Net Health_AgilityEH_AOHPConferenceBrochure_Sheep_Spring2018.pdf 1 4/11/18 9:44 AM

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The complexities of make for some imposing terrain. Agility® delivers specialized documentation that supports the most rugged claims, billing, invoicing, and employer reporting scenarios you can imagine. Combined with efficient workflow and expert coaching, there's nothing to knock you off balance.

Come see us at our booth at the AOHP National Conference!

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nethealth.com The Art of the Right Fit®

© 2018 Net Health. All rights reserved. Net Health_AgilityEH_AOHPConferenceBrochure_Sheep_Spring2018.pdf 1 4/11/18 9:44 AM

Always feel confident Dear AOHP Members, Colleagues, and Friends, On behalf of the 2018 National Conference Committee members, it is my delight to announce the 37th Annual AOHP National Conference, Occupational Health about the next step. A-Z, scheduled for September 5-8, 2018, in Glendale, AZ.

We have been listening and responding to your requests for education, informa- tion, and process-sharing that have been communicated via the AOHP Listserv and chapter meetings, and you will find this reflected in the educational content and programs offered. We have thoughtfully designed this conference for both the new and the experienced occupational health professional with beginner, interme- diate, and advanced educational offerings.

Thirteen pre-conference workshops, including Getting Started in Employee Health and Beyond Getting Started, will be offered on Wednesday, September 5. A wide variety of topics including opioid addiction, haz- ardous drug handling, TB and immunization updates, respiratory protection, workplace violence, safe patient handling, and OSHA updates will be covered during the Main Conference September 6-8, which offers more C than 10 general sessions and 18 breakout sessions. Poster sessions by your peers, highlighting their incredible M research and process improvement programs, as well as several sessions with vendors who will demonstrate Y innovative, helpful products and services, are additional paths to improving your practice and programs.

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MY The National Conference Committee encourages you to consider the benefits of joining us to take an edu-

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CMY cupational health professionals, you work hard daily to address the needs of others. Take this time out to be mindful, care for yourself, and embrace this educational opportunity. The conference is also a good time to K learn more about our professional organization, volunteer to serve on a national committee, and hear of our international ties and educational outreach. The complexities of Occupational Medicine make for some imposing terrain. Agility® delivers specialized AOHP was founded in 1981 with a mission to provide members with professional growth through education, documentation that supports the most rugged claims, and to build an organization that addresses the unique needs of occupational health nursing in healthcare. On this, our 37th anniversary, we invite you to renew and revive yourself through four inspiring days of dynamic billing, invoicing, and employer reporting scenarios you can educational programming provided by occupational health experts while enjoying the Arizona sunshine and imagine. Combined with efficient workflow and expert landscape. The conference site in Glendale is located next to the professional football stadium in an area coaching, there's nothing to knock you off balance. surrounded by shopping and eating experiences within a few minutes’ walk. Visit Historic Downtown Glen- dale, named by Sunset Magazine as one of the country’s 10 best places to shop, visit the Xeriscape Botanical Come see us at our booth at the Gardens, and even take a hot air balloon ride at sunrise. AOHP National Conference! Start planning now to attend one of the nation’s largest conferences for occupational health professionals in ® healthcare.

Occupational Health A-Z Nancy Verhaar, BSN, RN, COHN-S nethealth.com The Art of the Right Fit® 2018 AOHP National Conference Chair

© 2018 Net Health. All rights reserved.

SEPTEMBER 5-8, 2018 3 Occupational Health A-Z

Table of Contents Glendale 5

Conference Essentials 8

Conference Hotel 9

Conference Registration Details 10

Poster Presentations Overview 12

Special Events & Helpful Information 16

Conference Committee 17

Sponsors & Exhibitors 18

Occupational Health and Safety Principles & Nursing Certification Review 19

Membership Application 20

Registration Form (2 pages) 21-22

Agenda at a Glance 23

Conference Abstracts 28

4 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ GLENDALE, AZ

GLENDALE, AZ, a booming city just north- & Smilin’ Jack’s Pedal Cars in Historic Downtown Glendale. Toy lovers will travel back to the yesteryear of go carts with these west of Phoenix, knows how to honor the past classic wheeled wonders. while embracing today’s thrills. Browse bungalows and notable buildings in Historic Downtown Art and History Buff Glendale and the Catlin Court Historic District that now house Glendale is a city founded on rich ranching history and vibrant antiques shops. The collection is so great, the city refers to itself cultural heritage, and these characteristics are proudly displayed as “Arizona’s Antiques Capital” – and Sunset Magazine and through many of the city’s museum and public art offerings. USA Today have named Glendale one of the 10 best shopping Glendale is home to several one-of-a-kind museums that pay districts in the nation. Both districts have multiple properties in tribute to art, the police profession and, of course, football. Visit the National Register of Historic Places, some dating back to the Glendale Police exhibit located in the main lobby of the Glendale’s early days in the late 1800s. More than 1.6 million downtown police complex, which explores the early days of people visit Glendale’s Historic Downtown each year. the territorial sheriff to the present day. And you can’t visit this football city without paying homage to one of the most impres- Glendale is home to the Cerreta Candy Company! This family- sive collections of sports memorabilia this side of the Mississippi. owned chocolate factory is a favorite for both sweet treats and Named one of the top five sports bars in the country byUSA To- free tours, and it produces thousands of chocolates and candies day, Max’s Sports Bar Museum proudly boasts the largest collec- each day! The city is also a great starting point for a variety of tion of football helmets in the nation. The city also offers an array activities in the region. Visit a zoo, a lake, a space center, and a of historical architecture, from early ranch buildings to blocks of NASCAR track - or hike a mountain - all within 25 minutes of bungalows that will beg you to walk our historic neighborhoods the city. For an immersive trip back in time, tour the Manistee for hours. Take in the dozens of public art displays sprinkled Ranch, one of the Phoenix area’s last working cattle ranches. throughout town, as canvas, sculptures, and other works come The gardens, Victorian home, and barn are historic sites to be to life to tell a story of Glendale through artists’ eyes. To make seen. things simple, start at the Glendale Visitor Center and pick up guides for each tour before you hit the streets. Speed Racer Have the need for speed? The Family Guy Glendale and the West Valley The Griswolds would love Glendale. Whether you’ve loaded up are the destinations to get your the wagon with the family, flew in from across the country, or just adrenaline roaring when it took a weekend drive from the other side of town, Glendale does comes to racing season fun. family fun like nobody else. Kick start your outing with a hike With Phoenix International or picnic at one of Glendale’s nearby mountain retreats or many Raceway serving up serious city parks. For lots of space and plenty to do, you might want to G-force power just a few miles away, track fans will love coming consider Sahuaro Ranch Park’s Historical Area. Set amid well- to Glendale. Looking for something a little less thrilling? Slow, preserved turn-of-the-century ranch houses and rose gardens, the easy, and fun pedaling is the way to go at Auntie Em’s Miniatures park also boasts plenty of walking trails, peacocks roaming the

SEPTEMBER 5-8, 2018 5 Occupational Health A-Z

grounds, fields, and play structures. Next, take in a show at Gila • Glendale Renaissance Hotel and Spa – 9495 W. River Arena or Westgate’s movie complex. Or, if the times don’t Coyotes Blvd, www.renaissanceglendale.com, 623-937-3700 stack up just right, cool off at the popular Foothills Recreation • University of Phoenix Stadium – visit and Aquatic Center (or go for bigger water fun at the nearby www.universityofphoenixstadium.com for schedule and Wet N Wild water park). Get into the swing of things at the U.S. event info, 623-433-7100 Tennis Association award-winning Paseo Racquet Center, which offers court rentals and youth and adult programs. Cap off your • Westgate Entertainment District – Loop 101 and day with a little talking to the animals at the Wildlife World Zoo Glendale Avenue, www.westgateaz.com, 623-772-4000 & Aquarium & Safari Park, home to Arizona’s largest collection • Wildlife World Zoo & Aquarium & Safari Park – of exotic animals and the state’s only public aquarium, featuring 165th and Northern avenues, www.wildlifeworld.com, 623- 180,000 gallons of fresh and salt water exhibits. 935-WILD (9453)

Music Lover With so much to see and do in Arizona, you might have a hard They say the hills are alive with the sound of music, but Glendale time choosing which opportunities to experience. To help you is where the notes and rhythms truly come alive. The hometown out, visit the link below for the tastiest and most awe-inspiring of country music legend Marty Robbins, Glendale does mu- places in the Glendale area and throughout the state. From food sic right. The natural first stop is the Sports and Entertainment and fun, to amazement and adventure, these must-sees will help District for a look at what’s coming up on the Gila River Arena you make the most of your trip. event calendar. Voted a top concert venue by Pollstar magazine, the arena is a natural must-stop for major entertainers such as U2, https://www.visitarizona.com/uniquely-az/must-see Lenny Kravitz, Kanye West, Coldplay, and Carrie Underwood. Groovers and shakers will also dig the tunes coming from many Glendale eateries that boast live music along with great menus. Try Dillon’s or The Shout House, just to name a few spots. ROAD TRIPS & TOURS In Arizona, road trips are as much about the journey as they are RESOURCES AND INFO the destination. Depending on where you go, your voyage could feature dizzying climbs, hairpin turns, steep cliffs, or all three • Arrowhead Towne Center – 75th Avenue and Bell – particularly on some of Arizona’s historic highways, many of Road, www.arrowheadtownecenter.com, 623-979-7777 which date back to the early part of the century and have since been bypassed by modern interstates. But no matter where you • Downtown Dining – www.downtowndiningdistrict.com go, you’re sure to spy sprawling expanses of nature and stunning • Gila River Arena – visit www.gilariverarena.com for panoramic views. schedule and event info, 623-772-3200 • Glendale Parks and Recreation’s Trail Guide – From Route 66 to Oak Creek Canyon to the Apache Trail Historic www.glendaleaz.com/ParksandRecreation/trails Road, Arizona is home to dozens of noteworthy roads, byways, and historic loops that make your window feel like a movie • Glendale Public Art and Cultural Information – screen. Look for “scenic view” signs for a picture-worthy stop, www.glendaleaz.com (click on Art under the departments sometimes right off the highway. listing) • Glendale Visitor Center – 58th and Glendale avenues, Whether you’re driving to Arizona from a neighboring state, www.visitglendale.com hopping into a coach and letting someone else take the wheel, or renting a car when you arrive, driving is the perfect way to see • Historic Downtown Glendale – 58th and Glendale the sights – and to enjoy the thrill of Arizona’s wide-open spaces avenues, www.visitglendale.com and historic roads. Visit the Arizona Scenic Roads website for • Maricopa County Parks and Trails System – more information. Pick a route from the listings below, and hop www.maricopa.gov/parks behind the wheel. • Phoenix International Raceway – 125 S. Avondale Blvd., Suite 200, 1-866-408-RACE (7223), https://www.visitarizona.com/see-and-do/road-trips-and-tours www.phoenixinternationalraceway.com

6 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ What’s Going On TRANSPORTATION TO You’ll always find exciting events and unique experiences throughout the state. Whether you’re jumping aboard the magical AND AROUND GLENDALE Polar Express train to visit Santa, stargazing Arizona’s dark skies, enjoying a day in the park at a festival, or strutting your favorite Phoenix Sky Harbor International Airport cowboy boots at the world’s oldest continuous rodeo, there’s The main airport serving Arizona, Phoenix Sky Harbor, entertains always something lively and entertaining going on in Arizona. more than 36 million passengers per year and is served by 16 https://www.visitarizona.com/events airlines which provide nonstop service to over one hundred cities in the United States and around the world. Nonstop international TRAVEL TIPS service is provided by Volaris (Mexico), British Airways (Lon- Traveling here is simple enough – Arizonans put their leather don’s Gatwick Airport), Air Canada (Toronto), and Sun Country chaps on one leg at a time just like you do. But, locals have Airlines (Caribbean and Mexico). grown up knowing a few things that might not be so obvious to others. The state welcomes visitors with open arms, and a couple Sky Harbor operates four passenger terminals, and 14 national tips. Here’s what you need to know to have a vacation that’s car rental agencies have service counters in the baggage claims healthy, safe, and trouble-free: area in each terminal. Some companies have cars available at the • Summer Weather Tips terminal, while others use a courtesy van or bus to shuttle visi- • Arizona Hiking Tips tors to their off-airport location. In addition, limousine, taxi, and • Visiting Tribal Lands shuttle service are available from any terminal. • Getting Here and Getting Around • Accessibility To and From Phoenix Sky Harbor International • Crossing the Border Airport and the Renaissance Glendale Hotel • Travel to Mexico Discount Valid September 1-11, 2018: 10% OFF SuperShuttle • Wildfire Updates Shared Ride and ExecuCar Sedan & SUV Service. Book online at • Sustainability www.supershuttle.com and enter your discount code: JUR67 • Electric Vehicles • Visitor Centers Arrival - SuperShuttle Shared-Ride Van Service 1. Claim your luggage. For road conditions or information, please use the Arizona De- 2. Terminal 2: Exit door #8 of the baggage claim area and partment of Transportation website. proceed to the outer island. Terminal 3: Exit door #6 on the SOUTH side of the baggage claim area and proceed Offers to the outer curb, turn left and proceed to sign marked Whether you want to shop at unique boutiques, hit the links on “VAN SERVICE”. Terminal 4: Proceed to door #8 by the world-renowned courses, or soak in the great outdoors, you’ll baggage carousel #2. Check in with the customer service find your vacation for less here. Browse our great travel deals and representative at the SuperShuttle counter. fantastic vacation packages to start planning your own Arizona 3. Identify yourself to the SuperShuttle representative and adventure. https://www.visitarizona.com/planning/offers provide your online confirmation number. The representative will arrange SuperShuttle service to your destination. Climate NOTE: If you scheduled an ExecuCar sedan, call ExecuCar From the desert floor to the highest mountain peak, Arizona’s dispatch at 602-232-4606 after collecting your luggage to renowned sunshine ensures that nearly every day is a perfect one have the sedan pull up for pick-up. for sightseeing, playing golf, skiing a slope, or simply relaxing by a sparkling swimming pool. Average temperature in September: Departure - SuperShuttle Shared-Ride Van Service highest, 96 degrees; lowest, 66 degrees. 1. Please be ready at your hotel designated shuttle/taxi pick up location. Let the bellmen know of your SuperShuttle or ExecuCar arrangements. For more information, visit 2. SuperShuttle will arrive within 15 minutes of your scheduled www.aohpconference.com pick-up time.

SEPTEMBER 5-8, 2018 7 Occupational Health A-Z CONFERENCE ESSENTIALS WHO SHOULD ATTEND? EARN CONTINUING EDUCATION CREDITS • Occupational Health Nurses and Physicians The Association of Occupational Health Professionals in • Employee Health Professionals Healthcare is accredited as a provider of continuing nursing • Infection Control Practitioners education by the American Nurses Credentialing Center’s • Industrial Hygienists (ANCC) Commission on Accreditation. • Safety Officers • Human Resource Administrators Continuing Nursing Education Contact Hours (CNE) • Risk Managers A request for continuing education is under review by ANCC • Hospital Administrators accredited provider Association of Occupational Health • Case Managers Professionals in Healthcare (AOHP). • Other Interested Individuals All pre-conference workshops, general sessions and breakout YOUR MAIN CONFERENCE sessions have been applied for as Continuing Nursing Educa- tion Contact Hours. Nurses can earn contact hours depending on REGISTRATION FEE INCLUDES: session (i.e., pre-conference, general and breakout) attendance. • Dynamic Educational Sessions Each nurse should claim only those hours of credit that he/she • Welcome Reception with Exhibitors actually spends in the educational activity. Partial credit will not • Continental Breakfast on Thursday and Friday with be granted for any session, nor will any credit be given until that Exhibitors individual session has been completed. • Continental Breakfast on Saturday • Luncheon with Exhibitors on Thursday The pre-conference workshops, available on Wednesday, • Annual Meeting and Luncheon on Friday September 5, offer a maximum of 8.0 contact hours. The main • Refreshment Breaks conference agenda offers a maximum of 18.5 contact hours. • URL to Final Conference Program Prior to the Conference • Entrance to the Exhibit Hall Case Management Hours (CCMC) • Solution Series with Vendors This program has been submitted to The Commission for Case • Innovative Product Showcase with Exhibitors Manager Certification (CCMC) for approval to provide board • Continuing Education Credits certified case managers with 26.5 clock hours. Continuing • Continuing Medical Education Credits education units will be given for each individual session of • Case Management Contact Hours the conference. Attendance for the entire individual session is • Poster Session required to obtain credit for that session. Partial credit will not be granted for any session, nor will any credit be given until that SPONSORING ORGANIZATION individual session has been completed. The Association of Occupational Health Professionals in Healthcare (AOHP) is a national association with about 1,000 Continuing Medical Education (CME) members who serve as leaders in championing the vital role of The conference has applied for Prescribed CME credits from the occupational health professionals in healthcare today. Through American Academy of Family Physicians. active involvement at local, state and national levels, AOHP has become the defining authority and leading advocate for Verification of Participation occupational health and safety in healthcare, representing tens of Continuing education credit will be given to those individuals thousands of healthcare workers throughout the nation. AOHP who have viewed the entire presentation and returned the session promotes the health, safety, and well-being of healthcare workers evaluation and verification of session attendance. The number through: advocacy; occupational health education and networking of contact hours accumulated will depend on the number of opportunities; health and safety advancement through best practice sessions the attendee chooses to attend. The entire lecture, and research; and partnering with other invested stakeholders. breakout session or workshop must be attended to receive credit Founded in 1981, AOHP is governed by a board of directors for continuing education. No credit will be given before the consisting of elected officials, including regional directors. completion of the individual session, nor for partial attendance. A certificate will be awarded to the participant who meets the EXHIBIT HALL criteria. Meet representatives from the companies that manufacture the Verification of Attendance products and services you use most often. For those companies For those attendees who do not require continuing education wishing to display, please contact Annie Wiest at AOHP credits, but wish to verify their attendance, a Verification Headquarters at 724-935-1531 or e-mail [email protected] for an of Attendance certificate is available upon request – post Exhibitor Prospectus. conference.

Disclosure AOHP acknowledges the operational requirements of credentialing organizations. The sponsors of continuing education activities and the speakers at these activities disclose significant relationships with commercial companies whose products or services are discussed in educational presentations. Disclosure of a relationship is not intended to suggest or condone bias in any presentation, but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Each speaker has completed a Declaration Form. The forms will be available at the conference.

8 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ CONFERENCE HOTEL

The AOHP 2018 Annual National These guest room rates will be offered Conference will be held at: by the hotel three days prior to and three RENAISSANCE days after the meeting dates, subject to availability of guest rooms at the time of GLENDALE HOTEL & reservation. In the event that you need to check out prior to the reserved check- SPA out date, make sure to advise the hotel at 9495 W. Coyotes Blvd. • Glendale, AZ or before check in of any change in the 85305 • United States scheduled length of stay. If not, the hotel Phone: +1-623-937-3700 will charge you an “Early Departure Fee” Website: http://www.marriott.com/hotels/ of one night’s room and tax. travel/phxgr-renaissance-phoenix-glendale-hotel-and-spa/ Online reservation: http://www.marriott.com/meeting-event-ho- tels/group-corporate-travel/groupCorp.mi?resLinkData=AOHP% RESERVATIONS 5Ephxgr%60AOHAOHA%60129.00%60USD%60false%604%6 To secure your reservations, please call the hotel’s reservation 08/31/18%609/11/18%608/13/18&app=resvlink&stop_mobi=yes line at 800-931-1595. Use group code AOHN or ask for the Reservations: 800-931-1595 Group Code: Group Code: AOH AOHP 2018 National Conference to receive the special group rate. If you plan to arrive late, let the hotel know when you make The Glendale Renaissance Hotel’s Spa Botanica serves up the your reservation. If your flight is delayed, inform the hotel as best in full-service pampering from signature body treatments soon as possible to secure your booking. to relaxing health and wellness retreats. Westgate Entertainment Online reservation: http://www.marriott.com/meeting-event-ho- District and Tanger Outlets® Westgate are only a block away tels/group-corporate-travel/groupCorp.mi?resLinkData=AOHP% from the hotel. 5Ephxgr%60AOHAOHA%60129.00%60USD%60false%604%6 08/31/18%609/11/18%608/13/18&app=resvlink&stop_mobi=yes Renaissance Glendale Hotel & Spa is offering the following special room rate for all AOHP 2018 National Conference partici- Cut-Off Date pants. The room rate is per guest room, per night. The cut-off date for hotel reservations is August 13, 2018. $129/night/Main House – single/quad occupancy Reservation requests received after the cut-off date will be based ** Special offer to AOHP 2018 National Conference participants on availability at the hotel’s prevailing rates. If AOHP’s block of who make reservations under the AOHP room block: reserved rooms is filled prior to the cut-off date, attendees will be • Complimentary wireless Internet access in all guest sleeping required to pay prevailing rates. rooms. • Complimentary access to the hotel Fitness Center. Check-In/Check-Out • Complimentary self-parking in garage for all overnight Rooms will be available at 4 pm on arrival day; check-out time is attendees. 11 am. All guests arriving before 4 pm will be accommodated as • Complimentary parking for non-overnight attendees in hotel’s rooms become available. The hotel Guest Services Department West Lot (first come-first served basis) can arrange to check baggage for those arriving early when rooms • Fifteen (15%) discount off services of $135 or greater in hotel’s are unavailable and for guests attending functions on departure luxury full-service Spa Botanica day. Any attendee wishing special consideration for late check- out should inquire at the hotel front desk on the day of departure. Hotel room rates are subject to applicable state and local taxes. AOHP will provide a secure baggage holding area on Saturday, September 8, from 7 am to 12 pm for attendees.

