Hi Mike,
We work with a generally healthy population trying to find ways to keep them
healthy by trying to ensure their work doesn't have a negative impact on
their health. Some OH departments run some kind of treatment service but
this is dying out for various reasons - as Diane suggested you may find it
useful to read back the threads as the various opinions are too many to
mention. As a result of the population we work with i don't think we
routinely come across employees dropping with acute MI's or hypovolaemic
shock! If they did we would usually only be able to perform basic first aid
anyway as we usually are not kitted out for acute clinical care work (i'.e.
no fluids, iv lines, large dressings etc.) so in those instances a first
aider is perfectly able and appropriate to cope with the job. As for the
public health perspective the DoH is pushing? - i personally feel there is a
difference between public health and primary care and feel I am fulfilling
my public health role by encouraging my organisation to acknowledge and act
on the evidence from the Whitehall study in relation to CHD. If my role
encourages the organisational change that leads to less middle management
developing CHD then i feel that is a worthy and effective contribution
towards creating a healthier public! So as you say - " First Aid to
> first-aiders - hmmm! and shipping off to A&E" - yes I agree with
this!!!!!! That's they're speciality, OH is mine and my "essential skill"
requirements therefore now have a different focus
Regards
Car
----- Original Message -----
From: "Mike Roberts" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, February 10, 2004 11:27 PM
Subject: Re: Clinical Training (CPD)
> Thanks Diane.
>
> MIU - Minor Injuries Unit (eg. Walk -In Centres, Comunity Hospital etc;-)
We were at
> the RCN A&E meeting last November and Minor Injuries (and illness) is
figuring high
> on the clinical agenda - there are now even MI Nurse Consultants now -
things have
> changed somewhat since my days in A&E which is not all that long ago!
First Aid to
> first-aiders - hmmm! and shipping off to A&E - perhaps I am looking from a
> secondary or should I say primary care perspective? How would an Occ
Health feel
> like if presented with an emergency situation - collapsed patient whether
from
> cardiac arrest or hypovolaemia - admittedly this is not the original area
I raised but -
> surely as the local expert OHPs would not wish to lose essential skills.
We (M&K)
> have been providing training courses for over 12 years, and the last 5 or
so have
> seen massive changes in the way things are done. First Contact may not be
just the
> realm of hospital or NHS organisations, or I could be reading too much
into the
> recent public health role that the DoH is pushing? What we are developing
is
> something which (admittedly we hope) will appeal to OH, in addition to
A&E, private
> treatment centres, prison, military and related areas. As you are no doubt
aware, OH
> nurses have a CPD requirement, as with all RN's they sign a Notification
of Practice
> (NOP1) declaration every 3 years. M&K are also looking at developing
'pro-active'
> courses covering screening and surveillance. If you get a chance do take a
look at
> our portfolio at www.mkupdate.co.uk
>
> Mike
>
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