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OHN
occupational health nursing
Question | Answer |
---|---|
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 |