occupational health services april ariel leshchinsky, msn, cnl, rn oregon state university april 7...
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Occupational Health Services
April
Ariel Leshchinsky, MSN, CNL, RNOregon State University
April 7th, 2015
My Background
• Born in New Orleans, LA• Grew up in Richmond, VA
• What to pursue?!– Love for science + helping others = NURSING
• 4 year undergraduate Bachelors of Science in Nursing (BSN)
On the Job: Philadelphia
• Hospital of the University of Pennsylvania Orthopedic/Trauma Unit
• Inpatient • 12 hour shifts
New York City
• New York Presbyterian’s Hospital for Special Surgery• Mostly elective orthopedic surgeries• Masters of Science in Nursing: Focus on improving
patient outcomes and streamlining patient care
Cross Country Adventure
Student Health Services at OSU• Worked in clinic serving students in need: wound care, sore throats, UTIs, vaccinations, Plan B• Occupational Medicine role job opening• Good opportunity and a challenge:• Utilize my masters degree• Be creative• Work with unique population • Collaborate across departments• Learn a new field within nursing!
Occupational Health Services Background
• Comprehensive program• Strives to strengthen the campus safety culture• Protect faculty, staff and student employees in
the course of their employment at OSU• Partner with Environmental Health and Safety
to provide medical screening, surveillance, immunizations and health and safety education
CENTRAL FUNDING!!!
• As of September 2014• No longer bill departments aka index #s• Without the barrier of fees for service, more
departments and employees on campus can be served by this program
Animal Exposure Program• Part of OSU's overall program of animal care • Participation is mandatory for all individuals involved
in animal research, teaching, testing, care and handling
• Focuses on maintaining a safe and healthy environment for individuals with exposure to animals
• Based on risk assessment and risk mitigation • Includes risk monitoring as outlined in the OSU
Animal Exposure Procedure and procedure • Collaborate with IACUC (Institutional Animal Care and Use Committee)
Supervisors are responsible for:
- Implementing this policy with individuals under their supervision - Ensuring these individuals receive animal exposure training and education
Hearing Conservation Program• The goal: to monitor and protect employees who have
the potential to develop noise-induced hearing loss• OSHA mandated• EH&S performs noise measurements
and identities employees to enroll• Noise is one of the most common occupational health
problems worldwide• Noise-induced hearing loss (NIHL) begins with
prolonged exposure to any noise at or above 85 decibels
• Is progressive, permanent and preventable
Physical Exams
Scientific Diving Medical Examination• Overseen by the OSU Diving Safety Officer (DSO)• Any university employee conducting scientific
diving must undergo testing and a medical examination signed by a physician
• RN: Order and conduct testing • Required tests are reviewed, cleared, and
initialed by the examining physician and submitted to the DSO
Physical Exams continuedPolar/Arctic Physical Examinations:• Medical screening/testing and examinations to ensure physical
qualification.SCBA User Medical Requirements:• Medical clearances are required for all employees wearing a self-contained
breathing Apparatus (SCBA), an atmosphere-supplying respirator for which the breathing air source is designed to be carried by the user
• Testing will be performed by RN and clearance will be given by the Occupational Medicine physician
Immigration Medical Examinations (not covered by OCM funds):• According to the U.S. Citizenship and Immigration Services (USCIS), medical
examinations offered at Occupational Medicine are conducted by a designated physician, known as a civil surgeon
Travel Consultations
• Employees traveling abroad for conferences, research or leisure (--> not covered by OCM funds)
• Required and recommended vaccinations • Information regarding health advisories, infectious
disease prevention• Prescriptions for motion sickness, travelers
diarrhea, malaria prophylaxis, etc. • Register their trip at the OSU Office of Risk
Management
Vaccinations and Titers
• Those working with pathogens:– Hepatitis B series– Research on diphtheria
• Animal Handlers:– Tetanus booster requirement – Rabies shot series (if required)– Rabies titers per protocol
• Other:– Flu shots– Travel vaccines
OSU Safety-Related Committees
• University Health and Safety Committee• Institutional Biosafety Committee• Co-chair SHS Health and Safety Committee
The future…
• Expand OCM program and reach those not yet enrolled or served• Continue to be an advocate for employee health & wellness on campus
• I look forward to and hope to continue to collaborate and partner with others on campus in keeping OSU employees healthy and safe
