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Occupational Health Nursing Guidelines for Primary Clinical Conditions, Fourth Edition
Bonnie Rogers, DrPH, COHN-S, LNCC, FAAN
Susan A. Randolph, MSN, RN, COHN-S, FAAOHN
Karen Mastroianni, MPH, BSN, COHN-S, FAAOHN
$95.00
Product Code: 23098
This highly anticipated new edition continues to provide you with comprehensive and detailed guidance on the assessment, management, and referral of work-related and non-occupational health issues as well as the development of workplace health programs.
Comprehensive and up to date – an indispensable resource for occupational health nursing practitioners, consultants, and managers.
Pub Date: December 2008
ISBN: 978-1-883595-52-4
Format: Spiral bound, 409 pages
Quick Links
Click the links below to connect to the following:
View the Table of Contents
Read the Preface to the Fourth Edition
About the Authors
Occupational Health Nursing Guidelines for Primary Clinical Conditions, Fourth Edition is ready to assist you! This highly anticipated new edition continues to provide you with comprehensive and detailed guidance on the assessment, management, and referral of work-related and non-occupational health issues as well as the development of workplace health programs.
Divided into three sections, – Prevention and Screening, Primary Care, and Emergency Care – each of the more than 115 guidelines provides the definition, characteristics, objectives for care and outcomes, modes of treatment, necessity for referral, and an emphasis on follow-up. All guidelines have been reviewed and updated by an expert panel of occupational health nurses and physicians to provide a current and clear understanding of the clinical characteristics or treatment measures involved. Also included is a handy checklist for physician approval of the guidelines as Standing Orders.
The book has several sections related to the practice of occupational health nursing including Special Programs areas such as health surveillance, case management, respiratory protection, hearing conservation, disaster management, and much more.
The Occupational Health Resources Aids section assists the occupational health nurse in the delivery of occupational health services by providing forms for history taking and record keeping. Especially useful is a table of common prescriptive and non-prescriptive medications used in the occupational health setting with standing orders.
A final section of Appendices includes a list of reference resources, community resources, State Boards of Nursing, NIOSH Education and Research Centers, acronyms, and a glossary.
Long considered an important guide for clinical and programmatic areas in occupational health nursing practice, this new edition will provide a basis for actions that allow for, or rather demand, an individualized plan of care.
The use of standardized clinical guidelines
for nursing practice can help in the
following ways:
• To provide for goal-directed outcomes
• To guide the systematic collection of data
• To enhance critical thinking and clinical management skills
• To maximize clinical decision-making
• To improve the quality and consistency of nursing care
• To guide the development of evaluative criteria
• To foster professional accountability
Pub. Date: November 2008 ISBN: 978-1-883595-52-4 Format: Spiralbound. 409 pages.
$95.00
Product Code: 23098
[back to top]
Table of Contents
Preface v
Acknowledgments vii
A Request to our Colleagues viii
Telephone Numbers and Information ix
Review and Approval for Care Directed Guideline xvii
I Prevention and Screening 1
1. Adult Health Maintenance 3
Adult Health Maintenance Guidelines 4
2. Adult Immunizations 5
Recommended Adult Immunization Schedule 6
Recommended Adult Vaccines 7
3. Breast Cancer Detection 9
Breast Cancer Detection Guidelines 10
Breast Self-Examination (BSE) 11
4. Cervical Cancer Detection and Pap Test 12
Cervical Cancer Detection Guidelines 13
5. Drug Testing 14
6. Glaucoma Screening 16
Comprehensive Eye Examination 18
7. Human Immunodeficiency Virus 19
Universal Precautions 21
8. Human Papillomavirus (HPV) 23
9. Hypercholesterolemia Screening and Monitoring 24
Hypercholesterolemia Classification 26
LDL Cholesterol Goals, Cutpoints for Therapeutic Lifestyle Change and Treatment 27
CHD Risk Factors 27
10. Hypertension Screening and Monitoring 28
Blood Pressure Classification and Follow-up in Adults 30
