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A few years ago, occupational health professionals noticed a rash of upper extremity injuries within a production department at ATK Aerospace Systems in Promontory, UT. "We looked at the process and made several ergonomic corrections," says David Allcott, APRN, ANP-BC, COHN-S, medical services manager.
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It's hard to imagine how even a single employee at Finch Paper in Glen Falls, NY, could have missed the fact that a health fair was being held onsite in a huge tent, with 25 local vendors and the company's wellness team present.
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Growing anti-regulatory pressure and presidential politics bring new hurdles for the U.S. Occupational Safety and Health Administration, which was already known for its snail-like pace of rulemaking. The agency has delayed the release of several key regulations, and observers expect little to emerge in the midst of an election year.
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As an occupational health professional, you spend virtually all of your time focusing on work-related issues. "We are also environmental experts as well. I think that this gets lost in our focus," says Grace Paranzino, EdD, RN, CHES, FAAOHN, chief clinical officer at Americas Product GroupHealthcare in Troy, MI.
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Hospitals are places of high emotion and drama, of pain and fear, of last resort, and sometimes of desperation. In this patient-centered world, there has been a high tolerance of aggressive or explosive behavior. But not anymore.
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Imagine this scenario: A nurse has soreness and back pain related to patient handling and other work duties. A certified athletic trainer recommends a regimen of stretching and exercises to reduce the pain. Does that make the injury recordable?
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Injury reports don't tell the whole story about hazards in the hospital. The best way to find out what you need to know is to talk to employees.
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The elements of performance for the CAUTI prevention safety goal are as follows:
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Safe patient handling has been a hallmark of employee health. But perhaps it should also be a rallying point for patient safety advocates.
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After his cheek was fractured when a patient smashed a fist into his jaw in the emergency department, Jeaux Rinehart, RN, BSN, PHN, figured he'd had enough. He worked for 32 years as an emergency room nurse and loved it, but finally he could no longer tolerate patients hitting, yelling, cursing, or spitting at him.