Preface

v

Acknowledgments

vii

A Request to Our Colleagues

viii

Telephone Numbers and Information

ix

Review and Approval for Care Directed Guideline

xvii

I

PREVENTION AND SCREENING

1

1

Adult Health Maintenance

3

Adult Health Maintenance Guidelines

4

2

Adult Immunizations

5

Recommended Adult Immunization Schedule

6

Recommended Adult Vaccines

7

3

Breast Cancer Detection

9

Breast Cancer Detection Guidelines

10

Breast Self-Examination (BSE)

11

Risk Factors

10

4

Cervical Cancer Detection and Pap Test

12

Cervical Cancer Detection Guidelines

13

Risk Factors

13

5

Drug Testing

14

6

Glaucoma Screening

16

Comprehensive Eye Examination

18

7

Human Immunodeficiency Virus

19

Universal Precautions

21

8

Human Papillomavirus (HPV)

23

9

Hypercholesterolemia Screening and Monitoring

24

Hypercholesterolemia Classification

26

LDL Cholesterol Goals, Cutpoints for Therapeutic Lifestyle Change and Treatment

27

CHD Risk Factors

27

10

Hypertension Screening and Monitoring

28

Blood Pressure Classification and Follow-Up in Adults

30

Risk Stratification and Treatment

30

11

Pregnancy and Prenatal Health

31

Pregnancy Risk Factors and Warning Signs

32

12

Prostate Diseases and Detection

33

13

Skin Cancer Detection

35

Comparison of Skin Cancer with Actinic Keratosis

37

14

Testicular Cancer Detection

38

Testicular Self-Examination (TSE)

39

15

Tetanus Prophylaxis

40

Recommended Tetanus Prophylaxis

41

16

Tuberculosis Screening and Monitoring

42

17

Vibration Syndrome

44

II

PRIMARY CARE

47

18

Acne

49

19

Allergic Reaction

50

Examples of Identification Tags for Allergic Reaction

52

20

Allergic Rhinitis or Hay Fever

53

21

Allergy Injections

55

22

Backache: Chronic Low Back Strain and Pain

57

23

Blister

59

24

Bronchitis

60

25

Canker Sore

61

26

Chlamydia

62

27

Chronic Fatigue Syndrome (CFS)

64

28

Chronic Obstructive Pulmonary Disease (COPD)

67

29

Conjunctivitis

69

30

Corn or Callus

70

31

Depression

72

32

Dermatitis

74

Primary and Secondary Skin Lesions

75

33

Dysmenorrhea/Premenstrual Syndrome

76

34

Ear Wax (Cerumen)

78

35

Earache: Otitis Externa

79

36

Earache: Otitis Media

80

37

Eczema

82

38

Fibromyalgia

83

Fibromyalgia Tender Points

85

39

Gastrointestinal Disturbance: Constipation

86

40

Gastrointestinal Disturbance: Diarrhea

87

41

Genital Warts

89

42

Gonorrhea

90

43

Grief

92

44

Headache

94

45

Headache, Migraine

96

Comparison of Headache Types

98

Sample Guide for a Headache Diary

98

46

Hepatitis A

99

Vaccine Prevention Guidelines for Hepatitis A

101

Recommended Vaccination Schedule

101

47

Hepatitis B

102

Recommended Vaccination Schedule

103

48

Hepatitis C

104

Comparison of Hepatitis Types A, B, and C

106

49

Hernia

107

50

Herpes Simplex Type 1 (HSV-1) (Oral)

109

51

Herpes Simplex Type 2 (HSV-2) (Genital)

110

52

Influenza

111

53

Lyme Disease

112

Medically Recommended Treatment of Early Localized Lyme Disease

114

54

Melanoma

115

Risk Factors for Melanoma

117

Comparing Melanoma Types

118

55

Menopause

119

56

Musculoskeletal Disorder

121

57

Osteoporosis

122

58

Pharyngitis

124

59

Plantar Warts

125

60

Psoriasis

126

61

Psychological Impairment

127

62

Shingles (Herpes Zoster)

128

63

Sinusitis

130

64

Sleep Disorders: Insomnia/Sleep Apnea

132

65

Splinter

134

66

Stress

135

Factors Contributing to the Stress Response

137

67

Stye (Hordeolum)

138

68

Sunburn

139

Drugs that can Cause Photosensitivity

141

69

Syphilis

142

70

Tendinitis

144

71

Thyroid Disorders: Hyperthyroidism

146

72

Thyroid Disorders: Hypothyroidism

148

73

Toothache: Pulpitis

149

Treatment for Toothache

150

74

Upper Respiratory Infection (Common Cold)

151

75

Urinary Tract Infection (UTI)

