Essentials for Occupational Health Nursing

Title Page
......Page 2
Copyright
......Page 3
Dedication
......Page 4
Contents......Page 5
Preface......Page 7
1. Foundations for Practice......Page 9
Occupational Healthcare Professionals......Page 10
The Occupational Health Nurse......Page 13
Manager or Administrator......Page 14
Case Manager......Page 15
The Advanced Practice Registered Nurse in Occupational Health......Page 16
The Domain of Occupational Health......Page 17
References......Page 19
Professional Issues......Page 23
Medical Direction......Page 24
Other Occupa tional Health Team Members......Page 28
Medical directives......Page 29
Scope of Prac tice for the OHN......Page 30
Competence......Page 33
Professional Development......Page 35
Professional Liability......Page 36
Confidentiality......Page 37
Summary......Page 39
References......Page 40
3. Workers and Workplaces......Page 43
Workforce Characteristics......Page 44
Workforce Populations......Page 45
Managing Diversity......Page 46
Standard Industrial Codes......Page 48
Future Trends in Occupa tional Health and Research......Page 51
References......Page 56
Management Commitment......Page 58
Workplace Assessment......Page 61
Develop a Plan......Page 66
Implement the Plan......Page 73
References......Page 77
OSHA Publications......Page 78
5. Facilities and Resources......Page 80
The Occupational Health Facility......Page 82
Licensure......Page 85
Pharmacy......Page 86
Over-the-Counter Medications......Page 90
Self-Service......Page 91
Vending Machines......Page 92
Staffing......Page 93
X-ray......Page 94
Forms......Page 95
Health Records......Page 96
Computer Technology......Page 98
Audits......Page 99
References......Page 100
Web Resources......Page 102
Occupational Safety and Health Act......Page 103
OSHA Standards for General Industry......Page 109
Chemical Safety......Page 110
Emergency Action Plan EAP Standard CFR1910.38......Page 111
Medical and First Aid Standard 29 CFR 1910.151......Page 112
Electrical Hazards Standard 29 CFR 1910 Subpart S......Page 115
Respiratory Protection Standard 29 CFR 1910.134......Page 116
Occupational Noise Standard 29 CFR 1910.95......Page 118
Confined Spaces Standard 29 CFR 1910.146......Page 119
Bloodborne Pathogens BBP Standard 29 CFR 1910.1030......Page 120
Powered Industrial Trucks Standard 29 CFR 1910.178......Page 121
Communicable Diseas e Reporting......Page 123
Health Information Portability and Accountability Act?Public Law 104-191 HIPPA......Page 125
Environmental Protection Agency EPA......Page 126
Department of Transportation DOT......Page 127
Summary......Page 128
References......Page 129
Resources......Page 131
Introduction......Page 132
Management Commitment and Employee Involvement......Page 134
Attitudes......Page 140
Consequences......Page 141
Job Hazard Analysis......Page 142
Hazard Prevention and Control......Page 144
Medical Surveillance......Page 145
Incident Investigation......Page 148
Safety and Health Record Keeping......Page 149
Summary......Page 153
References......Page 154
Resources......Page 156
A Rationale for Occupational Health Services......Page 157
Know the Job......Page 158
Knowledge......Page 159
Abilities......Page 160
Know the Worker......Page 161
Substance Testing......Page 162
Preplacement......Page 163
Change in Heath Status......Page 165
Return to Work......Page 166
Reasonable Suspicion......Page 167
Physical Abilities Testing......Page 168
Determining Fitness for Duty......Page 169
The Fitness for Duty Policy and Procedure......Page 170
References......Page 171
Resources......Page 172
Web Resources......Page 173
9. Drug-Free Workplace......Page 174
Effect on the Workplace......Page 175
Drug-Free Workplac e Regulations......Page 176
Determining the Need......Page 177
Identifying Resources......Page 178
Developing a Drug-Free Workplac e Policy......Page 180
Worker Education and Awar eness......Page 181
Protocol for Testing......Page 182
Urine......Page 183
Saliva......Page 185
Substances Commonly Tested......Page 186
Urine Collection Process......Page 188
Summary......Page 189
References......Page 190
Web Resources......Page 193
10. 