For more information about the conference hotel, please visit the website at http://www.aohp.org/aohp/EDUCATION/ NationalConference/ConferenceHotel.aspx. PARKING • Complimentary self-parking in garage for all overnight attendees • Complimentary parking for non-overnight attendees in hotel’s West Lot (first come-first served basis)

SEPTEMBER 5-8, 2018 9 Occupational Health A-Z CONFERENCE REGISTRATION

Your Main Conference Registration Fee Includes: selection must be sent to AOHP Headquarters in writing by • Dynamic Educational Sessions August 10, 2018 to avoid a $25 administrative charge. • Welcome Reception with Exhibitors • Continental Breakfast on Thursday and Friday with Exhibitors OHN REVIEW COURSE • Continental Breakfast on Saturday • Luncheon with Exhibitors on Thursday AOHP’s 2018 Conference Committee plans to offer an OHN • Annual Meeting and Luncheon on Friday review course just prior to the 2018 National Conference. • Refreshment Breaks The Occupational Health & Safety Principles and Nursing • URL to Final Conference Program Prior to the Conference Certification Review Course will begin on Monday, September • Entrance to the Exhibit Hall 3, and conclude Wednesday, September 5, the first day of • Solution Series with Vendors the conference. This intensive three-day course presents • Innovative Product Showcase with Exhibitors state-of-the-art information in the field of occupational and • Continuing Education Credits and safety. The registration fee includes • Continuing Medical Education Credits one set of Occupational Health & Safety Principles and Nursing • Case Management Contact Hours Certification Review Manuals, and participants will learn • Poster Session valuable test-taking techniques and strategies for examination preparation through interactive lectures and practice tests. Main conference registration does not include pre-conference workshops. Taught by Annette B. Haag, MA, RN, COHN-S/CM, FAAOHN, President, Annette B. Haag and Associates, Past President of the All registrants must pay in full before attending any sessions, American Association of Occupational Health Nurses and Trustee events or workshops. Complete the AOHP Conference for the American Society of Safety Engineers Foundation, Registration Form and mail, along with payment, to: this course offers invaluable information for OHNs seeking AOHP certification. Anyone interested in participating in this course 125 Warrendale Bayne Road, Suite 375 must submit registration information by July 13, 2018. If Warrendale, PA 15086 AOHP Headquarters does not receive a minimum number of Fax: 724-935-1560 registrants by this date, the course will be cancelled. In the event Please do not fax the Registration Form if payment is by of cancellation, course registration fees will be refunded, but check. Payment must accompany the Registration Form. Only travel expenses will NOT be reimbursed. Please do not make registration with credit card payment can be faxed for processing. travel arrangements until receipt of confirmation from AOHP Pre-registration for the conference is encouraged. Headquarters that the course will be held. STUDENT RATE CONFERENCE SYLLABUS $250 (Main Conference Thursday to Saturday) Your main conference registration fee will include a URL to the Students are defined as full-time (minimum of nine conference syllabus prior to the conference. If you would like credit hours) and must submit registration by mail or to order a syllabus Flash Drive and/or notebook syllabus, it will fax with payment and student ID. be available at the discounted price of $20/Flash Drive and $80/ notebook for conference registrants. Place your order prior to the conference. The Flash Drive and/or notebook syllabus will be GROUP DISCOUNT distributed onsite at the registration desk. Receive a 15% discount on main conference registration when a minimum of five employees from the same organization register If you are unable to attend the conference and would like to have at the same time. Must submit by mail or fax with payment. a copy of the syllabus Flash Drive, the cost is $30 for members and $40 for non-members. REFUNDS GUESTS A refund of all registration fees, less 20 percent, will be made when a written request is received by August 6, 2018. No refunds Guests of AOHP conference registrants may register in advance will be made after this date. Registration substitutions may be or at the AOHP registration area to obtain a badge for admittance made if requested in writing before Thursday, August 30, 2018. to the AOHP exhibit hall only. The fee includes admittance to the activities/meals listed below. All guests must be registered to enter the hall and must be accompanied by a registered PRE-CONFERENCE WORKSHOPS conference attendee at all times during their visit. AOHP reserves the right to cancel the pre-conference workshops if the minimum registration is not met. Any change in workshop

10 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ GUEST MEAL TICKET (for family member or guest of registrant) return it along with your Registration Form. Your membership $20 Welcome Reception (Wednesday) will be activated by December 1, 2018, providing you with an $12 Breakfast each day (Thursday, Friday or Saturday) additional three free months of membership. As an AOHP member, you will enjoy the following benefits: SPECIAL REQUESTS • A subscription to the Journal of the Association of If you are aware of any disability that might prevent you from Occupational Health Professionals in Healthcare, AOHP’s participating in any part of this conference, please contact AOHP quarterly publication. Headquarters at [email protected] or call 800-362-4347 so that we • A subscription to the quarterly e-newsletter Making a may work with you to make the necessary arrangements to allow Difference… your full participation. Also, please notify Headquarters if you • A subscription to the monthly AOHP e-Bytes. have any dietary restrictions. • A subscription to the AOHP Listserv. • AOHP Insights. • Networking and educational opportunities sponsored by REGISTRATION DESK OPEN HOURS regional and local affiliates. Tuesday, September 4, 2018: 4 pm to 5 pm • Continuing education opportunities through local chapters and Wednesday, September 5, 2018: 7 am to 5 pm annual conference events. Thursday, September 6, 2018: 6:45 am to 5 pm • Leadership opportunities on chapter and national levels. Friday, September 7, 2018: 7 am to 4:30 pm • Government affairs updates. Saturday, September 8, 2018: 7 am to 2 pm • Access to employment opportunities on a national level. • Reduced member rate on AOHP education programs and JOIN AOHP publications. If you are not a member, the non-member main conference For additional information, please visit our website at registration fee will include 2019 AOHP membership. The www.aohp.org, contact AOHP Headquarters by telephone at 800- membership year is March 1, 2019, through February 28, 2020. 362-4347 or e-mail [email protected]. Please complete the enclosed Membership Application and

SEPTEMBER 5-8, 2018 11 Occupational Health A-Z POSTER PRESENTATIONS OVERVIEW

The 2018 Conference Committee reviewed several posters for the AOHP 2018 National Conference. The selected posters will be open for viewing from Wednesday, September 5 at 6 pm until Friday, September 7 at 11 am. Stop by the poster session and see how these presenters have successfully implemented a program or taken an innovative idea and turned it into a reality.

2018PP001 safety visible in a 24/7 environment. Needlesticks, safe patient handling, and slips/trips/falls became relevant in post- Feasibility of an Evidence-Based Stretching ers that showed UTMB scenes. Basic safety principles were Program on Healthcare Worker Pain Scores taught in a series of three posters released in three consecu- tive years, focusing discussion on the injury type so that and Professional Quality of Life areas could develop their own unique solutions. The overall Lija Gireesh, DNP, APRN, FNP-BC result is a reduction in the events, but most important, the Christiana Care Health System, Newark, DE severity of the injuries. Background: Pain is the most common symptom associated 2018PP003 with work-related musculoskeletal disorders, which are a common work injury among healthcare workers. Hypothesis Health Process Improvement for this study was that engaging in a 10-minute evidence- Deborah Spurgeon, RN; Stephanie Brueggemann, RN based stretching program during work hours for four weeks BJC Healthcare, St. Louis, MO would decrease generalized pain scores and improve profes- sional quality of life for healthcare workers. Methods: This Health risk assessments are an essential part of the employ- was a pre-test, post-test one-group comparative design feasi- ment process to ensure the achievement of a healthy work- bility study using convenience sample from inpatient medical force. Vaccination history and compliance with federal regu- surgical units in a tertiary care hospital. The intervention was lations help to protect the workers and the community that a 10-minute evidence-based stretching program during work they serve. Streamlining the process to achieve these goals hours for four weeks. Results: The findings, using a Wilcoxon became a priority toward candidate satisfaction and compli- signed rank test, indicated a statistically significant decrease ance. Improved communications to the candidates helped in pain scores from baseline to post intervention (M = 2.29, to decrease costs of unnecessary vaccinations. Implement- SD 1.22 vs M = 1.27, SD 1.02, p < 0.001). A paired-T test ing technology to provide online fillable forms improved found a statistically significant decrease in secondary trau- candidate experience. Developing working relationships matic stress (component of professional quality of life) (M = among Human Resources, Talent Acquisition Coordinators, 20.96, SD 5.25 vs M = 19.64, SD 5.08, 95% CI = 0.47 – 2.17, and trained nursing staff helped to transition into meeting the t (43) = 3.12, p = 0.003). Clinical Implications: The find- goals of compliance and employer/employee satisfaction. ings of this project showed feasibility of an evidence-based stretching program to significantly reduce pain scores and 2018PP004 improve professional quality of life among healthcare workers who experience musculoskeletal disorders. High-Reliability Safety During Emergency Operations 2018PP002 Cory Worden, PhD Candidate, MS, CSHM, CSP, CHSP, Budget Friendly/Big Impact/Real Results ARM, REM, CESCO; Robin Davis, MPA, CEM; Janet Kathleen O’Neill, RN, BSN, MS, CCM, CPDM Fleming, MPH, CIH; Scheretta Wilson, MPA University of Texas Medical Branch, Galveston, TX Memorial Hermann Health System, Houston, TX

With emphasis on patient safety, resources are limited for the During emergency operations, operational tempos increase advancement of employee safety. The University of Texas along with risks. When mitigating an emergency situation Medical Branch (UTMB) utilized an awareness campaign such as a natural disaster, disease outbreak or hazardous to address workplace injuries in an effort to make employee materials release, operations become the primary focus. It can become very easy to overlook every-day such as

12 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ fluid exposures, slips, trips, falls, patient handling, disease mate perceptions from responses to an All Staff Pulse survey exposures, and more. However, if these seemingly benign throughout 2015. Descriptive statistics described employee hazards are not addressed during the days and weeks preced- working unit characteristics. Negative binominal regressions ing the emergency, employees could still be at risk for an in- used injuries as dependent variables and safety climate percep- cident while also working in a high risk emergency situation. tions as independent variables, controlling for covariates. Re- If employees are being injured or exposed due to every-day sults: An association was found between employee perceptions hazards, this will result in either too few available employees of safety climate and number of employee injury incidents to address the emergency, unsafe work during the emergency reported within a work unit. Conclusions: Our findings suggest resulting in more injuries, and/or the inability to respond to that greater agreement concerning a work unit’s responsibility the emergency at all. However, using high reliability opera- to comply with safety rules and procedures is associated with tions to develop a robust , all hazards can be fewer injuries. Improving safety climate through motivation, mitigated and emergencies can be better addressed. feedback, and organizational policies may provide an opportu- nity for increased injury prevention in hospitals. 2018PP005 Homegrown Employee Safety Expert 2018PP007 Development Moving in the Right Direction: Reducing Cory Worden, PhD Candidate, MS, CSHM, CSP, CHSP, Injuries Related to Patient Handling ARM, REM, CESCO Lorie Arata, FNP-BC Memorial Hermann Health System, Houston, TX Piedmont Athens Regional, Athens, GA

In organizations where employee safety professionals cannot Employee injuries related to moving patients are a well- be hired, the need for safety expertise does not stop. With documented problem in healthcare. According to the Bureau this, it becomes important for employees in other fields such of Labor Statistics, healthcare professionals have one of as nursing, engineering, security, or others to become safety the highest incidence rates of work-related injuries. OSHA leaders. However, knowing that two full-time jobs is chal- and the American Nurses Association have recently placed lenging, to say the least, it’s usually not feasible to expect a major emphasis on this issue, and several states now have leaders in other fields to learn to be professional safety lead- legislation related to safe patient handling. In 2015, Piedmont ers. At the same time, though, safety leadership is required Athens Regional began focusing on decreasing these injuries, to prevent injuries and exposures, and doing without it can which comprised approximately 30% of all OSHA recordable be detrimental to the organization. To resolve this chal- injuries at our facility. A multi-disciplinary work group was lenge, organizations can develop homegrown safety leaders. formed, and a plan was developed with a major emphasis on Through a combination of streamlined, efficient program education. From 2015-2016, there was a 43% reduction in development, professional development, training, education, injuries caused by patient handling. A major change in orga- and certification, organizations can develop an entire network nizational structure occurred in 2017, and there was a slight of safety knowledge so that the organization’s safety culture increase in injuries, but results still showed a decrease from thrives through ownership and accountability. initial occurrences of 34%. There have been lessons learned, and plans moving forward include continued new hire educa- 2018PP006 tion, outpatient staff education, increased utilization of Safe Patient Handling and Mobility Champions and a current roll- Investigating the Relationship between out of a bedside mobility assessment. Employee Perceptions of Workplace Safety and Employee Injuries 2018PP008 Aaron Spaulding, PhD; Andrew Vaughn, MD, MPH; Obesity: Impact on Matthew Austin, CIH; Luania White; Zhuo Li, MS; Duaa Susan Gallagher, PhD, MA, MSN, RN, CBN, CSPHP Aljabri, PhD; James Naessens, ScD Celebration Institute, Inc., Splendora, TX Mayo Clinic, Jacksonville, FL Individuals with obesity or overweight comprise nearly Introduction: Employee safety climate in healthcare is im- three-fourths of the U.S. population. Healthcare workers portant to assess to improve patient safety. Because orga- and healthcare recipients, as part of the greater population, nizational factors influence the safety climate, we analyzed reflect these numbers. Evidence suggests that handling larger, perceptions of the safety climate in terms of the impact of heavier patients can place the worker at a disproportionate employee working units as a group and the management risk for occupational injury. Size-appropriate policies and response to safety concerns on employee-reported injuries. procedures, training, and equipment are useful in reducing Methods: In a retrospective cross-sectional study of 1,802 worker injury associated with caring for larger, heavier indi- employee working units in a large tertiary hospital in the viduals. A sample criteria-based protocol is provided. Midwest, we analyzed employee injuries and safety cli-

SEPTEMBER 5-8, 2018 13 Occupational Health A-Z

2018PP009 our hospital is one of the first hospitals in the state to receive Off the Courts: Occupational “Tennis Leg” State Insurance Fund benefit for an approval of 2.5% insurance discount on workers’ compensation insurance premiums. Sandra Domeracki, NP, COHN-S; Zachary Landman, MD, MPH; Paul D. Blanc, MD, MSPH; Sandeep Guntur, MD, MPH San Francisco VA Health Care System, San Francisco, CA 2018PP011 Safer Patient Handling Background: Injury to the gastrocnemius muscle typically Shirley Kopf-Klakken, MSN, RN-BC; Madison Overton, presents in association with athletic pursuits. “(Lawn) tennis MSN, RN leg” specifically refers to tendon rupture at the insertion of Virginia Mason Medical Center, Seattle, WA the medial head of the gastrocnemius. Aims: Work-related, as opposed to sports-associated, tennis leg has not been well rec- Purpose: To describe how Virginia Mason Employee Health ognized. We describe the presentation and management of two (EH) collaborated with the Clinical Practice Development cases of tennis leg injury occurring in an occupational setting Department (CPPD) to improve our Safe Patient Handling without any associated sport activity and review the relevant (SPH) program. Background: Patient handling related occupa- medical literature. Case reports: Two adult male employees, tional injuries are the most common employee injury and the aged 46 and 53, at a large medical center each presented with most costly workers’ compensation claim at Virginia Mason. complaints of acute onset of focal calf pain following trivial To promote safer patient handling, EH and CPPD collaborated physical strain. Case one was pushing a linen cart while dor- utilizing the standard tools of the Virginia Mason Production siflexing his foot. Case two stumbled while ascending stairs. System (VMPS) to identify possible deficits and improve our Partial tears of the medial insertion of the gastrocnemius tendon SPH program. Description: Through an employee survey, were documented in both cases, one by ultrasound and one by literature review, and analysis of the current SPH program, MRI. Potential vocational etiology has been alluded to in prior EH and CPPD identified three key areas for improvement: reviews of tennis leg, but we were unable to identify published patient handling risk assessment; equipment accessibility; and reports clearly documenting work-related cases. Conclusions: orientation. A quality improvement workshop was held with Rupture of the tendon to the medial head of the gastrocnemius, representatives from EH, CPPD, Physical Medicine, Bariat- tennis leg injury, should be considered as potentially a work- ric Medicine, and front line employees who previously had related traumatic syndrome, not solely as a sports injury. sustained a patient handling related injury. The team developed and implemented an SPH assessment tool, facilitated mov- 2018PP010 ing equipment to point of care (POC), and updated the SPH orientation. Outcomes: Audits reveal increased utilization Safe Patient Handling (SPH) Mobility Project: of SPH equipment. Employees report they feel the changes Patients are not packages and do not come with helped raise SPH awareness. Conclusion: Promoting SPH takes a multifaceted approach, and assessment tools, orienta- handles; but come with challenges… tion , and POC equipment placement are aspects that Carol Cohan, RN, BSN, MHA; Grace Blaney, MSN, RN, can help raise awareness and engagement. CWOCN, Co-Chair SPH; Tracey Curtin, BSN, RN; Manjula Stanislaus, MSN, MHA, RNC-BC, CCRN, CMC; Karen 2018PP012 Rivera, MA, RN-BC, Eric Goldwurm NYU Winthrop, Mineola, NY Situational Awareness: The Often-Overlooked Control Aim: Decrease in staff injuries related to moving and repo- Cory Worden, PhD Candidate, MS, CSHM, CSP, CHSP, sitioning by 30% by 2017. Decrease in number of lost work ARM, REM, CESCO days by 30% by 2017. Reduction in cost of workers’ compen- Memorial Hermann Health System, Houston, TX sation claims for the organization by 30% by 2017. Methodol- ogy: The SPH Committee decided to take a proactive stance In preventing accidents, the Hierarchy of Controls, OSHA in developing a program customized to meet needs of our regulations, and many other standards provide detailed organization. This project was designed based on Institute for guides to implementing hazard controls. However, while Healthcare Improvement’s model of performance improve- these controls provide safer working conditions and tools for ment project using rapid cycles of small test of changes using employees to work safely, they do no good if the employee Plan-Do- Study-Act (PDSA). Results: The SPH Committee does not find and use them. For example, if patient handling collected data on score card training, tasks completed, lost equipment is purchased, but employees do not locate and use days, staff injuries, and revenue loss related to patient han- it when a patient needs to be helped, an injury could occur. dling. The combined result over five years, from 2012 to 2017, More so, even if employees have respirators, they do no good included: a 17.6% decrease in the number of staff injuries if the employee does not quickly identify possible exposures related to moving and repositioning patients; and a 43.1% and don the respirator. Ultimately, situational awareness is reduction in patient handling workers’ compensation cost. The the first and most important step in preventing accidents and combined result for 2016 and 2017 shows the number of lost exposures, and training and conditioning could mean the dif- days decreased from 1,063 to 733. We are proud to say that ference between safety or an incident.

14 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ 2018PP013 of a broader zero-harm employee safety initiative to build Streamlining the Process: Improving RN a culture of safety and prevent future harm. The tool was based on the 5 Why technique for identifying the root cause Practice for N95 Assessment of incidents. Each team member was trained in the 5 Why Cheryl Henriksen, MSN, RN, COHN-S; Heidi Hamlin, BSN, RN technique. The occupational health nurse, along with one team St. Luke’s Health System, Twin Falls, ID member, conducted 5 Why interviews after every injury with the employee’s consent. A report was created to document Parts of the OSHA Respiratory Protection Standard fall under the findings and recommended actions. Examples of actions the auspices of Employee Health and Safety. Regulations indi- that were completed included installation of additional ceiling cate, before anyone can be fit tested, employers must provide safety mirrors, sanding down picture frame corners, case cart a medical evaluation to determine ability to use a respirator latch repairs, and crosswalk striping. In addition, various pro- (OSHA, 29 CFR 1910.134). Regulations further state this cess improvements and educational initiatives were instituted. evaluation must be performed by a physician or other licensed There was a 3% decrease in injuries from 2016 to 2017. There healthcare professional. In our organization, the assessment was a 71% decrease in strains related to lifting overfilled linen is conducted by an Employee Health RN as the designee of or garbage bags. Falls decreased by 29% from 2016 to 2017. the Occupational Medical Providers. However, RNs have a The tool is considered a success based on the reduction of inju- defined scope of practice and occasionally need to refer “yes” ries and the positive impact it has made on the way employees answers to a higher level of care.The purpose of this project view their own safety. was to streamline the process in such a way as to utilize RNs’ knowledge to the full extent of their licensure and determine 2018PP016 a defined point at which RNs should refer to a higher level of care. We worked with our Occupational Health providers to Wellness Program Planning in a Midwest build a threshold into the N95 medical questionnaire with the Healthcare Organization goal to clearly define when referral is needed. This is impor- Diane Ehren-Kipping, BSN, RN tant, as it lends itself to more objectivity and greater standard- Liberty Hospital, Liberty, MO ization. To date, no individuals have been assessed using the new strategy. Plans are underway to do so following research The purpose of this research project was to develop and imple- determination through organizational processes. ment a worksite wellness program in a not-for-profit, acute care, community-based healthcare organization, utilizing the 2018PP014 PRECEDE portion of the PRECEDE-PROCEED model as a The Voice of the Worker: Understanding the theoretical framework. Immediate goals were to identify the top five chronic or preventable conditions in the participant Occupational Risks of Patient Mobility population and then design an evidence-based, medically Susan Gallagher, PhD, MA, MSN, RN, CBN, CSPHP integrated worksite wellness program to improve the identified Celebration Institute, Inc., Splendora, TX chronic conditions and prevent non-communicable lifestyle- related diseases. Across the United States and globally, healthcare profession- For this project, the community was identified as the em- als and leadership teams recognize that early patient mobility ployee population. Under the direction and leadership of the is proving to have economic and clinical value in all practice Employee Health Department of the hospital, and a multi- settings. However, unforeseeable occupational health conse- disciplinary Wellness Committee, both quantitative and quences are emerging as a result in some settings. This quanti- qualitative data were used during the assessment phase. This tative study identified concerns expressed by bedside clinicians included biometric screening results, limited demographics, who are responsible for mobilizing deconditioned patients in and financial/medical claims data, as well as the responses of the acute care setting. Fatigue, anxiety, and occupational injury individuals during personal health coach sessions. Aggregate, are common themes and will be presented in a way as to more de-identified, biometric wellness screening data, along with fully recognize the occupational risk to workers who provide medical claims summary reports, were used to collect quan- early mobilization. titative data and as a basis for determining the health of the employee population. Aggregate, de-identified data from par- 2018PP015 ticipants who completed a Health Risk Appraisal (HRA) and Utilizing Root Cause Analysis to Promote Zero met with a personal health coach were used to collect qualita- tive data and as a basis for determining the quality of life of Harm the employee population. A wellness score was also generated Jennifer McMahon, RN, BSN for each participant based upon the biometric screening re- Barnes Jewish West County Hospital, Creve Coeur, MO sults and the responses of the Health Risk Assessment (HRA). Short, medium, and long term goals were identified, and an A multi-disciplinary team at a community hospital in subur- evaluation process was established. ban St. Louis launched a new injury evaluation tool as part

SEPTEMBER 5-8, 2018 15 Occupational Health A-Z SPECIAL EVENTS & HELPFUL INFORMATION

FRIDAY ANNUAL BUSINESS SCAVENGER HUNT Wednesday, Thursday, and Friday exhibit hours will include a MEETING AND AWARD LUNCHEON scavenger hunt. The winner of the scavenger hunt will receive a Join us at the annual business meeting and award luncheon on free main conference registration for the AOHP 2019 National Friday, September 7 from 11:40 am to 1:10 pm. This luncheon Conference in Baltimore, MD. meeting is included in your main conference registration. This special event recognizes winners of AOHP individual and chapter awards. Celebrate with the award winners and hear the HELPFUL INFORMATION latest news from AOHP board members. To attend, please make • Before you travel, plan ahead. sure to check “I will attend” on the Registration Form. This • Let the hotel know if you will be arriving late when you make event is sponsored by QIAGEN. your hotel reservation. If your flight is delayed, inform the hotel as soon as possible to secure your booking. WEDNESDAY OPENING • Take your expensive jewelry/valuables with you or put them in the hotel safe. Don’t leave them in your room. RECEPTION • View the agenda ahead of time. Make sure you know when The reception will be held Wednesday, September 5 in the exhib- and where the sessions/events will be held, and be prompt as a it hall at the Renaissance Glendale Hotel & Spa. Discover new courtesy to the speaker and other attendees. products, mingle with exhibitors, and learn about the companies who work to make your professional life easier. Don’t miss this • Meeting rooms in the hotel are often too cold or too warm. opportunity to meet with the exhibitors, enjoy a few hours of Dress in layers, and bring sweaters/shawls and socks with you. networking, savor the munchies, and have fun. This Opening • There are restaurants and shopping areas within walking Reception is sponsored by UL. distance from the hotel. Make sure you bring a pair of comfortable walking shoes. SOLUTION SERIES IN EXHIBIT • Remember to bring lots of business cards. You will need the business cards for networking, exhibitors, and door prize HALL drawings. The AOHP 2018 Conference Committee is offering an • Relax, enjoy, and have fun! opportunity for exhibitors to demonstrate their products and services. The Solution Series will feature short (10-minute) sessions in a designated area of the exhibit hall for exhibitors to present and share their expertise directly with the conference attendees in a more controlled setting. The Solution Series will allow exhibitors the opportunity to tailor a professional presentation that meets the attendees’ specific needs and interests. Come join us, and learn more! INNOVATIVE PRODUCT SHOWCASE The AOHP 2018 Conference Committee is once again offering a unique forum for select exhibitors to share their expertise and display their products and services. The Innovative Product Showcase, featuring visually appealing, informative poster displays from exhibitors, will be open for viewing from Wednesday, September 5 at 6 pm until Friday, September 7 at 11 am. Come by the Innovative Product Showcase to learn more.

