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NU 401 Occupational & Migrant Health Schroder
Terms in this set (48)
Occupational Health Nursing
What is the target population for occupational health nursing?
The working public
There are several parts to the goal of occupational health nursing. What are they?
To promote health through:
-Treatment of Illness or Injury
-Healthcare coordination (who do they need see for their px)
-Environmental Surveillance (what are these employees at risk for)
Common findings for environmental surveillance include finding that construction workers are at an increased for developing.... while police officers are at an increased risk for developing....
Hearing loss; HTN
What are the requirements to be an occupational health nurse?
RN required and BSN preferred
-ER experience is also helpful
To become an occupational health nurse, you must be certified through...
The American Board for Occupational Health Nursing
There a TONS of functions of the OHN, what are they?
-Health assessments and screenings
-Treatment of illness/injury
-Coordinating Healthcare Referrals
-Counseling and Employee Assistance
-Job Analysis and Program Evaluation
-Safety Audits/Accident Investigation
-Cost Containment Strategies
-Emergency Disaster Preparedness
-Administration/Management of clinic/area they're assigned
-Research into what causes related issues
-Development of health-related policies
-Maintenance of Health Records
-Maintain OSHA Standards/MSDS
When it comes to specific needs of the workforce, the epidemiological triangle also applies here in it's own unique way. What are the 3 parts to the specific needs of workforce?
How are some characteristics that might put the host for the workforce at risk?
-Age and Gender
-Work practices (do they follow policies)
-Lifestyle outside of work and personal health
In general, who is greatest at risk population?
Men ages 18-30 with less than <6 months experience
-elderly and pregnant individuals are at a higher than normal risk
-switching jobs frequently also puts one at a higher risk
When referring to the agent for the workforce this is all the potential hazards such as...
-Biological (bacteria, virus, fungus)
-Chemical (leas, asbestos)
-Physical (i.e. noise)
-Psychosocial (stress, co-workers, drama at work)
-Burnout (can be affected by all areas)
What is an ergonomic risk factor?
Any job that makes our actions ergonomically incorrect D/t a repetitive motion
-i.e. office jobs that involve lots of typing and sitting are common
What is probably the most common ergonomical injury we see?
And lastly, what are some characteristics of environmental risk factors for the workforce?
-Shift Worked (nights vs days)
When it comes to working with employees, what are the 2 types of assessments we can do to determine specific health needs of our workers?
-Occupational Health History
An Occupational Health History includes asking employees about...
-Current and Past jobs
-Current and Past exposures to hazards
-Assessing for any corresponding risk factors r/t to jobs/hazards exposure
A worksite survey includes assessing areas such as...
-Work processes and materials
-Requirements of certain jobs/positions
-Pretense of Hazards (actual or potential)
-Work practices of employees
-Incident rates of problems
The Occupational Health of employees is not just managed by one nurse. Who else is on the OH team?
When it comes to OH, there are some legislations to know that affect this area of nursing. What is the act creates in 1970 that contains 2 different well known departments?
Occupational Safety and Health Act
The Occupational Safety and Health Act contains what 2 departments?
What is OSHA's role?
They create and enforce policies
-employees have the right to know what their working around/with; thus, OSHA developed a hazard communication standard
What is the NIOSH's role?
To connect research to the job by making recommendations about prevention of illness and injury
What is act the was passed that helps govern financial aid for working members of the community?
The Workman's Compensation Act
Along with OH Nursing, there are some specific health problems related to various areas of work that be more commonly seen by a OH nurse than other nurses.
What are some various lung disease an OHN may encounter?
-Byssinosis ("brown lung")
-Pneumoconiosis ("black lung")
Byssinosis is typically d/t the inhalation of... while Pneumoconiosis is typically d/t the inhalation of...
Cotton dust; coal dust
What is asbestosis?
A form of pneumoconiosis that results from the inhalation of asbestos particles
*can progress to mesothelioma (lung CA)
Of the lung diseases discussed, which are most commonly treated by the OHN?
Emphysema and Asthma
What are some common musculoskeletal conditions the OHN might see?
-Carpal Tunnel d/t repetitive motions
What are some common cardiovascualr conditions the OHN might see?
-Stress leading to HTN
-Exposure to cardiotoxic agents like carbon disulfide
What are some common reproductive conditions the OHN might see?
Radiation exposure effecting fertility
What are some common Neurological conditions the OHN might see?
-Conditions r/t to any exposure to a neuro toxin
-Peripheral neuropathy (possible d/t carpal tunnel)
-Any kind of specific poison affect the brain
What are 2 specific poisons that tend to affect the CNS?
What are some common Psychological conditions the OHN might see?
-Substance Abuse d/t work px
Jobs that cause:
Hearing loss is also a common health issue a OHN would encounter. Who would one with hearing loss be recommended to see?
An ENT doctor
What are some common dermatological conditions the OHN might see?
-Physical Exposure (heat/cold)
-Mechanical injuries (friction/pressure)
-Biological exposures (plants, etc.)
And in general OHN should also be familiar with cancers in general and ______________ injuries.
Who is a migrant?
Someone who works in agriculture and travels from farm to farm
-often living in temporary housing
-often receives poor wages for long hours
What is the typical life expectancy for a mirgant worker?
~45 years old
*very few live past 60
In addition to a shorter life expectancy, the infant mortality rate is also ____% higher in migrant workers.
What are some health conditions that we see an increased prevalence in among migrants?
-Psychological/Mental health px
We often see migrants with more health issues d/t what factors?
Decreased access to healthcare d/t:
-Lack of insurance
-Inaccurate information (obtains from word of mouth)
We also see an increased risk for health problem among migrants d/t poor work conditions. What are some common characteristics of migrant working conditions?
-Long hours (typically sun up to sundown)
-Lack of sanitation
-Increased risk for injuries
-Increased mortality rate
Depending on the type of pesticide exposure, what are some symptoms we may see?
As mentioned some before, their housing is not ideal for promoting health. What are some of their housing characteristics?
-Often living in make-shift hosing or group areas
What are some family characteristics of the migrant workers that will affect their health?
-Typically a dominant controlling male is present increasing risk for alcohol and physical abuse
-Increased prevalence of Miscarriages and Birth defects
-Mother's often working leading a lack of supervision of children
-Children often beginning working too at a young age d/t lack of child labor laws
What are some barriers to healthcare of the migrant worker?
-Lack of knowledge about a viable resources, healthcare and self care
-Lack of money
-Unaware of the affordable care act
-Services unavailable near them
-Lack of transportation
-Long working hours inhibiting their ability to access services
-Discrimination perceived or actual
What are major roles of a nurse caring for migrant workers?
-Inform of resources available
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