occupationalhealth nsg

Upload: upendra-yadav

Post on 10-Apr-2018

232 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/8/2019 OccupationalHealth Nsg

    1/38

    OCCUPATIONAL NURSING

    PRACTICE

    OCCUPATIONAL NURSING

    PRACTICE

    MODERATORMODERATOR

    Mrs. MollyMrs. Molly BabuBabu

    Senior Lecturer

    PRESENTERPRESENTER

    Mr. Upendra YadavMr. Upendra Yadav

    RAK, College of NursingRAK, College of NursingEmail: [email protected]

  • 8/8/2019 OccupationalHealth Nsg

    2/38

    The inputs into the computer may be as follows:The inputs into the computer may be as follows:

    Master ListMaster List: This is a list of all the materials used in the: This is a list of all the materials used in thestores and gives details of code numbers and description.stores and gives details of code numbers and description.

    Details of SuppliersDetails of Suppliers: Names, addresses, ph

    one numbers,: Names, addresses, ph

    one numbers,Fax numbers should be included in the supplier file list.Fax numbers should be included in the supplier file list.

    List of IndentorsList of Indentors: Average monthly consumption of all the: Average monthly consumption of all the

    items of the indentor list should be mentioned.items of the indentor list should be mentioned.ContdContd

  • 8/8/2019 OccupationalHealth Nsg

    3/38

    AnnualAnnual IndentsIndents

    SupplementarySupplementary indentsindentsEmergentEmergent IndentsIndents

  • 8/8/2019 OccupationalHealth Nsg

    4/38

    Definition

    The practice of occupational health nursing,The practice of occupational health nursing,

    previously defined, has changed dramatically overpreviously defined, has changed dramatically over

    time, with increasing emphasis on autonomoustime, with increasing emphasis on autonomous

    decision making, independent practice, preventiondecision making, independent practice, prevention

    and health Promotion,analytical and investigativeand health Promotion,analytical and investigative

    skills, management, and policy development.skills, management, and policy development.

    Rogers, 1994.Rogers, 1994.

  • 8/8/2019 OccupationalHealth Nsg

    5/38

    Definition (Contd)

    Occupational and environmental healthOccupational and environmental healthnursing is the speciality practice that focusesnursing is the speciality practice that focuseson the promotion, prevention, and restorationon the promotion, prevention, and restorationofhealth within the context of a safe andofhealth within the context of a safe andh

    ealth

    y environment.h

    ealth

    y environment. It includes the prevention of adverse healthIt includes the prevention of adverse health

    effects from occupational & environmentaleffects from occupational & environmentalhazards.hazards.

    It provides health and safety services toIt provides health and safety services toworkers and workers population andworkers and workers population andcommunity groups.community groups. (AAOHN, 1999)(AAOHN, 1999)

  • 8/8/2019 OccupationalHealth Nsg

    6/38

    STANDARDS [AAOHN-1999]

    Assessment:Assessment:

    The occupational healthThe occupational health

    nurses systematicallynurses systematically

    assess the health status ofassess the health status of

    the client, workforce, andthe client, workforce, andenvironment.environment.

    STANDARDSTANDARD --II

  • 8/8/2019 OccupationalHealth Nsg

    7/38

    STANDARD-II

    Diagnosis:Diagnosis:

    The occupational healthThe occupational health

    nurse analyzes healthnurse analyzes health

    data of the individual,data of the individual,workplace, andworkplace, and

    intervention planning.intervention planning.

  • 8/8/2019 OccupationalHealth Nsg

    8/38

    Outcome identification

    The occupational health

    nurse identifies a

    specific expected

    outcomes plan based on

    diagnosis.

    STANDARD-III

  • 8/8/2019 OccupationalHealth Nsg

    9/38

    STANDARD-IV

    Planning:Planning:

    The Occupational health nurseThe Occupational health nurse

    develops a goal directed plan ofdevelops a goal directed plan of

    care that is comprehensive andcare that is comprehensive and

    that formulates interventions forthat formulates interventions for

    each level of prevention and foreach level of prevention and for

    therapeutic modalities to achievetherapeutic modalities to achieve

    desired outcomes.desired outcomes.