ONLINE REGISTRATION SITE INFORMATION http://aohp.org/aohp/EDUCATION/NationalConference.aspx

16 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ CONFERENCE COMMITTEE 2018 Conference Committee 2018 Conference

Nancy Verhaar, RN, BSN, COHN-S Dana Jennings, RN, BSN, CCM Education Program – Chair, 2018 Conference Committee Denise Knoblauch, RN, BSN, Bobbi Jo Hurst, RN, BSN, COHN-S COHN-S/CM, FAAOHN Nancy Verhaar, RN, BSN, COHN-S – Co-Chair, 2018 Conference – Chair, 2018 Conference Christine Langston, RN, MSN, Linda Beasley-Freeman, RN, BSN COHN-S Curtis Chow, FNP, PA-C, COHN-S, CEES, CSPHP

Jane Burnson, RN, BS, CPHQ Laura Luca, RN, BSN Mary M. Cox, RN, MSN, COHN-S

Curtis Chow, FNP, PA-C, Lee S. Newman, MD, MA, FCCP, Beverly Hagar, RN, BSN, COHN-S COHN-S, CEES, CSPHP FACOEM Bobbi Jo Hurst, RN, BSN, COHN-S Carla Cisler, BSN, RN, Karen Ninassi, RN, BSN, MSN COHN-S/CM Dana Jennings, RN, BSN, CCM Tricia Novitski, RN LeAnne Coover, BSN, RN Denise Knoblauch, RN, BSN, COHN-S/CM, FAAOHN Sally Parris, RN, MSN Mary M. Cox, RN, MSN, Lee S. Newman, MD, MA, FCCP, COHN-S Sharon Petersen, MHA, BSN, RN, FACOEM COHN/CM Dawn Duggan, RN Sally Parris, RN, MSN Debi Quirarte, RN, COHN Kent Wilson, BS, CIE, CSPHP Julie Fanning, RN, BSN, MS Rose Rennell, RN, MSN, COHN Nancy Gemeinhart, BSN, MHA, Nancy Gemeinhart, BSN, MHA, RN, CIC, FAPIC RN, CIC, FAPIC Audrey Sadler, MSN, FNP-BC, Sharon Petersen, MHA, BSN, RN, CEAS COHN/CM Carol Gindt, LPN Annie Wiest Cecelia Granahan, RN, BS, ONC, (AOHP Headquarters) 2018 Conference COHN-S Poster Committee Kent Wilson, BS, CIE, CSPHP Annette B. Haag, MA, RN, Nancy Gemeinhart, BSN, MHA, COHN-S/CM, FAAOHN RN, CIC, FAPIC Leslie S. Zun, MD, MBA – Co-Chair

Beverly Hagar, RN, BSN, Sharon Petersen, MHA, BSN, RN, COHN-S COHN/CM

Audrey Sadler, MSN, FNP-BC, CEAS

SEPTEMBER 5-8, 2018 17 Occupational Health A-Z SPONSORS & EXHIBITORS OUR EXHIBITORS Special thanks 3M Healthcare to the following American Board for Occupational Health Nurses (ABOHN) organizations that Axion Health, Inc. sponsored our 2018 Carminati Consulting, Inc. Center for Health, Work and Environment National Conference: ChemDAQ, Inc. Cority Platinum Sponsor DBA Immuware – Friday Business EZ Way Inc. Luncheon Human Care USA QIAGEN Jamar Health Products, Inc. Lavin Lift StrapsTM Gold Sponsor - Opening Logistics Health Incorporated (LHI) Reception MAXAIR Systems UL EHS Sustainability MediTrax Moore Medical LLC Attendee Bag Net Health Axion Health, Inc. NIOSH/NPPTL OHD, LLLP Bag Insert Special Oxford Immunotec, Inc. Sanofi Pasteur PD-Rx Pharmaceuticals, Inc. PHS West, Inc. Conference Schedule Folder QIAGEN American Board for Retractable Technologies, Inc. Occupational Health Nurses (ABOHN) Sanofi Pasteur The Gideons International Marketing Special TIDI Products, LLC TIDI Products, LLC TSI Incorporated UL EHS Sustainability Product Showcase Wy’East Medical Human Care USA As of May 9, 2018 PHS West, Inc.

Solution Series Education Support Cority MAXAIR Systems Centers for Disease Control and Prevention (CDC) Net Health Colorado State University PHS West, Inc. National Institute for Occupational Safety and Health (NIOSH) Wy’East Medical Mountain and Plains Education and Research Center (MAP ERC)

As of May 1, 2018 NIOSH Occupational Health Safety Network (OHSN)

DISCLOSURE: Any and all commercial products or services displayed or advertised at the AOHP 2018 National Conference do not constitute endorsement by AOHP.

18 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ OCCUPATIONAL HEALTH AND SAFETY PRINCIPLES & NURSING CERTIFICATION REVIEW SEPTEMBER 3-5, 2018

EARLY BIRD DISCOUNT IF REGISTERED AND WHO SHOULD ATTEND? PAID BY AUGUST 3, 2018 DESIGNED FOR NURSES WHO ARE: Member: $599 Nonmember: $779 • Employed full or part-time in the field of Occupational FEES IF REGISTERED AND PAID Health AFTER AUGUST 3, 2018 • Preparing for American Board for Occupational Health Nurses Certification Exam: COHN or COHN-S Member: $699 Nonmember: $879 • Considering entering Occupational Health Nursing field; Organizing Occupational Health programs Submit your registration before JULY 13, 2018. The course will be cancelled if we do not achieve the minimum number of participants by this date. VALUABLE INFORMATION FOR: • Case Managers • Risk Managers • Safety Consultants Monday 9/3, 8:00 AM – 5:30 PM • Physicians • Workers’ Compensation Claims Personnel Tuesday 9/4, 8:00 AM – 5:30 PM • Directors/Administrators of Occupational Health facilities Wednesday 9/5, 7:30 AM – 2:30 PM FACULTY State-of-the-art information in the field of occupational and Annette B. Haag, MA, RN, COHN-S/CM, FAAOHN environmental health and safety; Comprehensive workbook/ President, Annette B. Haag and Associates, Past President resource manuals and classroom materials; Test-taking of the American Association of Occupational Health Nurses, techniques and strategies for examination preparation; Written Trustee for the American Society of Safety Engineers tests prior, during and at conclusion of seminar; Participative Foundation.With over 40 years of experience, she is nationally lectures. Registration fee includes updated Occupational and internationally recognized in the field of health and safety. Health and Safety Principles & Nursing Certification Review course manuals. LUNCH NOT INCLUDED. LOCATION Renaissance Glendale Hotel & Spa, 9495 W. Coyotes Blvd., MANAGER/COORDINATOR/CONSULTANT Glendale, AZ 85305 FUNCTIONS: • Provide advice to manage Occupational Health and Safety WEBSITE REGISTRATION programs, services and staff http://aohpconference.com CLINICAL FUNCTIONS IN OHN PRACTICE: • Clinical care, environmental relationships, counseling, CONTACT client advocacy and change agent Annie Wiest AOHP Headquarters ADVISOR/EDUCATOR FUNCTIONS IN OHN 724-935-1531 • [email protected] PRACTICE: Provider approved by the California Board of Registered • Health protection, health promotion, health education and research Nursing, Provider #9971 for 24.3 contact hours. ADDITIONAL RESOURCES SUGGESTED FOR THE COHN/COHN-S CERTIFICATION EXAM • Fundamentals of Occupational and Environmental Health Nursing: AAOHN Core Curriculum, 4th ed. (bring to class) TO ORDER: • Online Study Guide for Fundamentals of Occupational and Environmental 312-321-5173 or Health Nursing: AAOHN Core Curriculum, 4th ed. www.aaohn.org • Standards of Occupational Health Nursing • Code of Ethics • Certification of Self Assessment Test (CSAT), Volumes I and II TO ORDER: 888-842-2646 or www.abohn.org SEPTEMBER 5-8, 2018 19 Occupational Health A-Z

TAX ID: 2019 MEMBERSHIP APPLICATION 95-2741452 Thank you for your interest in the Association of Occupational Health Professionals in Healthcare (AOHP). The information you provide will be added to the AOHP membership database. Include either your business or home address, wherever you prefer association mailings to be sent. Mail or fax completed form with payment to: AOHP Headquarters, Please list the AOHP member who invited you to 125 Warrendale Bayne Rd., Suite 375, Warrendale, PA 15086 Fax: 724-935-1560 join:

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The 2019 AOHP National Conference will be held September 4-9 at the Hyatt Regency Inner Harbor, Baltimore, MD.

20 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ AOHP 2018 National Conference REGISTRATION FORM PART 1 September 5-8  Glendale, AZ Must submit both parts 1 and 2 for registration.

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*Registration confirmation will be sent via email only. Please check here if you don’t want your email address included in the attendee list. BREAKOUT SESSIONS FRIDAY, SEPTEMBER 7 - To better prepare for your attendance, you must select your Breakout Session choices. ANNUAL BUSINESS MEETING Refer to program agenda for selection. AND AWARD LUNCHEON FRIDAY, SEPTEMBER 7, 2018 (For conference attendee only, included in your main 1:10 pm – 2:10 pm (Please choose one) conference registration at no additional charge.) B004- Implementing a Meaningful ICU SPHM Strategy that Please check one: I will attend I will not attend Addresses the Voice of the Worker B005- Assessing Hospital Drug Testing Programs GUEST MEAL TICKET B006- Resources for the First Year in OH B007- Collaborative Approaches to Improve New Staff Immunization (For family or guest of registrant) B008- Workers’ Compensation is not a Lost Cause $20.00 Welcome Reception (Wednesday Evening) B009- Implications for Safety Device & PPE Use $12.00 Breakfast each day ( Thursday Friday Saturday) 2:15 pm – 3:15 pm (Please choose one) B010- Evidence-Based Safety with SPH Model Guest Name for Badge: B011- Practical Approach to Investigation B012- Job Accommodations – Who is the Enforcer? B013- Future of Office Ergonomics Guest Name for Badge: B014- Hazards Planning & Experience to Protect Staff B015- Blood and Body Fluid Exposure Process BECOME A MEMBER TODAY AND TAKE 3:20 pm – 4:20 pm (Please choose one) B016- Making your Safe Patient Handling & Mobility Program Sing ADVANTAGE OF THE MEMBER RATES! B017- EEOC Overview with Practical Tips A one-year membership to AOHP is available to those paying a B018- CE Needs Among OHN non-member main conference registration fee. Please complete B019- OSHA Inspection from Beginning to End membership application on page 20 and submit with registration. B020- TBI/Concussion Management Return to Work Strategies B021- The Obesity Crisis: A Formidable Threat to OH CANCELLATION/REPLACEMENT POLICY Refunds, less a 20% processing fee per registrant, will be granted https://www.aohpconference.com for cancellations received in writing on or before Monday, August 6, 2018. No refunds will be made after this date. Registration Online registration closes at 11:50 pm Eastern on substitutions may be made if requested in writing before Thursday, Thursday, August 30. No registration will be accepted by August 30, 2018. AOHP reserves the right to cancel/change any email/mail/fax after this date. Onsite registration starts at 4 general session, pre-conference workshop and breakout session. pm on September 4 at conference registration area. All applicable refunds will be issued following the close of the conference. Refunds will not be given for no-shows.

SEPTEMBER 5-8, 2018 21 Register for the REGISTRATION FORM PART 2 Conference Online at: Must submit both parts 1 and 2 for registration. https://www.aohpconference.com

REGISTRATION FEES Your main conference registration fee will include a link to download Your current membership will be verified upon receipt. Students are all main conference general session presentation information. If defined as full-time (minimum of nine credit hours/semester.) Must you would also like to have a conference Flash Drive or Notebook submit registration by mail or fax with payment and student ID. syllabus, place your order prior to the conference. Postmarked Postmarked On-Site I would like to order a 2018 Conference Notebook Syllabus at On or Before After Registration $80 (discounted price for main conference registrants only.) Aug. 3, 2018 Aug. 3, 2018 I would like to order a 2018 Conference Syllabus on Flash Drive MAIN CONFERENCE (Thursday – Saturday) at $20 (discounted price for main conference registrants only.) Member $485 $610 $660 TOTAL CONFERENCE FEE: $ Non-Member $635 $760 $810 METHOD OF PAYMENT Student $250 $270 $320 Check (payable to AOHP) Visa MC AmEx Discover DAILY FEES (Thursday or Friday) Member $255 $320 $345 Card Number Exp. Date Non-Member $330 $395 $420 Student $135 $150 $165 Cardholder Name 3 or 4 digit security code

SATURDAY Member $150 $170 $190 Card Billing Address Non-Member $190 $210 $235 Student $90 $100 $110 City State Zip (Note: Credit card cannot be processed without legible, complete and correct credit card address.) If you are not registering for Main Conference, please indicate which day(s) you will be attending. Thursday Friday Saturday Contact Name and phone number if there are questions about credit card

Remit payment with Registration Form to: AOHP, 125 Warrendale Bayne Road, Suite 375, Warrendale, PA 15086. Payment must accompany registration form. There will be a $25 charge for returned checks. DO NOT fax this form if paying by check. Only registration form with credit card payment can be faxed for processing. Fax: 724-935-1560 *Registration confirmation will be sent via email only.

Payment must accompany registration form. Questions about Registration? Please call AOHP Headquarters at 800-362-4347 or email [email protected]. OHN REVIEW COURSE (September 3-5, 2018) Submit your registration before July 13, 2018. The Postmarked by Aug. 3, 2018 Postmarked after Aug. 3, 2018 NO On-site course will be cancelled if we do not achieve the Member Non-Member Member Non-Member minimum number of Registration will be accepted participants. Select one: OHN Review Course (2 ½ days) $599 $779 $699 $879

WORKSHOPS (Wednesday, September 5, 2018) AOHP reserves the right to cancel any Pre-conference Workshop if the minimum registration is not met. To avoid a $25 administrative charge, any change in workshop selection must be sent to AOHP Headquarters in writing by August 10, 2018. Please check your selections: No meal service provided at Postmarked by Aug. 3, 2018 Postmarked after Aug. 3, 2018 On-site Registration any pre-conference workshops. Member Non-Member Student Member Non-Member Student Member Non-Member Student W001 Getting Started (8 hours) $315 $365 $145 $420 $470 $165 $450 $500 $185 W002 Step-by-Step Using Data to Enhance OH Program (2 hours) $80 $95 $40 $105 $125 $50 $120 $145 $65 W003 Effective Employee Accident Investigation (2 hours) $80 $95 $40 $105 $125 $50 $120 $145 $65 W004 Moving Towards TWH (3 hours) $95 $110 $45 $120 $140 $55 $135 $155 $70 W005 OSHA Emphasis Program on PH (4 hours) $145 $175 $75 $195 $225 $85 $245 $275 $105 W006 OSHA Recordkeeping (2 hours) $80 $95 $40 $105 $125 $50 $120 $145 $65 W007 Create A Robust Wellness Program (1 hour) $50 $60 $25 $65 $75 $30 $75 $90 $40 W008 Get Sharp About Workplace Sharps Injuries (4 hours) $145 $175 $75 $195 $225 $85 $245 $275 $105 W009 BGS-ADA and Family and Medical Leave Act (3 hours) $95 $110 $45 $120 $140 $55 $135 $155 $70 W010 Helping Your Organization Facilitate Major Change (3 hours) $95 $110 $45 $120 $140 $55 $135 $155 $70 W011 Implementing Opioid Restrictions in EH Plan (1 hour) $50 $60 $25 $65 $75 $30 $75 $90 $40 W012 Preventive Care for HCP Traveling Abroad (1 hour) $50 $60 $25 $65 $75 $30 $75 $90 $40 W013 SPH: Implementing Staff Education to Reduce Exertion Injuries (1 hour) $50 $60 $25 $65 $75 $30 $75 $90 $40

22 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ AGENDA AT A GLANCE MONDAY-WEDNESDAY SEPTEMBER 3-5, 2018 – OHN REVIEW COURSE

Sept 3, Mon 8:00 am – 5:30 pm Occupational Health and Safety Principles & Nursing Certification Review Course by Annette B. Haag, Sept 4, Tue 8:00 am – 5:30 pm MA, RN, COHN-S/CM, FAAOHN Sept 5, Wed 8:00 am – 2:30 pm Lunch not included WEDNESDAY SEPTEMBER 5 – PRE-CONFERENCE WORKSHOPS 8:00 am Workshop W001 Basic – 5:30 pm Getting Started in Occupational/Employee Health (8-hour WS) Lunch not included Denise Knoblauch, BSN, RN, COHN-S/CM, Sandra Feldkamp, BSN, RN, Leticia Nichols, MSN, NP-C, and Curtis Chow, FNP, PA-C, COHN-S, CEES, COEE, CSPHP

8:00 am Workshop W002 Intermediate – 10:00 am Striving for Excellence: Step-by-Step Using Data to Enhance Occupational Health (2-hour WS) Programs and Employee Health Competency Sharon Petersen, MSN, RN, COHN/CM and Suzy Winsor, DNP, RN, COHN-S 8:00 am Workshop W003 Intermediate – 10:00 am Effective Employee Accident Investigation (2-hour WS) Stephen A. Burt, BS, MFA 8:00 am Workshop W004 Basic – 11:10 am Moving Toward ® - What an OHP Should Know! (3-hour WS) Kim Olszewski, DNP, CRNP, COHN-S/CM, FAAOHN, John Wenskovitch, MSc, and Debra M. Wolf, PhD, MSN, BSN, RN 8:00 am Workshop W005 Intermediate – 12:10 pm OSHA Emphasis Program on Patient Handling - Are You Ready? (4-hour WS) Kent Wilson, CIE, CSPHP 10:10 am Workshop W006 Advanced – 12:10 pm OSHA Recordkeeping: The Comprehensive Details (2-hour WS) Stephen A. Burt, BS, MFA 10:10 am Workshop W007 Intermediate – 11:10 am Now What? Where to Go Once You Have the Green Light to Create a Robust Wellness (1-hour WS) Program Angela Hansen 1:10 pm Workshop W008 Intermediate – 5:20 pm Get Sharp about Workplace Sharps Injuries (4-hour WS) Barb Maxwell, MHA, RN, COHN-S, CCM, CWCP, FAAOHN and Kim Olszewski, DNP, CRNP, COHN-S/CM, FAAOHN

1:10 pm Workshop W009 Intermediate – 4:20 pm Beyond Getting Started: Americans with Disabilities Act and Family and Medical Leave Act (3-hour WS) Denise Knoblauch, BSN, RN, COHN-S/CM and Sharon Petersen, MSN, RN, COHN/CM 1:10 pm Workshop W010 Intermediate – 4:20 pm Helping Your Organization Facilitate Major Change (3-hour WS) Georgia Latham, RN, CCM, CLNC 1:10 pm Workshop W011 Intermediate – 2:10 pm Implementing Opioid Restrictions in an Employee Health Plan (1-hour WS) Lesley Heckaman, BA, RN and Annette Vota, BBA

2:20 pm Workshop W012 Intermediate – 3:20 pm Preventive Care for Healthcare Personnel Traveling Abroad (1-hour WS) Natalie G. Guynn, MSN, NP-C and David J. Weber, MPH, MD

3:30 pm Workshop W013 Basic – 4:30 pm Safe Patient Handling: Implementing Staff Education to Reduce Exertion Injuries (1-hour WS) Brittney R. Dahlen, BSN, RN, CMSRN, Kristen M. Haack, MAN, RN, NE-BC, Samantha M. Lambert, BSN, RN, and Erica T. Popp, MSN, RN

SEPTEMBER 5-8, 2018 23 Occupational Health A-Z

6:00 pm RECEPTION at Exhibition Hall – 8:00 pm THURSDAY SEPTEMBER 6 – GENERAL SESSIONS

7:15 am BREAKFAST with Exhibitors at Exhibition Hall – 7:45 am

7:45 am Welcome – 8:00 am National Conference Chair Nancy Verhaar, RN, BSN, COHN-S AOHP Executive President Mary Bliss, RN, COHN-S

8:00 am Geoff Kelafant Memorial Lecture: – 9:00 am KEYNOTE SPEAKER A001 Intermediate (1-hour GS) Chronic Pain and Addiction: How Have We Missed the Boat? Mel Pohl, MD, DFASAM

9:00 am BREAK and Visit with Exhibitors – 9:30 am (Door Prize Drawing)

9:30 am A002 Intermediate – 10:30 am USP Implications for Health Care Workers (1-hour GS) Martha Polovich, PhD, RN, AOCN

10:35 am A003 Intermediate –11:35 am Compassion Fatigue - What is This? (1-hour GS) Barb Maxwell, MHA, RN, COHN-S, CCM, CWCP, FAAOHN

11:40 am Solution Series – 12:15 pm Visit Exhibitors 12:20 pm Lunch in Exhibition Hall (Door Prize Drawing) – 1:10 pm

1:10pm A004 Advanced – 2:10 pm Legislative Update: 2018 (1-hour GS) Stephen A. Burt, BS, MFA

2:15 pm A005 Basic – 3:15 pm Developing a Comprehensive Workplace Violence Prevention Model (1-hour GS) Lorie Arata, FNP-BC and Mike Hodges, MA, CHSS

3:20 pm A006 Basic – 4:20 pm Situational Awareness: The Often-Overlooked Hazard Control (1-hour GS) Cory Worden, PhD Candidate, MS, CSHM, CSP, CHSP, ARM, REM, CESCO

4:25 pm A007 Intermediate – 5:25 pm Immunization Update doe Health Care Personnel 2018 (1-hour GS) JoEllen Wolicki, RN, BSN Dinner on your own

Receive a 15% discount when a minimum of five employees from the same organization register at the same time. Must submit by mail or fax with payment.

You can also view the conference agenda online at https://aohp2018conference.sched.org/. Bookmark on your phone by visiting http://aohp2018conference.sched.org/mobile to view your personal schedule, browse what’s happening right now or search for what you want on your phone.

