Essentials for Occupational Health Nursing (eBook)

Arlene Guzik (Autor)

eBook Download: PDF

2013
John Wiley & Sons (Verlag)
978-1-118-51762-8 (ISBN)

Infos

The scope of occupational health nursing practice has expanded and taken on a variety of roles, giving rise to opportunities for nurses to care for workers in various workplace settings.  Essentials for Occupational Health Nursing provides a highly practical and accessible guide for nurses entering or already engaged in this important field. 

The text begins with the foundations for occupational health practice, covering the domain of occupational health and the role of the many professionals within the specialty.  Subsequent chapters address program development, professional development, workplace regulatory requirements, workplace injury management and managing health and productivity.  Case studies pertaining to fitness for duty and medical monitoring provide real-life scenarios to aid in learning.
This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from iTunes, Google Play or the MedHand Store.

Author

Arlene Guzik, DNP, ARNP-BC, COHN-S, FAAOHN, is President and Owner of Business Health Resources, Inc. and is Assistant Medical Director and Vice President of Operations, Lakeside Occupational Medical Centers, Largo, Florida, USA.

Inhalt

Essentials for Occupational Health Nursing 5
Copyright 6
Contents 9
Preface 11
1 Foundations for Practice 13
Occupational Healthcare Professionals 14
The Occupational Health Nurse 17
Clinician 18
Manager or Administrator 18
Case Manager 19
The Advanced Practice Registered Nurse in Occupational Health 20
The Domain of Occupational Health 21
References 23
2 Professional Issues 27
Professional Issues 27
Medical Direction 28
Registered Professional Nurses 32
Advance Practice Registered Nurses 32
Other Occupational Health Team Members 32
Medical directives 33
Legal Aspects 34
Licensure 34
Scope of Practice for the OHN 34
Standards of Practice for the OHN 37
Competence 37
Professional Development 39
Professional Liability 40
Confidentiality 41
Summary 43
References 44
3 Workers and Workplaces 47
Workforce Characteristics 48
Workforce Populations 49
Managing Diversity 50
Workplaces 52
Standard Industrial Codes 52
Future Trends in Occupational Health and Research 55
References 60
4 Program Development 63
Management Commitment 63
Workplace Assessment 66
Develop a Plan 71
Selling the Plan 78
Implement the Plan 78
References 82
Resources 83
OSHA Publications 83
5 Facilities and Resources 85
Budget Issues 87
The Occupational Health Facility 87
Licensure 90
Supplies 91
Pharmacy 91
Over-the-Counter Medications 95
Self-Service 96
Clinic Dispensing by the OHN 97
On-site Pharmacy 97
Vending Machines 97
Staffing 98
Laboratory 99
X-ray 99
Standards, Policies, Procedures 100
Services 100
After-Hours Appointments 100
Forms 100
Health Records 101
Computer Technology 103
Audits 104
Summary 105
References 105
Web Resources 107
6 Workplace Regulatory Requirements 109
Occupational Safety and Health Act 109
OSHA Standards for General Industry 115
Hazard Communication Program (29 CFR 1910.1200) 116
Chemical Safety 116
Emergency Action Plan (EAP) Standard (CFR1910.38) 117
Walking/Working Surfaces Standard (29 CFR 1926.1050-1060) 118
Medical and First Aid Standard (29 CFR 1910.151) 118
Machine Guarding Standard (29 CFR 1910 Subpart O) 120
Lockout/Tagout Standard (29 CFR 1910.147) 121
Electrical Hazards Standard (29 CFR 1910 Subpart S) 121
Personal Protective Equipment (PPE) Standard (29 CFR 1910 Subpart I) 122
Respiratory Protection Standard (29 CFR 1910.134) 122
Occupational Noise Standard (29 CFR 1910.95) 124
Confined Spaces Standard (29 CFR 1910.146) 125
Bloodborne Pathogens (BBP) Standard (29 CFR 1910.1030) 126
Powered Industrial Trucks Standard (29 CFR 1910.178) 127
Federal Mine Safety and Health Act 129
Communicable Disease Reporting 129
Health Information Portability and Accountability Act—Public Law 104-191 (HIPPA) 131
Environmental Protection Agency (EPA) 132
Federal Transportation Regulations 133
Department of Transportation (DOT) 133
Summary 134
References 135
Resources 137
7 Promoting and Maintaining a Safe Workplace 139
Introduction 139
Management Commitment and Employee Involvement 141
Attitudes 147
Behavior 148
Consequences 148
Job Hazard Analysis 149
Hazard Prevention and Control 151
Medical Surveillance 152
Safety and Health Training 155
Incident Investigation 155
Safety and Health Record Keeping 156
Summary 160
References 161
Resources 163
8 Fitness for Duty 165
A Rationale for Occupational Health Services 165
Issues Affecting Fitness for Duty 166
Know the Job 166
Knowledge 167
Skills 168
Abilities 168
Know the Worker 169
Substance Testing 170
Health Evaluations 171
Preplacement 171
Change in Heath Status 173
Return to Work 174
Benefits Eligibility or Regulatory Entitlement 175
Reasonable Suspicion 175
Periodic Health Monitoring 176
Physical Abilities Testing 176