  • 8/8/2019 OccupationalHealth Nsg

    10/38

    STANDARD-V

    Implementation:Implementation:

    The Occupational health nurseThe Occupational health nurse

    implements interventions to promoteimplements interventions to promote

    health, prevent illness and injury, andhealth, prevent illness and injury, and

    facilitate rehabilitation, guided by the planfacilitate rehabilitation, guided by the plan

    of care.of care.

  • 8/8/2019 OccupationalHealth Nsg

    11/38

    STANDARD-VI

    Evaluation: Reflecting best practice

    standards Systematically and

    continuously evaluation

    Achievement of desired

    outcomes

  • 8/8/2019 OccupationalHealth Nsg

    12/38

    STANDARD- VII

    Based on corporate goals and objectives,Based on corporate goals and objectives,

    number of clients, clients health needs,number of clients, clients health needs,specific healthhazards, and associatedspecific healthhazards, and associated

    costs, the occupational health nursecosts, the occupational health nurse

    collaborates with management to providecollaborates with management to provideresources that support on occupational healthresources that support on occupational health

    programme that meets the needs of theprogramme that meets the needs of the

    workforce.workforce.

    Resource ManagementResource Management

  • 8/8/2019 OccupationalHealth Nsg

    13/38

    STANDARD VIII

    Professional development:Professional development:

    TThe occupational health nurse assumeshe occupational health nurse assumes

    responsibility for professional developmentresponsibility for professional development

    and continuation education.and continuation education.

    Overall evaluation is accomplished throughOverall evaluation is accomplished through

    ongoing selfongoing self-- evaluation andevaluation and

    Analysis of data from quality improvementAnalysis of data from quality improvement

    /assurance mechanisms./assurance mechanisms.

  • 8/8/2019 OccupationalHealth Nsg

    14/38

    STANDARD IX

    ..Collaboration

    To promote employee health safety, safe

    ,healt

    hful work environment, to provide effectiveand efficient health care services, the

    occupational health nurse collaborates with

    employees, management, otherhealth care

    providers, professionals, & communityrepresentatives in assessing, planning,

    implementing, evaluating care, and services

  • 8/8/2019 OccupationalHealth Nsg

    15/38

  • 8/8/2019 OccupationalHealth Nsg

    16/38

    Glimpses

  • 8/8/2019 OccupationalHealth Nsg

    17/38

    Glimpses

  • 8/8/2019 OccupationalHealth Nsg

    18/38

    Glimpses

  • 8/8/2019 OccupationalHealth Nsg

    19/38

    STANDARD X

    ResearchResearch

    Through essential research, theThrough essential research, the

    occupational health nurse is committedoccupational health nurse is committedto and contributes to the scientific base into and contributes to the scientific base in

    occupational health nursing to improveoccupational health nursing to improve

    and advance th

    e practice and usesand advance th

    e practice and usesresearch findings in practice.research findings in practice.

  • 8/8/2019 OccupationalHealth Nsg

    20/38

    STANDARD XI

    EthicsEthics:: OHNurse uses an ethical framework, whichOHNurse uses an ethical framework, which

    provides parameters for ethical judgments,provides parameters for ethical judgments,as a guide for decision making in practice.as a guide for decision making in practice.

    AAOHN also establishes theAAOHN also establishes the CCode ofode ofEthics with Interpretive StatementsEthics with Interpretive Statements forfor

    occupational health nurses which acts as aoccupational health nurses which acts as aguide for the professional OHN to maintainguide for the professional OHN to maintainand pursue professionally ethical behaviorand pursue professionally ethical behaviorin providing occupational health services.in providing occupational health services.

  • 8/8/2019 OccupationalHealth Nsg

    21/38

    AAOHN CODE OF ETHICS:

    The occupational health nurse provides healthThe occupational health nurse provides health

    care in the work environment with regard forcare in the work environment with regard for

    human dignity and client rights, unrestrictedhuman dignity and client rights, unrestricted

    by considerations of social or economicby considerations of social or economic

    status, personal attributes, or the nature of thestatus, personal attributes, or the nature of the

    health status.health status.

