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Module 6
Safety and Environmental Impacts
The Occupational and Environmental Medicine Fundamentals for Advanced Practice Providers Certificate Program was developed as a collaborative education activity by the American Association of Nurse Practitioners® (AANP) and the American College of Occupational and Environmental Medicine (ACOEM).This program was developed to supplement on-the-job training and provides advanced practice clinicians online access to a convenient, comprehensive, foundational OEM program. Presented by AANP and ACOEM experts in the field, these CE activities offer learners the essential knowledge necessary to practice professionally in any occupational health setting, including urgent care, primary care, industry-based clinics, employee health, corporate health and more. By completing this foundational OEM program, NPs and other clinicians can increase their understanding of OEM’s many facets, improve their clinical skills and more fully develop the leadership abilities needed to manage the care of the worker.
The certificate program consists of seven modules, each dealing with a different aspect of occupational health practice. NPs and other advanced practice providers may earn 30 contact hours of CE credit by completing all seven modules. Each module includes between four and six one-hour presentations and support material on essential OEM topics. Upon completion of all seven modules and the full 30 hours of CE credit, participants will be eligible to receive an AANP Certificate of Advanced Practice Education in Occupational Health. The certificate of academic achievement demonstrates to employers, workers and peers their commitment as a clinician in the OEM field.
Full Certificate Program Overview
| Module | Topic | Contact Hours | Member Price | Non-Member Price |
| Module 1 | OEM Policy and Regulatory Essentials | 5.00 CE | $125.00 | $150.00 |
| Module 2 | Workplace Evaluations | 4.00 CE | $100.00 | $120.00 |
| Module 3 | The Worker in the Workplace | 3.00 CE | $75.00 | $90.00 |
| Module 4 | The Infectious Disease Roundtable | 4.00 CE | $100.00 | $120.00 |
| Module 5 | Worker Health | 4.00 CE | $100.00 | $120.00 |
| Module 6 | Safety and Environmental Impacts | 4.00 CE | $100.00 | $120.00 |
| Module 7 | The Basic Hazards and Protections | 6.00 CE | $150.00 | $180.00 |
Industrial Toxicology – Basic Review
Dean R. Lillquist, PhD, MSPH, CIH, CSP, CHMM
The subject of industrial toxicology is commonly covered in semester long academic courses with prerequisites in biological, chemical, and statistical studies. This session will distill industrial toxicology down into basic subjects and concepts. It will define and discuss concepts and vocabulary to allow participants to understand risks associated with chemical exposures. It will also lay the foundation for the establishment of allowable levels of chemical exposures in the work environment.
Objectives:- Describe the differences and relationships of toxicity, hazard, and risk.
- Discuss the different uses and meaning for the terms acute and chronic in the context of exposures and effects.
- Recognize the elements of chemical behavior relative to toxicokinetics.
- Recognize primary target organs for common industrial chemicals.
- Describe the physiological basis of dose-response as well as common end-points.
- Discuss Occupational Exposure Limits (OELs) in the context of risk management of chemical exposure.
Medical Screening and Surveillance
Virginia Weaver, MD, MPHThis session will provide an overview of key medical screening and surveillance concepts. We will define these different medical activities and discuss traditional screening as well as clinical biological monitoring. We will review key elements in a range of OSHA health standards emphasizing efficient options to identify mandatory medical screening content. We will conclude with a discussion of other authoritative resources for medical screening.
Objectives:- Understand goals of medical screening versus surveillance.
- Explain an approach to clinical biological monitoring.
- Describe efficient options to identify required medical screening in OSHA health standards.
- Review key elements in a range of OSHA health standards.
- Identify resources for medical screening programs.
Environmental Conditions for Occupational Health
Carol L. Lindsey, MSN, APRN, FNP-BC, FAANPThis course will describe the connection between the environment and occupational health. Environmental factors leading to health risks will be presented, the importance of Occupational and Environmental Exposure history will be reviewed, and a case study presented. Climate change and its impact on health with special emphasis on heat illness will be included. Other important impacts on health, especially the occupational health of outside workers and vulnerable populations will be covered. Clinicians are in a pivotal position to educate their patients and the public on the health impacts from climate change. It is important for clinicians to be aware of this connection and prepare their patients for the current and future impacts of climate change on their health.
Objectives:- Describe the connection between environmental and occupational health.
- Understand the link between the patient’s illness and an environmental or occupational exposure.
- Explain how climate change can impact the health of worker(s).
Pregnancy and Reproductive Health in the Workplace
Mazell Winikor, MD, PhDThis one hour course will focus on understanding how your patient’s occupation may affect their ability to conceive, to carry out a pregnancy, and the possible long term effects on baby. We will review the basics of the reproductive cycle, with an emphasis on where in the cycle injury can occur. We will then discuss a select group of hazards that can affect pregnancy as well as where to find information on a possible hazard. Finally, we will review how you should approach the topic of occupational safety in pregnancy with your patients.
