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Questions and Answers
What percentage of the COHN exam is dedicated to the Clinician role?
What percentage of the COHN exam is dedicated to the Clinician role?
Which core content area is focused on ensuring workplace safety regarding materials and conditions?
Which core content area is focused on ensuring workplace safety regarding materials and conditions?
According to the standard of practice, which step comes first in the nursing process?
According to the standard of practice, which step comes first in the nursing process?
Which major category has the highest percentage in the COHN-S exam?
Which major category has the highest percentage in the COHN-S exam?
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What federal agency is responsible for enforcing occupational health standards?
What federal agency is responsible for enforcing occupational health standards?
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Which industry had the highest fatal work injury rate in 2020?
Which industry had the highest fatal work injury rate in 2020?
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What was the total number of fatal work injuries reported in the construction industry in 2020?
What was the total number of fatal work injuries reported in the construction industry in 2020?
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Which sector had the lowest fatal work injury rate in 2020?
Which sector had the lowest fatal work injury rate in 2020?
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How many fatal work injuries were reported in the transportation and warehousing sector?
How many fatal work injuries were reported in the transportation and warehousing sector?
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What was the fatal work injury rate for the retail trade sector?
What was the fatal work injury rate for the retail trade sector?
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What is a key focus of occupational health nursing?
What is a key focus of occupational health nursing?
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What role does the American Association of Occupational Health Nurses (AAOHN) play?
What role does the American Association of Occupational Health Nurses (AAOHN) play?
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What is an essential skill occupational health nurses must possess?
What is an essential skill occupational health nurses must possess?
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Which of the following illustrates a current trend in the American workforce?
Which of the following illustrates a current trend in the American workforce?
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What impact does federal legislation typically have on occupational health?
What impact does federal legislation typically have on occupational health?
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What is the primary objective of occupational and environmental health nursing?
What is the primary objective of occupational and environmental health nursing?
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Which of the following is NOT a member of the occupational health team?
Which of the following is NOT a member of the occupational health team?
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Which activity is typically performed by an occupational health nurse?
Which activity is typically performed by an occupational health nurse?
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What is one of the research priorities in occupational health nursing?
What is one of the research priorities in occupational health nursing?
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Which characteristic is essential for a home health nursing practice?
Which characteristic is essential for a home health nursing practice?
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What is required for eligibility for home health services?
What is required for eligibility for home health services?
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Which of the following best describes the objective of home health nursing?
Which of the following best describes the objective of home health nursing?
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Which of the following factors is NOT typically assessed by occupational health nurses?
Which of the following factors is NOT typically assessed by occupational health nurses?
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Study Notes
Occupational and Environmental Health Nursing
- Course title: Occupational and Environmental Health Nursing
- Instructor: Dr. Brenda Ross
- Course number: NURS4612
- Course location: Swilley
Objectives
- Describe the nursing role in occupational health
- Describe current trends in the American workforce
- Describe examples of work-related illness and injuries
- Discuss skills and competencies of the occupational health nurse
- Review levels of prevention and occupational health nursing
- Discuss the impact of federal legislation on occupational health
Occupational Health
- No work environment is completely risk-free
- All healthcare professionals need basic knowledge of workforce populations, hazards, and control methods
- Occupational health nurses play a crucial role in planning and delivering workplace health and safety services
- Focus on preventive healthcare and restoring health within a safe environment
American Association of Occupational Health Nurses (AAOHN)
- Professional organization for licensed nurses (LPN/LVN) in occupational and environmental health
- Sets clinical standards and defines roles for occupational and environmental health nurses
- Developed a code of conduct for occupational health nurses
- Promotes workplace health and safety
- Advances the profession through research
- Has 3,200 members and 70 chapters in US territories
American Board of Occupational Health Nurses, Inc. (ABOHN)
- Board certification for occupational health nurses
- Exam content includes COHN vs COHN-S, license RN + 3000 clinical hours in occupational health, and core content areas
Major Categories - Exam Composition
- COHN: Clinician (42%), Coordinator (27%), Advisor (13%), Case Manager (18%)
- COHN-S: Clinician (20%), Manager (34%), Educator (6%), Consultant (14%), Case Manager (17%)
Core Content/Curriculum
- Chemical hazards
- Biological hazards/Ergonomics
- Physical hazards/Stress Management/Recordkeeping
- Safety and Industrial Hygiene Issues
- Standards and Regulation
- Emergency Response
- Health Education and Promotion
- Disease Management
- Clinical Practice Management
- Information
Standard of Practice
- Standard 1: Assessment
- Standard 2: Diagnosis
- Standard 3: Outcome Identification
- Standard 4: Planning
- Standard 5: Implementation
- Standard 6: Evaluation
- Standard 7: Resources Management
- Standard 8: Professional development
- Standard 9: Collaboration
- Standard 10: Research
- Standard 11: Ethics
OSHA (Regulatory Agency)
- Occupational Safety and Health Administration (OSHA)
- Federal agency promulgating and enforcing occupational and health standards
- Occupational Safety and Health Act of 1970
- Code of Federal Regulations – 29CFR1910
Number and Rate of Fatal Work Injuries by Industry (2020)
- Data showing fatal work injuries and rates by industry, for example:
- Construction: 1,008 injuries, 10.2 rate per 100,000 workers
- Transportation and warehousing: 805 injuries, 13.4 rate
- Other industries included and rate for each
Occupational and Environmental Health Nursing
- Ensure workforce health and productivity
- Traditional focus on illness and injury care
- Specialty in identifying and assisting with physical, chemical, biological, ergonomic, and psychosocial workplace factors affecting worker health and safety
- Participate in organizational goals to improve workforce productivity
Occupational Health Team Members
- On-site professionals: Occupational health nurse, Safety Officer/Engineer, industrial hygienist, epidemiologist, toxicologist, and occupational physician
- Collaboration: Union representatives, employee assistance counselors, and human resource personnel
Current Occupational Health Nurse Activities
- Supervise care for emergencies and minor illnesses
- Counsel employees about health risks
- Follow up with workers' compensation claims
- Perform periodic health assessments
- Evaluate health status of employees returning to work
- Disaster planning
- Workplace safety
Research Priorities in Occupational Health Nursing
- Effectiveness of primary healthcare delivery at the worksite
- Effectiveness of health promotion nursing interventions
- Nature and effects of stress and workplace stressors
- Occupational hazards of healthcare workers
Home Health
- Home health nursing provides health care services in individual homes to help regain independence and improve health outcomes
- Goal of improving patient health and promoting independence
Home Health Objectives
- Describe standards for home health programs
- Describe essential characteristics of home health nursing practice
Eligibility for Home Health Services
- Under a physician's care (physician authorization)
- Plan of care regularly reviewed by a physician
- Require skilled nursing care or therapy
- Homebound - unable to leave home without considerable effort due to illness or injury
- Referral from various sources (MD, NP, hospital discharge planner, community clinic)
Home Health Practice
- Home visit preparation: build trust and credibility
- Referral process
- Initial telephone calls
- Improving communication: Build trust
- Application of the nursing process: treatment plan, nursing care plan
- Assessment
- Diagnosis/planning
- Intervention
- Evaluation
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Description
Test your knowledge on the role of nursing in occupational health and the trends affecting the American workforce. This quiz covers work-related illnesses, skills of occupational health nurses, and the impact of legislation on workplace health and safety. Prepare to explore preventive healthcare and the safety of work environments.