    The occupational health nurse promotesThe occupational health nurse promotes

    collaboration with other health professionalscollaboration with other health professionalsand community health agencies to meet theand community health agencies to meet the

    health needs of the workplace.health needs of the workplace.

  • 8/8/2019 OccupationalHealth Nsg

    22/38

    CODE OF ETHICS (Contd..)

    The occupational health nurse maintainsThe occupational health nurse maintainsindividual competence in healthindividual competence in health

    Nursing practice, based on scientificNursing practice, based on scientific

    knowledge, and recognizes and acceptsknowledge, and recognizes and acceptsresponsibility for individual judgments andresponsibility for individual judgments and

    actions, while complying with appropriateactions, while complying with appropriate

    laws and regulations that have an impact onlaws and regulations that have an impact on

    the delivery of occupational health services.the delivery of occupational health services.

  • 8/8/2019 OccupationalHealth Nsg

    23/38

  • 8/8/2019 OccupationalHealth Nsg

    24/38

    Industrial hygiene

    It is the anticipation, recognition, evaluation,It is the anticipation, recognition, evaluation,and control of occupational hazards, arising inand control of occupational hazards, arising in

    or from the workplace, which may causeor from the workplace, which may cause

    sickness, impaired health and wellsickness, impaired health and well--being orbeing or

    significant discomfort and inefficiency amongsignificant discomfort and inefficiency among

    workers or community citizens.workers or community citizens.

  • 8/8/2019 OccupationalHealth Nsg

    25/38

    Toxicology

    Toxicology is the study ofharmful effects ofToxicology is the study ofharmful effects of

    chemicals on ecological systems. In thechemicals on ecological systems. In the

    occupational setting, toxicology is primarilyoccupational setting, toxicology is primarily

    concerned with evaluating human health effectsconcerned with evaluating human health effects

    exposed by workplace chemical exposures,exposed by workplace chemical exposures,

    including dusts, gases, and vapors.including dusts, gases, and vapors.

  • 8/8/2019 OccupationalHealth Nsg

    26/38

    Safety

    Safety in the workplace isSafety in the workplace is

    everyones responsibility,everyones responsibility,

    and the safety is concernedand the safety is concerned

    with the design andwith the design and

    implementation of strategiesimplementation of strategies

    to prevent and control workplaceto prevent and control workplace

    exposures that result in injury orexposures that result in injury or

    death.death.

  • 8/8/2019 OccupationalHealth Nsg

    27/38

    Ergonomics

    The term Ergonomics is derived from twoThe term Ergonomics is derived from twoGreek wordsGreek words ergosergos meaning work andmeaning work andnomosnomos meaningmeaning laws;laws; thus, the laws ofthus, the laws of

    work.work. The national safety counsel offers aThe national safety counsel offers a

    simple but consistent definitionsimple but consistent definitionergonomics is the science of designingergonomics is the science of designing

    the job and the work place to fit thethe job and the work place to fit theworker.worker.

    The goal of ergonomics is to allow work toThe goal of ergonomics is to allow work to

    be done with

    out undue stress.be done with

    out undue stress.

  • 8/8/2019 OccupationalHealth Nsg

    28/38

    SCOPE OF

    PRACTICE

    OH care &

    Primary CareWorker place

    Assessment& Surveillance

    Ethical

    Monitoring

    Research/ Trends

    Analysis

    Community

    Orientation Management&

    Administration

    Counseling

    Health Promotion& Protection

    Case

    Management

  • 8/8/2019 OccupationalHealth Nsg

    29/38

  • 8/8/2019 OccupationalHealth Nsg

    30/38

    Research ArticlesHarriss. A. Brooks N, Nursing healthy profitsHarriss. A. Brooks N, Nursing healthy profits

    NURSING STANDARDNURSING STANDARD April.2006 20(April.2006 20(3232), 80.), 80.

