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Module 7
The Basic Hazards and Protection
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 |
Respirators, Medical Approvals and Fit Testing
Sally Foster-Chang, DNP, ANP-BC, COHN-S, CME
This presentation will review important components of the Occupational Safety and Health (OSHA) Respiratory Protection Standard, 29 CFR 1910.134, the National Institute for Occupational Safety and Health (NIOSH) respirator selection logic, essential clinical aspects of the respirator medical approval evaluation (including the most recent ACOEM recommendations related to spirometry) and the fit testing process. It is geared to advanced practice clinicians involved in all aspects of Respiratory Protection in the workplace.
Objectives:- Describe the history of respiratory protection and related regulations.
- Review the legal requirements for respiratory protection mandated by 29 CFR 1910.134.
- Develop a basic understanding of types of respirators and the NIOSH respirator selection logic.
- Outline the medical approval process for fit testing and respirator use.
- Discuss current guidelines related to cardiac and pulmonary assessment for respirator use.
Hearing Conservation Program In Review
Michele Damas Smith PhD., FNP-CThis presentation will discuss the purpose of a Hearing Conservation Program. It will review Noise Exposure Hazards and employers’ responsibilities and Audiometric Testing and Testing Option. A review of STS – work related versus non-work related and reasons for referral will also take place; including a discussion on OSHA guidelines, required documents and determination of OSHA recordability.
Objectives:- Understand the purpose of the Hearing Conservation Program.
- Identify noise exposure hazards.
- Review employer responsibilities.
- Considerations for audiometric testing/STS/referrals.
- Explore options for audiometric testing.
- Understand determination of recordable vs non-recordable STS.
- Learn OSHA, state and employer considerations with age-correction.
Physical Hazards and Ergonomics
Lora S. Regan, MD, MPH, FACOEMThis session will review important physical hazards in the workplace and specific occupations that encounter these hazards. We will discuss the hierarchy of hazard control in occupational medicine/safety/industrial hygiene and how these apply to physical and ergonomic hazards. We will demonstrate how to identify and remediate ergonomic hazards using a before and after ergonomic job analysis. We will focus on body mechanics and the optimal positioning of the upper extremity in the prevention of ergonomic musculoskeletal injuries. We will identify ways to modify an office workstation and hazards associated with working from home. We will review the limited role of personal protective equipment in addressing ergonomic concerns. Resources for further learning will be provided at the end of the presentation.
Objectives:- Explain the three main categories of hazard control in Occupational Medicine and how they relate to Physical Hazards and Ergonomics.
- Describe physical hazards in the workplace and give examples of occupations that encounter these specific hazards.
- Discuss the role of body mechanics and how positioning contributes to ergonomic risk in the workplace.
Introduction to Chemical Hazards
Pam Krahl, MD, MPH, FACOEM, FACPThis session provides a framework for evaluating the potential of chemical hazards to harm workers, and introduces learners to the adverse effects of some specific chemical hazards that are commonly encountered in the workplace or that are representative of a category of chemicals.
Objectives:- Discuss fundamental concepts of dose, exposure, and susceptibility.
- Locate information about chemical hazards.
- State the characteristics of major categories of common chemical hazards.
- Describe the occupational medicine role in protecting workers from chemicals.
Biohazards and Biological Monitoring
David Vearrier, MD, MPHThis presentation discusses biohazards in the workplace and enumerates examples of each type of biohazard and the adverse human health effects associated with them. It applies the Hierarchy of Controls to biohazards in the workplace. The pros and cons of biological monitoring in the workplace are discussed. It also discusses the technical aspects of biological monitoring and it’s application in the protection of worker health.
Objectives:- Describe types of biohazards and enumerate examples of each type.
- Apply the hierarchy of controls to biohazard in the workplace.
- Discuss the application of biological monitoring in the workplace.
The OEM Clinician's Role in Emergency Management - A Public Health Overview, Framework and Case Study
Judith Green McKenzie, MD, MPH, FRCP, FACP, FACOEMThis lecture discusses the Occupational & Environmental Medicine (OEM) Clinician's Role in Emergency Management, a core competency for OEM professionals. A Public Health Overview, Framework and Case Study will be presented. A historical perspective of emergencies and disasters will be given with definitions and examples. The structure and importance of the Incident Command System (ICS) within the context of the National Incident Management System (NIMS) will be presented. A case study of best practices based on the response by two leading healthcare institutions, to a public health emergency relevant to OEM practice, a pandemic, specifically the recent COVID-19, pandemic will be explored. Finally, discussion with ensue on future pandemic preparedness by national and global governing authorities with projections of the major twenty-first-century threats.
Objectives:- Understand the definition of a disaster.
- Understand the definition of an emergency.
- Gain a historical perspective.
- Learn about the public health response.
- Understand the Incident Command System (ICS).
- Explore a case study for pandemic preparedness.
- Review the White House & WHO preparedness plans.
- Consider the OEM healthcare professional’s role.
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 6.00 contact hours of continuing education (which includes 0.00 hours of pharmacology) by the American Association of Nurse Practitioners®. Activity ID# 23126465. 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 6 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 6 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:
- Sally Foster-Chang
- I hereby certify that, to the best of my knowledge, I have no relevant financial relationships with ineligible companies and no aspect of my current personal or professional situation might reasonably be expected to affect significantly my views on the subject on which I am presenting.
- Michele Damas Smith
- I/We hereby certify that, to the best of my/our knowledge, no aspect of my/our current personal or professional situation might reasonably be expected to affect significantly my/our views on the subject on which I am/we are presenting.
- Lora S. Regan
- I will not be discussing specific commercial products in this presentation.
- I have no financial interest in any of the currently available products used for ergonomic assessments.
- Photos and tables are all by presenter, unless noted.
- Pam Krahl
- The contents of this presentation are the sole responsibility of the presenter and do not necessarily reflect the views, assertions, opinions or policies of the Uniformed Services University of the Health Sciences or the Departments of the Army, Navy, or Air Force. Mention of all trade names, commercial products, or organizations does not imply endorsement by the United States government. The presenter does hold stock in one pharmaceutical company, Amgen.
- David Vearrier
- I have not conflicts of interest to disclose.
- Judith Green McKenzie
- I have no conflicts of interest to declare.
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.