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AOHP 2014 National Conference Poster Abstracts and Presentation

Many thanks to those poster presenters who shared their presentation with us.

PP2014-001 A Cross-Sectional Study Evaluating Employee Knowledge of Occupational Health and Safety in the Construction Industry
Moses Mogakolodi Kebalepile, MPH, BSc, PhD Candidate, Dr Nico Claassen BSc, MSc (Potch) PhD(UP), and Prof Margaret Westaway
University of Pretoria, Pretoria, South Africa

A cross-sectional study evaluating occupational health and safety (OHS) knowledge was conducted at a construction company in RSA. Questionnaires were used to collect data on workers’ demographics and OHS knowledge. The pass mark was set at 70%. More than 60% of participants scored above 70% on the total knowledge scale. Years of schooling correlated positively to overall knowledge of OHS, health knowledge and safety knowledge. No significant differences were observed between: males and females; single or married participants; or permanent, seasonal or temporary employees, on total knowledge, health knowledge and safety knowledge scores. The study indicated participants with more years of schooling had better OHS knowledge.

PP2014-002 A Plan for Employee Safety and Safe Patient Handling
Kathleen O’Neill MS, BSN, RN, CCM, CPDM Team Leader
University of Texas Medical Branch at Galveston, Galveston, TX

Injuries and musculoskeletal disorders are common in nurses and are often caused by manually lifting and moving patients. University of Texas Medical Branch (UTMB) Health has experienced an increase in temporary and permanent injuries to employees as a result of unsafe patient handling practices. From 2010-2013, 196 UTMB nurses were injured while transferring or mobilizing patients. Utilizing the Safe Patient Handling and Mobility Standards of the American Nurses Association, an inter-professional Clinical Safety and Effectiveness Team, including clinicians from high injury areas, investigated and identified strategies to implement an organizational program to engage employees in a culture of safety and measure effectiveness that increased productivity.

PP2014-003 Building a High-Reliability Employee Safety Culture: Behaviors; Components; Organization; and Leadership for Injury Prevention in Healthcare
Cory B. Worden, MS, CSP, CSHM, CHSP, REM, CESCO, Manager of System Safety
Memorial Hermann Healthcare System, Houston, TX 

To truly prevent injuries, human behavior must be addressed – stopping at regulatory compliance won’t yield results. Integrated, cross-functional teamwork in hazard analyses, as well as the use of interlocking communication platforms, leading and lagging indicator development, post-accident investigations and more must be in place. To add to this feat, the program must be supported and overseen by the most senior leadership, with buy-in and full engagement from all employees.

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Cost Control Through Utilizing a Multidisciplinary, Evidence-Based Treatment Approach: Complex Regional Pain Syndrome
Allen Holmes, PT, CHT, Nazanin Shams, PT, DPT, Anthony Cheung, PT, DPT, Cert. SMT, CKTP and Trisha Perry, PT, DPT, CWcHP
Nova Medical Centers, Houston, TX

Case Study Report
Purpose: Early recognition of Complex Regional Pain Syndrome (CRPS) and prompt alerting to the medical provider can have a significant, positive impact on the functional outcome of the injured worker.
Case Description: A patient was referred to Physical Therapy (PT) after sustaining a crush injury to the right lower extremity. During subsequent visits, the PT observed signs and symptoms displayed by the patient suggestive of CRPS.
Outcome: Utilizing a multidisciplinary approach and early recognition afforded the initiation of a desensitization program and prompt referral to a specialist.

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PP2014-005 DoG the WAGs: An Innovative Solution to Reduce Exposure to Waste Anesthetic Gases
R. Bryan Goodin, MPH, Employee Health Manager; Don Joling, CAS, Anesthesia Specialist; Jim Spinelli, Facility Manager; Melissa Brown, CHES, Employee Health Coordinator; Linda Beasley-Freeman, RN, Employee Health Nurse
Legacy Health, Portland, OR

Healthcare exposure to waste anesthetic gases (WAG) should be reduced to minimize the health effects to personnel. This study investigates the efficiency of a Disposal of Gas (DoG) control device to close the anesthesia circuit, in conjunction with establishing a system-wide monitoring program, and creating educational material to reduce potential exposure to airborne WAG concentrations generated from the mask during surgical procedures. Air measurements collected using a Miran device showed a reduction in WAG levels when the DoG device was used. The study concluded that work practice modifications and DoG device implementation were effective exposure control measures to reduce off-gassing.

PP2014-006 Evolution of a Worksite Wellness Program Through Interdisciplinary Collaboration
Leilani Wagner, MSN, FNP-BC, Ginikanwa Ukpabi, MPH, MSN, FNP-BC, Kadie B. Jalloh, MSN, FNP-BC, Vannesia Morgan-Smith, PhD, RN, NE-BC, Susan Keller, MLS, MS-HIT and Carolyn Kusenda, MS, RD, CNSC
Children's National Health System, Washington, DC

This poster illustrates the evolution of a worksite wellness program. Initially, the program was an interdisciplinary collaboration between the occupational health nurses and the medical librarian. This effort was so successful that the occupational health nurses decided to lead the expansion of the collaboration to include alternative health practitioners, artists, dietitians and marketing specialists. By working together, this diverse team has successfully deployed new and well-received employee wellness events throughout the health system.

PP2014-007 EXPO-S.T.O.P.: A National Survey & Estimate of Sharps Injuries and Muco-cutaneous Blood Exposures Among Healthcare Workers in the USA
Terry Grimmond, GrDpAsEd and Linda Good, PhD, RN, COHN-S
Grimmond and Associates, Microbiology Consultancy, Hampton, New Zealand and  Employee Health Services, Scripps Health, San Diego, CA

Bloodborne pathogen exposures continue to occur among healthcare workers, despite years of attention and a variety of efforts to eliminate them. The AOHP-sponsored Exposure Survey of Trends in Occupational Practice (EXPO-S.T.O.P.) benchmarking research study (in its second year) continues to provide new insights into this issue. This poster presentation will demonstrate to conference participants how research and evidence-based practice can inform their management of this crucial concern. The poster will include updates on sharps and muco-cutaneous exposure incidence and summarize best practice in exposure prevention.