    Major findings:Major findings:

    Undertaking health assessment and addressingUndertaking health assessment and addressing

    work place health needswork place health needs

    Protecting health in the work place throughProtecting health in the work place through

    training , health promotion risk management andtraining , health promotion risk management and

    hazards preventionhazards prevention

    Contributing to attendance management return toContributing to attendance management return to

    work strategies and other rehabilitation work.work strategies and other rehabilitation work.

    Ensuring compliance with the Disability.Ensuring compliance with the Disability.

  • 8/8/2019 OccupationalHealth Nsg

    31/38

    Research Articles

    Rajnarayan R. Tiwari and Shobha M.Rajnarayan R. Tiwari and Shobha M.

    Khandaare, Occupational Health Nurse:Khandaare, Occupational Health Nurse:

    An overview,An overview, THE NURSING JOURNALTHE NURSING JOURNAL

    OF INDIAOF INDIA, 2001, AUGUST, LXXXXII, (, 2001, AUGUST, LXXXXII, (8)8),,

    180180--181.181.

  • 8/8/2019 OccupationalHealth Nsg

    32/38

  • 8/8/2019 OccupationalHealth Nsg

    33/38

    THESIS

    R.Ranjitha,R.Ranjitha, , An Exploratory Study, An Exploratory Study

    To Assess The Level Of SatisfactionTo Assess The Level Of Satisfaction

    About Nursing Care ServicesAbout Nursing Care Services

    Provided To Bhopal Gas Victims OfProvided To Bhopal Gas Victims Of

    Bhopal Gas Tragedy And To SeekBhopal Gas Tragedy And To Seek

    Its Relationship With CertainIts Relationship With Certain

    Selected Factors In A SelectedSelected Factors In A SelectedHospital Of Bhopal In MadhyaHospital Of Bhopal In Madhya

    PradeshPradesh.. Unpublished Master of NursingUnpublished Master of Nursing

    Thesis, university of Delhi, 2006Thesis, university of Delhi, 2006

  • 8/8/2019 OccupationalHealth Nsg

    34/38

    THESIS (Contd)

    MAJOR FINDINGSMAJOR FINDINGS There is need to provide immediate attentionThere is need to provide immediate attention

    by nursing personnel in the hospital towardsby nursing personnel in the hospital towardsleast areas of satisfaction .least areas of satisfaction .

    The basic nursing care practice need to beThe basic nursing care practice need to bestrengthened in all six nursing care areasstrengthened in all six nursing care areasespecially physical care areas andespecially physical care areas andpsychological care.psychological care.

    There is a need to develop the nursingThere is a need to develop the nursingstandards for nursing practice as it help instandards for nursing practice as it help indelineating the total responsibility of nursesdelineating the total responsibility of nursesand accountability of their performanceand accountability of their performance..

  • 8/8/2019 OccupationalHealth Nsg

    35/38

    MAJOR FINDINGS (Contd..)

    Hospital nursing procedures manualHospital nursing procedures manualmay be developed as a referencemay be developed as a reference

    guide for nursing staff and wardguide for nursing staff and ward

    policies and rules pertaining to patientpolicies and rules pertaining to patientcare may be developed for eachcare may be developed for each

    ward.ward.

    To increase patient satisfactionTo increase patient satisfaction

    nursing care would have to benursing care would have to be

    individualized and personalized thanindividualized and personalized than

    what is in practice at present.what is in practice at present.

  • 8/8/2019 OccupationalHealth Nsg

    36/38

    CONCLUSION

    OHN practice provides nursing care to workerOHN practice provides nursing care to workerpopulations, creating & sustaining healthy &populations, creating & sustaining healthy &safe work environments.safe work environments.

    Prevention andh

    ealth

    promotion are th

    ePrevention andh

    ealth

    promotion are th

    ecornerstones of care in OHN within ancornerstones of care in OHN within aninterdisciplinary framework.interdisciplinary framework.

    The specialty focus supports a healthy,The specialty focus supports a healthy,

    productive workforce with

    not only a quality ofproductive workforce with

    not only a quality ofwork life but also a quality of life.work life but also a quality of life.

  • 8/8/2019 OccupationalHealth Nsg

    37/38

  • 8/8/2019 OccupationalHealth Nsg

    38/38