3f-COMMUNITY HEALTH CARE identified educational needs of the
target population Areas of concern:
SETTINGS ● Oral Hygiene
● Injury prevention and developing
safety conscious behavior
● Tobacco Use
Historical Development
● Substance Abuse
● STI, STD, HIV and AIDS
● RA 124 in 1947- an act to provide for
Medical Inspection of Children
2. Physical Education - Provides
Enrolled in Private Schools,
cognitive content and learning
Colleges and Universities in the
experiences in a variety of activities.
Philippines.
Sedentary lifestyle is associated with
obesity, hypertension, heart disease
● 1997 definition of WHO- A healthy
and diabetes
school environment to include both
physical and psychosocial aspects
3. Health services - These are
of environment
services provided by students to
appraise, protect and promote
● Mrs. Magdalena Valenzuela - from
health. Health Screening, Annual
DOH the roots of Occupational
Individual health assessment, Height
health nursing in the Philippines
and weight measurement and Rapid
Classroom Inspection.
● Ms. Peria Gorres of Philippine
Manufacturing Company served as
4. Nutritional Counseling - These
the first chairperson.
provide access to variety of
nutritious and appealing meals that
accommodate the health and
8 COMPONENTS OF SCHOOL HEALTH nutrition need of all students.3 most
PROGRAMS common eating disorder
- Anorexia, Bulimia, Binge
1. Health Education - these are Eating
culture sensitive and based on the
5. Psychological and social services School Nursing Practice
- these are services to improve
student mental, emotional and social
- is a specialty unto itself. School
health. Most children and teens
nurses need education in specific
struggle with depression, substance
areas, such as growth and
abuse, conduct disorders,
development, public health, mental
self-esteem, suicide ideation, eating
health nursing, case management,
disorders and under or
family theory, leadership and cultural
overachievement.
sensitivity to effectively perform their
roles.
6. Healthy School Environment -
This refers to physical and esthetic
Standard of School Nursing Practice
surroundings and the psychosocial
climate and culture of the school.
1. Assessment
2. Diagnosis
● Physical, psychological and social
3. Outcome Identification
environment
4. Planning
● A healthy organizational culture
5. Coordination of Care
within the school
6. Health teaching and Health
● Productive interaction between the
Promotion
school and community.
7. Evaluation
7. Health Promotion for school staff
Occupational Health Nursing
- staff that participate in health
promotion increase their health
- is defined as a specialty practice that
knowledge and positively change
focuses on the promotion,
their attitudes and behaviors relative
prevention, and restoration of health
to smoking practices, nutrition,
within the context of a safe and
physical activity, stress and
healthy environment.
emotional health
8. Family and community
involvement
Department of Labor and Employment 2. Chemical hazards - various forms
of chemical agents.
- the lead agency on Occupational
Safety and Health 3. Enviromechanical hazards -
factors that cause accident, injuries,
Occupational Safety and Health Center strains or discomfort (eg. Poor
(OSHC) equipment)
- defined OSH as a discipline involved 4. Physical hazards - radiation,
in "the promotion and maintenance electricity, temperature, and noise
of the highest degree of physical,
mental and social well-being of 5. Psychosocial hazards - anything
workers in all occupations." that causes emotional stress and
strain or interpersonal problem.
ASSESSMENT AND CONTROL OF HAZARDS IN
THE WORKPLACE
CONTROL MEASURES FOR
➔ HEALTH HAZARDS - are the
OCCUPATIONAL HAZARDS:
elements in the work environment
that can cause work related disease.
1. Administrative Control - refers to
the development and
➔ SAFETY HAZARDS - are the
implementation of policies,
unsafe conditions or unsafe acts that
standards, trainings, job design and
significantly increase the risk of a
the like.
worker to be injured.
2. Engineering - refers to the adoption
TYPES OF HAZARDS:
of physical, chemical or
technological improvements to limit
1. Biological-infectious hazards -
exposure to hazards.
infectious agents such as bacteria,
viruses, fungi.