PP2014-008 Implementing a Person-Centered Care Model: Re-Entry Program to Return Injured Employees to Work
Kathleen Chebotar, RN and Sharyn S. Tondel, DNP, FNP, COHN-S, AHN
Hospital for Special Surgery, New York, NY

The most common work injury for a hospital employee is muscle strain or sprain resulting in absenteeism, decreased productivity and submission of a workers' compensation claim, which may result in significant financial burden. Unfortunately, re-injury is common, even with safe patient and equipment education and the use of patient handling equipment. The Employee Safety Committee will integrate an interdisciplinary partnership with the Occupational Health and Rehabilitation departments in an effort to reduce subsequent injuries using an evidenced-based Person-Centered Care body mechanics program focused on the individual’s needs and job requirements to guide the return to work process.

PP2014-009 It Takes a Village: Interdepartmental Collaboration to Decrease Needlestick Injury
Doris Dicristina, MS, BSN, RN, COHN-S/CM, Director, Employees Health Services; Claudia Pagnani, MSN, RN-BC, Nursing Education Specialist; and Kathleen Zavotosky, MS, RN, CCRN, ACHS-BC, Director, Center for Nursing Research, Advanced Clinical Practice and Education
Robert Wood Johnson University Hospital, New Brunswick, NJ

The “It Takes a Village” mentality opens up a new way to look at injury prevention. Collaboration among Nursing Education, Employee Health and vendors creates a structure for these stakeholders to identify, educate, ensure employee competence and provide follow-up to decrease needlestick incidence in the workplace. Interdepartmental collaboration minimizes or helps to eliminate occupational exposures by sharing resources and providing an environment of employee safety. Accountability of stakeholders and employees is key to the success of employee safety. This process approach has measurably reduced butterfly needlestick injuries at Robert Wood Johnson University Hospital (RWJUH.)

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PP2014-010Suture Safety Outside the Operating Room
Leslie Zun, MD
Mount Sinai Hospital, Chicago, IL

There is a high incidence of needlestick exposures related to surgical procedures. Many of these procedures are performed in the operating room. There are many educational materials to inform healthcare personnel to reduce their blood exposures due to surgical procedures. One such means to reduce needlestick is the use of blunt needles, but these can only be used for fascia issue and not for skin closure or securing procedural lines. Studies have found that suturing was one of the most frequent causes of needlestick, ranging from 16.7% to almost all of the providers. There are no educational materials directed at suturing. Suturing is performed in many settings, not only in the surgical suite, but also in emergency departments and clinics, and on medical/surgical floors. There is a need to educate healthcare providers on how to reduce the incidence of needlestick exposures. The purpose of this poster is to present an educational video to improve suturing technique to reduce the number of needlesticks from suturing. The videotape that accompanies the poster focuses on teaching the no touch technique, how to suture without handling the needle, and information on a safe zone and proper needle disposal. The poster will provide information about the success to reduce suture related needlestick incidents at one institution.

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PP2014-011 The Association Between Social Environment and Overweight Status and Obesity Among Healthcare Employees
Kathryn Keogh, PhD, MSN, RN
Haywood County Health Department, Clyde, NC

Overweight and obesity contribute to physical and mental health disorders, representing an economic burden on the United States. Despite public health interventions promoting weight loss, rates of obesity have remained virtually unchanged over the last few decades. For Americans who are employed, workplace wellness programs hold the potential to positively influence health behavior. The purpose of this study was to determine whether social environment - as measured by social health, exposure to violence, social support, and social activity - was associated with overweight and obesity, as measured by body mass index (BMI,) and if this association was mediated by stressors and coping skills. The study population consisted of hospital employees who participated in a wellness program that included annual health risk appraisals, biometric screenings and the opportunity to attend various health promotion activities. The socioecological model served as the theoretical framework for this cross-sectional study. Generalized estimating equation techniques were used to analyze select data from the annual appraisals. Results indicate that, in the unadjusted model, social environment - including social health, exposure to violence, social support and social activity - was associated with being overweight and obese. However, these associations did not remain significant after adjusting for the covariates’ age, gender, education, income, fruit and vegtable intake, physical activity and perceived health. Therefore, analysis of the mediating variables, stress signals and coping status was not conducted. The implication for positive social change is enhancing the success of workplace weight loss programs by considering inclusion of social environment factors in programming, thus potentially mitigating the health and economic ill effects of overweight and obese employees.

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PP2014-012 The Transition to CAPRs: Roadblocks to Success
Beth E Heinrich, MHA, BSN, RN and Christina Geer, MHA, MSN, BSN, RN
Mayo Clinic, Scottsdale, AZ

N95 respirators pose many challenges, from annual fit-testing to the maintenance of adequate inventories of multiple types and sizes. Decisions on how to manage those that fail fit-testing is also a challenge – are they excused from care of certain patients, or are they provided Powered Air Purifying Respirators (PAPRs)? A transition to Controlled Air Purifying Respirators (CAPRs) mitigates these challenges.  Additionally, CAPRs provide improved employee safety. They do, however, bring challenges of their own. A carefully constructed implementation plan and mechanisms to monitor on-going use are critical. Attention to detail and a multidisciplinary planning approach will clear the road for a successful transition. Is it do-able? Absolutely! With a high-reliability employee safety program in place, injury reduction and a safety culture can become a reality.


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