Risk Stratification and Treatment 30
11. Pregnancy and Prenatal Health 31
Pregnancy Risk Factors and Warning Signs 32
12. Prostate Diseases and Detection 33
13. Skin Cancer Detection 35
Comparison of Skin Cancer with Actinic Keratosis 37
14. Testicular Cancer Detection 38
Testicular Self-Examination (TSE) 39
15. Tetanus Prophylaxis 40
Recommended Tetanus Prophylaxis 41
16. Tuberculosis Screening and Monitoring 42
17. Vibration Syndrome 44
II Primary Care 47
18. Acne 49
19. Allergic Reaction 50
Examples of Identification Tags for Allergic Reaction 52
20. Allergic Rhinitis or Hay Fever 53
21. Allergy Injections 55
22. Backache: Chronic Low Back Strain and Pain 57
23. Blister 59
24. Bronchitis 60
25. Canker Sore 61
26. Chlamydia 62
27. Chronic Fatigue Syndrome (CFS) 64
28. Chronic Obstructive Pulmonary Disease (COPD) 67
29. Conjunctivitis 69
30. Corn or Callus 70
31. Depression 72
32. Dermatitis 74
Primary and Secondary Skin Lesions 75
33. Dysmenorrhea/Premenstrual Syndrome 76
34. Ear Wax (Cerumen) 78
35. Earache: Otitis Externa 79
36. Earache: Otitis Media 80
37. Eczema 82
38. Fibromyalgia 83
39. Gastrointestinal Disturbance: Constipation 86
40. Gastrointestinal Disturbance: Diarrhea 87
41. Genital Warts 89
42. Gonorrhea 90
43. Grief 92
44. Headache 94
45. Headache, Migraine 96
Comparison of Headache Types 98
Sample Guide for a Headache Diary 98
46. Hepatitis A 99
Vaccine Prevention Guidelines for Hepatitis A 101
Recommended Vaccination Schedule 101
47. Hepatitis B 102
Recommended Vaccination Schedule 103
48. Hepatitis C 104
Comparison of Hepatitis Types A, B, and C 106
49. Hernia 107
50. Herpes Simplex Type 1 (HSV-1) (Oral) 109
51. Herpes Simplex Type 2 (HSV-2) (Genital) 110
52. Influenza 111
53. Lyme Disease 112
Medically Recommended Treatment of Early Localized Lyme Disease 114
54. Melanoma 115
Risk Factors for Melanoma 117
Comparing Melanoma Types 118
55. Menopause 119
56. Musculoskeletal Disorder 121
57. Osteoporosis 122
58. Pharyngitis 124
59. Plantar Warts 125
60. Psoriasis 126
61. Psychological Impairment 127
62. Shingles (Herpes Zoster) 128
63. Sinusitis 130
64. Sleep Disorders: Insomnia/Sleep Apnea 132
65. Splinter 134
66. Stress 135
Factors Contributing to the Stress Response 137
67. Stye (Hordeolum) 138
68. Sunburn 139
Drugs That Can Cause Photosensitivity 141
69. Syphilis 142
70. Tendinitis 144
71. Thyroid Disorders: Hyperthyroidism 146
72. Thyroid Disorders: Hypothyroidism 148
73. Toothache: Pulpitis 149
Treatment for Toothache 150
74. Upper Respiratory Infection (Common Cold) 151
75. Urinary Tract Infection (UTI) 152
76. Urticaria (Hives) 153
77. Vertigo 155
78. Violence in the Workplace 156
III Emergency Care 159
79. Abdominal Trauma 161
80. Abrasion, Laceration, or Puncture 163
81. Airway Obstruction 165
The Heimlich Maneuver for Choking 167
82. Amputation 168
83. Anaphylactic Shock 169
84. Angina Pectoris and Cardiac Chest Pain 170
Cardiac Risk Factors 172
Metabolic or Insulin-Resistance Syndrome 172
85. Asthmatic Reaction 173
86. Bite Wounds 175
87. Burn: Chemical 177
88. Burn: Electrical 179
89. Burn: Thermal 180
Burn: Rule of Nines 182
90. Cardiopulmonary Arrest 183
91. Cerebrovascular Accident (CVA) 186
92. Contusion 187
93. Convulsion or Seizure 188
94. Diabetic Emergency: Hyperglycemia 189
Blood Glucose Levels 191
Risk Factors for Diabetes 191
95. Diabetic Emergency: Hypoglycemia 192
96. Epistaxis 194
97. Eye Injury: Chemical Burn 195
98. Eye Injury: Contusion (Blunt Trauma) 197
99. Eye Injury: Flash Burn (Welding) 198
100. Eye Injury: Flash Burn (Nonwelding) 199
101. Eye Injury: Foreign Body or Corneal Abrasion 200
102. Eye Injury: Laceration of Eyelid 201
103. Eye Injury: Penetrating or Intraocular Foreign Body 202
104. Eye Injury: Protruding Foreign Body 203
105. Fracture: Closed 204
106. Fracture: Open 206
107. Frostbite 208
108. Head Injury 210
109. Heat Stress 212
Heat-Related Stress 213
Heat Index Chart 213
Permissible Heat Exposure Threshold Limit Values 214
Heat Stress Card 215
109A. Heat Disorder: Heat Cramps 216
109B. Heat Disorder: Heat Exhaustion—Salt-Depletion Type 217
109C. Heat Disorder: Heat Stroke 218
Comparison of Heat Exhaustion and Heat Stroke 219
110. Hypothermia 220
111. Insect Sting 222
112. Pneumothorax 224
113. Shock 226
114. Sprain: Acute 228
IV Special Programs 229
Adult International Travel 231
Automatic External Defibrillator (AED) 233
Automated External Defiibrillation (AED) Flowchart 235
Case Management 236
Disaster Management 238
