Perfect - well done Rita!
With regards,
Jane
Jane Fairburn BSc (Hons) RSpCPH (OH) CMIOSH
Occupational Health Services Director
Mobile 07770 638 268
Office 01925 227 000
Direct 01925 294 775
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-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Rita Ogden
Sent: 18 January 2008 12:48
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] HSE
Hi Jane,
As it's Friday, this is for you and everyone on the list...well, you
did ask for funny stories and jokes are funny!
Did you hear about the nurse who died and went straight to hell? It
took her 2 weeks to realise she wasn't at work!
You know you're a nurse if.....
Your sense of humour gets more warped every year;
You would like to meet the inventor of the call bell system some night
in a dark alley;
You know the smell of different diarrhoeas and you can identify them;
You can tell the pharmacist more about the medication he/she is
dispensing than they know;
You check the caller ID on your day off to see if anyone from your ward
is trying to get you to go in to work;
You've been telling work related stories in a restaurant and made
someone at the next table sick;
You are using more 4 letter words than you ever even knew before you
started nursing;
Every time someone asks you for a pen you have at least 4 in your
pocket....none of them are yours;
Your motto is "to be right is only half the battle; to convince the
doctor is more difficult";
You've told a confused patient that your name is that of your co-worker
and to holler if they need any help;
Your bladder can expand to the size of a winnebago's water tank;
You find yourself checking out customers' veins in the supermarket
checkout queue;
You avoid unhealthy looking shoppers in the mall in case they drop near
you and you have to perform CPR on your day off;
Your finger has gone places you never thought possible;
You have seen more penises than any prostitute!
Now you have all laughed (I hope....otherwise you aren't really a
nurse!), try this exercise. It is incredibly frustrating but there is a
way it can be done!
"How smart is your right foot?"
While you are sitting at your desk, lift your right foot off the floor
and make clockwise circle movements. While doing this, draw the number 6
in the air with your right hand. Your foot will automatically change
direction!
We all know how stupid this is, but I bet before the day is through you
will have tried it several times!
Happy Friday!
Rita
Rita E Ogden
Specialist Practitioner/Clinical Team Leader,
Occupational Health Service,
St. James's University Hospital
Tel: 0113 2065228
Leeds General Infirmary
Tel: 0113 3923267
>>> Jane Fairburn <[log in to unmask]> 18/01/2008 12:04 >>>
Hi
My experience of an "HSE Inspector" was to say that HSE also don't
approve of "Nurse Led services" or nurses working as "self-employed OH
consultants". This person was also a nurse!!?? When I said we consult
with OH doctors as and when required - and its actually not that often
in our particular experience - she stated this was outrageous and I
should have a doctor on my books to oversee everything I do.........
Take it with a pinch of salt and use your own good knowledge &
experience to guide your practices. I don't know that "NMC guidelines"
impacts that much on OH in any event???
I though Friday was a chill out day anyway - anyone got a funny story?
With regards,
Jane
Jane Fairburn BSc (Hons) RSpCPH (OH) CMIOSH
Occupational Health Services Director
Mobile 07770 638 268
Office 01925 227 000
Direct 01925 294 775
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________________________________
________________________________
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Frank Oakes
Sent: 17 January 2008 18:22
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Ambient noise levels during audiometry
It really does not seem to matter what we think, like the highway code
we have to follow the rules and I was also reminded that as nurses on
the NMC register we must practice within guidelines. The crux of the
subject is the reproducability of the environmental noise during the
test and as quite rightly mentioned we do not diagnose but screen. I
was given examples of tests done where the OHA had written across the
test that there were high levels of noise hence the poor resul;ts and
it
was thought that this was okay. Hey, I have done this too so what has
changed for me. 1. I now know different. 2. The HSE now know I know
different. I imagine this makes a difference for how most of us
practice. I suppose it will also make a big difference for the
companies who have gone to the great expense of purchasing mobile
screening units who are constantly undercut by those of us who don't
ending up at a competitive disadvantage because we choose to 'turn a
blind eye' to the guidance that while confusing is already available
so
it could be said that we would have no defence if challenged..