24 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ FRIDAY SEPTEMBER 7 – GENERAL & BREAKOUT SESSIONS

7:15 am BREAKFAST with Exhibitors (Door Prize Drawing) – 7:45 am Tables for Regions to meet and greet

7:45 am FRIDAY OPENING KEYNOTE B001 Intermediate – 8:45 am TB 2018 – New World, New Guideline (1-hour GS) Wendy Thanassi, MA, MD, MRO

8:50 am B002 Intermediate – 9:50 am Striving for Excellence: Using Data to Enhance Employee Health Nurse Competence (1-hour GS) Sharon Petersen, MSN, RN, COHN/CM and Suzy Winsor, DNP, RN, COHN-S

9:50 am BREAK – Last Visit with Exhibitors – 10:30 am 9:30 am POSTER REVIEW SESSION in Exhibitor Hall – 11:00 am

11:00 am B003 Intermediate – 12:00 noon Drug Diversion in the Workplace (1-hour BO) John Furman, PhD, MSN, COHN-S

12:05 pm LUNCH– Annual Business Meeting and Luncheon – 1:35 pm 1:35 pm B004 B005 B006 B007 B008 B009 – 2:35 pm Intermediate Basic Basic Basic Intermediate Intermediate (1-hour BO) Implement- Assessing What We Collaborative Workers’ Building an ing a Mean- Hospital Wish We Approaches Compensation Accessibility ingful ICU Drug Testing had Known: to Improve is Not a Lost Culture: SPHM Strat- Programs; Resources a New Staff Cause Implications egy that Ad- Looking for for the First Employee Stephen G. for Safety dresses the Gaps During Year in Immuniza- Snyder, RN, Device & PPE Voice of the an Opioid Occupational tion Pro- MSN, COHN-S Use Worker Epidemic Health gram: Amber Hogan Susan Gal- Lorraine Natalie G. TanTock Mitchell, DrPH, lagher, PhD, Chambers Guynn, MSN, Seng MPH, CPH MSN, MA, RN, Lewis, PA-C, NP-C and Hospital’s CSPHP, CBN, MBA, FACHE R. Danielle Journey Kerry Cassens, Snider, MSN, Angeline Tay, MSN, MPH, NP-C RN, BSN BSN, RN, CIC, COHN-S and Trish Lough, MS, BS, PT

2:40 pm B010 B011 B012 B013 B014 B015 – 3:40 pm Intermediate Intermediate Intermediate Basic Basic Intermediate (1-hour BO) A Practical A Practical Job Accom- Future of Ready for Blood and Approach to Approach to modations Office Ergo- Anything: Body Fluid Building Evi- Indoor Air - Who is the nomics Applying Exposure- dence-Based Quality In- Enforcer? Kathy All-Hazards Creating a Safety with vestigation Barb Maxwell, Espinoza, Planning and Streamlined Safe Patient Larry Lee, MHA, RN, MBA, MS, CPE, Experience Process for Handling CIH COHN-S, CIE to Protect Exposures Model CCM, CWCP, Staff from Michelle A. Susan Gal- FAAOHN Ebola and Chester, DNP, lagher, PhD, Other High- MSN, BSN, RN, MSN, MA, RN, Consequence RNFA, CNOR, CSPHP, CBN Pathogens FNP-BC and Ed Hall, Christopher MS, CSP Blank, MPH and Theresa LaGarce, BSN, RN

SEPTEMBER 5-8, 2018 25 Occupational Health A-Z

3:45 pm B016 B017 B018 B019 B020 B021 – 4:45 pm Intermediate Basic Basic Advanced Intermediate Intermediate (1-hour BO) Making Your EEOC Over- An Evolution The OSHA TBI/ The Obesity Safe Patient view with in Continu- Inspection Concussion Crisis: A Handling Practical ing Educa- - From Management Formidable & Mobility Tips for tion Needs Beginning to Return Threat to Program Preventing Among End to Work Occupational Sing Employment Occupation- Stephen A. Strategies Health Amber Perez, Discrimina- al Health Burt, BS, MFA Kim Olszewski, Susan MHA, CSPHP tion Nurses DNP, CRNP, Gallagher, PhD, and Andy Rich, Krista Watson, Joshua COHN-S/CM, MSN, MA, RN, MS, OTR/L, MA Scott, MS FAAOHN CSPHP, CBN CSPHP and Roberta Smith, MSPH, RN, COHN-S, CIC, CIH

4:50 pm National Committee Information Meetings – 5:30 pm 1) National Conference Committee 4) Strategic Initiative Committee 2) Government Affairs Committee 5) Research Committee 3) Continuing Education Committee 6) Finance Committee

Dinner on your own SATURDAY SEPTEMBER 8 – GENERAL SESSIONS 7:15 am BREAKFAST –Registration Area – 7:45 am Secured room available for luggage 7:45 am SATURDAY OPENING KEYNOTE C001 Basic – 8:45 am Quadruple Aim: Taking Care of Healthcare Workers (1-hour GS) Chia-Chia Chang, MPH, MBA 8:50 am C002 Intermediate – 9:50 am How Healthcare Professionals should be Thinking about Supporting Employees with (1-hour GS) Cancer in the Workplace Lee Newman, MD, MA, FACOEM, FCCP and Liliana Tenney, MPH 9:50 am C003 Intermediate – 10:50 am Healthy Nurse, Healthy Nation Grand Challenge: A First Year Retrospective (1-hour GS) Jaime Murphy Dawson, MPH 10:55 am BREAK –Registration Area – 11:05 am 11:05 am C004 Advanced – 11:35 am Legal Issues in Accommodating Pregnant Employees (30-min GS) Stephen A. Burt, BS, MFA

11:40 am C005 Intermediate – 12:40 pm Exchanging Best Practices to Reduce Blood Exposures (1-hour GS) Terry Grimmond, FASM, BAgrSc, GrDpAdEd and Linda Good, RN, PhD, COHN-S

12:45 pm CLOSING KEYNOTE C006 Intermediate – 1:45 pm Respiratory Protection in Health Care: Where Do I Go for Answers? (1-hour GS) Barbara I. Braun, PhD and MaryAnn Gruden, MSN, CRNP, NP-C, COHN-S/CM

1:50 pm CLOSING

DISCLOSURE Any and all commercial products or services displayed or advertised at the AOHP 2018 National Conference do not constitute endorsement by AOHP.

26 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ Thank you for a wonderful conference! Have a safe trip home! Sincerely, The AOHP 2018 National Conference Committee

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PROM-12316-001_AD_QFT_AOHP_8.5x5.5_0518.indd 2 SEPTEMBER 5-8, 2018 25.04.1827 15:38 Occupational Health A-Z CONFERENCE ABSTRACTS

ing Education Committee member and serves as member at large W001 September 5, 2018 B for the AOHP Illinois Chapter. Knoblauch has been leading the Wednesday 8 am - 5:30 pm AOHP strategic initiative to develop Beyond Getting Started pro- 8-hour Workshop – Level: Basic grams. She has presented many occupational health topics nation- ally, regionally and locally. She is a Board Certified Occupational Topic: Getting Started in Occupational/ Health Nurse Specialist and Case Manager from ABOHN. Employee Health Presenters: Denise Knoblauch, BSN, RN, COHN-S/CM, Sandra Sandra Feldkamp is a Clinic Nurse in Feldkamp, BSN, RN, Leticia Nichols, MSN, NP-C, and Curtis Occupational Health Services at Michigan Chow, FNP, PA-C, COHN-S, CEES, COEE, CSPHP Medicine. She received her BS in Nursing from Eastern Michigan University. She has Topic Overview: This comprehensive, informative presentation is been employed at Michigan Medicine for designed for the occupational health professional new to the field. the past 20 years, with the last three years The eight-hour didactic course was developed from the Getting in Occupational Health Services. She rep- Started manual, which is updated every two years by the AOHP resents Occupational Health at the Nursing organization. Course content includes valuable resources, encour- Safety Council board and has presented the ages interactive discussion and is presented by a team of knowl- body substance exposures (BSE) data annually. She attends the edgeable experts. All participants will receive the 2016 edition of Infection Prevention bimonthly meetings, as well as the monthly the Getting Started resource manual in CD format. Infection Prevention Liaison meetings.

Objectives: Leticia Nichols is the Manager and Nurse 1. Describe how the occupational health professional interacts in Practitioner of Teammate Health for Caroli- the healthcare facility’s organizational structure. nas HealthCare System Blue Ridge located 2. Discuss areas of medical/legal confidentiality in occupational in Morganton, NC. She is a graduate of the health. University of Alabama, Birmingham, Adult/ 3. Identify federal, state, and local regulatory requirements as Occupational Health Nurse Practitioner related to job placement, physical hazards, and biological and Program. Nichols holds a Nurse Practitio- chemical exposures. ner Specialty Certificate in Orthopedics 4. Review current infection prevention and control practices from Duke University and a Plant-Based related to infectious diseases. Nutrition Certificate from the T. Colin Campbell Center for 5. Formulate strategies to utilize health teaching in infection pre- Nutritional Studies at Cornell University. Her nursing experience vention and control, and safety. spans 32 years and various areas of service including urgent care, 6. Assess the effectiveness of case management in loss control. emergency, occupational health, and primary care. Nichols has 7. Explain how to communicate the value of the occupational been with her current employer for the past 12 years. health professional’s service and continuous performance im- provement. Curtis Chow is a Nurse Practitioner and Physician Assistant practicing occupational Speaker Bios: health at Mercy Medical Center, Redding, Denise Knoblauch is Executive Director California for the past 10 years. He is part of the American Board for Occupational of the Dignity Health Employee Health Health Nurses (ABOHN). She has 25 Council, leading best practice and stan- years of experience in occupational health/ dardization across his organization. Chow employee health as an occupational health is a Certified Occupational Health Nurse professional in healthcare. She began her Specialist (COHN-S), Certified Ergo- career as the lone employee health nurse nomic Evaluation Specialist (CEES), Certified Office Ergonomic in a small rural hospital and transitioned Evaluator (COEE), Certified Safe Patient Handling Professional to an urban medical center occupational (CSPHP) and Board member of AOHP. He has published on the health department which provided services to the medical center topic of TB testing in healthcare workers both for NurseWeek and employees as well as to local industries. She has experience as AOHP publications. Chow received his undergraduate degrees a clinician, coordinator, manager and case manager in occupa- in Biology and Anthropology at the University of California, tional health as well as infection control. She developed the case Irvine, his Nursing degree at Yuba College, and his FNP/PA-C at manager model in occupational health at the medical center. An University of California, Davis. He is a recent graduate of Fisher active AOHP member on the local and national levels, Knoblauch College’s Master’s in Business Administration program. He and has filled many leadership roles on the Executive Board. She cur- his wife, Dori, have two children, Cameron and Nathan, two rently is co-instructor for Getting Started on the Road, a Continu- dogs, three cats, and four chickens.

28 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ W002 September 5, 2018 I W003 September 5, 2018 I Wednesday 8:00 am - 10:00 am Wednesday 8 am – 10:00 am 2-hour Workshop – Level: Intermediate 2-hour Workshop – Level: Intermediate

Topic: Striving for Excellence: Step-by-Step Topic: Effective Employee Accident Using Data to Enhance Occupational Health Investigation Programs and Employee Health Competency Presenter: Stephen A. Burt, BS, MFA Presenters: Sharon Petersen, MSN, RN, COHN/CM and Suzy Winsor, DNP, RN, COHN-S Topic Overview: Healthcare facilities are potentially danger- ous work environments, and while proper training, engineering Topic Overview: When tasked with restructuring Employee controls, and administrative precautions can help to effectively Health Services at Intermountain Healthcare, data were vital in manage risk, employee accidents can and do happen. Accidents guiding the transformation. Detailed descriptions of how various are inevitable in today’s healthcare workplace. Even with the best data and tools were used to develop the program and inform the loss control program, employees still can be hurried or distracted. continuous improvement process will be shared with participants. Employee accidents, while unfortunate, present an opportunity to improve the performance of a healthcare facility’s safety pro- Objectives: gram. Properly conducted accident investigations provide solu- 1. Describe the Continuous Improvement Strategy Deployment tions to many workplace hazards and should, if done effectively, Cycle. prevent future accidents from occurring. 2. Demonstrate the use of measurement tools to evaluate compe- tence and outcomes. Objectives: 3. Identify strategies used to engage nurses in contributing to 1. Utilize a six-step process for an effective employee accident program development. investigation program to ensure a safer workplace. 2. Examine investigation strategy, witness questioning, evidence Speaker Bios: gathering, critical decision points, and effective legal documen- Sharon Petersen is the Director of Em- tation. ployee Health Operations for Intermountain 3. Investigate employee accidents by using root cause analysis Healthcare and leads a comprehensive to eliminate work-related factors and potentially reduce future occupational healthcare program for over injuries and workers’ compensation claims. 40,000 employees in Utah and Idaho. She has 24 years of experience in occupational Speaker Bio: health in a variety of settings including Stephen A. Burt is President and CEO heavy and light manufacturing, railroad, of Healthcare Compliance Resources, printing, paper mills, and healthcare. Pe- an affiliate of Woods Rogers Consult- tersen has been certified in occupational health and case manage- ing, a company developing and delivering ment since 1998. She has served on several professional nursing strategic solutions to today’s healthcare boards and is currently serving as Chapter President of the Utah regulatory compliance problems. From Association of Occupational Health Nurses. 1981 to 1994, as Corporate Director of En- vironmental Health for Carilion Healthcare Suzy Winsor’s occupational health nurs- System (Roanoke, VA), he was responsible ing career began in Seattle at the Univer- for OSHA, EPA, and Joint Commission compliance and was sity of Washington and has continued for awarded the prestigious American Hospital Association’s Phoenix many years at Intermountain Healthcare in Award in 1988. During this time, he was non-legislative appoin- Utah. She has a passion for education, care tee to the Joint Legislative Administrative Review Commission management, and advocating for health and (JLARC). Most recently, he served two years as the Corporate safety. She is currently a Chapter Director Administrator of Employee Safety for Inova Health System in for the Utah Association of Occupational Falls Church, VA, with responsibility in employee health and Health Nurses. Winsor loves program for OSHA compliance. Burt conducts over 30 full-day OSHA, development and continuous improvement. She also enjoys her HIPAA, and employee health seminars annually for the Universi- family, the outdoors, and Netflix. ty of North Carolina, Duke University, East Carolina University, AOHP, the Virginia Hospital and Healthcare Association, and the American Hospital Association, among others. He is a member of the Virginia Chapter Board and serves as Chair of the AOHP Government Affairs Committee. Burt is the Past Executive Vice President of AOHP.

SEPTEMBER 5-8, 2018 29 Occupational Health A-Z

W004 September 5, 2018 B topics, including DOT certification, Marketing OHNs, Fatigue Wednesday 8:00 am - 11:10 am Management, Healthy People 2020, Social Media Integration, 3-hour Workshop – Level: Basic and Diagnostic Updates. Dr. Olszewski has published articles in Workplace Health & Safety and has also co-authored a chapter Topic: Moving Toward Total Worker Health®: on Information Management through Innovative Technology for What an OHP Should Know! Fundamentals in Occupational and Environmental Health Nurs- Presenters: Kim Olszewski, DNP, CRNP, COHN-S/CM, ing: AAOHN Core Curriculum, 4th edition. She is Vice President FAAOHN, Debra M. Wolf, PhD, MSN, BSN, RN, and John and Nurse Practitioner at Mid State Occupational Health Services Wenskovitch, MSc Inc. and is the Nurse Practitioner Program Director & Associate Professor in the Bloomsburg University MSN program. Topic Overview: Many workplaces have embraced that their employees’ health extends well beyond their work environment. Dr. Debra Wolf is a Professor of Healthcare In addition to the work environment, community resources, Informatics and Nursing at Chatham Uni- compensation, and environmental concerns can affect employee versity, located in Pittsburgh, Pennsylvania, health as well. The concept of Total Worker Health (TWH) fo- USA. Currently, Dr. Wolf is the Director cuses on safety and health of an employee, but also on the health of the Healthcare Informatics Program. In promotion of every employee to reduce injury and illness and addition, she is an independent healthcare advance overall well-being. The Centers for Disease Control and informatics consultant supporting health- Prevention ([CDC], 2016) reported that three million non-fatal care institutions and IT vendors in integrat- injuries/illnesses occurred and 4,649 workers died from work- ing new technology into a health setting. related illness in 2014. Employers are beginning to move toward Dr. Wolf leads classes within the DNP, MSN, and MHI programs. a TWH concept by advancing the level of education and care be- She has over 35 years’ experience within the healthcare arena, ing offered to employees at work and outside of the work setting and her research agenda explores patient-centered care, use of in an effort to decrease workplace injury and illness. A recent technology in a health setting, and the learning language needs study with occupational health professionals was completed to of international students. Her area of expertise focuses on change explore: occupational health nurses’ current level of knowledge management, process redesign and use of social media/technol- regarding TWH; how many nurses have begun to adopt the ogy in supporting clinicians and patients. Dr. Wolf has published TWH methodology; and various factors related to how change is numerous articles, book chapters and co-authored a book titled perceived by the nurses and the organization. This presentation Social Media for Nurses: Educating practitioners and patients in will explore the concepts of TWH and will review the research a networked world. She has presented at international, national, findings, as well as discuss practical educational solutions for and local conferences. Dr. Wolf is a member of the International implementing and moving toward a TWH program in an occupa- Nursing Society Sigma Theta Tau, as well as other national nurs- tional health setting. ing organizations in the United States.

Objectives: John Wenskovitch is a PhD Student and 1. Define the concept of Total Worker Health. Adjunct Professor in the Computer Science 2. Outline the components of a successful Total Worker Health Department at Virginia Tech, where his Program. research lies at the intersection of informa- 3. Review the outcomes of a recent study of occupational health tion visualization and human-computer professionals’ knowledge regarding Total Worker Health. interaction. His credentials include an MSc 4. Discuss the design and implementation of Total Worker Health in Computer Science from the University of programs in various occupational health settings. Pittsburgh in 2011. He is projected to earn his PhD in Computer Science from Virginia Speaker Bios: Tech in 2019. Dr. Kim Olszewski is an American Nurses Credentialing Center (ANCC) Board Certi- fied Adult Nurse Practitioner and is a Certi- W005 September 5, 2018 I fied Occupational Health Nurse Specialist Wednesday 8:00 am - 12:10 pm and Case Manager from the American Board 4-hour Workshop – Level: Intermediate of Occupational Health Nurses. In 2007, she received her Fellowship distinction from Topic: OSHA Emphasis Program on Patient the American Association of Occupational Handling - Are You Ready? Health Nurses (AAOHN). Dr. Olszewski Presenter: Kent Wilson, CIE, CSPHP currently serves on the AAOHN Board of Directors, and she is Past President of the Northeast Association of Occupational Topic Overview: This four-hour workshop will offer analysis and Health Nurses and the Pennsylvania Association of Occupational recommendations from a certified safe patient handling profes- Health Nurses. She has presented at the local, state, regional, and sional and is designed for those who are responsible for establish- national levels of the association over the past 12 years on various ing and sustaining a safe patient handling (SPH) program. Each

30 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ of the OSHA SPH program elements will be explained along with stood reportables, and discuss the possible inclusion of a provi- the rationale for their inclusion in an effective program. Strategies sion prohibiting employers from having policies or practices that and planning for the integration of these elements into a new or discourage employees from reporting their injuries and illnesses. existing program will be discussed based on the Nine Core Com- petencies established by the Association of Safe Patient Handling Objectives: Professionals. Practical examples and tools will be presented that 1. Review major changes to the OSHA recordkeeping standard will be useful and necessary to achieve OSHA compliance in a that require certain employers to submit OSHA 300 injury clinical setting. and illness recordkeeping data electronically and would make some of the data public. Objectives: 2. Understand, through case study analysis, the basics of record- 1. Describe the requirements and components of the OSHA em- keeping and how to determine if an injury/illness is record- phasis program for patient handling. able. 2. Identify the key components of a clear, concise, and consistent 3. Explore the top five impacts to industry in relation to OSHA’s patient handling policy. recordkeeping changes, and why many trade groups are 3. Explain the purpose and role of the Nine Core Competencies against changes which allow publication of data. for a facilitator of a robust patient handling program. Speaker Bio: Speaker Bio: Stephen A. Burt is President and CEO of Kent Wilson has performed ergonomic and Healthcare Compliance Resources, an af- safety evaluations for dozens of healthcare filiate of Woods Rogers Consulting, a com- facilities around the country. He is a Certi- pany developing and delivering strategic fied Ergonomist who takes an active role in solutions to today’s healthcare regulatory the development of regulatory standards. compliance problems. From 1981 to 1994, Wilson is a full member of the Human Fac- as Corporate Director of Environmental tors and Ergonomics Society, The National Health for Carilion Healthcare System (Ro- Safety Council, and The American Indus- anoke, VA), he was responsible for OSHA, trial Hygiene Association, as well as an EPA, and Joint Commission compliance and was awarded the active participant on their Ergonomic and Healthcare committees. prestigious American Hospital Association’s Phoenix Award in He is a Past President of the Association of Safe Patient Handling 1988. During this time, he was non-legislative appointee to the Professionals. Joint Legislative Administrative Review Commission (JLARC). Most recently, he served two years as the Corporate Administra- tor of Employee Safety for Inova Health System in Falls Church, W006 September 5, 2018 A VA, with responsibility in employee health and for OSHA Wednesday 10:10 am - 12:10 pm compliance. Burt conducts over 30 full-day OSHA, HIPAA, 2-hour Workshop – Level: Advanced and employee health seminars annually for the University of North Carolina, Duke University, East Carolina University, Topic: OSHA Recordkeeping: The AOHP, the Virginia Hospital and Healthcare Association, and the Comprehensive Details American Hospital Association, among others. He is a member Presenter: Stephen A. Burt, MFA, BS of the Virginia Chapter Board and serves as Chair of the AOHP Government Affairs Committee. Burt is the Past Executive Vice Topic Overview: Historically, unless OSHA opened an enforce- President of AOHP. ment inspection at an employer’s workplace or the Bureau of Labor Statistics requested an employer to participate in its annual injury data survey, employers’ OSHA 300 logs and related forms W007 September 5, 2018 I remained strictly in-house. Employers kept the data and their Wednesday 10:10 am – 11:10 am OSHA logs in Employee Health, their HR or Safety Department 1-hour Workshop – Level: Intermediate office, posted them internally for employees to view for a couple of months, used the data themselves to make decisions about how Topic: Now What? Where to Go Once You Have to reduce risk of injury and illness in their workplaces, and then the Green Light to Create a Robust Wellness stored the records in a cabinet or desk drawer for five years. Now, Program OSHA’s new rule requires hundreds of thousands of employers to Presenter: Angela Hansen proactively submit these historically private records electronically to OSHA, which in turn may publish the data online for all the Topic Overview: There is still a huge lag between employees world to see. What goes on the logs has always been a question and employers in terms of wellness offerings in the workplace, in the minds of many occupational health professionals, and now and now is the time to close this gap. This presentation will the logs will be reviewed and scrutinized by the experts at OSHA. explore the latest trends in corporate and occupational well- This session will review those injuries and illnesses which must be ness and review a variety of options for employers to motivate recorded on the OSHA 300 log, focusing on the most misunder- their employees. Programs that include biometric screenings,