Workplace Injury Management......Page 194
Workers’ Compensation Insurance......Page 195
Types of Insurance Coverage......Page 196
Other Factors to Consider......Page 199
Workplace Injury and Illness Calculation......Page 201
Benefits for the Injured Worker......Page 202
Management of Claims
......Page 204
Key Principles in Managing Claims......Page 205
Rendering Opinion of Work-Relatedness......Page 206
Managing Work Status......Page 207
Select Key Partnerships......Page 208
Assess Effectiveness......Page 210
Return to Work......Page 211
Early Engagement......Page 212
Responsibility and Reliability......Page 213
Summary......Page 216
References......Page 218
Web Resources......Page 220
Workplace Health and Productivity......Page 221
Workers’ Compensation......Page 224
When is Case Management Necessary?......Page 226
Workplace Disability Management......Page 228
Simplicity......Page 230
Proximity......Page 231
Centrality......Page 232
Bringing the Case to Closure......Page 233
Summary......Page 235
References......Page 236
Web Resources......Page 240
12. Managing Productivity......Page 241
Integrated Absence Management......Page 243
Americans with Disabilities Act ADA......Page 244
ADA and Confidentiality......Page 249
Family and Medical Leave Act FMLA......Page 251
Serious Health Condition......Page 253
Reduced Hours or Intermittent Medical Leaves......Page 255
Pregnancy, Births, Adoption, and Foster Care......Page 256
Worker’s Serious Health Condition......Page 257
Parent, Child, or Spouse......Page 258
Summary......Page 259
References......Page 260
Resources......Page 263
13. Promoting Health and Well-Being......Page 265
Access to Care......Page 267
Cost of Care......Page 268
Wellness in the Workplace......Page 269
Guiding Principles......Page 272
Leadership and a Culture of Support......Page 273
Framework......Page 275
Population Focused Initiatives......Page 277
Planning......Page 279
Implementation......Page 281
Evaluation......Page 283
Work?A Place To Call Home......Page 284
Summary......Page 286
References......Page 290
Organizations......Page 295
Wellness Interest Survey......Page 296
14. Leadership and Change......Page 297
Change from Within......Page 301
Be a Leader......Page 304
Summary......Page 306
References......Page 307
A1. General Definitions and Terms......Page 310
A2. Sample Occupational Health Nurse Job Description......Page 314
Supervisory Responsibilities......Page 315
Other Qualifications......Page 316
II. PERFORMANCE AND PROFESSIONAL RESPONSIBILITIES A. DUTIES OF MEDICAL DIRECTOR......Page 318
B. DUTIES OF THE COMPANY AND COMPENSATION TO MEDICAL DIRECTOR......Page 319
IV. INSURANCE......Page 320
V. OWNERSHIP AND MAINTENANCE OF DOCUMENTS AND TREATMENT OF PROPRIETARY AND CONFIDENTIAL MATERIALS......Page 321
VI. MEDIATION AND ARBITRATION OF DISPUTES:......Page 322
VIIi. NOTICES AND INVOICING......Page 323
IX. GENERAL PROVISIONS......Page 324
A4. Sample Practice Guidelines for the Registered Occupational Health Nurse......Page 325
PLAN/MANAGEMENT PROTOCOL......Page 326
PLAN/MANAGEMENT PROTOCOL......Page 327
PLAN/MANAGEMENT PROTOCOL......Page 329
PLAN/MANAGEMENT PROTOCOL......Page 330
A5. Sample Medical Direction Prescription Release Authorization......Page 332
A6. Sample Program Development Checklist......Page 333
A7. Sample Documentation of Health Services Visits......Page 338
A8. Things to Consider......Page 340
A9. Sample Mobile Equipment Operator Health Evaluation......Page 344
A10. Nationally Notifiable Infectious Conditions......Page 348
Workplace Safety Policy......Page 351
Commitment to Safety......Page 352
A12. OSHA’s Strategic Map for Change and Continuous Improvement for Safety and Health......Page 353
A13. OSHA’s Responsibility, Authority, and Accountability Checklist......Page 357
A14. Common Hazards and Descriptions......Page 359
A15. Guide to Recordability of Cases under OSHA......Page 361
A16. OSHA Recordable Reference......Page 362
A17. Health History Form......Page 364
MEDICAL EVALUATIONS......Page 371
REASONABLE ACCOMMODATIONS......Page 373
Job Transfer Assessments......Page 374
Covered Workers......Page 375
Searches......Page 376
Drug Testing......Page 377
Assistance......Page 378
Communication......Page 379
Performing a Urine Drug Screen Collection......Page 382
After Performing a Urine Drug Screen Collection......Page 383
A21. Sample Request for Workplace Accommodation......Page 386
A22. Notice of Intermittent FMLA Absence......Page 388
A23. Sample Fitness for Duty Form......Page 389
Million Hearts: Prevention at Work......Page 391
A25. Service Provider Service Delivery Activity Report May 2012......Page 394
A26. Occupational Health Services Service Delivery Evaluation Criteria......Page 397
A27. Professional Resources Related to Occupational Health......Page 399
Index......Page 404