3. Materials Provision - refers to
providing the workers with supplies
or supplements that can decrease 5. Maintain a reporting and records
their exposure to hazards. system, and, if a physician is not
available, prepare and submit an
4. Supplemental annual medical report, using form
DOLE/BWC/HSD/OH-47, to the
DUTIES OF OCCUPATIONAL HEALTH NURSE employer, as required by this
Standards
1. In the absence of a physician, to
organize and administer a health CODE OF ETHICS OF THE AMERICAN
service program integrating ASSOCIATION OF OCCUPATIONAL HEALTH
occupational safety, otherwise, these
NURSES:
activities of the nurse shall be in
accordance with the physician
● maintains the integrity of our
specialty practice area and the
2. Provide nursing care to injured or ill
nursing profession, and integrates
workers;
principles of social justice into
nursing and health policy
3. Participate in health maintenance
examination. If a physician is not
● practices with compassion and
available, to perform work activities
respect for the inherent dignity,
which are within the scope allowed
worth, and unique attributes of every
by the nursing profession, and if
person
more extensive examinations are
needed, to refer the same to a
● primary commitment is to the client,
physician
whether an individual, group,
community, or population
4. Participate in the maintenance of
occupational health and safety by
● promotes, advocates for, and
giving suggestions in the
protects the rights, health, and
improvement of working
safety of the client
environment affecting the health and
well-being of the workers
● has authority, accountability, and
responsibility for nursing practice;
makes decisions; and takes action CONFIDENTIALITY OF EMPLOYEE HEALTH
consistent with the obligation to
INFORMATION
prevent illness and injury, promote
health, and provide optimal health
In dealing with health information, the
care
employee has a right to privacy and should
"be protected from unauthorized and
● owes the same duties to self as to
inappropriate disclosure of personal
others, including the responsibility to
information" However, exemptions must be
promote health and safety, preserve
made:
wholeness of character and integrity,
maintain competence, and continue
1. life-threatening emergencies
personal and professional growth
2. authorization by the employee to
release information to others
● through individual and collective
3. worker's compensation information
effort, establishes, maintains, and
4. compliance with government laws
improves the ethical environment of
and regulations
the work setting and conditions of
employment that are conducive to
safe, quality health care LEVEL OF PREVENTION IN OCCUPATIONAL
HEALTH NURSING
● help advance the nursing profession
and our specialty practice through 1. Primary Prevention - The OHN is
research and scholarly inquiry, involved in both health promotion
professional standards development, and disease prevention.
and the generation of nursing and - Examples: Nutritional
health policy education, Immunizations,
Safety and Health education
● collaborates with other health
professionals and the public to 2. Secondary Prevention - Aimed at
protect human rights, promote early diagnosis, early treatment
health, and reduce health disparities interventions and attempts to limit
disability. The focus at this level of
prevention is on identification of
health needs, problems and ● Management and Administration
employees at risk.
- Examples: Screening, Case WORKING CONDITIONS AND REST PERIODS:
Finding, Treatment and
Home Visits ● Normal hours of work. The normal
hours of work of any employee shall
3. Tertiary Prevention - the OHN not exceed eight (8) hours a day
plays a key role in rehabilitation and
restoration of the worker to an ● Hours worked. Hours worked shall
optimal level of functioning based on include (a) all time during which an
the limitation imposed by the employee is required to be on duty
disability or illness. or to be at a prescribed workplace;
- Examples: Referral of and (b) all time during which an
student for substance abuse, employee is suffered or permitted to
Prevention of complications work
and adverse effect and
Faculty and Staff Monitoring ● Meal periods. Subject to such
regulations as the Secretary of
Skills and Competencies of Labor may prescribe, it shall be the
Occupational Health Nursing duty of every employer to give his
employees not less than sixty (60)
● Clinical and Primary Care minutes timeoff for their regular
● Case Management meals.
● Health promotion and disease
prevention MEDICAL, DENTAL AND OCCUPATIONAL
● Occupational and environmental SAFETY
health and safety education
● Research 1. First-aid treatment - Every
● Professionalism employer shall keep in his
● Workforce, Workplace and establishment such first-aid
Environmental Issues medicines and equipment as the
● Legal and Ethical nature and conditions of work may
● Responsibilities require, in accordance with such
regulations as the Department of
Labor and Employment shall
LEVELS OF CONFIDENTIALITY
prescribe.
● LEVEL 1: relates to the information
required by law (eg. Data on
2. Emergency medical and dental
occupational illness and injuries)
services - It shall be the duty of
every employer to furnish his
● LEVEL 2: covers information that
employees in any locality with free
will assist in management of human
medical and dental attendance.
resources (eg. Info from job
placement and workability status of
3. Health Program - The physician
employee) |
engaged by an employer shall, in
addition to his duties under this
● LEVEL 3: focuses on personal
Chapter, develop and implement a
health information
comprehensive occupational health
program for the benefit of the
employees of his employer.
COMPENSATION
● Article 86. Night shift differential
● Article 89. Emergency overtime work
● Article 91. Right to weekly rest day
● Article 92. When employer may
require work on a rest day
● Article 93. Compensation for rest
day, Sunday or holiday work.