I am sure this debate will continue but if you require absolute
clarification contact your local HSE OH Inspector. The young lady I
spoke to said she will be more than willing to discuss this with
anyone
and if you want her details please ask.
Cheers
Frank
----- Original Message ----
From: Annie Anderson <[log in to unmask]>
To: [log in to unmask]
Sent: Thursday, 10 January, 2008 5:10:30 PM
Subject: Re: [OCC-HEALTH] Ambient noise levels during audiometry
I totally agree with you Jane,
We are carrying out a screening test only, looking for any deviation
from
the expected or any change in the results from previous ones.
We are not doing any diagnosing and if we have concerns then the
person
is
referred to the GP or ENT department for consultation and appropriate
testing.
When hearing tests are carried out in a quiet office the sound does
not
differ that much from year to year.
Regards
Annie
Telephone 07788667506
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-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf
Of Jane Fairburn
Sent: 10 January 2008 15:57
To: [log in to unmask]
Subject: [OCC-HEALTH] Ambient noise levels during audiometry
Hmmm - so even if an audio is normal then HSE don't believe it is???
Clearly we need to remember we are screening healthy people not
diagnosing
deafness and prescribing hearing aids!
A sound booth is only used to attenuate the interference of extraneous
sounds during a hearing test and whilst they reduce, they do not
wholly
eliminate reverberant and ambient noises in any event as far as I am
aware.
One of our sites has a booth situated adjacent to the changing rooms &
we
can't test during shift change! Its simply not as clear as booth or no
booth.
It seems like common sense to 'screen' people and then consider if
further
testing is required in a booth - or indeed with appropriately
attenuated
headset. We should not be seeing new cases of NIHL these days and if
we
are
then something is wrong and its not the OH screening......
Thanks Frank Look forward to your posting the new HSE guidance.
Regards,
Jane
Jane Fairburn
Occupational Health Services Director
Mobile : 07770 638 268
Office : 01925 227 000
www.people-am.com <http://www.people-am.com/>
________________________________
From: [log in to unmask] on behalf of Frank Oakes
Sent: Thu 10/01/2008 15:15
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Ambient noise levels during audiometry
A very timely post.
Late last year I was privvy to a meeting with HSE who stated that they
would
not accept a hearing test as being valid unless it was either done in
a
sound reduction booth or the tester recorded the sound levels during
the
test with a sound meter and when the levels peaked over a certain
level,
I
am waiting on further details of this, then the test had to be stopped
and
restarted so it seems that the rule of thumb 'quiet room' is a thing
of
the
past as we can not accurately reproduce the environmental noise
levels.
I
confirmed this via telephone again this week with HSE and they tell me
there
is new guidance out shortly. As soon as I get the noise levels etc. I
will
post them here as like myself I am sure this will make an impact on
how
we
practice. Oh yes, they also informed me that they were investigating
a
number of OH providers/ companies for a variety of bad practices and
they
are very keen to hear of any more. Oh yes, please remember when
replying I
am the messenger.
Frank
----- Original Message ----
From: "Hawkes, Lynda" <[log in to unmask]>
To: [log in to unmask]
Sent: Wednesday, 9 January, 2008 11:57:49 AM
Subject: [OCC-HEALTH] Ambient noise levels during audiometry
List,
Please can someone advise me what the maximum ambient noise levels
should be
when conducting audiometry without a sound-proof booth? I have looked
at
"Acoustics - Audiometric test methods BS EN ISO 8253-2:1998 but have
to
confess that I don't fully understand what I am reading.
Thanks
Lynda
Lynda Hawkes
Occupational Health Advisor
Thales
Aerospace Division
Scudamore Road
Leicester UK
LE3 1UA
Tel: +44 (0) 1162 594030
email: [log in to unmask]
www.thalesgroup.com
Thales UK Limited is incorporated in England and Wales. Company
registration number 00868273. Registered office: 2 Dashwood Lang
Road,
The
Bourne Business Park, Addlestone, Nr. Weybridge, Surrey KT15 2NX
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