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health portals, HRAs, emotional wellness options, and ways exposure plans. There will be a detailed review of bloodborne to incentivize people to keep participating will be highlighted. pathogen diseases, management and treatment guidelines, engi- Every single employer should be offering some type of wellness neering controls, personal protective equipment, and prevention of program to their workers. needlestick and sharps injuries. Workshop participants will have a chance to review their own institution’s bloodborne pathogen Objectives: policy during this session. 1. Identify opportunities to provide wellness programs efficiently and cost effectively. Objectives: 2. Examine the current regulations required to perform basic 1. Review the requirements of the 2001 OSHA Needlestick biometric tests. Prevention and Safety Act. 3. Review new technologies that support data collection and 2. Discuss common bloodborne pathogen diseases and the analysis. management and treatment guidelines for prophylactic and post 4. Learn how to motivate employees through appropriate incen- exposure follow-up. tives. 3. Evaluate and safety devices available to prevent occupational sharp-related injuries. Speaker Bio: 4. Examine specific examples of comprehensive bloodborne Angela Hansen has been in the health and pathogen programs that have been successfully implemented in wellness industry for 10 years, and she has healthcare and occupational industry. seen it undergo many changes. Keeping current with wellness trends is her top pri- Speaker Bios: ority in striving for a healthier workforce. Barb Maxwell established a hospital-based Familiarity with both the medical equip- occupational health program in 1986 known ment and the software sides of the business as Company Care for HCA. Her current has allowed her to successfully consult responsibilities include management of op- hundreds of companies regarding wellness erations for 10 Company Care Occupational programs. A graduate of Texas A&M University in College Sta- Health Programs and 16 Employee Health tion, TX, Hansen was also on the track and field team, and she Departments for the HCA West Florida Di- uses that athletic background to enhance her wellness knowl- vision. Maxwell is President of the Florida edge. She is a wife and mother to two beautiful little girls. In her State Association of Occupational Health “spare” time, she plays for the Death Row Rumbler Roller Derby Nurses, Inc. (FSAOHN) and Treasurer for FWCAOHN. She was Team in Dallas, TX. recognized by FSAOHN as Nurse of the Year in 2013 and in- ducted as an FSAOHN Society Fellow in 2016. She serves on the National AAOHN Board of Directors and is recognized as a Fel- W008 September 5, 2018 I low. Maxwell received her RN from St. Luke’s Hospital School Wednesday 1:10 pm - 5:20 pm of Nursing, Kansas City, MO, and her bachelor’s and master’s in 4-hour Workshop – Level: Intermediate Health Administration from the University of St. Francis, Joliet, IL. She is a recognized expert in the field of occupational health Topic: Get Sharp about Workplace Sharps nursing and speaks nationally, as well as at state and local levels. Injuries Presenters: Barb Maxwell, MHA, RN, COHN-S, CCM, CWCP, Dr. Kim Olszewski is an American Nurses FAAOHN and Kim Olszewski, DNP, CRNP, COHN-S/CM, Credentialing Center (ANCC) Board Certi- FAAOHN fied Adult Nurse Practitioner and is a Certi- fied Occupational Health Nurse Specialist Topic Overview: According to the Centers for Disease Control and and Case Manager from the American Board Prevention (CDC), an estimated 5.6 million healthcare workers of Occupational Health Nurses. In 2007, she are at risk for occupational bloodborne pathogen exposure. These received her Fellowship distinction from pathogens include hepatitis B, hepatitis C, and human immuno- the American Association of Occupational deficiency virus (HIV)/AIDS. The CDC estimates that there are Health Nurses (AAOHN). Dr. Olszewski approximately 385,000 needlestick and sharp-related injuries currently serves on the AAOHN Board of Directors, and she each year, which often are preventable. Recognizing the need for is Past President of the Northeast Association of Occupational addressing this issue, in 2001, the Occupational Safety and Health Health Nurses and the Pennsylvania Association of Occupational Administration (OSHA) released the final rulemaking on the Health Nurses. She has presented at the local, state, regional, and Needlestick Prevention and Safety Act. This act required employ- national levels of the association over the past 12 years on various ers to implement engineering controls and post-injury testing and topics, including DOT certification, Marketing OHNs, Fatigue follow-up requirements to prevent these injuries. This workshop Management, Healthy People 2020, Social Media Integration, will take a closer look at the OSHA Needlestick Prevention and and Diagnostic Updates. Dr. Olszewski has published articles in Safety Act and provide practical suggestions for improving health- Workplace Health & Safety and has also co-authored a chapter care industry and other occupational facility bloodborne pathogen on Information Management through Innovative Technology for

32 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ Fundamentals in Occupational and Environmental Health Nurs- Sharon Petersen is the Director of Em- ing: AAOHN Core Curriculum, 4th edition. She is Vice President ployee Health Operations for Intermountain and Nurse Practitioner at Mid State Occupational Health Services Healthcare and leads a comprehensive Inc. and is the Nurse Practitioner Program Director & Associate occupational healthcare program for over Professor in the Bloomsburg University MSN program. 40,000 employees in Utah and Idaho. She has 24 years of experience in occupational health in a variety of settings including W009 September 5, 2018 I heavy and light manufacturing, railroad, Wednesday 1:10 pm - 4:20 pm printing, paper mills, and healthcare. Pe- 3-hour Workshop – Level: Intermediate tersen has been certified in occupational health and case manage- ment since 1998. She has served on several professional nursing Topic: Beyond Getting Started: Americans boards and is currently serving as Chapter President of the Utah with Disabilities Act and Family and Medical Association of Occupational Health Nurses. Leave Act Presenters: Denise Knoblauch, BSN, RN, COHN-S/CM and Sharon Petersen, MSN, RN, COHN/CM W010 September 5, 2018 I Wednesday 1:10 pm - 4:20 pm Topic Overview: This presentation will expand basic knowledge 3-hour Workshop – Level: Intermediate and awareness of the Americans with Disabilities Act Amend- ments Act (ADAAA) and Family and Medical Leave Act (FMLA) Topic: Helping Your Organization Facilitate for occupational health professionals. Attendees will receive Major Change practical advice to use in everyday practice and management of Presenter: Georgia Latham, RN, CCM, CLNC ADAAA and FMLA policy management. Examples of case man- agement issues will be provided to enhance day-to-day manage- Topic Overview: Organizational change is a behavioral process. ment issues in the workplace. Much of the process is predicated on assuming a level of advoca- cy and driving teambuilding by not being afraid to take risks and Objectives: challenging the status quo. In particular, when two corporations 1. Identify components of ADAAA and FMLA laws. merge, or one company acquires another, the result is an inte- 2. Identify steps in the ADAAA interactive process. gration or a blending of separate organizational entities. When 3. Define FMLA leave types. the change management (or mismanagement) process ignores 4. Name covered FMLA health conditions. the impact of behavioral change, cultural differences are often magnified. The greatest lost opportunity is moving too slowly Speaker Bios: to capture the value of the deal, and it takes time to assimilate a Denise Knoblauch is Executive Director culture. Understanding the pitfalls of the human aspects leads to of the American Board for Occupational a faster and smoother integration. Risk taking may be considered Health Nurses (ABOHN). She has 25 as a corporate value, but greater focus is generally on the reac- years of experience in occupational health/ tive aspects. Companies proclaim, “We will walk the talk by employee health as an occupational health recognizing and rewarding risk taking,” but risk taking does not professional in healthcare. She began her always produce tangible results. This is a huge paradigm shift for career as the lone employee health nurse most organizations. People need to be recognized and rewarded in a small rural hospital and transitioned to for changing their behaviors. Focus on what was done, not when an urban medical center occupational health department which it was done, and that focus should be preventive/proactive rather provided services to the medical center employees as well as than reactive. In a proactive situation, the result might not be to local industries. She has experience as a clinician, coordina- glaringly evident, but the behavior is. Focusing on human aspects tor, manager and case manager in occupational health as well and intervention during acquisition, or any change process, is as infection control. She developed the case manager model in highly likely to achieve proactive results. It is common for most occupational health at the medical center. An active AOHP mem- humans to resist change. Often during an acquisition, the focus ber on the local and national levels, Knoblauch has filled many of “the deal” is on buying the assets and technology, when the leadership roles on the Executive Board. She currently is co-in- real value being acquired is the people and their collective tribal structor for Getting Started on the Road, a Continuing Education knowledge. Supporting all the people and helping them through Committee member and serves as member at large for the AOHP the transition is critical to retaining the value of the deal. Illinois Chapter. Knoblauch has been leading the AOHP strategic initiative to develop Beyond Getting Started programs. She has Objectives: presented many occupational health topics nationally, regionally 1. Discuss sources of negative and positive stress. and locally. She is a Board Certified Occupational Health Nurse 2. Anticipate employees’ reactions to change, and plan ways to Specialist and Case Manager from ABOHN. positively deal with them. 3. Understand why some people respond differently to change than others.

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4. Anticipate the typical reactions work teams and organizations Annette Vota has been part of the Beacon have to change. Health System’s Benefits Team for over 5. Describe the impact of culture clash dynamics. 13 years. She takes pride in the fact that Beacon offers innovative plan designs and Speaker Bio: benefit options for all types of employees, Georgia Latham is an RN with over 20 recognizing that benefit packages should years in the field of occupational health not be a “one size fits all” type endeavor. nursing and industrial hygiene, with 20 Vota helped design Beacon’s Employee years in the semiconductor industry. She Wellness Program, the LiGHT program. is the current President of the AAOHN The success of this program has helped Beacon earn the ranking Valle del Sol Chapter. She holds COHN-S, of #20 on the 2017 100 Healthiest Employers Listing. Prior to CCM, and CLNC certifications and is the coming to Beacon, she was an Account Executive at a third party ON Semiconductor, Occupational Health administrator, specializing in employer medical plans and stop Resources Manager, for North America. loss coverage. Vota graduated cum laude from the University of Latham has been a Nurse Educator in disease management, case Notre Dame with a bachelor’s degree in Business Administra- management, and wellness. She is licensed in New York, Califor- tion. When not working, she and her husband are usually at a nia, Oregon, Arizona, and the compact states. baseball field, hockey rink, or swimming pool watching their three very active kids do their thing! W011 September 5, 2018 I Wednesday 1:10 pm - 2:10 pm W012 September 5, 2018 I 1-hour Workshop – Level: Intermediate Wednesday 2:20 pm - 3:20 pm 1-hour Workshop – Level: Intermediate Topic: Implementing Opioid Restrictions in an Employee Health Plan Topic: Preventive Care for Healthcare Presenters: Lesley Heckaman, BA, RN, and Annette Vota, BBA Personnel Traveling Abroad Presenters: Natalie G. Guynn, MSN, NP-C and David J. Weber, Topic Overview: Our nation is facing an opioid epidemic. Data MPH, MD show that employees are able to easily obtain excessive opioid prescriptions, which can lead to narcotic abuse and dependency. Topic Overview: Many U.S. medical centers send physicians, Implementing controls in an employer health plan can help curb nurses, and various other clinical staff to other countries to opioid use and misuse among healthcare plan participants. This provide medical care. Whether the goal of travel is direct patient workshop will show the restrictions on opioid prescriptions that care or providing other services, exposure to infectious diseases Beacon Health System implemented in 2018, including: the may occur. It is important to identify infectious diseases prevalent process Beacon went through to determine the plan design; the in certain countries, as risks abroad may not be the same as those implementation and communication of the entire process; and how at home. At the University of North Carolina (UNC) Hospitals, we overcame the resistance to these changes. our Occupational Health Clinic provides a thorough review of potential risks and resources for our physicians in training who Objectives: are traveling abroad on university-funded travel. We also provide 1. Review plan design options for controlling opioids. all CDC recommended vaccines, medications (e.g., malaria), and 2. Consider the rationale for implementing opioid controls within preventive measures. the workplace. 3. Understand strategies for overcoming resistance to controls. The presentation will discuss: a) Basics of how the program works; who notifies Occupational Speaker Bios: Health the resident is traveling, who arranges appointments, Lesley Heckaman, a nurse for eight years, how early before travel we see HCP. has been in healthcare for almost 20 years, b) Recommendations based on CDC. working a variety of positions from the c) Number of residents served and time (i.e., when we started Emergency Room to the Medical/Surgi- the program, present date). cal Unit. Her current role as the Employee d) Locations of travel divided by continent (i.e., Africa, Asia, Health Manager for Beacon Health System etc.) and country. is by far her most challenging and reward- e) Duration of travel – mean, median, range, and standard devia- ing. Beacon Health System has approxi- tion. mately 8,000 associates, and Employee f) Resident’s home department (i.e., Medicine, Surgery, Pediat- Health is part of Human Resources. Because of this structure, rics, etc). Employee Health staff have the opportunity to employ a variety g) Vaccines provided (numerator/denominator): Hep B, Hep A, of interesting strategies. Heckaman is married with two children Typhoid, yellow fever, etc. and is an avid marathon runner and wellness guru. h) Medications provided: Malaria, Traveler’s diarrhea.

34 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ i) HIV PEP provided. Topic Overview: j) Comment on general info provided: safe traveling, water, In 2016, an increased number of staff exertion injuries was noted foods, mosquito protection, etc. on an inpatient surgical unit. Review of injury incident reports k) Approximate cost by traveling resident. revealed all exertion injuries could have been prevented by adher- ing to a minimal lift culture. Utilization of lift equipment was Objectives: found to decrease injury rates, but a change in nursing culture is 1. Understand the need to have travel health clinics for physicians also necessary to promote maximum safety (Zadvinskis & Sals- in training. bury, 2010). The objectives of this quality improvement project 2. Review protocol for assessment of physicians in training who were to implement unit-based safety advocates and comprehen- are traveling abroad. sive staff leadership education regarding safe patient handling 3. Describe key aspects of occupational health for those traveling equipment and resources. The critical goal of this project was abroad. to decrease exertion injuries by 20% and ensure a minimal lift environment during the 2017 calendar year. The transformational Speaker Bios: leader framework assisted in development of this project. Pre- Dr. David Jay Weber received his Bachelor and post-survey data of staff knowledge and cultural perceptions of Arts (BA) degree from Wesleyan Uni- of safe patient handling equipment were collected. Transfor- versity in 1973, his Medical Degree (MD) mational leaders recognize the importance of inter-professional from the University of California, San growth through coaching and mentoring peers to develop needed Diego in 1977, a Master’s in skills. With this in mind, safe patient handling education using (MPH) from Harvard University in 1985, ceiling lifts and slings was developed and presented to staff in and completed his medicine residency and four-hour competency sessions. In 2017, the unit achieved a 40% infectious disease fellowship at the Mas- decrease in exertion injuries. Post-implementation survey respon- sachusetts General Hospital in 1985. He is Board Certified in dents noted a 29% increase in staff support of a minimal lift envi- Internal Medicine, Infectious Disease, Critical Care Medicine, ronment. Individual sling usage increased in 90% of respondents, and Preventive Medicine. Dr. Weber has been on the faculty while 93% noted the unit’s overall sling usage had increased fol- of the University of North Carolina at Chapel Hill since 1985, lowing education. Staff committed to adopting five safe behaviors where he is currently a Professor of Medicine and Pediatrics in in addition to Mayo Clinic’s commitment to safety behaviors into the School of Medicine and a Professor of Epidemiology in the daily practice to increase safe patient handling equipment use and Gillings School of Global Public Health. Dr. Weber serves as maintain a minimal lift environment. Replicability has already the Associate Chief Medical Officer for UNC Hospitals. He also been demonstrated by sharing the framework and education serves as the Medical Director of the Departments of Hospital developed for this project with other nursing units during the 2017 Epidemiology (Infection Prevention) and Occupational Health for departmental safe patient handling competency assessment. UNC Hospitals. Objectives: Natalie Guynn currently works as the Oc- 1. Identify motivation for implementation of a safe patient han- cupational Health Nurse Practitioner at the dling project on an inpatient surgical nursing unit. University of North Carolina Hospitals in 2. Review goals of a successful quality improvement project. Chapel Hill, NC. Prior to joining Carolina, 3. Utilize staff surveys to assess knowledge and culture related to Guynn worked as a nurse practitioner in a safe patient handling. federally-qualified health center and in a re- 4. Understand final outcomes of the project and how these find- tail health clinic. As a registered nurse, she ings relate to nursing practice. worked in an Emergency Department and as an EMT. Guynn received her BSN from Speaker Bios: the University of Virginia and her MSN from Duke University. Brittney R. Dahlen is a Staff Registered She lives in Hillsborough, NC with her husband and children. Nurse on a general surgery and plastic surgery inpatient nursing unit at Mayo Clinic Rochester. She obtained a Bachelor W013 September 5, 2018 B of Science in Nursing from the University Wednesday 3:30 pm - 4:30 pm of Minnesota in 2014. Dahlen has worked 1-hour Workshop – Level: Basic at Mayo Clinic for over three years and has been very active in department and unit Topic: Safe Patient Handling: Implementing committees, including the NDNQI Pres- Staff Education to Reduce Exertion Injuries sure Injury and Restraint Survey, Skin Savers, Francis 2C Safety Presenters: Brittney R. Dahlen, BSN, RN, CMSRN, Kristen M. Committee Co-Chair, and Francis 2C Patient Experience Com- Haack, MAN, RN, NE-BC, Samantha M. Lambert, BSN, RN, mittee Co-Chair. She holds Certified Medical Surgical Registered and Erica T. Popp, MSN, RN Nursing and Bronze Quality Fellow specialty certifications. Dahlen enjoys working with her nursing and multidisciplinary colleagues on quality improvement projects and is excited to pur- sue a Doctorate of Nursing Practice in Nursing Leadership.

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Kristen M. Haack is a Nurse Manager of a A001 September 6, 2018 general and plastic surgery inpatient nursing I Thursday 8 am - 9 am unit at Mayo Clinic Rochester. She obtained Keynote Speaker – Intermediate a Bachelor of Science in Nursing from Wi- nona State University in 1993 and a Master Topic: Chronic Pain and Addiction: How Have of Arts in Nursing Leadership from Augs- We Missed the Boat? burg College in 2014. Haack has worked Presenter: Mel Pohl, MD, DFASAM at Mayo Clinic for over 23 years and has worked as nurse manager for the past 18 Topic Overview: Examine the intersection of chronic pain years. She holds the rank of Instructor in Nursing from the Mayo treatment with the opioid epidemic. This session will focus on Clinic College of Medicine, Nurse Executive specialty certifica- issues that arise in people living with chronic pain, including the tion as well as Bronze and Silver Quality Fellows certification. significant effects of emotions and thoughts which cause suffer- She enjoys teaching and has traveled abroad as part of the Mayo ing. Opioid use disorder (addiction) complicates the course of Clinic Haiti Nursing Education Initiative on two separate occa- treatment of chronic pain, and the facts about use of opioids as sions. Haack has a passion for multidisciplinary teamwork and treatment for chronic pain will be discussed. Treatment methods collaboration among all leaders within and outside the organiza- will be explored, including letting go of old ideas and finding tion and has mentored multiple individuals in building collabora- solutions for recovery in the face of chronic pain that result in tive relationships across disciplines over the past 18 years. diminishing suffering. Samantha M. Lambert is a Registered Objectives: Nurse working on a general and plastic sur- 1. Describe principles of chronic pain, including central nervous gery inpatient nursing unit at Mayo Clinic system processing and the brain’s response to pain and suffer- Rochester. She obtained her Bachelor of ing. Science in Nursing from Winona State Uni- 2. Explore some current interventions for chronic pain in various versity in 2015. She has been working on adult generations, along with the pros and cons of each. the general and plastic surgical unit for the 3. Examine complex issues when co-existing disorders such as past two years. Lambert is currently taking substance misuse and dependence exist. classes toward her Doctor of Nursing Practice degree in a Family 4. Discuss techniques to manage opioid dependence and the Medicine Nurse Practitioner program at Winona State University. experience of recovery from chronic pain with clinical methods She is currently involved as Chair of the Coordinating Council, including mindfulness, CBT, DBT, and ACT. Co-chair of the Safety Committee, and member of the Profes- sional Development Days Planning Committee. Lambert has a Speaker Bio: Bronze Quality Fellows certification. She has traveled overseas Dr. Mel Pohl is a Board Certified Family to broaden her knowledge of global medicine through clinical Practitioner and the Chief Medical Officer experiences in England and Ireland. of Las Vegas Recovery Center (LVRC). Dr. Pohl was a major force in developing Erica T. Popp is a Nursing Education LVRC’s Chronic Pain Recovery Program. Specialist in the Education and Profes- He is certified by the American Board of sional Development Division, Department Addiction Medicine, (ABAM), and is a of Nursing at Mayo Clinic Rochester. She Distinguished Fellow of the American received her Master of Science in Nursing Society of Addiction Medicine (ASAM). He is the former Chair with an emphasis on Nursing Education of ASAM’s AIDS Committee, a member of the planning commit- from Clarkson College in Omaha, NE and tee for ASAM’s Annual “Common Threads, Pain and Addiction” a Bachelor of Science in Nursing from the Course and Co-chair of ASAM’s Pain and Addiction Workgroup. College of St. Scholastica in Duluth, MN. Popp is passionate Dr. Pohl is a Fellow of the American Academy of Family Practice about examining projects from a fresh perspective and creating an and a Clinical Assistant Professor in the Department of Psychiatry engaging atmosphere for curriculum and staff to excel. and Behavioral Sciences at the University of Nevada School of Medicine. He was elected by his peers for inclusion in Best Doc-

tors in America® from 2009 to present.

36 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ A002 September 6, 2018 I A003 September 6, 2018 I Thursday 9:30 am - 10:30 am Thursday 10:35 am - 11:35 am General Session – Level: Intermediate General Session – Level: Intermediate

Topic: USP Implications for Health Care Topic: Compassion Fatigue - What is This? Workers Presenter: Barb Maxwell, MHA, RN, COHN-S, CCM, CWCP, Presenter: Martha Polovich, PhD, RN, AOCN FAAOHN

Topic Overview: Hazardous drugs (HDs)—drugs that are toxic to Topic Overview: Occupational health professionals are often genes, reproductive organs and other body systems—are present recognized by others for their quality of compassionate care that in nearly every type of healthcare setting. It is estimated that over is rendered to the working force. Delivery of this compassion- eight million healthcare workers (HCWs) are at risk for expo- ate care on a daily basis has certain emotional consequences if sure to HD while doing their routine work. USP General Chapter work-life balance is not maintained. Many people have heard the <800> provides standards for safe handling of hazardous drugs to term “burnout”, and without even thinking there are other factors minimize the risk of exposure to healthcare personnel, patients and involved, they leave employment to seek a happier workplace the environment.This is the most significant step forward for HD environment. Unlike burnout, this phenomena that many pro- safety in years. It describes practice and quality standards fessionals are now discovering is called compassion fatigue. It for the safe handling of HDs, which are essential to reducing presents itself in various ways and with a variety of symptoms. exposure. The goals of this session are to: provide an overview of Participants will be able to distinguish between burnout, compas- the standards; describe the elements of a comprehensive HD safety sion fatigue, and vicarious traumatization through the various program; and discuss the role of occupational health professionals hallmark signs, symptoms, and triggers. in protecting workers from unnecessary exposure. Objectives: Objectives: 1. Define all aspects of compassion fatigue. 1. List the risks of occupational hazardous drug exposure. 2. List three symptoms of compassion fatigue that affect the em- 2. Describe the standards that minimize occupational exposure to ployee and the organization. hazardous drugs. 3. Distinguish three differences among burnout, compassion 3. Explore the role of occupational health professionals in a fatigue, and vicarious traumatization. comprehensive hazardous drug safety program. Speaker Bio: Speaker Bio: Barb Maxwell established a hospital-based Dr. Martha (Marty) Polovich is an RN occupational health program in 1986 known with over 40 years of clinical practice. Cur- as Company Care for HCA. Her current rently, she is Assistant Professor at Byrdine responsibilities include management of op- F. Lewis School of Nursing and Health erations for 10 Company Care Occupational Professions at Georgia State University. Dr. Health Programs and 16 Employee Health Polovich earned a Diploma in Nursing from Departments for the HCA West Florida Di- Mount Sinai Hospital School of Nursing in vision. Maxwell is President of the Florida Chicago; bachelor’s and master’s degrees State Association of Occupational Health Nurses, Inc. (FSAOHN) in Nursing from Louisiana State University in New Orleans; and and Treasurer for FWCAOHN. She was recognized by FSAOHN a PhD in Nursing from Georgia State University in Atlanta. She as Nurse of the Year in 2013 and inducted as an FSAOHN Society served as the Oncology Nursing Society (ONS) Liaison to the Fellow in 2016. She serves on the National AAOHN Board of National Institute for Occupational Safety and Health (NIOSH) Directors and is recognized as a Fellow. Maxwell received her RN Hazardous Drug Safe Handling Working Group from 2000 – from St. Luke’s Hospital School of Nursing, Kansas City, MO, 2007 and as a member of the ASCO/ONS Chemotherapy Safety and her Bachelor’s and Master’s in Health Administration from Standards Steering Committee (2008-2016).Dr. Polovich has also the University of St. Francis, Joliet, IL. She is a recognized expert served as a member of the expert panel for USP General Chap- in the field of occupational health nursing and speaks nationally, ter <800>Hazardous Drugs – Handling in Healthcare Settings, as well as at state and local levels. as well as a member of the ONS Chemotherapy & Biotherapy Special Interest Group, (2000-2017, Coordinator 2013-2016). She has been the editor of several ONS publications related to chemo- therapy and hazardous drug safe handling since 2001. A frequent invited speaker both nationally and internationally on hazardous drug safe handling, her research interest is prevention of exposure to hazardous drugs.

