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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
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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



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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
Buy It


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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
Buy It


[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
Buy It


[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



Price: $95.00
Product Code: 23098
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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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