Objectives:- Review reproductive health as it is related to pregnancy to provide optimum care for workers.
- Determine how workplace and reproductive hazards could lead to adverse outcomes.
- Discuss select hazards with critical windows in pregnancy.
- Discuss how to address occupational hazards with your pregnant patients.
| Content Expires: | December 31, 2025 (11:55 p.m. CT)
CE for this activity will not be available after this date. |
|  | This activity includes closed captioning. |
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Accreditation Information
This activity is approved for 4.00 contact hours of continuing education (which includes 0.00 hours of pharmacology) by the American Association of Nurse Practitioners®. Activity ID# 23126464. This activity was planned in accordance with AANP Accreditation Standards and Policies.
American College of Occupational and Environmental Medicine (ACOEM) has received accreditation from American Medical Association (AMA) for this activity and is offering the activity for AMA PRA Category 1 Credit. If you would prefer to earn AMA CME credit, you can sign up for this same program through ACOEM.
How to Complete this Activity
- Read this activity description, including objectives and disclosures.
- Complete all 4 sections of educational content:
- OnDemand Presentations: Click the Play button to watch the activity video lecture. To get full credit for the learning activity portion, you must watch all of the video content in each section.
- Click on the Additional Resources button to review all additional materials provided (handouts and any other downloadable resources).
- Click on the Next Steps button of each section. Click on the "Get Certificate" button that appears at the bottom of the Next Steps window. This will show a brief "Thank You" message and direct learners to continue to the next section.
- After completing all 4 sections of educational content, go to the parent module of the activity (top block in the activity group) and click on the Next Steps button:
- Submit the overall activity evaluation to receive full AANP CE/Rx credit.
- Click on the Get Certificate button. At the top of the certificate screen, use the provided dropdown menu and select OEM Fundamentals for Advanced Practice Providers Module Certificate.
- A copy of your certificate of completion will display on the screen for you to print or save. A copy of the certificate will also be emailed to you.
- PROGRAM CERTIFICATE OF COMPLETION: If you complete all 7 modules of this program, you will have the option to receive a non-credit-bearing program themed certificate of completion demonstrating the completion of all requirements of the full program. In order to claim the overall program certificate, you will need to have all 7 participation codes from the completion of each module (these can be found in the dark blue box at the bottom of each module certificate of completion). Go to the following link: [PROGRAM CERTIFICATE ONLY] Occupational and Environmental Medicine Fundamentals for Advanced Practice Providers and register this product to your activities list (registration is free). Once this activity is registered to you, locate it on your CE Activities list and click on the blue "Next Steps" button. You will be asked to provide all 7 participation codes and fill out a short evaluation. Completion of both of these requirements will award the final program certificate. A copy will be emailed to you and will also be stored in your CE Tracker.
Note: This is a multi-section series that enforces linear completion of section content. The certificate of completion will only be awarded for this activity after ALL sections of the activity have been successfully completed AND the final evaluation (located on the parent module) has been completed. No partial credit will be awarded.
Disclosure and Disclaimer Information
This program was planned in accordance with AANP CE Standards and Policies.
All Planners have no relevant financial relationships to disclose.
Faculty Disclosures:
- Dean R. Lillquist
- These slides do not necessarily represent the views of the US government and set no new standards or regulations, create no new legal obligations and make no changes to existing OSHA policies.
- Mention of trade names, commercial products, or organizations does not imply endorsement by the U.S. Government.
- The material in this presentation is intended for informational purposes only.
- I have no conflicts of interest to disclose.
- Virginia Weaver
- These slides do not necessarily represent the views of the US government and set no new standards or regulations, create no new legal obligations and make no changes to existing OSHA policies.
- Mention of trade names, commercial products, or organizations does not imply endorsement by the U.S. Government.
- The material in this presentation is intended for informational purposes only.
- I have no conflicts of interest to disclose.
- Carol L. Lindsey
- I have no actual or potential conflict of interest in relation to this presentation
- I am an uncompensated volunteer member of the:
- Alliance of Nurses for Healthy Environments (ANHE)
- Florida Clinicians for Climate Action (FCCA)
- All relevant financial relationships have been mitigated.
- Mazell Winikor
- This presentation does not involve any financial or non-financial relationships that may pose a conflict of interest regarding the content presented. The speaker have no relevant disclosures to report.
Disclaimer:
Individuals who have contributed to the CE Center were carefully selected for their knowledge and experience in the subject area under review. This presentation is informational only and may contain opinions of the authors from their personal experience that do not necessarily express the opinions of the American Association of Nurse Practitioners (AANP). The activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Clinical practice is a constantly changing process and new information becomes available every day. Neither AANP nor the contributing individuals can warrant that the material will continue to be accurate, nor do they warrant that the material is completely free of errors upon publication. Attendees and participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.
Additional Information
For questions or more information concerning this online CE activity, please visit the AANP Help Center to find answers to frequently asked questions and request assistance.
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