Environmental Health
Physical, chemical, and biological factors external to a person impacting health.
What are factors related to environmental health?
(Environmental health addresses all the physical, chemical, and biological factors external to a person, and all the related factors impacting behaviors.)
Goal of the response phase during emergency preparedness.
What is to save lives, address health threats, and maintain basic human needs such as food, shelter, and water.
A result of back and other injuries in workers.
What is poor ergonomics and body mechanics?
Example of health protection efforts.
Hint: This primary prevention
What are vaccines or immunizations.
(Immunization through the administration of a vaccine is one of the most frequently used health protection efforts conducted in primary care.)
Health disparities experienced by rural community members.
What are lower economic opportunities, educational systems, social and cultural factors, and geographic isolation in rural areas.
The nurse aims to assess the probability that individuals will be adversely affected by a hazardous substance. The nurses assessment includes these factors...
What is inherent toxicity, whether it enters the body and reaches susceptible organs; and the amount that is present.
(The probability that individuals will be adversely affected by a hazardous substance depends on three major factors: its inherent toxicity, whether it enters the body and reaches susceptible organs; and the amount that is present.)
Recommendation a school nurse can make regarding the emergency response plan.
The medical emergency response plan should be practiced numerous times each school year.
Mandated testing by OSHA in work environments with noise exposure.
What is audiometric testing? (OSHA has developed a standard that regulates noise exposure and requires a hearing protection program in the workplace. This standard requires monitoring of noise levels within the work environment, use of hearing protection, training and education of employees in the proper use of hearing protection, creation of baseline audiograms for each employee, and annual hearing tests.)
Ways in which the US is responding to the increasing need for primary providers.
What is expanding the role of the advanced practice registered nurse.
Ethical issues related to community based participatory research.
What is ensuring that the community will benefit from the research, sharing leadership roles, and establishing protocols for data-sharing.
The components of an exposure risk assessment.
What is hazard identification, dose response assessment (correlation between increase in effects and increase in quantity of substance), exposure assessment (level, timing and extent of exposure) and risk characterization.
Psychosocial factors to consider following a disaster.
What is stress, panic, and anxiety.
(It is important to recognize that communities and individuals that live in fear or experience stress, panic, and anxiety associated with real or perceived threats are subject to psychosocial conditions that affect not only health and safety but also overall well-being.)
Organization charged with protecting coworkers, family members, employers, customers, suppliers, nearby communities, and other members of the public affected by the workplace environment.
What is OSHA?
3 designations of the role of a case manager.
A case manager can be diagnosis-focused (diabetes, heart failure, multiple sclerosis), client type-focused (homeless, older adult, obese, pediatric), or site-focused (hospital, clinic, shelter).
Key components of environmental exposure to hazardous substances.
What is time and location?
(The two key components of environmental exposure to hazardous substances are time and location.)
Define bioaccumulation.
Older adults also have higher body burdens of chemicals that have been absorbed over their lifetimes. Some substances accumulate over time in the body, a process known as bioaccumulation. These toxic substances are commonly retained in tissues such as bone.
2 Parts:
1. Goal of primary prevention in the workplace and examples.
2. List at least TWO benefits of a workplace health promotion program as stated by the Occupational and Environmental Health Network (OEHN).
1. Through primary prevention, workers are protected from exposure to hazards, or exposures are limited to levels considered safe. Interventions include engineering controls, such as the use of less hazardous chemicals, or personal protective equipment (PPE), such as masks, gloves, or hearing protection, or tethering a roofing worker to prevent a fall.
2. Benefits of a health promotion program include: Improved worker health and management of chronic diseases, reduced health-care costs and improved injury care, and increased or maintained work productivity.
2 Parts!
1. The role of a school nurse in meeting students with disabilities needs.
2. Local regulations that school nurses can advocate for include...
1. Student needs may include medication administration, treatments, emergency care plans, individualized health-care plans, health teaching, and health counseling.
2. They can advocate for comprehensive health programs and recommend, review, and facilitate the implementation of district policies.
2 parts!
1. Define community partnerships.
2. Define community organizing.
1. Partnerships: Community partnerships are collaborative working relationships between local organizations, government entities, and sometimes private companies to achieve common goals.
2. Community organizing is defined as helping “community groups to identify common problems or goals, mobilize resources, and develop and implement strategies for reaching the goals they collectively have set.
ANA principles of environmental health for nursing practice.
What is: (1) knowledge of the role environment plays in the health of individuals, families, and populations; (2) ability to assess for environmental health hazards and make appropriate referrals; (3) advocacy; (4) utilization of appropriate risk communication strategies; and (5) understanding of policies and legislation related to environmental health.
Diseases resultant of poor ambient air.
What is pulmonary and cardiovascular disease.
The elements of an occupational nurses workplace assessment include...
What is to observe the operations taking place in a facility, observe workers performing their jobs, identify the use of engineering controls, view the use of equipment (moving and stationary) in work areas, and observe the physical layout and cleanliness of the facility including locker rooms, hand-washing stations, changing facilities, and break and lunch rooms.
List the 5 functions of a Medical Home AND give a brief summary of each one
5 functions and attributes of the medical home are as follows:
1. Patient-centered: A partnership among practitioners, patients, and their families that ensures decisions respect patients’ wants, needs, and preferences, and that patients have the education and support they need to make decisions and participate in their own care.
2. Comprehensive care: Team of care providers is wholly accountable for a patient’s physical and mental health-care needs, including prevention and wellness, acute care, and chronic care.
3. Coordinated care: Care is organized across all elements of the broader health-care system, including specialty care, hospitals, home health care, community services and supports.
4. Accessible: Patients are able to access services with shorter waiting times, “after hours” care, 24/7 electronic or telephone access, and strong communication through health IT innovations.
5. Committed to quality and safety: Clinicians and staff enhance quality improvement to ensure that patients and families make informed decisions about their health.
2 parts:
Focus of WSCC model AND the 10 components of it
What is ensuring students succeed academically.
(There are 10 components associated with this model: health education, physical education, nutrition, health services, counseling, social climate, physical environment, employee wellness, family engagement, and community involvement.)