Clinical Practice Flashcards
Due to an accident at work, an employee has a left above-knee amputation. In planning the employee’s return to work, the OHN should:
Evaluate the workers ability to perform this job.
A union worker was referred to the OHN because of failure to meet quotas. The worker’s physician diagnoses diabetic retinopathy with an uncorrectable loss of vision in one eye and reduced vision in the other eye. In managing this case, one of the first steps the OHN should take is:
It is most desirable to have the worker with a disability, such as visual impairment, remain in the current job. According to the ADA, this work is entitled to reasonable accommodation, which includes assistive devices.
A worker is placed on an insulin pump by their endocrinologist. The OHN is asked to assist with implementing the new treatment plan during work hours. It is important that the worker is allowed time to:
When using an insulin pump, the worker receives a continuous basal rate of insulin and administers a bolus dose of insulin before meals. The worker is responsible for self-management of insulin doses, based on blood glucose levels, food intake, and activity level. Therefore, the worker must be allowed time to monitor blood glucose levels multiple times daily.
The OHN is monitoring the outcomes of care based on the treatment plan for a worker with diabetic retinopathy. The worker continues to lose vision in the ‘good’ eye and continues to have difficulty with the work. As an initial step in planning for continued employment, the OHN will need to:
According to the ADA, it should first be determined if the worker can perform the essential elements of the current job before seeking alternative assignments.
It is determined that a worker is no longer fit to do the job due to extremely poor vision and inability to control widely fluctuating blood sugars. After discussion with the OHN, the worker is placed on short-term disability. Which of these actions is appropriate for the OHN to take?
The case manager must evaluate the worker’s progress, the reality of returning to the job , and whether short-term disability benefits continue to be needed.
The OHn should know that prior to the termination of the worker’s six-month short-term disability and the beginning of long-term disability, it is appropriate to take which of these actions?
When long-term disability is inititated, the worker should also be advised to begin the process of applying for disability benefits under the SSDI program. SSDI benefits may coordinate with the company’s long-term disability program and may be needed beyond the time of company long-term disability benefits.
A nurse who works in the obstetrical department at the local hospital comes to the employee health service complaining of a rash located on their hands and fingers. As part of evaluating the rash, which of these questions is essential for the OHN to ask?
In taking a comprehensive health history, the OHN needs to establish if the rash is only in one location or if it is in other areas of the body. This knowledge may help to determine the causative agent. Although the other questions may be asked at some point, they are less pertinent initially.
Which of these actions by the OHN would be appropriate after a diagnosis of the condition is made?
The standards for priavacy of individually identifiable health information (privacy rule) has as it’s major goal the proper protection of individual’s health information, while protecting the public’s health and well-being. The privacy rule (45 CF4 parts 160 and 164) was established to implement the requirement of the HIPAA Privacy Rule permits use and disclosure of PHI in certain specific situations.
Which of these actions by the OHN would be appropriate after a diagnosis of the condition is made?
The standards for privacy of individually identifiable health information (privacy rule) has as it’s major goal the proper protection of individual’s health information, while protecting the public’s health and well-being. The privacy rule (45 CF4 parts 160 and 164) was established to implement the requirement of the HIPAA Privacy Rule permits use and disclosure of PHI in certain specific situations.
The OHN refers a worker to a dermatologist. Which of the following actions should the employee be instructed to do first after seeing the dermatologist?
Since the OHN made the initial assessment and referred the employee to the dermatologist, the OHN should ask the worker to report to the employee health service before returning to work. Using the nursing process, the OHN should evaluate the results of the intervention and determine the employee’s readiness to return to work.
The OHN is evaluating the health history of a worker who has been hired to work in an area where benzene exposure is possible. Which of the following conditions, if present in the health history, would place this worker at increased risk from exposure to benzene?
Benzene adversely affects hte hematopoietic system. Therefore individuals with a history of thrombocytopenia would be at increased risk if exposed to benzene.
An interstate truck driver has been removed from the job due to alcohol misuse under the Federal Department of Transportation guidelines. The employer makes the decision to return the worker to safety-sensitive duties following evaluation by a substance abuse professional and a negative return-to-duty alcohol test. The OHN is responsible for monitoring which of these follow up measures?
The Federal Motor Carrier Safety Regulations (Title 49, Part 382.303 and Title 49, Part 382.605) specify unannounced follow-up testing following the driver’s return to duty. A minimum of six test must be performed during the first 12 month, and testing cannot exceed 5 years from the driver’s return to duty.
The OHN working in occupational health in a hospital or clinic recognizes the following positive characteristic of the healthcare worker population
Older works have less absentee rate
To prevent vaccine administration complications of the shoulder during influenza administration, the OHN WILL:
Inject with a 1-inch needle, at a 90 degree angle in the deltoid muscle.
When screening for TB the OHN knows:
IGRAS are the preferred method for those who have had the BCG vaccine.
