Workplace violence. Prevention efforts by the occupational health nurse.
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Education, Nursing, Continuing↗
Biomedical subjects
J A Simonowitz
Publications and source records attributed to J A Simonowitz.
Violence in health care: a strategic approach.
This article describes the problems of violence in the health care workplace. Methods are presented that can be used to analyze the factors that contribute to assaults on staff, to assess the type of violent event, and to develop prevention strategies.
Health Occupations↗
Cumulative trauma disorders: developing a framework for prevention.
1. The mechanism of a special order by a regulatory agency is an effective tool to reduce workplace CTD injuries. 2. Occupational health nurses can make a major contribution to the health of workers in their companies by developing an ergonomic program to identify the scope of the problem and by providing early identification and conservative treatment. 3. A workplace prevention program for CTD injuries consists of job analysis, recordkeeping, and corrective measures including engineering controls, administrative controls, personal protective equipment, treatment, and training components. 4. The goals of any program to control CTD are to prevent injury and disability to the employee, control costs of such injury to the employee and company, and comply with OSHA regulations.
Cumulative Trauma Disorders↗
Respiratory effects of cotton dust exposure in the cotton garnetting industry.
We measured exposures to total dust, vertically elutriated dust, and endotoxin and studied acute pulmonary responses among 128 workers in the cotton garnetting and mattress assembly industries. Previous studies in this segment of industry have not characterized endotoxin exposures or related them to pulmonary responses. The median 8-hour time-weighted average total dust was 0.72 mg/m3, the median vertically elutriated dust was 0.22 mg/m3, and the median endotoxin concentration was 5.2 ng/m3. Ten percent of the subjects reported chest tightness or dyspnea on Mondays. Thirteen percent of the subjects reported symptoms of chronic bronchitis. Although there was no relationship between changes in pulmonary function across the workshift and either total dust, vertically elutriated dust, or endotoxin exposure, 13% of the subjects had greater than 5% decrements in FEV1 over the workshift.
Adult↗
Excessive lead absorption resulting from exposure to lead naphthenate.
There are no reported studies of the relationship between exposure to lead naphthenate and lead absorption in humans. In an aluminum forging operation where lead naphthenate was sprayed without local ventilation, the mean concentration of lead in air was 96 micrograms/m3 with a range of 12-430 micrograms/m3. The 29 forge operators who worked in this area had a mean blood lead concentration of 63 micrograms/dl, which was statistically significantly (P less than .001) higher than the mean blood lead concentration of 17 micrograms/dl among the 103 unexposed workers. Similarly, the mean zinc protoporphyrin concentration among the forge operators was 265 micrograms/dl, which was statistically significantly (P less than .001) higher than the mean concentration of 26 microgram/dl among the unexposed workers. Nineteen workers, all of whom worked in the forge areas, had blood lead concentrations in excess of 60 micrograms/dl, with the highest concentration being 108 micrograms/dl. This is the first reported instance in which the use of lead naphthenate has been associated with increased lead absorption in humans.
Absorption↗
Health care workers and workplace violence.
Aspects of violence affecting health care workers addressed here include risk factors, the cost of violence, and prevention. Eight steps for developing a violence prevention program are described, including developing a written program and carrying out a worksite analysis. A variety of control measures also are listed.
Accidents, Occupational↗