OCCUPATIONAL NURSING PRACTICE

MODERATOR Mrs. Molly Babu Senior Lecturer PRESENTER Mr. Upendra Yadav RAK, College of Nursing

Email: upendrayadav2001@yahoo.com

The inputs into the computer may be as follows: Master List: This is a list of all the materials used in the List: stores and gives details of code numbers and description. Details of Suppliers: Names, addresses, phone numbers, Suppliers: Fax numbers should be included in the supplier file list. List of Indentors: Average monthly consumption of all the Indentors: items of the indentor list should be mentioned.
Contd«

Annual Indents Supplementary indents Emergent Indents

Definition
The practice of occupational health nursing, previously defined, has changed dramatically over time, with increasing emphasis on autonomous decision making, independent practice, prevention and health Promotion,analytical and investigative skills, management, and policy development. Rogers, 1994.

Definition (Contd«)
Occupational and environmental health nursing is the speciality practice that focuses on the promotion, prevention, and restoration of health within the context of a safe and healthy environment. It includes the prevention of adverse health effects from occupational & environmental hazards. It provides health and safety services to workers¶ and workers population and community groups. (AAOHN, 1999)

STANDARDS [AAOHN-1999]
STANDARD -I
Assessment:
The occupational health nurses systematically assess the health status of the client, workforce, and environment.

STANDARD-II
Diagnosis: The occupational health nurse analyzes health data of the individual, workplace, and intervention planning.

STANDARD-III
Outcome identification The occupational health nurse identifies a specific expected outcomes plan based on diagnosis.

STANDARD-IV
Planning:
The Occupational health nurse develops a goal directed plan of care that is comprehensive and that formulates interventions for each level of prevention and for therapeutic modalities to achieve desired outcomes.

STANDARD-V
Implementation:
The Occupational health nurse implements interventions to promote health, prevent illness and injury, and facilitate rehabilitation, guided by the plan of care.

STANDARD-VI
Evaluation:
‡ Reflecting best practice standards ‡ Systematically and continuously evaluation ‡ Achievement of desired outcomes

STANDARD- VII
Resource Management Based on corporate goals and objectives, number of clients, clients¶ health needs, specific health hazards, and associated costs, the occupational health nurse collaborates with management to provide resources that support on occupational health programme that meets the needs of the workforce.

STANDARD VIII
Professional development: The occupational health nurse assumes responsibility for professional development and continuation education. Overall evaluation is accomplished through ongoing self- evaluation and selfAnalysis of data from quality improvement /assurance mechanisms.

STANDARD IX
Collaboration . To promote employee health safety, safe ,healthful work environment, to provide effective and efficient health care services, the occupational health nurse collaborates with employees, management, other health care providers, professionals, & community representatives in assessing, planning, implementing, evaluating care, and services

Glimpses

Glimpses

Glimpses

Glimpses

STANDARD X
Research
Through essential research, the occupational health nurse is committed to and contributes to the scientific base in occupational health nursing to improve and advance the practice and uses research findings in practice.

STANDARD XI
Ethics: Ethics: OHNurse uses an ethical framework, which provides parameters for ethical judgments, as a guide for decision making in practice. AAOHN also establishes the Code of Ethics with Interpretive Statements for occupational health nurses which acts as a guide for the professional OHN to maintain and pursue professionally ethical behavior in providing occupational health services.

AAOHN CODE OF ETHICS:
The occupational health nurse provides health care in the work environment with regard for human dignity and client rights, unrestricted by considerations of social or economic status, personal attributes, or the nature of the health status. The occupational health nurse promotes collaboration with other health professionals and community health agencies to meet the health needs of the workplace.

CODE OF ETHICS (Contd..)
The occupational health nurse maintains individual competence in health Nursing practice, based on scientific knowledge, and recognizes and accepts responsibility for individual judgments and actions, while complying with appropriate laws and regulations that have an impact on the delivery of occupational health services.

CODE OF ETHICS (Contd..)
Strive to safeguard the employee¶s right to privacy by protecting confidential information and releasing information only upon written consent of the employee or as required or permitted by law. Provide quality care and to safeguard clients from unethical and illegal actions. Licensed to provide health care services, accepts obligations to society as a professional and responsible member of the community

Industrial hygiene

It is the anticipation, recognition, evaluation, and control of occupational hazards, arising in or from the workplace, which may cause sickness, impaired health and well-being or wellsignificant discomfort and inefficiency among workers or community citizens.

Toxicology
Toxicology is the study of harmful effects of chemicals on ecological systems. In the occupational setting, toxicology is primarily concerned with evaluating human health effects exposed by workplace chemical exposures, including dusts, gases, and vapors.

Safety
Safety in the workplace is everyone¶s responsibility, and the safety is concerned with the design and implementation of strategies to prevent and control workplace exposures that result in injury or death.

Ergonomics   

The term Ergonomics is derived from two Greek words ergos meaning ³work´ and nomos meaning ³laws´; thus, the laws of work. The national safety counsel offers a simple but consistent definition ³ergonomics is the science of designing the job and the work place to fit the worker. The goal of ergonomics is to allow work to be done without undue stress´.

Worker place Assessment & Surveillance

OH care & Primary Care Case Management

Ethical Monitoring

SCOPE OF PRACTICE
Research/ Trends Analysis

Health Promotion & Protection

Counseling Community Orientation

Management& Administration

Clinician

Case Manager

Researcher

Coordinator

Educator

OHN ROLES

Health Promotion Specialist

Consultant Manager Corporate Director Nurse Practitioner

Research Articles
Harriss. A. Brooks N, Nursing healthy profits 20(32), NURSING STANDARD April.2006 20(32), 80. Major findings:  Undertaking health assessment and addressing work place health needs  Protecting health in the work place through training , health promotion risk management and hazards prevention  Contributing to attendance management return to work strategies and other rehabilitation work.  Ensuring compliance with the Disability.

Research Articles
Rajnarayan R. Tiwari and Shobha M. Khandaare, Occupational Health Nurse: An overview, THE NURSING JOURNAL OF INDIA, 2001, AUGUST, LXXXXII, (8), INDIA, (8), 180180-181.

Major findings
Individual

Major Services Group Workplace

THESIS
R.Ranjitha, , An Exploratory Study To Assess The Level Of Satisfaction About Nursing Care Services Provided To Bhopal Gas Victims Of Bhopal Gas Tragedy And To Seek Its Relationship With Certain Selected Factors In A Selected Hospital Of Bhopal In Madhya Pradesh. Pradesh. Unpublished Master of Nursing Thesis, university of Delhi, 2006

THESIS (Contd«)
MAJOR FINDINGS 
 There is need to provide immediate attention by nursing personnel in the hospital towards least areas of satisfaction . The basic nursing care practice need to be strengthened in all six nursing care areas especially physical care areas and psychological care. There is a need to develop the nursing standards for nursing practice as it help in delineating the total responsibility of nurses and accountability of their performance. performance. 

MAJOR FINDINGS (Contd..) 
Hospital nursing procedures manual may be developed as a reference guide for nursing staff and ward policies and rules pertaining to patient care may be developed for each ward.  To increase patient satisfaction nursing care would have to be individualized and personalized than what is in practice at present.

CONCLUSION   

OHN practice provides nursing care to worker populations, creating & sustaining healthy & safe work environments. Prevention and health promotion are the cornerstones of care in OHN within an interdisciplinary framework. The specialty focus supports a healthy, productive workforce with not only a quality of work life but also a quality of life.

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