Ergonomic Assessment 242
Exercise 244
Genetic Screening and Monitoring 248
Health and Safety Committees 250
Health Promotion 252
Health Surveillance 257
Substances Requiring Medical Surveillance by OSHA Standards 259
Hearing Conservation 260
Indoor Environmental Quality (IEQ) 263
Major Indoor Air Contaminants 265
Laser Safety Programs 267
Medical Waste Disposal 269
Nutrition 271
Sample USDA Food Guide and the DASH Eating Plan at the 2,000 Calorie Level 276
Over-the-Counter Medications 277
Poisoning 279
Certified Regional Poison Control Centers 280
Quality Assurance: Clinical 286
Respiratory Protection 288
Safety Audits 290
Shift Work 293
Smoking Cessation 295
Overview of Smoking Cessation Aids 287
Smoking Cessation Resources 300
Violence Prevention 301
V Occupational Health Resource Aids 305
Common Prescriptive and Nonprescriptive Medications Used in the Occupational Health Setting with Standing Orders 307
Confidentiality of Health and Medical Records 315
Occupational and Environmental Health History 317
Occupational and Environmental Health History Form 318
Physical Health Assessment 322
Physical Assessment Examination 323
Precepting in the Occupational Health Setting 327
Precepting Sample Objectives 329
Reproductive Health History 331
Reproductive Health History Questionnaire 333
Resources for Reproductive Hazard Information 338
SOAP Charting 339
SOAP Protocol Example 340
Worksite Assessment 342
Worksite Assessment Guide 343
VI Appendixes 353
A. Occupational Health Nursing Reference Library 355
Books 355
Journals and Periodicals 362
Resource Websites 370
B. Community Resources
Occupational Health and Safety Agencies 371
OSHA Regional Offices 373
Occupational Health and Safety Advisory Groups 374
Professional and Volunteer Organizations 375
Catalogs and Directories 378
C. State Boards of Nursing 379
Nurse Licensure Compact 384
D. NIOSH Education and Research Centers 385
E. Acronyms 387
F. Glossary 389
References 395
Index 403
Pub. Date: November 2008 ISBN: 978-1-883595-52-4 Format: Spiralbound. 409 pages.
$95.00
Product Code: 23098
[back to top]
Preface to Fourth Edition
The occupational health nurse's practice continues to expand with a focus not only on
protection from work-related injury and disease, but also the provision of professional
nursing care for the management of occupational and nonoccupational clinical conditions
and health promotion activities that have become integral to the nursing role in the
work setting. This trend has created a need for practice guidelines to help delineate parameters
of care.
Occupational Health Nursing Guidelines for Primary Clinical Conditions, Fourth Edition, is
expanded and revised. The number of guidelines presented continue to grow based on
needs identified from practitioners in the field, tripling those in the first edition. Guidelines
have been categorized in three different areas: Prevention and Screening, Primary
Care, and Emergency Care. Each guideline follows the same format: problem definition,
clinical and related characteristics, and policy perspectives; clinical objectives, assessment
criteria and nursing interventions; specific conditions requiring medical referral; and
follow-up activities. Each clinical guide has been reviewed by nursing and medical experts,
and some have been supplemented with summary or comparison tables and illustrations
for a clearer understanding of the clinical characteristics or treatment measures
involved.
In addition, the manual has several sections related to the practice including special program
areas important to occupational health nursing (e.g., surveillance, case management,
respiratory protection), a resource aid section to assist the occupational health
nurse in the delivery of occupational health services, and an appendices section with important
and useful information.
This book is considered a guide for clinical and programmatic areas in occupational
health nursing practice, and each guideline should be treated as such. The guidelines presume
that when any employee enters the occupational health setting, the occupational
health nurse obtains an appropriate health and occupational history and conducts examinations
relevant to the presenting problem and history within the limits of the applicable
State Nurse Practice Act. These guidelines are written to provide a basis for such actions
while allowing for, or rather demanding, an individualized plan of care.