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tive Administrative Review Commission (JLARC). Most recently, A004 September 6, 2018 A he served two years as the Corporate Administrator of Employee Thursday 1:10 pm - 2:10 pm Safety for Inova Health System in Falls Church, VA, with re- General Session – Level: Advanced sponsibility in employee health and for OSHA compliance. Burt conducts over 30 full-day OSHA, HIPAA, and employee health Topic: Legislative Update: 2018 seminars annually for the University of North Carolina, Duke Uni- Presenter: Stephen A. Burt, BS, MFA versity, East Carolina University, AOHP, the Virginia Hospital and Healthcare Association, and the American Hospital Association, Topic Overview: What happened in 2018? Now we face another among others. He is a member of the Virginia Chapter Board and major election. There are 33 seats up for grabs in the Senate and serves as Chair of the AOHP Government Affairs Committee. Burt all 435 seats in the House. What changes have we observed, is the Past Executive Vice President of AOHP. and what changes can we expect? With any new Congress we should expect regulatory changes, and we have certainly seen those changes in the new faces at the National Labor Relations A005 September 6, 2018 Board and the Equal Employment Opportunity Commission. As B Thursday 2:15 pm - 3:15 pm members of the management team, it is essential for occupational General Session – Level: Basic health professionals to know and understand the potential changes in the regulatory environment caused by the passage of newly in- Topic: Developing a Comprehensive Workplace troduced legislation. This general session will review the pertinent Violence Prevention Model and germane bills introduced in the second session of the 115th Presenters: Lorie Arata, FNP-BC and Mike Hodges, MA, CHSS Congress and give insights into the reasons behind the issues. We will examine the bills which have passed and the bills which have Topic Overview: This presentation presents the basic elements been introduced; both shed light on where we are heading in the of a comprehensive workplace violence model, including the ever-changing – and evolving – regulatory arena of occupational foundational training elements, the foundational response tools, health. We will also review the new initiatives presented by the and some of the core competencies needed to replicate the various federal agencies, especially the Department of Health and program. The total program review will cover four key areas of Human Services and the Department of Labor. Since 2008, the engagement. First is employee training and engagement. Under Occupational Safety and Health Administration (OSHA) has been this heading, various methods utilized to train staff about work- an enforcement agency, but with the Republicans now in control place violence prevention will be discussed. Second is employee of the White House and both houses of Congress, we can expect response, incorporating discussion of the various tools utilized some major changes to regulations. We will review recent Su- for both proactive and reactive response to workplace violence, preme Court decisions and the Spring 2018 regulatory agenda to along with reporting mechanisms. Third, management oversight, see what new initiatives may be on the forefront that may poten- includes the interdisciplinary approach to engaging executive tially impact occupational health professionals. leadership in the process of actively monitoring workplace vio- lence. Fourth, management actions, involves the steps an inter- Objectives: disciplinary oversight committee can take to adapt employee 1. Name the new legislation introduced into the second session of training, engagement, and response to workplace violence trends the 115th Congress that may impact occupational health. within a facility. Finally, the presenters will outline some of the 2. Describe the issues behind the newly introduced legislation obstacles encountered, and some of the results seen, based on and the potential for passage. the various initiatives implemented in their successful workplace 3. Identify strategies to address departmental changes brought on violence prevention program. by the newly introduced legislation. 4. Review OSHA and HHS regulatory agendas for 2018 and Objectives: those initiatives which may impact the Occupational/Employee 1. Identify the key foundational elements of a workplace vio- Health Department. lence prevention program. 2. List the four core components of a comprehensive workplace Speaker Bio: violence program. Stephen A. Burt is President and CEO of 3. Recall some foundational capabilities needed to grow a com- Healthcare Compliance Resources, an affili- petent workplace violence prevention program. ate of Woods Rogers Consulting, a company developing and delivering strategic solutions Speaker Bios: to today’s healthcare regulatory compliance Mike Hodges is the Manager of Public problems. From 1981 to 1994, as Corpo- Safety at Piedmont Athens Regional Medi- rate Director of Environmental Health for cal Center. In this role, he has developed Carilion Healthcare System (Roanoke, VA), numerous workplace violence training and he was responsible for OSHA, EPA, and education programs, including the esca- Joint Commission compliance and was awarded the prestigious lating behavior recognition and response American Hospital Association’s Phoenix Award in 1988. During course, and development of a bedside threat this time, he was non-legislative appointee to the Joint Legisla-

38 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ assessment process. He is a Certified Healthcare Security Super- Objectives: visor with the International Association of Healthcare Security & 1. Define needs for situational awareness in the healthcare envi- Safety. He also holds a Master’s in Executive Leadership. He has ronment. published articles related to healthcare security, security intel- 2. Identify “playbook” processes for preventing injuries and ligence programs, and workplace violence prevention in health- exposures in healthcare hazard areas. care. In addition, Hodges is a former firefighter/ first responder 3. Apply the OODA Loop Theory as a trigger to identify and and a veteran of the U.S. Army, where he served in both Iraq and control hazards in real time. Afghanistan. His military service included joint operations with the Federal Bureau of Investigation (FBI) and disaster response Speaker Bio: after Hurricane Katrina. During his military service, Hodges was Cory Worden has worked in the develop- awarded the Bronze Star and the Humanitarian Service Medal, ment, implementation, and management of and he received two commendations from the FBI. safety, health, environmental, emergency management, and training programs for over Lorie Arata is Area Manager and Interim 14 years and has a wealth of experience in Director of Employee Health and Safety at the military, manufacturing, municipal gov- Piedmont Healthcare. She has worked as a ernment, and healthcare. He is currently the Nurse Practitioner for 15 years. In her role Manager of System Safety with the Memo- in Employee Health and Safety, she has rial Hermann Healthcare System in Houston, TX. Worden holds reviewed and developed policies and proce- a Master of Science in Occupational Health and Safety and is dures related to various employee health and currently working toward his PhD in Public Safety; he is a CSHM, safety issues. She has received awards and as well as a CSP, CHSP, REM, and CESCO. His latest books, Sur- grants for her work in safe patient handling and mobility. She has viving Safety, Safety Diligence, Situational Safety, Safety Enigmas also worked on the clinical side of sharps injury prevention and and Safety Integration were published in 2013, 2015, 2016, and workplace violence. 2017. His work has been published in the ASSE Healthbeat, the AOHP Journal, Industrial Safety and Hygiene News, EHS Today, and by the Institute for Safety and Health Management. Worden A006 September 6, 2018 B was the 2014 Institute for Safety and Health Management Safety Thursday 3:20 pm - 4:20 pm Professional of the Year. He has presented workshops and posters General Session – Level: Basic for the American Society of Safety Engineers, the National Safety Council, the Association of Occupational Health Professionals Topic: Situational Awareness: The Often- in Healthcare, the College of the Mainland’s Gulf Coast Safety Overlooked Hazard Control Institute, and more. Presenter: Cory Worden, PhD Candidate, MS, CSHM, CSP, CHSP, ARM, REM, CESCO A007 September 6, 2018 I Topic Overview: Based on his series of ASSE Healthbeat Thursday 4:25 pm - 5:25 pm articles, Cory Worden’s presentation addresses the gap account- General Session – Level: Intermediate ing for the multitude of injuries and exposures in the healthcare environment. With hazards such as workplace violence, occupa- Topic: Immunization Update doe Health Care tional disease exposures, bloodborne pathogen exposures, needle Personnel 2018 and sharps injuries, and more, causing the healthcare Total Case Presenter: JoEllen Wolicki, RN, BSN Incident Rate to climb to three times some of its peer industries, regulatory compliance alone will not alleviate these incidents. Topic Overview: Because of their contact with patients or Even with perfect compliance with OSHA, The Joint Com- infective material from patients, many healthcare personnel mission, and safe workplace conditions with required hazard (HCP) are at risk for exposure to (and possible transmission of) controls in place, healthcare workers must still maintain situ- vaccine-preventable diseases. Employers and HCP have a shared ational awareness to identify when, where, and how to use the responsibility to prevent occupationally-acquired infections and hazard controls. This is in stark comparison to industries such avoid causing harm to patients by taking reasonable precautions as manufacturing where hazard controls can be implemented to prevent transmission of vaccine-preventable diseases. The and followed without change; healthcare workers must identify Advisory Committee on Immunization Practices (ACIP) com- hazards that change with each patient. Healthcare workers must prises medical and public health experts who develop recom- be trained and conditioned to identify hazards, locate hazard mendations on the use of vaccines in the civilian population of controls, and use them in real time before they’re affected by the United States. These recommendations stand as public health the hazard. With this training conducted in a “playbook” model guidance and standard of care in the United States. using John Boyd’s OODA Loop Theory, healthcare workers can become proactive to prevent injuries and exposures to them- Objectives: selves, their fellow employees, patients, visitors, contractors, and 1. Self-report increased knowledge of routinely recommended physicians alike in a manner that has yielded a 42% reduction in vaccines for healthcare personnel. a large urban healthcare system over three years.

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2.Indentify one best practice strategy for improving healthcare Speaker Bio: personnel immunization practices and/or rates. Dr. Wendy Thanassi has served as the Na- 3. Integrate immunization clinical resources or job aids related to tional Lead for TB Testing for the Veterans immunization into clinical practice. Health Administration employees for over five years. She has published and presented Speaker Bio: original and review papers on the subject JoEllen Wolicki is a Nurse Educator with of serial testing of healthcare workers for the Centers for Disease Control and Preven- TB. Dr. Thanassi is an Emergency Medicine tion, National Center for Immunization and Trained Physician from both Stanford and Respiratory Diseases, Communication and Yale currently working as an Associate Clin- Education Branch. Before joining CDC in ical Professor at Stanford and as the Chief of Occupational Health 2010, she served for 14 years as a Nurse Services at the Palo Alto VA Health Care System, one of the largest Consultant with the immunization program and most complex VAs within the Veterans Health Administration. of the Michigan Department of Health and She is a member of the NTCA working group led by Drs. Bob Human Services. At the Michigan immu- Belknap and Lynn Sosa that revised the 2005 MMWR guidelines, nization program, she worked with multiple programs. At CDC, and she will represent that group at AOHP for this session. Wolicki serves as a committee member of several work groups for the Advisory Committee on Immunization Practices (ACIP), contributes to the Epidemiology and Prevention of Vaccine-Pre- B002 September 7, 2018 I ventable Diseases textbook (the Pink Book), and works on many Friday 9:05 am - 10:05 am immunization training and educational materials and programs. General Session – Level: Intermediate She travels throughout the United States to educate healthcare providers on immunization. Wolicki holds a Bachelor of Science Topic: Striving for Excellence: Using Data to in Nursing from the University of Detroit/Mercy. Enhance Employee Health Nurse Competence Presenters: Sharon Petersen, MSN, RN, COHN/CM and Suzy Winsor, DNP, RN, COHN-S B001 September 7, 2018 I Friday 8 am - 9 am Topic Overview: This general session presentation will share sev- Friday Opening Keynote – Level: Intermediate eral data sources, exciting results, and tools used to understand and increase the competence of employee health nurses. Content Topic: TB 2018 – New World, New Guideline will include the following: Presenter: Wendy Thanassi, MA, MD, MRO 1. Gap Analysis. An internal gap analysis survey was adminis- tered to understand how employee health nurses perceived their Topic Overview: The 2005 Guidelines for Preventing the Trans- own competence of the AAOHN Competencies for Occupa- mission of Mycobacterium Tuberculosis in Health-Care Settings, tional Health Nurses and the importance to their practice. published by the Centers for Disease Control and Prevention 2. Performance Measures. 70 individual performance measures (CDC), recommend serial screening of healthcare workers were identified as essential to the employee health nursing role (HCWs) for tuberculosis (TB) infection. The epidemiology of at Intermountain Healthcare. These measures were organized TB disease in the United States has changed since 2005, and the into five competencies and tiered into four stages (novice, com- rate has decreased to the point that healthcare workers are not petent, proficient, and expert). They encompass all 22 AAOHN more likely than the overall public to contract TB infection. Thus, Competencies. the cost-benefit of routine serial screening of HCWs has been 3. Standardized Goals. To ensure adequate training of new nurses increasingly questioned. In 2015, at the National Tuberculosis and continuing competence, standardized goals for all em- Controller’s Association’s (NTCA) annual conference, a large ployee health nurses were developed. Self and peer evaluation working group of TB subject matter experts was created, with forms have been created to regularly measure progress.. representation from state and local public health departments, academia, occupational health associations, and the federal gov- Objectives: ernment, to review and revise TB testing guidelines for HCWs in 1. Discuss Intermountain Healthcare’s gap analysis survey for the United States. This talk will summarize the process and the employee health nurses. recommendations from that working group. 2. Review strategies used to create performance measures. 3. Examine ongoing measurement tools to Objectives: track individual progress. 1. Recognize that repeat testing of all positive TB results is now a recommendation. Speaker Bios: 2. Understand that IGRAs are now preferred to TST in most set- Sharon Petersen is the Director of Em- tings. ployee Health Operations for Intermountain 3. Record that facility risk is no longer the guideline for determi- Healthcare and leads a comprehensive nation of TB testing. occupational healthcare program for over

40 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ 40,000 employees in Utah and Idaho. She has 24 years of experi- Speaker Bio: ence in occupational health in a variety of settings including Dr. John Furman is the Director of Washington State Health heavy and light manufacturing, railroad, printing, paper mills, Professional Services (WHPS). WHPS is an Alternative to and healthcare. Petersen has been certified in occupational health Discipline substance use monitoring program imbedded in the and case management since 1998. She has served on several Board of Nursing. He has worked for the state of Washington for professional nursing boards and is currently serving as Chapter 40 years, primarily in the areas of behavioral and occupational President of the Utah Association of Occupational Health Nurses. health, and has been in the WHPS Executive Director position for the last six years. Dr. Furman’s educational background Suzy Winsor’s occupational health nurs- includes undergraduate and graduate degrees in Nursing, a ing career began in Seattle at the Univer- Doctorate in Health Administration, and certification as an oc- sity of Washington and has continued for cupational health nurse-specialist. This year, he completed his many years at Intermountain Healthcare in second appointment on the National Organization of Alternative Utah. She has a passion for education, care Programs Executive Committee. Prior to coming to WHPS, Dr. management, and advocating for health and Furman worked with the state OSHA program, where he helped safety. She is currently a Chapter Director develop nationally-recognized programs on pesticide exposure for the Utah Association of Occupational monitoring and outdoor heat exposure. Just prior to leaving the Health Nurses. Winsor loves program development and continu- OSHA program, he acted as the primary author of the nation’s ous improvement. She also enjoys her family, the outdoors, and first Hazardous Drug Exposure standard. Netflix. B004 September 7, 2018 I B003 September 7, 2018 I Friday 1:10 pm - 2:10 pm Friday 10:40 am - 11:40 am Breakout Session – Level: Intermediate General Session – Level: Intermediate Topic: Implementing a Meaningful ICU SPHM Topic: Drug Diversion in the Workplace Strategy that Addresses the Voice of the Presenter: John Furman, PhD, MSN, COHN-S Worker Presenters: Susan Gallagher, PhD, MSN, MA, RN, CSPHP, Topic Overview: Drug diversion is any re-routing of a medica- CBN, Kerry Cassens, MSN, MPH, BSN, RN, CIC, COHN-S tion from its intended purpose. In healthcare, this may include and Trish Lough, MS, BS, PT prescription fraud, patient theft, medication substitution, or diver- sion of medication waste. Substance abuse is a leading reason for Topic Overview: Early patient mobility has proved to have discipline among nurses and other healthcare professionals across economic and clinical value in all practice settings. However, the country, and drug diversion is the number one substance unforeseeable occupational health consequences are emerging abuse-related complaint. Even so, many cases of drug diversion as a result. This panel presentation examines the trend toward go undetected or unreported to the state licensing authority. This early mobilization and concerns expressed by bedside clinicians puts patients, the healthcare organization, and the health profes- who are responsible for mobilizing deconditioned patients in the sional at continued risk. Knowledge and vigilance are the keys acute care setting. Opportunities to mitigate occupational injury to preventing drug diversion and identifying health professionals are described by way of a programmatic approach to safe patient who are struggling with substance use disorder (~10%-15% of handling and movement (SPHM) in the ICU. See the impact of nurses). Approaches include rigorous hiring practices, employee a successful SPHM program in a 20-bed rural hospital ICU in education, secure medication dispensing systems, medication use Arizona. The SPHM journey from initial establishment of the audits, clear and practiced policies, the establishment of drug di- interdisciplinary team, business case, implementation, barriers, version investigation teams, and Just Culture approaches to sub- and ongoing sustainability is presented. stance use disorder. Drug diversion is a pervasive problem among all healthcare organizations and can be effectively addressed by Objectives: lifting the conspiracy of silence, engaging in open communica- 1. Describe the trend toward early mobilization. tion, and instituting practical controls. 2. Explore clinicians’ perception of occupational risks associated with early mobilization. Objectives: 3. Explore SPHM opportunities to mitigate occupational exposure. 1. Recognize the prevalence of substance use disorder among health professionals. Speaker Bios: 2. Identify at least five methods of drug diversion. Dr. Susan Gallagher is a Certified Bariatric 3. Recall at least five methods to identify health professionals Nurse, Health Care Risk Manager, and Cer- with substance use disorder and to prevent drug diversion. tified Safe Patient Handling Professional. 4. Recognize the responsibility to report drug diversion and She holds a Master’s in Nursing, a Master’s other unprofessional conduct to state licensing bodies. in Religion and Social Ethics, and a PhD in Policy Ethics. She has published over

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200 peer-reviewed articles and contributed chapters on quality B005 September 7, 2018 B and safety in both the Handbook of Hospital Safety, 2011 edition, Friday 1:10 pm - 2:10 pm and the 2012 book Epidemic of Medical Errors and Hospital-Ac- Breakout Session – Level: Basic quired Infections. Dr. Gallagher is author of the books The Chal- lenges of Caring for the Obese Patient, the American Nurses’ Topic: Assessing Hospital Drug Testing Association Implementation Guide to the Safe Patient Handling Programs; Looking for Gaps During an Opioid and Mobility Interprofessional National Standards, and the all- Epidemic new Bariatric Safe Patient Handling. She is a recognized expert Presenter: Lorraine Chambers Lewis, PA-C, MBA, FACHE in safety, outcomes, and communication with an emphasis on bar- iatrics, skin and wound care, safe patient handling and mobility, Topic Overview: Most organizations have overlooked the opportu- and risk and loss control. nity to evaluate what can be done within their own workforces to combat the current opioid epidemic. Attention is usually focused Kerry Cassens has more than 30 years of ex- on the providers and changing their prescription practices to be perience delivering occupational health and safer for patients. However, occupational health professionals can safety programs for private industry, health- play a vital role in helping the healthcare industry take a second care, and government employers in Arizona. look at their drug testing practices, thereby ascertaining where She is the Director of Employee Health there are gaps that can be resolved. Leveraging a comprehensive at Northern Arizona Healthcare (NAH), drug testing program in your hospital can provide a deterrent to Flagstaff. NAH is a non-profit multi-location current substance misusers from joining your organization and healthcare system serving the residents and others from engaging in substance misuse while being members of communities of Northern Arizona. A team of four occupational your team. In 2018, the healthcare industry is extremely competi- health nurses provides evidence-based employee health and safety tive. To compete, it is worth the effort to do a comprehensive programs to over 5,000 employees, volunteers, healthcare pro- assessment of your drug testing program and identify opportunities viders, and students every year. Services include on-boarding, to create a safer patient environment, as well as assist struggling immunizations, health surveillance, TB control, respiratory protec- healthcare workers with substance abuse issues. tion, post-exposure counseling, post-accident triage, workers’ compensation (WC) case management, and injury investigation Objectives: and prevention strategies. This team works collaboratively with in- 1. Identify the need for comprehensive reassessment of drug test- fection prevention and population health to mitigate risk of disease ing programs in the healthcare industry. exposure and provide programs to preserve and improve colleague 2. Review core philosophies, best practices, and known chal- health. Cassens has been instrumental in building a culture of col- lenges. league safety through policy, training, and securing organizational 3. Provide useful tools to complete a comprehensive drug testing support for the implementation of a workplace violence awareness program assessment. and prevention program, a safe lift program, and CAPR respiratory protection, as well as growing the critical incident stress manage- Speaker Bio: ment response program. Through these programs, NAH has suc- Lorraine Chambers Lewis has been work- cessfully reduced serious harm to colleagues, improved safety for ing in the employee health field for over 11 colleagues and patients, and reduced WC premiums by 50 percent. years and is the Vice President of Employee Health Services (EHS) at Northwell Health. Trish Lough is a Physical Therapist em- She oversees the eleven Northwell Health ployed by Northern Arizona Healthcare EHS offices that provide comprehensive for the last 22 years. During that time, she occupational health services to 66,000 worked as a Staff Physical Therapist and employees. As a Physician Assistant for Manager of Therapy Services at Flagstaff over 24 years, she has fortified her clinical Medical Center. Lough now serves as the resume in emergency medicine, internal medicine, critical care, Northern Arizona Healthcare Therapy Sys- and occupational health. In her current role, she has been able tem Manager. As a clinician, she worked in to provide strategic vision, develop the infrastructure for North- a wide variety of settings, but the majority of her career has been well’s injury management and prevention program, as well as in the acute care and acute rehab settings. After observing the same launch a business model offering off-site and on-site occupational patient mobility challenges in numerous hospitals, she has become health and wellness services to external employers. She acquired increasingly passionate about helping Northern Arizona Healthcare her MBA in Quality Management from Hofstra University and develop a culture of safe patient mobility. later earned the distinction of board certification in healthcare management by becoming a Fellow in the American College of Healthcare Executives. Currently, she is the President of the AOHP Nassau/Suffolk New York Chapter.

