Ch. 5 Practice settings and nursing roles in the community Flashcards
Occupational Health Nursing: Exposure to Hazards
occupational health history provides a framework for a nurse to begin assessing a worker
should include
- current and past jobs
- current and past exposure to specific agents and any relationship of current manifestations to work activities
- any precipitating factors (underlying illness, previous injuries, healthy or unhealthy habits)
Occupational: Site Walk-through
focus on;
- work process and materials
- job requirements
- actual and potential hazards
- employee work practices (hygiene, waste disposal, housekeeping)
- incidence/ prevalence of work-related illness/ injuries
- control strategies to eliminate exposures
Occupational Health: Control strategies
designed to reduce future exposures based on findings
- engineering
- altering work practices
- providing personal protective equipment and education to prevent future injuries
- workplace monitoring
- health screening
- employee- assistance programs
- job- task analysis
- design, risk management, and emergency preparedness
Occupational Health and Safety Administration (OSHA)
develops and enforces workplace health regulations to protect the safety and health of workers.
Provides education to employers about workplace health and safety.
National Institute for Occupational Safety and Health (NIOSH)
part of the CDC and prevention
identification of workplace hazards and research for the prevention of work-related illness and injury.
education and safety
National Advisory Committee on Occupational Safety and Health (NACOSH)
advisory committee made up of 12 members representing labor, occupational health, safety professions, and the general public.
Purpose is to advise the secretaries of labor and health and human services on policies and programs that affect occupational safety and health.
Workers’ compensation acts
state-level legislation that regulates financial compensation to workers suffering from injuries or illness resulting from the workplace
Faith community nursing
provide interventions to individuals and groups in homes, congregational meeting places, acute or long-term care facilities, or through schools
governed by each state’s nurse practice act
interventions based on spiritual, physical, and emotional, and social dimensions
must be aware of faith and belief practices. Caring and spiritual are central
Circle Model of Spiritual Care
C- Caring
I- Intuition
R- respect for religious beliefs and practices
C- caution
L- listening
E- emotional support
Parish Nurse
health and wellness of populations of faith communities.
work closely with pastoral care staff, professional health care members, and lay volunteers to provide a hollistic approach to healing.
functions of a Parish Nurse
personal health counseling
health education
Liaison between faith community and local resources
facilitating support groups
spiritual support
School nursing roles
- Case manager
- Community outreach
- Consultant
- Counselor
- Direct caregiver
- Health educator
- Researcher
Secondary prevention for school nurses
Assess children who become ill or injures at school
Assess all children and staff during emergencies
(provide emergency care, create emergency plans, supply)
Perform screenings
Assess children to detect abuse or neglect
Assess for mental illness, suicide, violence
Respond to school crisis or disasters
(develop crisis plan, act as first responder or triage, participate in drills, counsel and debrief)
Tertiary Prevention
Assess children who have disabilities
Assess children who have long-term care needs
Provide care for children with chronic disorders (asthma, DM, CF)
Provide ongoing care for adolescent parents
(pregnancy identification, parenting education, educate on future pregnancy prevention)
Components of Coordinated School Health Programs
Health education
Physical education
Health services
Nutrition services
Counseling, psychological and social services
Promotion of a healthy and safe school environment
Health promotion for staff
Facilitation of family/ community involvement
Facilitating safety policies
