Industrial Paramedic Services
Role: Clinic Nurse
Start Date: February 15th, 2014
Occupational Health Nurse
Reports to: Operations Manager
Summary of Duties:
Occupational Health Nurses are responsible for providing a technical consultative role in the areas of health promotion and protection, workforce and workplace characterization, primary health care and emergency response, disability management, health education and counseling, program/project management and clinical administration, relates to the assigned worksite (staff, students, apprentices, contractors and visitors). Delivery of this service is in alignment with the legal and professional practice standards associated with the Health Professions Act, Nursing Practice Standards, Health Information and Protection of Privacy Act, Freedom of Information and Protection of Privacy, Workers Compensation Act, Occupational Health and Safety Act and other pertinent legislation, standards and codes.
HEALTH PROMOTION AND PROTECTION – Development of strategies and programs to increase client awareness and knowledge specific to:
- Toxic and hazardous exposures and associated mitigation factors,
- Positive lifestyle interventions such as smoking cessation, exercise and nutrition
- Hereditary risk factors such as cancer, diabetes, cardiac disease and psychiatric illness
- Regulatory program promotion relating to hearing conservation, respiratory surveillance, biologic monitoring, vision screening
- General wellness promotion of self-responsibility at a worker and organizational level and general health issues and disease awareness
WORKFORCE HAZARD ASSESSMENT AND MEDICAL SURVEILLANCE (characterization) – Assessment, examination, monitoring and surveillance to identify health problems and determine the state of health of the worker/ workforce including but not limited to:
- Pre-placement assessments
- Fitness to work assessments
- Fire, emergency and first responder medical assessments
- Periodic assessments
- Medical and health surveillance to monitor who may be at risk of exposure/or whom may have been exposed to toxic substances- i.e.- asbestos, lead, noise, toxic chemicals, radiation, ergonomic vibration, biologic hazards (hep B,C, Rabies, Dip, Hep A, Varicella, Influenza etc)
WORKPLACE HEALTH SURVEILLANCE AND HAZARD DETECTION (characterization) – Assessment, examination and monitoring of the workplace to promote elimination, minimization, substitution and control of hazards associated with the work environment, production processes and methods asdn equipment handling practices
- Walk-thru assessments
- Job task analysis
- Environmental monitoring
- Review of construction, engineering and operational changes
PRIMARY HEALTH CARE AND EMERGENCY RESPONSE/CARE – Primary assessment, treatment, follow up, referral for medical care and emergent care associated primarily with occupational and non- occupational injuries and illness which may be life threatening.
- Demonstrate ability to respond to emergency protocols associated with fire, chemical leaks, explosions, bomb threats, dangerous goods and facility evacuation
- On-site response to emergency calls causing physical/psychological harm to a client in accordance with industrial standards
- Nursing diagnosis and treatment
- Intervention, stabilization and triage
- Referral and counselling
- On-site response to emergency calls causing physical/psychological harm to a client
- Documentation and recordkeeping
DISABILITY MANAGEMENT- Provision of a complex individualized rehabilitation plan designed to coordinate the right service, at the right time, in the right amount in order to achieve a safe, timely and cost effective return to productivity
- Direct/counsel employees, line supervisors, managers, directors, deans, and human resources in a managed care approach to illness and injury
- Liaise with human resources to ensure proper benefit and position documentation exists and that follow-up with the supervisor is done as required
- Liaise with the supervisor and external health care parties to facilitate job modification, adaptation and accommodation as required
- Determine, direct and communicate with health care agencies, professionals and unions with respect to independent medical examinations to facilitate the duty to accommodate
EDUCATION, TRAINING, COUNSELLING AND TECHNICAL GUIDANCE – Provision of occupational and non-occupational health and safety training, counselling and technical advice to assist the site to manage and mitigate the impact of hazards, incidents and accidents and lost productivity.
- Educate at the individual and organizational level information that helps to clarity problems and lead to informed decision making at a micro and macro level.
- Facilitation and coordination of referrals to the EAP program of for internal Critical Incident Stress De-briefing
- Educate occupational health nursing and other allied health students through a clinical preceptor role
- Develop dynamic external relationships to facilitate departmental and organizational development and best practice
- Develop dynamic inter-departmental relationships with all the HR and Health and Safety staff members
Education- To become an occupational health nurse you must be a Registered Nurse in good standing with the provincial or territorial nursing association and with the Canadian Nurses Association.
- Bachelor Degree in Nursing from a recognized University
- Certification from a recognized post-secondary diploma or certificate program and VCIT is required.
- Standard First Aid, AED Health Care Provider, ITLS and ACLS
- Certification with a Canadian Occupational Health Nursing Certificate COHN © is encouraged.
- Specialized certifications in the area of Disability Management, Spirometry, Audiometry, Venipuncture, and Vision Screening are preferential.
Experience- Preference will be given to those who meet the above educational requirements and who possess 5 to 7 years’ experience as an Occupational Health Nurse in the applicable industry sector and who have experience in emergency or acute care, or clinical environments.
Skill- Performs in accordance with the Practice Standards and Competencies established by the college and College and Association of Registered Nurses of Alberta (CARNA) and the Alberta Occupational Health Nurse Association (AOHNA). Must be proficient with the MS Office Suite of programs; be able to conduct internet based research
Superior team work and communication skills are required daily in written, verbal or electronic means with any of the client sand with staff. Oral and interviewing skills re required to discuss health matters with staff, students, and physicians ot ensure understanding by all parites. Writing skills are required to correspond, investigate, complete medical and other regulatory reports and maintain medical records within legislative and professional practice standards. This communication may be in the form of telephone or personal conversations, written response or correspondence, oral presentations (including audio visual components).
The work is performed in a variety of locations/sites in all weather conditions, and there is frequent exposure to unpleasant sights, smells and hazards in both controlled and uncontrolled situations. May be required to respond to any emergency on the premises. The conditions may be subject to climatic elements such as rain or snow, or other environmental elements such as dust, noise and chemical vapors. This candidate must be able to deal with clients that clients may be alone or in an area where work is proceeding around him or her. The client may be severely injured and bleeding or may be disoriented or in extreme pain. Under these circumstances, the client and/or bystanders may e upset, emotionally distressed, disorientated and in some cases care may be delayed while security is notified and brought ot the site. Assessment and course of action may be more difficult due to these circumstances. Assessment of an illness or injury by physical examination of the client whether in private or at an accident site may be awkward to perform or may be embarrassing or cause discomfort to the client. The Occupational Health Nurse must exercise professional judgement and utilize good interpersonal skills.
Clinic administrative duties or those requested by the client as delegated or approved by the Manager, Clinical Operations.