42 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ B006 September 7, 2018 B B007 September 7, 2018 B Friday 1:10 pm - 2:10 pm Friday 1:10 pm - 2:10 pm Breakout Session – Level: Basic Breakout Session – Level: Basic

Topic: What We Wish We had Known: Topic: Collaborative Approaches to Improve a Resources for the First Year in Occupational New Staff Employee Immunization Program: Health Tan Tock Seng Hospital’s Journey Presenters: Natalie G. Guynn, MSN, NP-C and R. Danielle Presenter: Angeline Tay, RN, BSN Snider, MSN, NP-C Topic Overview: Tan Tock Seng Hospital (TTSH) is one of Singa- Topic Overview: Occupational health is a mystery to those in pore’s largest multi-disciplinary hospitals, known for spearheading other areas of healthcare. In a given week, we work onsite at a medical care and managing infectious disease exposures locally. large industrial complex, visit factory workers to update their Emerging infectious disease is an increasing risk to patients and vaccines, and provide free hypertension screenings for a local healthcare workers in Singapore and internationally. Increased technology company. Those obligations are stacked on top of prevalence of reported vaccine preventable disease (VPDs) managing several workers’ compensation injuries and managing outbreak incidents has been observed in local healthcare settings, hundreds of employee health files. There is little training and edu- resulting in an emergent need to protect staff and patients from cation out there for “newbies”. Most caregivers are thrown into VPDs. In 2014, Singapore’s Ministry of Health reviewed the po- the position, and they sink or swim. The key to surviving the first tential risks of VPDs which may be acquired in the workplace and year is having a network of colleagues and resources to navigate recommended the optimal use of immunization to reduce the risk through the never-ending questions. This presentation will equip of contracting and transmitting VPDs among healthcare workers. the occupational health provider with the tools and resources Despite adopting these recommendations under the Employee Im- they need to succeed, and provide a network of other nurses and munization Program (EIP), the timely completion and compliance providers who are in the same boat. rates of the required vaccinations were sub-optimal, especially among new doctors and nurses. Retrospective compliance data for Objectives: 2015 reflected that only 12% of new staff completed the required 1. Gain confidence in managing injuries, illnesses, and vaccine vaccinations within two weeks from commencement date. This requirements. resulted in the formation of a multi-departmental team comprised 2. Demonstrate skills in managing infectious disease exposures, of Occupational Health specialists and nurses, Human Resources, DOT physicals, and promoting safety and wellness in the and Operations representatives in 2016. The team collaborated to workplace. propose a modified TTSH Staff Immunization Framework which 3. Share acquired occupational health resources that others may adopts a risk stratification approach to assess the potential risks find useful. based on the job scope and clinical exposures. A quality improve- ment project using Value Stream Mapping methodology was Speaker Bios: conducted to improve the timely completion and compliance for Natalie Guynn currently works as the Oc- all new staff under EIP. The team conducted a detailed root cause cupational Health Nurse Practitioner at the analysis and developed comprehensive action plans to address University of North Carolina Hospitals in contributing factors and barriers. The action plan included data Chapel Hill, NC. Prior to joining Carolina, collection, establishing engaging communications among all Guynn worked as a nurse practitioner in a stakeholders, developing standard work procedures, and educating federally-qualified health center and in a new staff on the importance of EIP. These efforts have resulted in retail health clinic. As a registered nurse, achieving 67% of doctors and 97% of nurses completing timely she worked in an Emergency Department compliance by mid 2017. and as an EMT. Guynn received her BSN from the University of Virginia and her MSN from Duke University. She lives in Hills- Objectives: borough, NC with her husband and children. 1. Identify contributing factors for non-compliance of an Em- ployee Immunization Program (EIP). Danielle Snider has been a Family Nurse Practitioner for five 2. Illustrate the implementation of comprehensive action plans to years, working in urgent care and occupa- achieve timely compliance rates. tional health. She most recently began man- 3. Review the challenges and lessons learned from the develop- aging the Employee Health Department at a ment and implementation of an effective small rural hospital in North Carolina. She EIP. works with numerous companies onsite and in her clinic to develop wellness plans and Speaker Bio: programs that suit each employer’s needs. Angeline Tay is the Assistant Nurse Clini- Snider has developed a passion for wellness cian at Tan Tock Seng Hospital in Singa- at work and for implementing successful pore, where she started the first dedicated wellness programs in small and large companies alike. She lives in Occupational Health Clinic in Singapore’s Asheville, NC with her husband and children.

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healthcare industry. A pioneer who set the benchmark for oc- more than five years. In this role, he has the responsibility for cupational safety and health in Singapore’s healthcare indus- workers’ compensation case management for an organization try, Tay has made significant contributions in implementing with over 3,500 employees. NAH is composed of two hospitals, employee health-related programs such as healthcare workers’ Flagstaff Medical Center and Verde Valley Medical Center, as medical surveillance, staff vaccination programs, employee well as a provider network of satellite clinics. Flagstaff Medical exposure management, and work-related injury and incident Center is the only level one trauma center in Northern Arizona. management. She has also contributed to occupational health The coverage area for NAH is 50,000 square miles and includes surveillance system development such as the NHG Staff Im- Grand Canyon, the Hopi Reservation, the Havasupai Reservation, munization Recording System and National Staff Surveillance and part of the Navajo Nation. Snyder has a Master’s in Nursing System (Immunization Module). Tay has a Bachelor of Science from the University of Texas in Austin. He has been an RN for 26 in Nursing from Curtin University and was awarded the 2017 years. He has worked in occupational health nursing for the last Ministry of Health Singapore Nurse Merit Award. She is also a 18 years, and has worked in the healthcare industry since 2011. strong advocate for Total Workplace Safety and Health (TWSH) Snyder’s experience in workers’ compensation case management and is appointed by the Workplace Safety and Health Council has been in three states - Iowa, Texas, and Arizona. In addition, to be a member of the Sub-Committee 1 of Tripartite Oversight he has collaborated with other OHN case managers with claims Committee (TOC) for Workplace Safety and Health. Tay is the management in New York, Alabama, Florida, Wisconsin, North current President of the Singapore Society of Occupational Carolina, Oklahoma, and Virginia. In 2007, he responded to the Health Nurses (SSOHN) and a member of the Singapore Nurs- California wildfires with the American Red Cross as a representa- ing Association (SNA), American Association of Occupational tive of AAOHN. Snyder is a second career nurse. In his first ca- Health Nurses (AAOHN), and Association of Occupational reer, he was a Park Ranger with the . Prior Health Nurse Practitioners (UK) (AOHNP). to completing his higher education, he served in the U.S. Navy.

B008 September 7, 2018 I B009 September 7, 2018 I Friday 1:10 pm - 2:10 pm Friday 1:10 pm - 2:10 pm Breakout Session – Level: Intermediate Breakout Session – Level: Intermediate

Topic: Workers’ Compensation is Not a Lost Topic: Building an Accessibility Culture: Cause Implications for Safety Device & PPE Use Presenter: Stephen G. Snyder, RN, MSN, COHN-S Presenter: Amber Hogan Mitchell, DrPH, MPH, CPH

Topic Overview: This presentation will describe the success Topic Overview: Today, we are attached to our smart phones and that Northern Arizona Healthcare (NAH) had in implementing tablets. Where would we be without them as a permanent fixture, a Nurse Case Management Program responsible for managing attached as if surgically to our hands, eyes, and ears? They are workers’ compensation claims within the healthcare system for 100% accessible to us and if they aren’t, we panic! This presenta- their employee injuries. In 2013, NAH, an organization with tion will explore how improving accessibility to safer medical de- 3,300 employees, was paying an annual premium for its workers’ vices and PPE cannot only build upon the “Accessibility Culture” compensation insurance of $2.1 million. There were 165 work- in which we already live, but also build and perpetuate climates ers’ compensation claims that year, and the average cost per claim of safety that work together to augment the overall culture of was $5,500. In 2017, the workers’ compensation premium had safety in an organization or system. We will explore the injuries been reduced to $1 million, there were 109 workers’ compensa- and exposures that have been reported through the past five years tion claims, and the average cost per claim had been reduced to of EPINet and other blood exposure (mucocutaneous) surveil- $3,500. Learn how the active management of workers’ compensa- lance systems to identify together how better placement and ac- tion claims and promotion of the safest possible workplace have cessibility of engineering controls and PPE would/could prevent had a direct impact on the bottom line. incidents from occurring in the future. Data-driven policies and protocols are not only the foundation of healthcare, but they can Objectives: also serve as building blocks to creating 1. Analyze trend data in formulating a plan of action for workers’ that can dictate whether an institution simply advertises that they compensation case management. have a culture of safety or if they actually do. At the conclusion 2. Assess the workers’ compensation case management process. of this interactive presentation, attendees will have tools to: build 3. Evaluate workers’ compensation chal- programs in their institutions to improve accessibility to occupa- lenges. tional controls; improve employee perception (and action) about their own risk and the value that their facility places on their Speaker Bio: safety; and to help the personnel in their institutions wonder why Steve Snyder is the Workers’ Compensa- they don’t panic when engineering controls and PPE aren’t im- tion Case Manager with Northern Arizona mediately accessible, just like they would for their smart phones. Healthcare (NAH) in Flagstaff, AZ. He has been with NAH in that position for

44 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ Objectives: Objectives: 1. Identify how accessibility of engineering controls and PPE can 1. Compare the terms reactive and proactive as they relate to oc- impact use and compliance. cupational safety, quality, and risk. 2. Determine how/if injuries and exposures may have been pre- 2. Explain the intersection of behavior-based safety and a cul- vented by implementing better access to controls. ture of safe patient handling. 3. Discuss why accessibility of occupational controls may impact 3. Describe a proactive approach to patient handling in general both climate and culture of safety and employee perception and safety in targeted sites such as radiology, the OR, and about risk. when performing wound care specifically.

Speaker Bio: Speaker Bios: Amber Mitchell is the International Safety Edward Hall is a Certified Safety Profes- Center’s President and Executive Direc- sional and holds a master’s degree in Fire tor. The Center distributes the Exposure Safety. He has helped healthcare organiza- Prevention Information Network (EPINet) tions worldwide make significant improve- to hospitals to measure occupational expo- ments in occupational injury risk reduction. sures to sharps injuries and other blood and He is a leader in occupational safety efforts body fluid exposures. Dr. Mitchell’s career by way of safe patient handling and mobility has been focused on public health and strategies, and he is the author of a number occupational safety and health related to preventing infectious of articles, books, and book chapters. Hall is currently the Chief disease. She has worked in the uniformed services, public, private Operating Officer at The Risk Authority at Stanford, and he has and academic sectors. Dr. Mitchell began her career as the first been instrumental in developing a mobile, web-based, hand-held OSHA National Bloodborne Pathogens Coordinator and has re- tool designed to mitigate occupational threats to safety and quality. ceived several Secretary of Labor Excellence awards for her work on bioterrorism and public preparedness. She holds a Doctor of Dr. Susan Gallagher is a Certified Bariat- Public Health (DrPH) from the University of Texas School of ric Nurse, Health Care Risk Manager, and Public Health and a Master’s in Public Health from The George Certified Safe Patient Handling Professional. Washington University. She is Certified in Public Health (CPH) She holds a Master’s in Nursing, a Master’s as a member of the very first CPH cohort offered by the National in Religion and Social Ethics, and a PhD Board of Public Health Examiners. in Policy Ethics. She has published over 200 peer-reviewed articles and contributed chapters on quality and safety in both the B010 September 7, 2018 I Handbook of Hospital Safety, 2011 edition, and the 2012 book Friday 2:15 pm - 3:15 pm Epidemic of Medical Errors and Hospital-Acquired Infections. Dr. Breakout Session – Level: Intermediate Gallagher is author of the books The Challenges of Caring for the Obese Patient, the American Nurses’ Association Implementation Topic: A Practical Approach to Building Guide to the Safe Patient Handling and Mobility Interprofessional Evidence-Based Safety with Safe Patient National Standards, and the all-new Bariatric Safe Patient Han- Handling Model dling. She is a recognized expert in safety, outcomes, and commu- Presenters: Ed Hall, MS, CSP and Susan Gallagher, PhD, nication with an emphasis on bariatrics, skin and wound care, safe MSN, MA, RN, CSPHP, CBN patient handling and mobility, and risk and loss control.

Topic Overview: Healthcare workers explain that patients/resi- dents are sicker, heavier, and care is more complex than ever B011 September 7, 2018 I before. Occupational injury associated with patient handling is on Friday 2:15 pm - 3:15 pm the rise, as are costs from an economic and humanistic perspec- Breakout Session – Level: Intermediate tive. Occupational health practitioners worldwide are seeking innovative methods to measure and manage risks associated with Topic: A Practical Approach to Indoor Air worker injury. Predictive analytics have helped organizations Quality Investigation better understand these opportunities. In the occupational health Presenter: Larry Lee, CIH community, demands for practical and meaningful technology continue to grow in an effort to reduce worker injuries and con- Topic Overview: Indoor air quality (IAQ) issues typically involve trol unnecessary economic and humanistic costs. This presenta- non-specific symptomologies, vague recollections of onset and tion describes six-year data/outcomes associated with a hand- progression, and fear. As time passes, affected occupants can feel held, web-based tool that identifies and manages occupational isolated and alone. From here, an unhealthy “us versus them” health risks in a timely, appropriate manner. Additionally, case workplace dynamic can develop where the affected occupants and studies from high-risk areas for occupational injury are presented, co-workers may conclude that management doesn’t care about such as in the operating room, in radiology, and when delivering their situation. Sides may be chosen, lines may be drawn, and wound care. intractable positions staked out. Against this backdrop, Facilities

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Engineering staff will work on the ventilation system, but if they Topic Overview: Job accommodations begin at the request of the don’t understand the occupant’s issue and how it does or does not employee. This usually occurs with the occupational health RN relate to the system, they may end up just spinning their wheels (OHN) during an intake session. Many other parties are involved and increasing the level of frustration on all sides. An IAQ special- in this decision making. The OHN has to stay within the regula- ist may be called in to collect air samples, but all too frequently tions and work through the process to ensure all avenues have they collect samples for the sake of collecting samples “because been exhausted to reach a reasonable accommodation. Partici- the client asked me to take samples”, despite having no idea pants in this session will discover the importance of the OHN role about what to look for as it relates to the occupants’ symptoms. in making these decisions and staying legal. Sampling without testing an underlying hypothesis, or an under- standing of what changes will be necessary if unfavorable results Objectives: are returned, typically results in more confusion, and feelings 1. Define Job Analysis. of helplessness and frustration. This can be prevented through a 2. List two members of the job accommodation team. practical understanding of common IAQ-related health symptoms 3. Name three areas in which reasonable accommodations may be and causes, and an understanding of ventilation system operation needed. can provide the basis for an investigation, help develop working hypotheses, and identify causes and solutions, often without the Speaker Bio: need for sampling. Where sampling is needed, working hypoth- Barb Maxwell established a hospital-based eses can be tested and results shared effectively following simple occupational health program in 1986 known risk communication principles. This presentation will provide a as Company Care for HCA. Her current practical outline for indoor air quality investigations that includes: responsibilities include management of op- developing symptom profiles; understanding typical indoor air erations for 10 Company Care Occupational quality symptoms and their causes; understanding fundamental Health Programs and 16 Employee Health building ventilation systems and operations; developing working Departments for the HCA West Florida Di- hypotheses; common sampling and measurement techniques; and vision. Maxwell is President of the Florida risk communication principles. State Association of Occupational Health Nurses, Inc. (FSAOHN) and Treasurer for FWCAOHN. She was recognized by FSAOHN Objectives: as Nurse of the Year in 2013 and inducted as an FSAOHN Society 1. Identify likely causes and sources of symptoms related to IAQ Fellow in 2016. She serves on the National AAOHN Board of (e.g. dust). Directors and is recognized as a Fellow. Maxwell received her RN 2. Understand the proper function of basic ventilation system ele- from St. Luke’s Hospital School of Nursing, Kansas City, MO, ments and operations. and her Bachelor’s and Master’s in Health Administration from 3. Use basic risk communication tools to resolve IAQ issues. the University of St. Francis, Joliet, IL. She is a recognized expert in the field of occupational health nursing and speaks nationally, Speaker Bio: as well as at state and local levels. Larry Lee is a Certified Industrial Hy- gienist with over 20 years of experience conducting indoor air quality investigations B013 September 7, 2018 B in healthcare, academic, commercial, and Friday 2:15 pm - 3:15 pm residential settings. He is a frequent pre- Breakout Session – Level: Basic senter on indoor air quality and infection prevention topics and has presented to his Topic: Future of Office Ergonomics local AOHP chapter, the local and national Presenter: Kathy Espinoza, MBA, MS, CPE, CIE AIHA (American Industrial Hygiene Association), the local and national APIC (Association for Professionals in Infection Con- Topic Overview: Office environments have come a long way. trol and Epidemiology), and the ACGIH (American Conference Yesterday’s office was designed for administrative tasks and of Governmental Industrial Hygienists). mounds of paperwork, whereas today’s offices focus on comput- ers, adjustability, and sit/stand workstations. How do we prepare for the mobile workforce of the future that has more than tripled B012 September 7, 2018 I in the past decade and has turned coffee shops, cars, airports, and Friday 2:15 pm - 3:15 pm homes into offices? This session will look at the future of what Breakout Session – Level: Intermediate work looks like and discuss the shift in workforce demographics, the pace of technology, and where work is being done. It will also Topic: Job Accommodations - Who is the look at back pain commonly found in office workers and review Enforcer? what’s trending in worker care. Presenter: Barb Maxwell, MHA, RN, COHN-S, CCM, CWCP, FAAOHN Objectives: 1. Review the office environment and purpose; past, present, and future.

46 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ I

2. Examine how a shift in workforce demographics brings new comprehensively prepare for the varying demands of different challenges to ergonomics. high-consequence pathogens. Combining an all-hazards approach 3. Evaluate current burdens of back pain in the office and trends with specific lessons learned from previous experiences involving in worker care. high-consequence pathogens can position occupational health pro- fessionals to contribute to critical emergency preparedness initia- Speaker Bio: tives and ensure healthcare professionals are protected when asked Kathy Espinoza is a Board Certified Pro- to care for a patient infected with a high-consequence pathogen. fessional Ergonomist with dual master’s degrees: one in Work Science/Physiology; Objectives: and the other in Business Administration. 1. Describe the characteristics of high-consequence pathogens. She has worked at Keenan & Associates 2. Identify occupational health and occupational infection preven- for over 16 years, providing ergonomic tion programmatic requirements necessary for responding to assessments and injury prevention training high-consequence pathogens. to office personnel, management, execu- 3. Interpret how applying all-hazards principles from emergency tive boards, custodial, and facility departments. She gained most management can be used to increase planning efficiency. of her experience in ergonomics while serving as the Coordina- 4. Explain methods for assessing and applying current capacities tor of the Chronic Back Pain Program for Kaiser Permanente in to high-consequence pathogen occupational health challenges. Fontana for over 12 years. Espinoza taught Ergonomics in the Workplace at UC, Riverside for over 10 years and was the 2010 Speaker Bios: recipient of the UCR Instructor Excellence Award. She has 67 Christopher Blank is an Infection Preven- articles published in the field of ergonomics. tion Consultant for Occupational Health and Emergency Preparedness at BJC HealthCare in St. Louis, MO. He received B014 September 7, 2018 B his Master’s in Public Health from Saint Friday 2:15 pm - 3:15 pm Louis University, where his concentration Breakout Session – Level: Basic was bio-security and disaster preparedness and epidemiology. Blank’s responsibilities Topic: Ready for Anything: Applying All- include assisting coordination, planning, and response by oc- Hazards Planning and Experience to Protect cupational health, infection prevention, and emergency prepared- Staff from Ebola and Other High-Consequence ness to high-consequence infectious diseases, including Ebola, Pathogens pandemic influenza, and emerging respiratory illnesses. Presenters: Christopher Blank, MPH and Theresa LaGarce, BSN, RN Theresa LaGarce is an Occupational Health Nurse at Barnes-Jewish St. Peters Topic Overview: Microbes responsible for infectious diseases Hospital in St. Peters, MO and Progress with potential to cause epidemics involving severe human illness West Hospital in O’Fallon, MO. She frequently are referred to as high-consequence pathogens. They received her Bachelor of Nursing from pose significant preparedness, mitigation and response challenges Maryville University. LaGarce is respon- for healthcare by taxing the capacity to maintain staff safety sible for the health and safety of all employ- while providing adequate patient care. Recognition of the serious- ees who are involved in the care of patients ness of the challenges posed by high-consequence pathogens is and the patient environment. increasing among healthcare and public health leaders following several high-profile events. In recent years, outbreaks of Severe Acute Respiratory Syndrome and Middle East Respiratory Syn- B015 September 7, 2018 I drome affected hospital operations in multiple countries, while Friday 2:15 pm - 3:15 pm Ebola Virus Disease prompted healthcare facilities throughout the Breakout Session – Level: Intermediate United States to rapidly obtain inventories of personal protec- tive equipment, implement new safety protocols, and train staff Topic: Blood and Body Fluid Exposure- how to use personal protective equipment while safely providing Creating a Streamlined Process for Exposures patient care. Many of these challenges were identified and met Presenter: Michelle A. Chester, DNP, MSN, BSN, RN, RNFA, largely on a just-in-time basis. The difficulty of doing so demon- CNOR, FNP-BC strates the importance of early, thorough, and multi-disciplinary planning to ensure staff are sufficiently protected. Yet, prepar- Topic Overview: Currently, there is a lack of understanding and ing for every potential high-consequence pathogen is difficult process flows for occupational exposures. This presentation will and inefficient when response strategies are tailored to a specific give participants a better understanding of blood and body fluid disease. Applying the all-hazards methodologies of emergency exposures and immediate steps for hospital leaders and employees management to preparedness for high-consequence pathogens to take in the event of an exposure. Other discussion topics will in- can help occupational health professionals more efficiently and clude anonymous versus confidential source patient testing, what