Determining Fitness for Duty 177
The Fitness for Duty Policy and Procedure 178
Summary 179
References 179
Resources 180
Web Resources 181
9 Drug-Free Workplace 183
Statistics 184
Effect on the Workplace 184
Drug-Free Workplace Regulations 185
Determining the Need 186
Identifying Resources 187
Developing a Drug-Free Workplace Policy 189
Worker Education and Awareness 190
Types of Testing 191
Protocol for Testing 191
Substance Testing—What Can Be Tested? 192
Urine 192
Hair 194
Saliva 194
Sweat 195
Substances Commonly Tested 195
How a Drug Test is Conducted 197
Urine Collection Process 197
Summary 198
References 199
Resources 202
Web Resources 202
10 Workplace Injury Management 203
Workers’ Compensation Insurance 204
Types of Insurance Coverage 205
Other Factors to Consider 208
Workplace Injury and Illness Calculation 210
Benefits for ?the Injured Worker 211
Management of Claims 213
The Role of the OHN 214
Key Principles in Managing Claims 214
Determining Mechanism of Injury 215
Defining the Diagnosis 215
Rendering Opinion of Work-Relatedness 215
Providing Quality Care 216
Managing Work Status 216
Strategies for Success 217
Select Key Partnerships 217
Managing Health and Safety 219
Assess Effectiveness 219
Return to Work 220
Training and Communication 221
Early Engagement 221
Responsibility and Reliability 222
Summary 225
References 227
Web Resources 229
11 Managing Health 231
Workplace Health and Productivity 231
Workers’ Compensation 234
Role of the OHN in Case Management 236
When is Case Management Necessary? 236
Workplace Disability Management 238
Principles of Disability Management 240
Simplicity 240
Proximity 241
Immediacy 242
Centrality 242
Expectancy 243
Bringing the Case to Closure 243
Summary 245
References 246
Web Resources 250
12 Managing Productivity 251
Integrated Absence Management 253
Americans with Disabilities Act (ADA) 254
ADA and Confidentiality 259
Family and Medical Leave Act (FMLA) 261
Healthcare Provider 263
Certificate of Healthcare Provider Form 263
Serious Health Condition 263
Denied Requests 265
Reduced Hours or Intermittent Medical Leaves 265
Pregnancy, Births, Adoption, and Foster Care 266
Worker’s Serious Health Condition 267
Parent, Child, or Spouse 268
Military Family Leave Entitlements 269
Summary 269
References 270
Resources 273
13 Promoting Health and Well-Being 275
Access to Care 277
Utilization of Care 278
Cost of Care 278
Wellness in the Workplace 279
Wellness—How Does it Really Work? 282
Guiding Principles 282
Leadership and a Culture of Support 283
Framework 285
Population Focused Initiatives 287
Planning 289
Implementation 291
Evaluation 293
Work—A Place To Call Home 294
Summary 296
References 300
Resources 305
Organizations 305
14 Leadership and Change 307
Change from Within 311
Be a Leader 314
Summary 316
References 317
Appendices 321
A1 General Definitions and Terms 321
A2 Sample Occupational Health Nurse Job Description 325
A3 Sample Agreement for Professional Services 329
A4 Sample Practice Guidelines for the Registered Occupational Health Nurse 337
A5 Sample Medical Direction Prescription Release Authorization 345
A6 Sample Program Development Checklist 347
A7 Sample Documentation of Health Services Visits 353
A8 Things to Consider 355
A9 Sample Mobile Equipment Operator Health Evaluation 359
A10 Nationally Notifiable Infectious Conditions 363
A11 Sample Safety Policy 367
A12 OSHA’s Strategic Map for Change and Continuous Improvement for Safety and Health 369
A13 OSHA’s Responsibility, Authority, and Accountability Checklist 373
A14 Common Hazards and Descriptions 375
A15 Guide to Recordability of Cases under OSHA 377
A16 OSHA Recordable Reference 379
A17 Health History Form 381
A18 Policy & Procedure
A19 Sample: Drug-Free Workplace Policy 393
A20 Urine Drug Screen Collection Checklist 401
A21 Sample Request for Workplace Accommodation 405
A22 Notice of Intermittent FMLA Absence 407
A23 Sample Fitness for Duty Form 409
A24 Sample Wellness Program 411
A25 Service Provider Service Delivery Activity Report May 2012 415
A26 Occupational Health Services Service Delivery Evaluation Criteria 419
A27 Professional Resources Related to Occupational Health 421
Index 427

Produkt-Details

• Erscheint lt. Verlag: 5.2.2013
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Gesundheitsfachberufe
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Arbeits- / Sozial- / Umweltmedizin
• Themenwelt: Medizin / Pharmazie ► Pflege ► Fachpflege
• Themenwelt: Medizin / Pharmazie ► Pflege ► Pflegemanagement / Qualität / Recht
• Schlagworte: accessible • Book • Community Nursing • Essentials • Foundations • Gemeindekrankenpflege • General Clinical Nursing • Giving • Guide • Health • Klinische Krankenpflege • Krankenpflege • nurses • nursing • nursing practice • Occupational • Opportunities • Practical • Practice • roles • Scope • variety • various • Workers • workplace settings
• ISBN-10: 1-118-51762-8 / 1118517628
• ISBN-13: 978-1-118-51762-8 / 9781118517628