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I must admit this is my view too Sharon. This is a grey area and I am unsure
if it is integral to workplace health management.  However, I guess it
depends on onešs approach to the provision of occupational health within a
public health strategy.   As a student I would have gained more spending
time in a dermatology or respiratory medicine clinic or a rehab unit to get
a firmer understanding of issues which are more directly ŗoccupational
health˛ related.  

Some HEIs have a much greater emphasis on shared learning with school nurses
and health visitors than we have at LSBU. In response to stakeholder and
student feedback on course content and delivery we are returning  to
offering totally pathway specific units underpinned by shared concepts
across pathways. For example, there is an NMC requirement to explore health
surveillance. On our OH pathway we cover statutory and non-statutory health
surveillance such  as required under COSHH, Control of Noise at Work Regs
etc. Students studying on the HV and SN pathway consider surveillance of
health amongst their client groups.

It would be interesting to read the views of other practitioners.

Anne Harriss

Course Director
LONDON SOUTH BANK UNIVERSITY


On 26/11/2010 15:58, "Naylor, Sharon [HMPS]" <[log in to unmask]>
wrote:

> mmmmmm - Is this an example of OH practise per se,  or an example of being an
> additional resource for health related matters that happens to be a)
> approachable b) accessible c) within the workplace? If it is the latter does
> that then too come under the banner of OH, and if it does then where does our
> remit stop? We have many discussions on this forum about the remit of OH, what
> constitutes a management/primary care/personal responsibility issue. One  of
> those grey areas methinks.............
> 
> 
> From: [log in to unmask] [mailto:[log in to unmask]] On Behalf
> Of Georgina Mills
> Sent: 26 November 2010 15:17
> To: [log in to unmask]
> Subject: Re: [OCC-HEALTH] alternate practice for OH student
> 
> Just an example of the of the way I was able to alter my practice -
>  
> I was apporached by a new mother on her second day back to work and who was
> struggling with keeping her milk production under controll whilst at work
> 8hours per day (She had some leakage the day before and had to go home to get
> changed). Due to the knowledge I gained on the placement day, I was able to
> refer her to a breast feeding support group - who very convienienty had a
> meeting that afternoon 3/4 of a mile from her work place.
>  
> She attended on her lunch break and was able to meet other mothers who do the
> same thing (express at work), she was able to gain support from them, the
> breast feeding nurse and a few weeks into her new routine was able to support
> other mothers in the choice to continue breast feeding.
>  
> In adition - I wasnt able to provide the breast feeding nurse with any
> additional information on breast feeding at work policies, she had just about
> written the book on it. I would say I gained much more from this than she did.
>  
> The mother has continued to express and breastfeed her daughter who is now
> 11months old. Way past her original expectation of 7 months. Mother Benefits,
> Child Benefits, Workplace Benefits. Win Win so far!
> 
> Kindest regards, 
>  
> Georgina
> On Fri, Nov 26, 2010 at 3:03 PM, [log in to unmask] <[log in to unmask]>
> wrote:
>>  
>> Hello Georgina
>> 
>> I am glad to read that it was a  positive experience for you and a day well
>> spent. I am sure many OH students  are reading they may be interested in
>> knowing what new knowledge you  gained and how  it influenced or changed your
>> practice. There is  one definite benefit ­ but I see the benefit  more to the
>> breast feeding  nurse rather than to the OHN. The breast feeding support
>> nurse gets the  opportunity to learn about OH.
>> 
>> I know how difficult it is to get time  out of work for visits. For example I
>> regularly organise field trips (eg a  practical risk assessment in the Palm
