B1 Ollie Flashcards

Question

Occupational Health Service - Aims

Answer 1

International Labour Organisation: To protect workers against health hazards at work To adapt the job to s uit the workers health s tatus To make a contribution to the physical and mental well-being in the workforce

Answer 2

Recognition Measurement Evaluation Control

Answer 3

To identify: Chemical Physical Biological Ergonomic Psychosocial hazards To measure and evaluate exposure Interpretation of results and determination of risk The design and application of control measures Provision of education and training Preparation of labels /information and keeping records Res earch and development

Answer 4

Qualified Medical Practitioner (i.e.a Doctor) who specialises in Occupational Medicine 5years training (MD) 2 years for GP (MRCGP exam) 4yrs HigherSpecialistTraining(HST) Associate of Faculty of Occupational Medicine (AFOM) exam: become MFOM after dissertation Also Diploma in Occupational Medicine (DOccMed), basic level for GPs

Answer 5

Advis ing on health and s afety policy As s is ting in the control of s icknes s abs ence and reviewing the fitnes s of employees afterwards , even managing their rehabilitation Advis ing on employees fitnes s to work Managing acces s to firs t aid facilities

Answer 6

Organising health promotion activities Designing and managing substance abuse programmes at work Advising on the management and alleviation of stress Assessing employees eligibility for long term disability benefits or ill-health retirement.

Answer 7

A registered nurse whos e name appears on the professional register of the UKCC and who holds a post-registration qualification in occupational health nursing recorded with the UKCC This may be an occupational health nursing certificate, diploma or degree in occupational health nursing studies UKCC- UK Central Council for Nursing, Midwifery and Health Visiting

Answer 8

Nursing qualification (Degree level) Additional specialism – typically 1 year full time post-graduate Graduate Diploma - Specialist Community Public Health Nursing (Occupational Health Nursing) Registered with National Nursing and Midwifery Council

Answer 9

``` Pre-employmentand medical s creening Health s urveillance Treatment Health education Rehabilitation Advice and counselling Record keeping ```

Answer 10

To provide specialist support to the HSE To investigate complaints regarding ill-health made by individual employees and others To investigate health is s ues raised by GPs and other medical personnel

Answer 11

To carry out workplace inspections , to investigate occ. health risks and where necessary enforcement action Provide occupational health advice to employers and employees To carry out epidemiological research

Answer 12

The process of systematically us ing strategies and methods to as s es s the adverse effects of work on the health of workers Examples - audIometry, biological monitoring , inspection of skin by a responsible person, completion of questionnaires regarding symptoms of the effects of vibration Health assessment - general assessment of health, rather than the effects of hazards at work

Answer 13

Protection of health of the individual employee Detection at an early s tage of any advers e health effects Assisting in the evaluation of control measures Data may be used for detection of hazards and assessment of risk Other purposes : e.g. immune status assessment

Answer 14

There is an identifiable disease or other identifiable advers e health outcome The dis eas e or health effect may be related to exposure There is a likelihood that the dis eas e or health effect may occur There are valid techniques for detecting indications of the disease or health effects

Answer 15

f appropriate for the protection of employees health Substances lis ted in Schedule 6 (e.g. VCM) If an identifiable disease or adverse health effect If there is a reasonable likelihood that the disease or effect may occur under the conditions of work If valid techniques available

Answer 16

``` Suitable health surveillance: Biological monitoring Biological effect monitoring Medical surveillance Enquiries about symptoms Review of records Keep records 40 years ```

Answer 17

Medical s urveillance if expos ure s ignificant Als o biological monitoring Records kept for 40 years

Answer 18

``` Control of Asbestos Regulations: Medical s urveillance every 12 months Records kept for 40 years Ionising RadiationRegulations: Medical surveillance for Classified Workers and those subject to over exposure Every 12 months Records kept for 50 years ```

Answer 19

Provided where risk ass essment indicates that there is a risk to health Exposure above the upper exposure action value Audiometry If hearing damage is identified then the employer must refer the individual to a medical practitioner Records to be available for ins pection

Answer 20

Provided if the Exposure Action Value is likely to be exceeded or if health is likely to be put at risk due to vibration at work Records to be available for inspection

Answer 21

Employers must provide eye tests to us ers of DSE, or people who are to become users Further eye test must be provided at appropriate intervals or if requested due to visual problems No reference to records

Answer 22

Short-term sickness absence Long-term sickness absence( more than 4 weeks) Unauthorised absence or persistent lateness Other authorised absences e.g. annual leave, maternity, paternity etc

Answer 23

``` Total absence (hours or days) in the period x 100 divided by Possible total (hours or days) in the period This gives time lost as a percentage of the total time worked ```

Answer 24

No of spells of absence in the period x100 divided by No of employees Average number of abs ences per employee expressed as a percentage.

