Occupational Health Services April Ariel Leshchinsky MSN CNL

Occupational Health Services April Ariel Leshchinsky, MSN, CNL, RN Oregon State University April 7 th, 2015

My Background • Born in New Orleans, LA • Grew up in Richmond, VA • What to pursue? ! – Love for science + helping others = NURSING • 4 year undergraduate Bachelors of Science in Nursing (BSN)

On the Job: Philadelphia • Hospital of the University of Pennsylvania Orthopedic/Trauma Unit • Inpatient • 12 hour shifts

New York City • New York Presbyterian’s Hospital for Special Surgery • Mostly elective orthopedic surgeries • Masters of Science in Nursing: Focus on improving patient outcomes and streamlining patient care

Cross Country Adventure

Student Health Services at OSU • Worked in clinic serving students in need: wound care, sore throats, UTIs, vaccinations, Plan B • Occupational Medicine role job opening • Good opportunity and a challenge: • Utilize my masters degree • Be creative • Work with unique population • Collaborate across departments • Learn a new field within nursing!

Occupational Health Services Background • Comprehensive program • Strives to strengthen the campus safety culture • Protect faculty, staff and student employees in the course of their employment at OSU • Partner with Environmental Health and Safety to provide medical screening, surveillance, immunizations and health and safety education

CENTRAL FUNDING!!! • As of September 2014 • No longer bill departments aka index #s • Without the barrier of fees for service, more departments and employees on campus can be served by this program

Animal Exposure Program • Part of OSU's overall program of animal care • Participation is mandatory for all individuals involved in animal research, teaching, testing, care and handling • Focuses on maintaining a safe and healthy environment for individuals with exposure to animals • Based on risk assessment and risk mitigation • Includes risk monitoring as outlined in the OSU Animal Exposure Procedure and procedure • Collaborate with IACUC (Institutional Animal Care and Use Committee)

Supervisors are responsible for: - Implementing this policy with individuals under their supervision - Ensuring these individuals receive animal exposure training and education

Hearing Conservation Program • The goal: to monitor and protect employees who have the potential to develop noise-induced hearing loss • OSHA mandated • EH&S performs noise measurements and identities employees to enroll • Noise is one of the most common occupational health problems worldwide • Noise-induced hearing loss (NIHL) begins with prolonged exposure to any noise at or above 85 decibels • Is progressive, permanent and preventable

Physical Exams Scientific Diving Medical Examination • Overseen by the OSU Diving Safety Officer (DSO) • Any university employee conducting scientific diving must undergo testing and a medical examination signed by a physician • RN: Order and conduct testing • Required tests are reviewed, cleared, and initialed by the examining physician and submitted to the DSO

Physical Exams continued Polar/Arctic Physical Examinations: • Medical screening/testing and examinations to ensure physical qualification. SCBA User Medical Requirements: • Medical clearances are required for all employees wearing a selfcontained breathing Apparatus (SCBA), an atmosphere-supplying respirator for which the breathing air source is designed to be carried by the user • Testing will be performed by RN and clearance will be given by the Occupational Medicine physician Immigration Medical Examinations (not covered by OCM funds): • According to the U. S. Citizenship and Immigration Services (USCIS), medical examinations offered at Occupational Medicine are conducted by a designated physician, known as a civil surgeon

Travel Consultations • Employees traveling abroad for conferences, research or leisure (--> not covered by OCM funds) • Required and recommended vaccinations • Information regarding health advisories, infectious disease prevention • Prescriptions for motion sickness, travelers diarrhea, malaria prophylaxis, etc. • Register their trip at the OSU Office of Risk Management

Vaccinations and Titers • Those working with pathogens: – Hepatitis B series – Research on diphtheria • Animal Handlers: – Tetanus booster requirement – Rabies shot series (if required) – Rabies titers per protocol • Other: – Flu shots – Travel vaccines

OSU Safety-Related Committees • University Health and Safety Committee • Institutional Biosafety Committee • Co-chair SHS Health and Safety Committee

The future… • Expand OCM program and reach those not yet enrolled or served • Continue to be an advocate for employee health & wellness on campus • I look forward to and hope to continue to collaborate and partner with others on campus in keeping OSU employees healthy and safe

Contact Information • Occ. health@oregonstate. edu • Ariel. leshchinsky@oregonstate. edu • 541 -737 -7566