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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]
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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
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AnnualAnnual IndentsIndents
SupplementarySupplementary indentsindentsEmergentEmergent IndentsIndents
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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.
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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)
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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
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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.
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Outcome identification
The occupational health
nurse identifies a
specific expected
outcomes plan based on
diagnosis.
STANDARD-III
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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.
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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.
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STANDARD-VI
Evaluation: Reflecting best practice
standards Systematically and
continuously evaluation
Achievement of desired
outcomes
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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
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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.
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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
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Glimpses
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Glimpses
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Glimpses
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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
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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.
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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.
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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
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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..
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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.
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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.
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