Answer 25

Contractual sick pay terms and its relationship with statutory sick pay When and to whom employees should notify When employees need a self-certificate form When employees require a fit note from their doctor Right to require employees to attend examination by company doctor Provisions for return-to-work interviews Guidance on absence during major or adverse events

Answer 26

Recording sickness absence Keeping in contact with sick employees , including return to work interviews Planning and undertaking workplace controls or adjustments to help workers on sickness absence to return and s tay in work Making us e of professional advice and treatment Agreeing and reviewing a return to work plan Co-ordinating the return to work process

Answer 27

``` GP mustalso selectone of: Phas ed return to work Amended duties Altered hours Workplace adaptations GP can make additional comments Advice is not binding on employers Employers s hould dis cus s with employee ```

Answer 28

``` Mayneed to specifystandards: Breathing apparatus us ers Confined spaceworkers Fork truck operators Lone workers Company vehicle drivers Workers us ing dangerous machinery ```

Answer 29

A physical or mental impairment that has a substantial and long-term adverse effect on a persons ability to carry out normal day-to-day activities Normal day-to-day e.g. reading, writing, us ing the telephone, having a conversation and travelling by public transport Long-term at leas t a year Substantial not minor or trivial Reasonable adjustments

Answer 30

Issues such as age, disability and pay Act prohibits a prospective employer from asking about health before offering employment Employer can ask health questions once a job offer has been made Must then make reasonable adjustment If then not fit for the role the employer may withdraw the offer

Answer 31

Reduction in reflex/responses election dependent tasks Increased aggress ion due to inhibition removal Perception interference and memory problems Drowsiness Discarding of illegally us ed needles Synergistic effects with substances handled in the course of work

Answer 32

Sudden mood changes Unusual irritability or aggression Tendency to become confused Abnormal fluctuations in concentration and energy Impaired job performance Poor time-keeping Increase short-term sickness absence Deterioration in relations hips with colleagues , customers or management Dishonesty and theft (arising from need to maintain expensive habit)

Answer 33

Link between drug taking/alcohol and accidents inconclusive Lack of evidence between drug/alcohol taking in safety critical industries Alcohol probably greater concern than drugs No evidence that drug testing is a deterrent Drug test not indication of intoxication Employers may be open to challenge under Human Rights /Data Protection Acts No controls over testing providers and no information about extent of drug testing in UK

Answer 34

Breath: Alcohol breathalyser (colour change in stain tube) Alco meter catalytic electronic meter (e.g. Traeger) Cannabis detecting meter Urine: Most controlled drugs are detectable (e.g. multi-drug test strips /cups ) also alcohol

Answer 35

Saliva: Multi-drug tes ts available bas ed on immunoas s ay Alcohol strips Blood: Difficult to enforce in the workplace as invas ive Alcohol and controlled drugs have available analytical methods

Answer 36

Incorporate agreement to tes ting in employment contract Obtain written cons ent before each tes t Keep medical records confidential Introducea'chainofcustody' tomakesuresamples arenottampered with Analys is by an accredited laboratory Take appropriate action if tes t is pos itive

Answer 37

Statement of unacceptable levels Statutory requirement in rail and air transport industries in addition to driving on public highway Information on type and frequency of tes ting including pre-employment testing Disciplinary code Actions taken in respect of positive results

Answer 38

Support Mechanism Counselling/psychiatric assistance for persons who seek help Training of managers in symptom recognition/rehabilitation assistance Effects of prescribed medicines

Answer 39

Personal health surveillance regarded as medical information Confidential under Data Protection Act 1998 Employees have right of access Should be kept s eparate from ‘normal’ HR records Employers should be given ‘anonymised’ data to make decisions on controls