Worksite


    Secondary

    Pre-employment screening
    Periodic screening
    Environmental screening
    Treatment of existing conditions
    Emergency responses
    17

    Nursing Interventions at the Worksite


    Prevent the spread of communicable
    diseases
    Prevent the occurrence of acute conditions
    Prevent complications of chronic illnesses
    Assessing fitness to return to work.

    18

    Indicators of Psychological Health Problems

    Increased absenteeism
    Mood changes
    Increase in minor accidents
    Fatigue or general decrease in energy
    Sudden weight loss or gain
    Increased blood pressure
    Frequent stress-related illnesses
    Bloodshot or bleary eyes
    19

    Psychological Stress

    Job strain
    Tenth leading cause of occupational disease
    Health care and service workers
    Sources of stress

    20

    Ethical Case Dilemna


    A young attractive woman reports to you a
    ling history of sexual harassment by her
    immediate supervisor, a man. This man is
    the person to whom your supervisor reports.
    Your supervisor advises you to ignore them
    because this man has a tendency to be
    vindictive. What would you do?
    21

    Copyright 2007

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