Occupational Health Nurse

Occupational Health Nurse

The Occupational Health Nurse Practitioner (OHNP) will be responsible for ensuring the health and welfare at
work, of all persons who perform work on the employer’s premises, in that workers are not affected by
substances, processes or disease precursors encountered in the workplace and may remain active and
productive members of the workforce.
 
KEY WORK OUTPUT AND ACCOUNTABILITIES
 
Occupational health management
 
 Revise the Occupational Health Programme annually with the Occupational Health and Safety (OHS) team
and management
Attend Safety, Health, Environment ( SHE) committee meetings as the Occupational Health advisor  Maintain accurate, complete, updated and confidential health records for each employee
Plan clinic times around employee needs
Plan time for workplace visits, risk assessments, audits and consultation with worker
Liaise with laundry, housekeeping, catering, technical services manager (TSM), X-rays, laboratories,
pharmacy and waste services on Occupational Health issues
Ensure legal compliance with company Occupational Health policies, OHS and related Acts
Prepare a budget for the facility’s occupational health costs and monitor expenditure.
Prepare monthly and annual OH reports and statistics
Follow up on all staff-related injuries on duty (IOD’s), including needle-stick injuries (investigate incident,
submit IMS documentation and conduct remedial counselling)
Advise line managers on the recognition, evaluation and control of environmental factors or stressors arising
in or from the workplace
 Identify and assess the level of all hazards; risk ranking of hazards according to policy
Review worker exposure: concentration of stress agent, duration of exposure, frequency of exposure,
individual susceptibility
Evaluate current control measures and institute new measures if indicated
 Co-ordinate supplies of Personal Protective Equipment ( PPE)
 Store data and retrieve information to assess the long-term effect of exposure to hazards at work
 
 
Clinical occupational health nursing
 
 Conduct health assessment, diagnosis and referral by interviewing employees with minor ailments in order
to counsel them or refer them and by following up to ensure recovery and/or arrange temporary
adjustments in work processes until full recovery
 Co-ordinate rehabilitation of workers injured on duty;
 Recognise chronic disease early and manage these conditions to ensure productivity by screening; early
referral; health education and encouragement of compliance with treatment and lifestyle charges
 Recognise occupational disease early and manage, for example latex allergy, occupational asthmatic.
 Immunization of employees as indicated
 Liaison with outside agencies for example TB clinics, FP clinics, GP’s and support groups
 
 
Medical Surveillance
 Co-ordinate measures to enable placement of able workers in jobs to which they are suited:
1. Supply health requirements/ specifications for each category of worker so as to enable the selection of
the most suitable person for a position
2. Establish outstanding/previous IOD issues of new employees
3. Educate workers on the prevention of acquiring and transmission of communicable diseases
4. Obtain baseline data on health status in order to evaluate subsequent changes in health
5. Educate employee about inherent job requirements and how to protect his/her health in each particular
job category
6. Refer problems to appropriate agency when required
7. Conduct or co-ordinate screening: e.g. vision, audiometry, TB questionnaire, food handlers
questionnaire, lung function test (peak flow), back questionnaire, radiation medicals
8. Generate an Occupational Risk Exposure Profile for each employee or group of employees doing the
same job. Ensure that the profile is updated as necessary, at least annually
 
· Episodic monitoring:
1. Conduct TB questionnaire for staff working with vulnerable patient groups and for staff regularly exposed to
possible TB cases for example accident and emergency department staff, ICU and Medical ward staff
2. Follow-up of staff post exposure to TB or any other communicable disease
3. Manage Food handlers questionnaire on employment and annually
4. Interview staff on return from prolonged absence due to illness or injury and assess fitness to work or refer
for such assessment
5. Conduct Exit questionnaire and/ or examination
o to determine whether any occupational disease which is compensable has arisen out of the employee’s
employment at the facility and in order to have a record of the employee’s health at the time of termination
should any future claim arise;
o to record any outstanding Compensation for Occupational Injuries and Disease ( COID) issues;
o to supply employee with vaccination certificates, lifetime radiation dose, etc.
6. Conduct Back questionnaire for nursing, porters and paramedics
7. Conduct annual audiometry (maintenance crew) and vision testing for drivers, including Netcare 911
employees
8. Conduct vision screening for staff working with computers and seamstresses
9. Co-ordinate post radiation exposure medicals and monthly examinations of dosimeter records
10. Manage Dosimeter with SABS
11. Co-ordinate post chemical exposure examinations for pharmacy and cleaners
12. Co-ordinate Sterile services department employees’ annual examinations ( Peak flow and haemoglobin
assessment ) and refer for follow-up if indicated
13. Facilitate Latex allergy training, investigations of occupational disease , referral and follow-up when
indicated
14. Conduct Occupational health screening annually – Blood pressure, glucose, vision, ergonomics
15. Assess Hazardous biological agent assessment in co-operation with Infection Prevention Practitioner
biennially
 
 
Waste management
 
· Ensure that the Biennial Waste Management plan is submitted to the relevant authority
· Conduct clinical risk waste management, chemical waste, batteries, oil and radiological waste audits and
training
 
 
Quality and risk management
 
· Auditing of Occupational Health section of controlled self-assessment ( CSA ) for OHS
· Comply with Group Occupational Health policies
 
EDUCATION
 
· Registered as a General Nurse with the South African Nursing Council or equivalent NQF 7 qualification
(essential)
· Registration with SANC as an OHNP (essential)
· Registration with SASOHN and/or SAIOSH