152

76

Urticaria (Hives)

153

77

Vertigo

155

78

Violence in the Workplace

156

III

EMERGENCY CARE

159

79

Abdominal Trauma

161

80

Abrasion, Laceration, or Puncture

163

81

Airway Obstruction

165

The Heimlich Maneuver for Choking

167

82

Amputation

168

83

Anaphylactic Shock

169

84

Angina Pectoris and Cardiac Chest Pain

170

Cardiac Risk Factors

172

Metabolic or Insulin-Resistance Syndrome

172

85

Asthmatic Reaction

173

86

Bite Wounds

175

87

Burn: Chemical

177

88

Burn: Electrical

179

89

Burn: Thermal

180

Burn: Rule of Nines

182

90

Cardiopulmonary Arrest

183

91

Cerebrovascular Accident (CVA)

186

92

Contusion

187

93

Convulsion or Seizure

188

94

Diabetic Emergency: Hyperglycemia

189

Blood Glucose Levels

191

Risk Factors for Diabetes

191

95

Diabetic Emergency: Hypoglycemia

192

96

Epistaxis

194

97

Eye Injury: Chemical Burn

195

98

Eye Injury: Contusion (Blunt Trauma)

197

99

Eye Injury: Flash Burn (Welding)

198

100

Eye Injury: Flash Burn (Nonwelding)

199

101

Eye Injury: Foreign Body or Corneal Abrasion

200

102

Eye Injury: Laceration of Eyelid

201

103

Eye Injury: Penetrating or Intraocular Foreign Body

202

104

Eye Injury: Protruding Foreign Body

203

105

Fracture: Closed

204

106

Fracture: Open

206

107

Frostbite

208

108

Head Injury

210

109

Heat Stress

212

Heat-Related Stress

213

Heat Index Chart

213

Permissible Heat Exposure Threshold Limit Values

214

Heat Stress Card

215

109A

Heat Disorder: Heat Cramps

216

109B

Heat Disorder: Heat Exhaustion—Salt-Depletion Type

217

109C

Heat Disorder: Heat Stroke

218

Comparison of Heat Exhaustion and Heat Stroke

219

110

Hypothermia

220

111

Insect Sting

222

112

Pneumothorax

224

113

Shock

226

114

Sprain: Acute

228

IV

SPECIAL PROGRAMS

229

Adult International Travel

231

Automatic External Defibrillator (AED)

233

Automated External Defibriliation (AED) Flowchart

235

Case Management

236

Disaster Management

238

Ergonomic Assessment

242

Exercise

244

Examples of Moderate-Intensity Aerobic Activity

247

Genetic Screening and Monitoring

248

Health and Safety Committees

250

Health Promotion

252

Health Surveillance

257

Substances Requiring Medical Surveillance by OSHA Standards

259

Hearing Conservation

260

Indoor Environmental Quality (IEQ)

263

Major Indoor Air Contaminants

265

Laser Safety Program

267

Medical Waste Disposal

269

Nutrition

271

Sample USDA Food Guide and the DASH Eating Plan at the 2,000 Calorie Level

276

Over-the-Counter Medications

277

Poisoning

279

Certified Regional Poison Control Centers

280

Quality Assurance: Clinical

286

Respiratory Protection

288

Safety Audits

290

Shift Work

293

Smoking Cessation

295

Overview of Smoking Cessation Aids

298

Smoking Cessation Resources

300

Violence Prevention

301

V

OCCUPATIONAL HEALTH RESOURCE AIDS

305

Common Prescriptive and Nonprescriptive Medications Used in the Occupational Health Setting with Standing Orders

307

Confidentiality of Health and Medical Records

315

Occupational and Environmental Health History

317

Occupational and Environmental Health History Form

318

Physical Health Assessment

322

Physical Assessment Examination

323

Precepting in the Occupational Health Setting

327

Precepting Sample Objectives

329

Reproductive Health History

331

Reproductive Health History Questionnaire

333

Resources for Reproductive Hazard Information

338

SOAP Charting

339

SOAP Protocol Example

340

Worksite Assessment

342

Worksite Assessment Guide

343

VI

APPENDIXES

353

A

Occupational Health Nursing Reference Library

355

Books

355

Journals and Periodicals

362

Resource Websites

370

B

Community Resources

Occupational Health and Safety Agencies

371

OSHA Regional Offices

373

Occupational Health and Safety Advisory Croups

374

Professional and Volunteer Organizations

375

Catalogs and Directories

378

C

State Boards of Nursing

379

Nurse Licensure Compact

384

D

NIOSH Education and Research Centers

385

E

Acronyms

387

F

Glossary

389

References

395

Index

403