Presentation on theme: "Prepared by Dr. Hoda Abd-El Azim"— Presentation transcript:
1 Prepared by Dr. Hoda Abd-El Azim Occupational HealthPrepared byDr. Hoda Abd-El Azim
2 Objectives:Define the occupational health nursing.List the scope of occupational health nursing.Describe work health interactions.Identify the team of occupational health and safety programs.Discus the roll of community health nursing occupational health .Identify the disaster planning and management.
3 IntroductionNo work is completely risk free and all health care professionals should have some basic knowledge about workforce populations, work and related hazards, and methods to control hazards and improve health.
4 Definition and scope of occupational health nursing The specialty practice that focuses on the promotion, prevention and restoration of health within the safe and healthy environment.
5 It involves the prevention of adverse health effects occupational and environmental hazards. It provides for and delivers occupational and environmental health and safety services to workers, worker populations, and community groups.
6 Occupational health nurse work setting Traditional manufacturing.Services (banking, restaurants).Industries.Health care facilities.Construction sites.government settings.
7 Scope of practice Worker/ workplace assessment and surveillance Primary careCounselingHealth promotion/protectionAdministration and managementResearchCommunity orientation
8 The professional organization for occupational health nurses is the American Association of Occupational Health Nurses (AAOHN).
9 The AAOHN functions Promotes the health and safety of workers. Defines the scope of practice and sets the standards of occupational health nursing practice.Promotes and provides continuing education in the specialty.Advances the profession through supporting research.
10 Work Health Interactions Host (worker & familyAgent Environment(workplace hazards) (external factors)
11 Host factors are associated with increased risk to the work place hazards. Each worker represents a host within the worker population group.Age & GenderHealth statusWork practiceEthnicityLifestyle factors
12 Older workers have increase risk due to: The host factors of age, gender and work experience combine by increase risk for injury due to:Lack of knowledgeLack of familiarity with the new job.Older workers have increase risk due to:Diminished sensory abilities.The effect of chronic illnesses.Delayed reaction times.
13 Women in child bearing years very susceptible to workplace exposure because: The hormonal changes during these years.Transplacental exposures.
14 Agent 1. Biological Agents Are living organisms are capable of causing human diseases by infectious process.bacteria, viruses, fungiCommon in workplace (health care facilities and clinical laboratories).
15 2. Chemical agents Medications Solutions Gases Vapors, aerosols Various forms of chemicalsMedicationsSolutionsGasesVapors, aerosols
16 3. Environmental and mechanical Agents are those that can potentially cause accidents, injury, strain or discomfort e.g.Unsafe/ inadequate equipmentLifting devices and lifting heavy loads.Slippery floorsRepetitive motions.
17 4. Physical agent within the work environment include the following:Temperature extremes.Vibration (affects internal organs, supportive ligaments and the shoulder girdle structure).NoiseRadiationLightingElectricity
18 Personal protective equipment include: Hearing protectionEye guardsProtective clothingDevices for monitoring exposure to agents such as radiation
19 5.Psychosocial agentsInterpersonal relationships among employees and coworkers and managers are often sources of conflict and stress.
20 Environment Environmental factors Physical environment (heat, odor, ventilation) influence the occurrence of host agent interactions.New environmental problems continue to arise such as:An increase in industrial wastes and toxins.Indoor and outdoor environmental pollution.Addictive behaviors (negative social environment)
21 Team of occupational health and safety programs. The following are core members of this team:Occupational health nurseOccupational physicianIndustrial hygienistSafety professional
22 Role of the nurse in the team The nurse collaborate with a community physician or occupational medicine physician who provide consultation and accepts referrals where medical intervention is needed.The collaboration may occur primarily through telephone contact or the physician may be under contract with the company to spend a certain amount of time on site each week.
23 Additional team member As the companies become largerAdditional nursesSafety professionalsIndustrial hygienistsPhysicians part time or on a consultant basis.Employee assistance counselors.Physical therapistsHealth educatorsToxicologists
24 Scope of services provided through an occupational health and safety program Health/medical surveillanceWorkplace monitoring/ surveillanceHealth assessment (preplacement, periodic, mandatory, transfer, retirement/ termination, return to work).
25 Scope of services cont. Health promotion Health screening. Primary health care for workers and dependents.Worker safety and health education related to occupational hazards.Prenatal & postnatal carePreretirement counseling
26 Nursing care of working populations The nurse is often the first health care provider seen by an individual with a work related health problem.The occupational health nurse practices all levels of prevention.Primary prevention (provide education of safety in the workplace to prevent injury).Secondary prevention ( periodic screening to identify an illness at the earliest possible.Tertiary prevention is intended to restore health as fully as possible
27 Worker Assessment Goal of these assessment Identify agent and host factors that could place the employee at risk.Determine prevention steps that can be taken to minimize potential health problem.
28 Health assessment of individual includes: Occupational health historiesA list of current and past jobs the client has heldCurrent and past exposure to specific agents and relationship between the symptoms and activities at work.Other factors that may enhance the client’s susceptibility to occupational agents (smoking, underlying illness, previous injury, disability).The nurse notice the influence of work health interaction
29 Health assessment cont. The nurse should be aware that not all workers are well informed about they work potential hazards.The nurse must develop basic knowledge about the types of jobs held by clients and the possible hazards associated with them.During these health assessment, the nurse has the opportunity to teach about workplace hazards and preventive measures the worker can use.
30 When Assessment DoneAs preplacement examinations before the client begins a job.With the onset of a work-related health problem or exposure.When an employee is being transferred to another job.At terminationAt retirement
31 Workplace AssessmentThe nurse should review the work process and work areas or locations in the workplace. To knowWhat hazards may be present.Understanding the type of job.Health requirements.Description of the work environment. To knowOverall picture of general appearances and condition.Safety signs of the environment.
32 Workplace Assessment cont. A description of the employee group (worker population) to understanding:Demographic and work distribution in the company.Shift work and productivity to determine potential stressors.Gather data about incidence/prevalence of work related illness/injuries and related hazards.The types of occupational safety and health services to determine required program (health promotion )Examine control strategies in place for eliminating exposures.
33 Work practice controls Good hygieneWaste disposal.Housekeeping.Administrative controls reduce exposure throughJob rotationWorkplace monitoringEmployee training and educationPersonal protective controlUse of gloves, mask and gowns.
34 Disaster planning and management GoalsPrevent or minimize injuries and deaths of workers and residents.Provide effective work.
35 Disaster planning and management The written plan must be shared with all who will be involved.Employee should be prepared inFirst aidCPRFire group procedures.Plan must be clear, specific and comprehensive (covering all shifts and all work areas).Transportation plan, fire responses, and emergency services.
36 Disaster planning and management The disaster plan, emergency and safety equipment and the first response team’s abilities should be tested at least annually.Hospitals and other emergency services such as fire departments should be involved in plan.