For many common health problems seen in the occupational health unit, independent
nursing interventions are appropriate. However, because of the interdependent nature of
nursing and medicine, collaborative strategies often are appropriate, requiring physician
referral or intervention. Though each of the guidelines in this book notes specific conditions
warranting referral, every situation is different, and professional judgment must
guide the occupational health nurse in making referrals to other health care professionals.
In addition, it is important to recognize that the occupational health nurse or other occupational
health care provider does not constitute a replacement for the employee's primary
health care provider; referrals and collaboration with the employee's primary health
care provider are an essential component of the employee's overall health care.
We believe that clinical nursing and programmatic guidelines used within a model of collaborative
practice in occupational settings can help foster and clarify communication between occupational health
nurses, physicians, and other health care providers with respect to appropriate and consistent procedures
and parameters for clinical management and referral. In addition, the use of standardized clinical guidelines
for nursing practice can help in the following ways:
• To provide for goal-directed outcomes
• To guide the systematic collection of data
• To enhance critical thinking and clinical management skills
• To maximize clinical decision-making
• To improve the quality and consistency of nursing care
• To guide the development of evaluative criteria
• To foster professional accountability
It is of paramount importance that the health care provider appropriately maintain confidentiality
of employee health information. Information required by law and relevant to
work-related illness and injury should be disclosed only within the parameters of ethical
codes, maintaining employee autonomy, and informed consent.
We hope that these guidelines will become a valuable resource for the professional registered
nurse practicing in an occupational health setting. We encourage our readers, however,
to make use of the many resources available to the occupational health nurse from
both public and private sources. To that end, we have included appendices consisting of a
variety of sources of information on the practice of occupational health nursing and on
specific clinical conditions. Appendix A offers a categorical list of books and journals in
the Occupational Health Nursing Reference Library. In Appendix B are Community Resources,
including a list of training videos, catalogs, agencies, and organizations concerned
with the advancement of health in the work setting. A directory of the State Boards
of Nursing can be found in Appendix C, and in Appendix D are listed the National Institute
for Occupational Safety and Health Education and Research Centers. Appendix E presents
commonly used acronyms and Appendix F is a glossary of commonly used terms.
We encourage our readers to make use of these and other valuable resources in their
daily practice and to continually search for new scientifically-based information that will
support and improve occupational health nursing practice.
Bonnie Rogers
Pub. Date: November 2008 ISBN: 978-1-883595-52-4 Format: Spiralbound. 409 pages.
$95.00
Product Code: 23098
[back to top]
About the Authors
Bonnie Rogers, DrPH, COHN-S, LNCC, FAAN
Professor and Director, North Carolina Occupational Safety and Health Education and Research Center and the Occupational Health Nursing Program
University of North Carolina
School of Public Health
Chapel Hill, North Carolina
Susan A. Randolph, MSN, RN, COHN-S, FAAOHN
Clinical Assistant Professor
Occupational Health Nursing Program
University of North Carolina
School of Public Health
Chapel Hill, North Carolina
Karen Mastroianni, MPH, BSN, COHN-S, FAAOHN
Principal, Health & Safety Strategist
Dimensions in Occupational Health & Safety, Inc.
Raleigh, North Carolina
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2012 Exam Dates:
MROCC Onsite Exams:
Apr 1, 2012 - Philadelphia
Apr 29, 2012 - Los Angeles
Jun 10, 2012 - Chicago
Jul 22, 2012 - Chicago
Nov 11, 2012 - TBD (In the Southeast)
Dec 2, 2012 - Washington DC
For complete information on 2012 course dates and registration details CLICK HERE
Study Aides:
MRO Certification:
Medical Review Officer's Manual
Medical Review Officer Team Manual
MRO Re-Certification:
Medical Review Officer Team Manual
COHN:
Occupational and Environmental Health: Recognizing and Preventing Disease and Injury
Core Curriculum for Occupational and Environmental Health Nursing
Bates' Guide to Physical Examination and History Taking
Occupational Health Nursing Guidelines for Primary Clinical Conditions
Casarett & Doull's Toxicology
COHN-S:
All COHN books plus
Effective Management of Health and Safety Programs
Preventive Medicine
Epidemiology, Biostatistics, and Preventive Medicine
Maxcy-Rosenau-Last Public Health and Preventive Medicine
Study Guide to Epidemiology & Biostatistics
Effective Management of Health and Safety Programs
Preventive Medicine and Public Health
Occupational Medicine
Occupational & Environmental Medicine Self Assessment and Review
Proctor & Hughes' Chemical Hazards of the Workplace
Current Occupational and Environmental Medicine
Effective Management of Health and Safety Programs
Clinical Environmental Health and Toxic Exposures
Physical and Biological Hazards of the Workplace
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