Work Health: Core Areas of Knowledge and Competence, Part 1

It is not possible to describe an incredibly complex and dynamic process such as work health nursing simply in terms of core activities or tasks. Work Health Nurse (OHA) are constantly learning new skills, establishing current practices to meet new needs and developing new strategies to resolving problems and therefore their practice is not Sildenax Funciona static but is constantly improving based on a core choice of skills.

However, in this issue it is possible to describe those core areas of knowledge and competence that work health nurses use. The following list is not designed to be inclusive, but instead to give an indication of the wide range of abilities that work health nurses demonstrate in practice.

The Clinician

Primary prevention

The OHA is skilled in primary prevention of injury or disease. The nurse may identify the requirement for, assess and plan interventions to, for example modify working environments, systems of work or change working practices in order to reduce the risk of hazardous exposure. Work health nurses are skilled in considering factors, such as human behavior and habits in relation to actual working practices. The nurse can also team up in the identification, pregnancy and a static correction of work factors, choice of individual protective equipment, prevention of industrial injuries and diseases, as well as providing advice in matters concerning protection of the environment. Because of the work health nurses close association with the workers, and knowledge and experience in the working environment, they are in a good position to name early changes in working practices, identify workers concerns over safe practices, and by presenting these to management in an independent objective manner can be the prompt for changes at work that lead to primary prevention.

Emergency care

The OHA is a Registered nurse with a great deal of clinical experience and expertise in working with sick or injured people. The nurse may, where such duties form part of their job, provide initial emergency care of workers injured at work prior to transfer of the injured worker to hospital or the arrival of the emergency services. In many cases, where hazardous conditions exist at work, or where the workplace is far taken off other health care facilities, this role will form a major part of an work health nurse’s job. Work health nurses utilized for mines, on oil rigs, in the desert regions or in areas where the health care systems are not yet fully developed will be familiar with a wide range of emergency care techniques and may allow us additional skills in order to fulfill this role. For others, who are getting work done in situations where the emergency services are on hand, they may simply provide an additional level of support beyond that offered by the industrial first aider.

Nursing analysis

Work health nurses are skilled in assessing consumer’s health care needs, set up a nursing analysis and forming appropriate nursing care plans, in conjunction with the patient or client groups, to meet those needs. Nurses can then implement and evaluate nursing interventions designed to offer the care objectives. The nurse has a prominent role in assessing the wants of individuals and groups, and has the capacity to analyze, think of, plan and implement strategies to achieve specific goals. With the nursing process the nurse contributes to workplace health management and by so doing helps to improve the healthiness of the working population at the shop floor level. Nursing analysis is a of utilizing holistic concept it does not focus solely on treating a specific disease, but instead considers the whole person and their health care needs in the broadest context. It is a health based model rather than a disease based model and nurses have the skills to apply this method with the working populations they serve.

Our health advice and health assessment

The OHA will be able to give advice on a wide range of health issues, and particularly on their relationship to working ability, safe practices at work or where modifications to the job or working environment can be built to take account of the changing health status of employees.

In many aspects employers are not solely concerned with only those conditions that are directly caused by work, but do want their work health staff to help address any medical conditions that may arise that might influence the employees work or performance at work, and many employees appreciate this level of help being provided to them at the workplace because it is so convenient for them. In particular the development of health care services to men at work, younger populations and those from ethnic groups can be most effective in reaching these sometimes difficult to reach populations.

Research and the use of evidence based practice

In addition to utilizing information and knowledge produced by research in several fields to support activities that relate to the work health part of their role, work health nurses will also utilize fully research information available from many fields to help support the health of the working population.


Work health policy, and practice development, execution and evaluation

The specialist work health nurse may be involved, with senior management in the company, in developing the workplace health policy and strategy including facets of work health, workplace health promotion and environmental health management. The ALSO nurse is in a good position to advise management on the execution, monitoring and evaluation of workplace health management strategies and to participate fully in each of these levels. Possibility to perform that role will be based on upon level of nurse education, skills and experience.

Work health assessment

OHA’s can play an essential role in health assessment for fitness to work, pre-employment or pre-placement examinations, routine health examinations and individual health tests for lifestyle risk factors.

Collaboration with work physician may be necessary in many cases, dependant on exiting legislation and accepted practice. The nurse can also play an important role at work where informal asks for information, advice on health care matters and medical problems come to light. The nurse is able to observe the individual or group of workers in relation to contact with a particular risk to safety and start appropriate targeted health assessment where necessary. These activities are often, but not exclusively, undertaken in conjunction with the medical mechanic so that where problems are identified a safe system for onward affiliate exists.

Health monitoring

Where workers face a certain amount of continuing risk of exposure and health monitoring is required legally the OHA will be involved in undertaking routine health monitoring procedures, routine health assessment and in evaluating the results from such screening processes. The nurse will need a high degree of clinical skill when undertaking health monitoring and look after a high degree of alertness to any abnormal findings. Early affiliate to an work health physician or other appropriate specialist will be the responsibility of the work health nurse where any abnormality is detected. The nurse will be involved in supporting the worker throughout deeper examination or investigation, and may help to monitor their health on come back to work. Once notified to the possibility of a bad health effect the work health nurse is in a good position to co-ordinate efforts to re-evaluate working practices in order to help protect others who may be similarly affected.

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