Occupational and Environmental Health Nursing - Home Health PDF

OCCUPATIONAL AND ENVIRONMENTAL HEALTH Dr. Brenda Ross NURSING Swilley NURS4612 HOME HEALTH OBJECTIVES Describe the nursing role in occupational health Describe current trends in the American workforce Describe examples of work-related illness and injuries Dis...

OCCUPATIONAL AND ENVIRONMENTAL HEALTH Dr. Brenda Ross NURSING Swilley NURS4612 HOME HEALTH 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, and all health care professionals should have some basic knowledge about workforce populations, work and related hazards, and methods to control or mitigate hazards and improve health. Occupational health nurses have performed critical roles in planning and delivering worksite health and safety services. Focus on preventative health care, and health restoration within the content of a safe and healthy environment. Nies &McEwen, 2019 AMERICAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES (AAOHN) Professional organization of licensed nurses (This includes LPN/LVN) who are engaged in the practice of occupational and environmental health nursing. Set clinical standards and define the roles of occupational and environmental health nurses Developed the code of conduct for occupational health nurses Promote workplace health and safety Advance the profession by encouraging and facilitating research 3, 200 members and 70 chapters in the US territories AMERICAN BOARD OF OCCUPATIONAL HEALTH NURSES, Board Certification INC. (ABOHN) COHN vs COHN-S License RN + 3000 clinical hours in occupational health Core content areas for examination MAJOR CATEGORIES- EXAM COMPOSITION COHN COHN-S Clinician - 42% Clinician - 20% Coordinator - 27% Manager - 34% Advisor - 13% Educator - 6% Case Manager – 18% Consultant -14% Case Manger -17% CORE CONTENT/CURRICULUM Chemical Hazards Disease Management Biologic Hazards Clinical Practice Physical hazards/Ergonomics Management Principles Psychophysiological/Stress Information Management/Recordkeeping Safety and Industrial Hygiene Issues Standards and Regulation Emergency Response Health Education and Promotion 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 charged with promulgating and enforcing occupational and health standards. Occupational and Safety Act of 1970 Code of Federal Regulations – 29CFR1910 NUMBER AND RATE OF FATAL WORK INJURIES BY INDUSTRY Number and rate of fatal work injuries, by industry sector, 2020 Fatal work injury rate (per 100,000 full-time equivalent Industry Number of fatal work injuries workers) Construction 1,008 10.2 Transportation and warehousing 805 13.4 Agriculture, forestry, fishing, and hunting 511 21.5 Government 415 1.8 Manufacturing 340 2.3 Retail trade 275 2 Leisure and hospitality 219 2.5 Other services (exc. Public admin.) 188 3.3 Wholesale trade 155 4.6 Educational and health services 145 0.7 See data definitions at www.bls.gov/iif/oshcfdef.htm. HTTPS://WWW.BLS.GOV/CHARTS/CENSUS-OF-FATAL-OCCUPATIONAL-INJURIES/NUMBER- 10 AND-RATE-OF-FATAL-WORK-INJURIES-BY-INDUSTRY.HTM OCCUPATIONAL AND ENVIRONMENTAL HEALTH NURSING Ensure workforce is healthy and productive Traditional focus on illness and injury care Specialty focus for identifying and assisting in the management of physical, chemical, biologic, ergonomic, and psychosocial factors in the workplace affecting workers’ health and safety Participation in the organization’s goals through activities that contribute to the productivity of the workforce  OCCUPATIONAL HEALTH TEAM MEMBERS On-site professionals  Occupational and environmental health nurse  Safety Officer or Engineer,  Other members: industrial hygienist, epidemiologist, toxicology, and occupational physician Collaboration union representatives, employee assistance counselors, and, human resource personnel CURRENT OCCUPATIONAL HEALTH NURSE ACTIVITIES Supervising care for emergencies and minor illnesses Counseling employees about health risks Following up with employees’ workers’ compensation claims Performing periodic health assessments Evaluating the health status of employees returning to work Disaster planning Safety in the work place RESEARCH PRIORITIES IN OCCUPATIONAL HEALTH NURSING Effectiveness of primary health care delivery at the worksite Effectiveness of health promotion nursing intervention strategies Nature and effects of stress and workplace stressors Occupational hazards of health care workers Nies &McEwen, 2019 HOME HEALTH OBJECTIVES Describe standards for home health programs Describe essential characteristics of home health nursing practice HOME HEALTH Home Heath Nursing- providing health care services to individuals in their homes with the goal of helping them regain independence while improving their health outcomes. ELIGIBILITY FOR HOME HEALTH SERVICES Under the care of a physician (Physician authorization); Plan of care that is regularly reviewed by a physician; Require skilled nursing care or therapy; and Homebound- unable to leave home without considerable effort due to illness or injury. Home visits are patient focused Referral from a variety of sources (MD, NP, Hospital discharge planner, community clinic). HOME HEALTH PRACTICE Home Visit Preparation- Establish trust and credibility Referral Initial telephone call Improving Communication-let your social graces shine Building Trust Application of the Nursing Process- Treatment plan (type of home services received) and Nursing care plan (specific nursing interventions to treat the patients problem) Assessment Diagnosis/planning Intervention Evaluation