>> House at Kew Gardens) and visits to  employment tribunals  (ET) and many of
>> our students say that their  employer will not allow them the time from work
>> unless they take A/L.  An  ET has definite relevance to our practice and if
>> they canšt get time to attend  an ET then I very much doubt they would be
>> able to negotiate time with a  breast feeding adviser.
>> 
>> Anne  
>>  
>>  
>> 
>> 
>> 
>> 
>> 
>> On 26/11/2010 12:49, "Georgina Mills" <[log in to unmask]
>> <http:[log in to unmask]> >  wrote:
>> 
>>  
>>>  
>>>  
>>>  
>>> The breast feeding suppport nurse was suggested by  the Uni, like you I was
>>> confused as to what I could learn from the  experience.
>>>  
>>> When I attended I explained why I was there (or  why I though I was there at
>>> the time!!!) and the mothers were all very happy  to discuss their
>>> experiences. I was really surprised at the amount of  mothers who were ready
>>> to give up breast feeding on return to work  - many of them knew about their
>>> employers policy on supporting  breast feeding at work (ie time away to use
>>> a breast pump etc) but  just felt too stressed at the thought of
>>> asking/arranging the time along  with their normal duties. The breast
>>> feeding nurse gave a wealth of  information to the mothers that day about
>>> the possibilites of continuing  breast feeding at work. You are right - they
>>> were well established breast  feeders during maternity leave, but none of
>>> them were ready for the  implications of carrying on with breast feeding
>>> whilst working - I was  a breast feeding mother and gave up on return to
>>> work - if I had extra  support I dare say I would have continued.
>>>  
>>> The experience has  assisted me on two occasions since and although I
>>> totally understand your point - I felt it was a really valid  placement for
>>> OH - 
>>>  
>>> I used my holiday entitlement and weekends  to arrange my practice placement
>>> so I fully understand the importance  of justifying placements - but I must
>>> say that this was a day's holiday well  spent!
>>>  
>>> Georgina
>>> 
>>> On Thu, Nov 25, 2010 at 9:38 PM, [log in to unmask]
>>> <http:[log in to unmask]>   <[log in to unmask]
>>> <http:[log in to unmask]> > wrote:
>>>  
>>>> Hello Georgina
>>>> 
>>>> I would totally support  students spending time with Travel clinics, family
>>>> planning (support of  young workers), audiology (excellent idea) etc.
>>>> However, out of interest  what did you gain from the breast feeding support
>>>> nurse? My experience of  women returning to work after mat leave is that
>>>> either breast feeding is  well established so they have no need of breast
>>>> feeding support ­ OR they  have stopped breast feeding. Unfortunately, time
>>>> is money - in my days as  the manager of an OHS you would have had to
>>>> justify to me a visit to a  breast feeding adviser ­ if you couldnšt I
>>>> would not have supported such a  visit in work time.
>>>> 
>>>> Anne
>>>> 
>>>> Anne Harriss
>>>> Course  Director
>>>> London South Bank University
>>>> 
>>>> 
>>>> 
>>>> On 25/11/10  19:30, "Georgina Mills" <[log in to unmask]
>>>> <http:[log in to unmask]> >  wrote:
>>>> 
>>>>  
>>>>> I'm based in Scotland, but a few of the places I  attended for my
>>>>> placements were;
>>>>> Travel Vaccination Clinic, Family  Planning, Audiology Department NHS,
>>>>> Occupational Hygiene, Occupational  Physio, Local Breast Feeding support
>>>>> nurse - I called round and they  were all very accommodating.
>>>>>  
>>>>> I hope that  helps!
>>>>>  
>>>>> G
>>>>> 
>>>>> On Thu, Nov 25, 2010 at 9:57 AM, Chris  Allan <[log in to unmask]
>>>>> <http:[log in to unmask]> >  wrote:
>>>>>  
>>>>>> Dear List,
>>>>>> 
>>>>>> I'm looking for some  alternate practice experiences for an OH student
>>>>>> I'm mentoring, she is  based in London getting her practice experience in
>>>>>> a West London  University.
>>>>>> 
>>>>>> Any offers, advice or suggestions would be much  appreciated.
>>>>>> 
>>>>>> With best wishes to you all,
>>>>>> 
>>>>>> Chris  Allan
>>>>>> 
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