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to do if an employee refuses testing, requirements for rapid HIV 2. Provide application-based solutions allowing harmony to pre- testing onsite, creation of a process flow that can work for indi- vail when driving success. vidual institutions post-exposure, and the importance of updating 3. Identify patient population specific risk for patient handling policies and procedures based on current state laws. Understand- injuries and learn solutions to get the rhythm back in your ing the state specific responsibilities for First Responders, and the program. pediatric population during an occupational exposure. 4. Show how short term and long term metrics will bring your safe patient handling audience to their feet and scream ENCORE! Objectives: 1. Understand confidential and anonymous source patient testing. Speaker Bios: 2. Create a process flow regarding testing post-exposure. Amber Perez is a licensed nurse, holds a 3. Differentiate appropriate policy content for developing a blood Master’s of Healthcare Administration and and body fluid process. is a Certified Safe Patient Handling Profes- 4. Address state laws with regard to the pediatric population sional. She began her career as a bedside involving exposures. nurse in 2003; early in her career she 5. Review recommended guidelines for HIV PEP. sustained a major back injury after help- ing to move a patient. In response to this Speaker Bio: injury, Perez implemented a Safe Patient Dr. Michelle Chester has over 20 years of Handling Program at her facility. Early successes prepared her experience in the healthcare field. She has to join Banner Health to help co-lead the implementation of Safe completed her MSN-Family Nurse Practi- Patient Handling and Mobility as a consultant across the system. tioner and a Doctorate of Nursing Practice She co-authored and was a co-investigator in the validation of the at Rutgers University School of Nursing. Bedside Mobility Assessment Tool (BMAT). Perez left Banner Dr. Chester currently serves as the Corpo- Health to begin working with equipment vendors as the Direc- rate Director of Employee Health Services tor of Clinical Services; currently leading Clinical Services for (EHS) at Northwell Health. EHS serves Wy’East Medical and establishing the program support division, over 65,000 employees across the organization, as well as volun- Sustainable Patient Handling Solutions. Perez continues to per- teers, students, licensed independent practitioners, and vendor/ form collaborative research projects and shares her expertise in contracted staff relationships. Dr. Chester provides leadership SPHM with hospital systems all across the United States. and oversees operational EHS activities throughout the organiza- tion, leading the implementation of departmental strategic goals Andy Rich works as the Clinical Manager and performance improvement plans, mergers, and acquisitions. for Getinge, providing leadership in design, delivery, and consultation of effective safe patient handling and mobility programs B016 September 7, 2018 I since 2004. In addition, he served on the Friday 3:20 pm - 4:20 pm Executive Board of the Association of Breakout Session – Level: Intermediate Safe Patient Handling Professionals from 2011-2013. Rich has worked as an occupa- Topic: Making your Safe Patient Handling & tional therapist, developing safety programs, return to duty work Mobility Program Sing programs, and managing an Industrial Rehabilitation Program Presenters: Amber Perez, MHA, CSPHP and Andy Rich, MS, since 1997. He holds certifications in ergonomics, process im- OTR/L, CSPHP provement, and training and development. He has presented as a keynote and plenary speaker every year from 2008-2014 at the: Topic Overview: The development and implementation of a safe Patient Handling and Movement Conference in Florida; 2007 East patient handling program demands the use of clear strategies and Coast Ergonomic Conference; 2006, 2007, and 2008 OSHA Safe realistic tactics to achieve long-term success. Without a commit- Patient Handling Conferences; and 2005 AOHP National Con- ment from organizational leadership and active participation by ference in Texas. Rich served as the Professional Development healthcare workers, the initial investment into resources that pro- Director for the Chicago Chapter of the American Society for mote mobility with safety and dignity will fall short. Participants Training and Development in 2004. He has a Master of Science in in this blended session presented by two seasoned SPHM experts Occupational Therapy from Rush University in Chicago, IL. will explore: how to collect and review injury data from perform- ing high-risk tasks based on patient population and job demands; how to choose the most effective equipment options and engage B017 September 7, 2018 B staff to use them; and the benefits of root cause analysis to identify Friday 3:20 pm - 4:20 pm and prevent further risk. Breakout Session – Level: Basic

Objectives: Topic: EEOC Overview with Practical Tips for 1. Identify common constraints to SPHM success that take your Preventing Employment Discrimination program out of tune. Presenter: Krista Watson, MA

48 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ Topic Overview: Have you done everything possible to prevent Presenters: Joshua Scott, MS and Roberta Smith, MSPH, RN, employment discrimination? It is doubtful anyone can say they COHN-S, CIC, CIH have done everything possible. The presenter for this breakout session has been working on behalf of the Equal Employment Topic Overview: Total Worker Health® (TWH) is defined as Opportunity Commission (EEOC) for more than 27 years, and policies, programs, and practices that integrate protection from she knows what will get employers sued. Participate in this work-related safety and health hazards with promotion of injury unique opportunity to hear her thoughts on what you can do to and illness prevention efforts to advance worker well-being. It’s prevent employment discrimination from happening in your a relatively new framework, but one that has been well received workplace. It’s more than just trying to comply with the law. by many occupational health nurses. Because TWH is in its Practical tips will be provided and the basics reviewed. The infancy, professionals who perform work related to both occupa- U.S. EEOC is responsible for enforcing federal laws that make tional safety and health promotion need additional professional it illegal to discriminate against a job applicant or an employee education. In 2017, the Center for Health, Work & Environment because of the person’s race, color, religion, sex (including preg- commissioned a national continuing education needs assessment nancy, gender identity, and sexual orientation), national origin, for health, safety, and TWH professionals. It was the first national age (40 or older), disability, or genetic information. It is also needs assessment of its kind that integrated TWH information. illegal to discriminate against a person because the person com- The survey closed December 31, 2017 with over 2,000 responses, plained about discrimination, filed a charge of discrimination, or of which 400 identified as occupational health nurses. We will participated in an employment discrimination investigation or present the results of this survey with a focus on TWH educational lawsuit. Most employers with at least 15 employees are covered needs and the medical community. Preliminary analyses indicate by EEOC laws (20 employees in age discrimination cases). Most there is a significant need for TWH educational opportunities labor unions and employment agencies are also covered. The from occupational health nurses, many of whom indicate spending laws apply to all types of work situations, including hiring, fir- some or all of their work time in TWH-related tasks. ing, promotions, harassment, training, wages, and benefits. Objectives: Objectives: 1. Review the concept of Total Worker Health® (TWH). 1. Identify individual roles in preventing discrimination, regard- 2. Understand the results of the continuing education needs as- less of one’s position within an organization. sessment conducted by the NIOSH Education and Research 2. Identify simple tips to be a model employer when it comes to Centers. equal employment opportunities. 3. Identify areas where the TWH concept can fit into occupa- 3. Understand the basics of employment discrimination. tional health nursing activities. 4. Recognize resources nationally for continued education on Speaker Bio: TWH. Krista Watson serves as the Program Ana- lyst for the Phoenix District Office of the Speaker Bios: U.S. Equal Employment Opportunity Com- In the Center for Health, Work & Environ- mission (EEOC). As the Program Analyst, ment, Joshua Scott leads a team of dedicat- she is responsible for the Phoenix District ed health and safety experts aimed at deliv- Office’s Outreach and Education program ering world class learning opportunities for in Arizona, New Mexico, and Utah. Watson professionals responsible for occupational is a frequent speaker throughout the district health protection and health promotion. about employment-related matters, EEOC laws, guidance, and The Center’s continuing education program procedures, and she is a featured speaker at many conferences and is responsible for local, regional, national, meetings. In addition to her duties in the Phoenix District, Watson and international conferences, online courses, webinars, and in- is a frequent trainer on national training projects. Before serving person and web-based trainings. He also teaches graduate level in this position, she was an Investigator and the Charge Receipt courses and seminars in Total Worker Health® (TWH) leader- Supervisor. As an Investigator, she investigated individual and ship, interdisciplinary learning, occupational stress management, class complaints of employment discrimination. Prior to joining the and workplace well-being. Prior to joining the Center’s team, EEOC 20 years ago, Watson worked for the Department of Justice. Scott was a consultant for the National Institute for Occupational She received her MA and BA from Western Illinois University. Safety and Health, where he led a team of researchers to investi- gate and produce guidance on conformity assessment of personal protective equipment (PPE), wildland fire fighter exposures, and B018 September 7, 2018 B products and standards guidance. He was also a faculty mem- Friday 3:20 pm - 4:20 pm ber at the University of Notre Dame, teaching health education, Breakout Session – Level: Basic nutrition, stress management, and exercise physiology. While teaching, Scott spent his summers directing a youth adventure Topic: An Evolution in Continuing Education camp across the Colorado Front Range. He is a former college Needs Among Occupational Health Nurses athlete, avid outdoorsman, and passionate advocate for healthy workplaces. He holds graduate degrees in Exercise Science and

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Holistic Health. He is currently a doctoral candidate in Health structure and OSHA’s method to calculating fines. Science from Western Michigan University. 3. Identify affirmative defense strategies to possibly avoid the issuance of citations and minimize the financial impact of Roberta Smith has spent her career ex- violations. ploring the many facets of public health. 4. Recognize the OSHA standards which impact healthcare She has over 18 years of experience in the facilities. fields of public health, occupational health, industrial hygiene, and infection control. Speaker Bio: She holds Bachelor of Science degrees in Stephen A. Burt is President and CEO Environmental Health and in Nursing. She of Healthcare Compliance Resources, holds a Master’s of Science in Public Health an affiliate of Woods Rogers Consulting, and certifications in infection control, industrial hygiene, and as a company developing and delivering an occupational health nurse specialist. In her career, she has as- strategic solutions to today’s healthcare sisted with outbreak investigations, helped to prevent polio from regulatory compliance problems. From spreading in Niger, West Africa, and has participated in develop- 1981 to 1994, as Corporate Director ing influenza immunization policy for the state of Colorado. She of Environmental Health for Carilion currently is the Occupational Health Program Manager at the Healthcare System (Roanoke, VA), he was Colorado Department of Public Health and Environment. In this responsible for OSHA, EPA, and Joint Commission compliance role, she conducts surveillance for occupational health indicators and was awarded the prestigious American Hospital Associa- in Colorado, promotes safe working practices in Colorado indus- tion’s Phoenix Award in 1988. During this time, he was non- tries, provides resources to Colorado occupational health nurses, legislative appointee to the Joint Legislative Administrative and continues to spread the gospel of good hand hygiene. Review Commission (JLARC). Most recently, he served two years as the Corporate Administrator of Employee Safety for Inova Health System in Falls Church, VA, with responsibility B019 September 7, 2017 A in employee health and for OSHA compliance. Burt conducts Friday 3:20 pm - 4:20 pm over 30 full-day OSHA, HIPAA and employee health seminars Breakout Session – Level: Advanced annually for the University of North Carolina, Duke Univer- sity, East Carolina University, AOHP, the Virginia Hospital and Topic: The OSHA Inspection - From Beginning Healthcare Association, and the American Hospital Association, to End among others. He is a member of the Virginia Chapter Board Presenter: Stephen A. Burt, BS, MFA and serves as Chair of the AOHP Government Affairs Commit- tee. Burt is the Past Executive Vice President of AOHP. Topic Overview: The new structure for OSHA penalties is now in place, and it’s eye-popping. With OSHA’s spotlight focus- ing on aggressive enforcement in healthcare – especially repeat B020 September 7, 2018 A violations, employers need to know their rights and obligations Friday 3:20 pm - 4:20 pm and be prepared to face them with aggressive compliance before Breakout Session – Level: Advanced OSHA shows up at the front door. If you work for one of the many healthcare facilities that grew somewhat lax about employee Topic: TBI/Concussion Management Return to safety, now is the time to buckle down and evaluate your current Work Strategies regulatory compliance policies and practices. Joint Commission Presenter: Kim Olszewski, DNP, CRNP, COHN-S/CM, FAAOHN surveys pale in comparison to the intensity of a full-blown OSHA inspection. Would you be prepared if you opened the door today Topic Overview: Traumatic brain injuries (TBIs) are caused by a to find an OSHA Compliance Safety Health Officer (CSHO) ready bump, blow, or jolt to the head, or a penetrating head injury, that to inspect your facility? Do you know the step-by-step approach to disrupts the normal function of the brain. The severity of a TBI an OSHA inspection? Do you know your legal rights? Your failure may range from “mild”, such as a concussion, causing a brief to plan may constitute an emergency that will put unnecessary change in mental status or consciousness, to “severe”, which re- stress - both human and financial - on your organization. In this sults in an extended period of unconsciousness or amnesia after session, we will discuss the standards to which healthcare facili- the injury. Occupational health nurses must be able to quickly ties must comply and offer solid defenses to defend citations. In identify and assess workers with head trauma. Understanding addition, we will review the top 25 violations written in hospitals evidence-based practice evaluation for TBIs is necessary to and present helpful tips on ways to minimize your exposure to improve worker health outcomes. This session will assist the costly OSHA penalties and negative public relations. occupational health professional to enhance assessment skills relating to concussion management, including use of assessment Objectives: tools, physical examination, and implementation and manage- 1. Review the step-by-step process of an OSHA inspection and ment of TBIs in the workplace. how to prepare for one. 2. Describe the types of violations, as well as the new penalty

50 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ Objectives: 3. Explore opportunities to mitigate occupational exposure as- 1. Discuss prevalence and trends related to concussion manage- sociated with an emerging weighted society. ment. 2. Review various concussion assessment tools, examination Speaker Bio: findings, and clinic management of concussions. Dr. Susan Gallagher is a Certified Bariat- 3. Explain specific applications for concussion management in ric Nurse, Health Care Risk Manager, and the workplace. Certified Safe Patient Handling Professional. She holds a Master’s in Nursing, a Master’s Speaker Bio: in Religion and Social Ethics, and a PhD Dr. Kim Olszewski is an American Nurses inPolicy Ethics. She has published over Credentialing Center (ANCC) Board Certi- 200 peer-reviewed articles and contributed fied Adult Nurse Practitioner and is a Certi- chapters on quality and safety in both the fied Occupational Health Nurse Specialist Handbook of Hospital Safety, 2011 edition, and the 2012 book and Case Manager from the American Epidemic of Medical Errors and Hospital-Acquired Infections. Dr. Board of Occupational Health Nurses. In Gallagher is author of the books The Challenges of Caring for the 2007, she received her Fellowship distinc- Obese Patient, the American Nurses’ Association Implementation tion from the American Association of Guide to the Safe Patient Handling and Mobility Interprofessional Occupational Health Nurses (AAOHN). National Standards, and the all-new Bariatric Safe Patient Han- Dr. Olszewski currently serves on the AAOHN Board of Direc- dling. She is a recognized expert in safety, outcomes, and commu- tors, and she is Past President of the Northeast Association of nication with an emphasis on bariatrics, skin and wound care, safe Occupational Health Nurses and the Pennsylvania Association of patient handling and mobility, and risk and loss control. Occupational Health Nurses. She has presented at the local, state, regional, and national levels of the association over the past 12 years on various topics, including DOT certification, Marketing C001 September 8, 2018 B OHNs, Fatigue Management, Healthy People 2020, Social Media Saturday 7:45 am - 8:45 am Integration, and Diagnostic Updates. Dr. Olszewski has published Saturday Opening Keynote – Level: Basic articles in Workplace Health & Safety and has also co-authored a chapter on Information Management through Innovative Technol- Topic: Quadruple Aim: Taking Care of ogy for Fundamentals in Occupational and Environmental Health Healthcare Workers Nursing: AAOHN Core Curriculum, 4th edition. She is Vice Presenter: Chia-Chia Chang, MPH, MBA President and Nurse Practitioner at Mid State Occupational Health Services Inc. and is the Nurse Practitioner Program Director & Topic Overview: A multitude of work and non-work related Associate Professor in the Bloomsburg University MSN program. factors influence worker safety, health, and well-being in every aspect of their lives. In the healthcare industry, this is particularly important since it is directly linked with patient safety and health B021 September 7, 2018 I outcomes. To address these concerns, there is growing interest Friday 3:20 pm - 4:20 pm in an integrated approach. The safest and healthiest workforce Breakout Session – Level: Intermediate develops in an atmosphere where the environment is hazard-free, policies are supportive of safety and health, and leadership and Topic: The Obesity Crisis: A Formidable Threat management are fully engaged in the well-being of workers. The to Occupational Health Total Worker Health® (TWH) approach refers to policies, pro- Presenter: Susan Gallagher, PhD, MSN, MA, RN, CSPHP, CBN grams, and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness Topic Overview: Some studies suggest as many as 74.1% of prevention efforts to advance worker well-being. The focus of Americans living in the United States are overweight or obese. TWH is the role of work design and work organization in con- Healthcare workers and healthcare recipients, as part of the greater tributing to adverse health in working populations. By address- population, reflect these numbers. Evidence suggests that handling ing safety, physical and mental health, and workplace policies, larger, heavier patients can place the worker at a disproportionate programs, and practices, we can advance the well-being of our risk for occupational injury. Healthcare workers themselves may healthcare workers. be overweight or obese, placing them at risk for slips, trips, and falls, and other types of occupational risk. This course addresses Objectives: opportunities to reduce occupational exposure associated with the 1. Discuss health and occupational challenges facing today’s changing population. A case study is included. workplace. 2. Describe Total Worker Health (TWH), an integrated approach Objectives: to worker safety, health, and well-being. 1. Describe the obesity crisis in the United States. 3. Identify promising practices using TWH to improve worker 2. Identify occupational risks associated with excess weight and well-being. weight distribution.

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Speaker Bio: ed with employers, we will present a schema of what Chia-Chia Chang is the Coordinator for workplace actions should be considered by all employers, includ- Partnership and New Opportunity Develop- ing revised approaches to accommodation, return to work poli- ment for the Office of Total Worker Health cies, approaches to job modification, flex-schedules, management (TWH) at the National Institute for Occupa- and leadership training, benefit structures, laws, communication tional Safety and Health (NIOSH), Centers strategies, transportation needs, structural considerations such for Disease Control and Prevention. She as facilities for medication storage and use, and other workplace leads initiatives to share promising practices strategies. We will share information on how to assess an employ- for integrated approaches to advance worker er’s approach to cancer survivorship. In summary, we will present safety, health, and well-being. She coordinates a task with RAND emerging best practices for healthcare professionals to respond to conceptualize worker well-being and a partnership with the to advancements in cancer treatment resulting in more and more National Institutes of Health (NIH) to identify research priorities patients surviving years beyond their initial diagnosis and treat- for TWH. In Chang’s previous work in the NIOSH Office of the ment. The important question is: How will organizations respond Director, she led enrollment and outreach for the World Trade Cen- to the needs of this growing segment of the working population? ter Health Program, served as Assistant Portfolio Coordinator for We will emphasize the role of the employer and the role that em- Emergency Preparedness and Response, and evaluated customer ployee health programs in healthcare can play in meeting this need service and a national research and translation partnership program. methodically and compassionately.

Objectives: C002 September 8, 2018 I 1. Develop greater awareness of the issues employees with cancer Saturday 8:50 am - 9:50 am face in the workplace. General Session – Level: Intermediate 2. Develop an understanding of the business case, as well as hu- manitarian case, for supporting employees with cancer. Topic: How Healthcare Professionals should 3. Learn what factors to assess to determine areas of need. be Thinking about Supporting Employees with 4. Learn what policies and strategies improve employee health, Cancer in the Workplace safety, and well-being outcomes. Presenters: Lee Newman, MD, MA, FACOEM, FCCP and Liliana Tenney, MPH Speaker Bios: Dr. Lee Newman is a professor, lecturer, Topic Overview: There are more than 15 million cancer survivors author, physician, and entrepreneur. He is in the United States, and the numbers are steadily growing as a professor in the Department of Environ- new treatments hold promise for prolongation of life. Increasing mental and Occupational Health, Colorado numbers of cancer survivors continue to work. Concerns about School of Public Health and in the Depart- work and financial viability are a top priority for patients and their ment of Medicine, University of Colorado. family members. Moreover, a shift from conventional chemother- Dr. Newman directs the Center for Health, apy to oral outpatient therapy has led to long-term treatment that Work & Environment at the university, continues until disease remission.With outpatient treatment comes a NIOSH Center of Excellence for Total the expectation that work and other aspects of life will continue Worker Health®. Dr. Newman is the Founding Director of the uninterrupted. The accumulated impact of these treatments on NIOSH-funded Mountain and Plains Education and Research patients and their ability to work is unknown. Cancer survivors Center that has trained more than 100 occupational safety and and support groups have identified many of the challenges they health professionals in the past decade. He is the Founder of face in the workplace. Our proposed session will present the case Axion Health, Inc., providing web-based software solutions for for employers to better support employees with cancer, including employee health in healthcare practices throughout the country. those working in healthcare. Our work is a result of a collabora- The author of more than 170 scientific papers and 100 books, tion with the University of Colorado’s Cancer Center and Patient chapters, and white papers, his research and occupational health Advisory Boards, to develop and conduct research in 60 worksites practice focus on the design, execution, and evaluation of practi- to improve cancer survivor and organizational-level outcomes. We cal workplace interventions that fall under the rubric of Total will discuss how employee health departments and professionals Worker Health. He practiced occupational medicine and pul- can influence outcomes for individuals and explore some of the monary medicine for more than 20 years, and has been teaching challenges. Cancer impacts the employee, the employer, co- occupational health and safety professionals for more than 30. workers, family, and patients, requiring us to consider strategies to help both the individual and the organization to address direct and Lili Tenney is the Deputy Director at the indirect consequences ranging from absences and presenteeism Center for Health, Work & Environment to fitness for duty, health insurance premium costs, and stigma. and an Instructor at the Colorado School of A small body of research evidence suggests that a number of Public Health, where she teaches graduate measures taken by employers may facilitate job retention, improve courses on Total Worker Health®. Tenney quality of life, and promote retention of employees while they are is the Co-Founder and Director of Health in treatment and upon remission. Based on focus groups conduct- Links™, an initiative to help organiza-

52 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ tions identify solutions for worker health and safety by providing Washington University’s School of Public Health and Health Ser- them with consulting, certification, and evidence-based resources vices and earned a Master of Public Health degree with a focus on for implementing policies and practices that focus on improving environmental and occupational health. employee health and well-being. She conducts Total Worker Health research focused on understanding organizational culture, policies, and practices that improve employee health and safety. C004 September 8, 2018 A Saturday 11:05 am - 11:35 am 30-min General Session – Level: Advanced C003 September 8, 2018 I Saturday 9:50 am - 10:50 am Topic: Legal Issues in Accommodating General Session – Level: Intermediate Pregnant Employees Presenter: Stephen A. Burt, BS, MFA Topic: Healthy Nurse, Healthy Nation Grand Challenge: A First Year Retrospective Topic Overview: Despite existing protections, pregnant workers Presenter: Jaime Murphy Dawson, MPH still face workplace discrimination – in all industries, across all races and ethnicities, and in every state. Pregnant employees are Topic Overview: As the largest subset of healthcare workers, forced out of their jobs and denied small accommodations – such nurses are ideally situated to be advocates, educators, and role as sitting instead of standing or carrying a water bottle – that models of health, safety, and wellness, personally and profession- would enable them to continue working and supporting their fami- ally. Nurses know how to maintain and improve health, yet in lies. Almost 40 years after passage of the Pregnancy Discrimina- many health indicators, their own health lags behind that of the tion Act (PDA) of 1978, pregnant women still face challenges on general U.S. population, particularly in nutrition, physical activ- the job. The PDA and lawsuits filed under the PDA have helped to ity, rest, safety, and quality of life. This presentation will examine alleviate some long-standing injustices, but pregnancy discrimina- current health data extracted from an ongoing online health sur- tion is still a reality for many workers. The Supreme Court issued vey on healthcare employees, with an emphasis on nurses. It will an opinion in Young v. United Parcel Service that has created demonstrate how to improve that data using the Grand Challenge more questions than answers for employers considering how to methodology. This particular Grand Challenge is a social move- accommodate pregnant employees. In addition, the Americans ment designed to transform the health of the nation by improving with Disabilities Act (ADA) requires employers to make reason- the health of the nation’s 3.8 million registered nurses. However, able accommodations for employees with disabilities. However, all are welcome and encouraged to participate. Methods will be courts have consistently held that ordinary pregnancy is not a discussed on connecting and engaging individual nurses, other disability. And now, the Equal Employment Opportunity Com- healthcare employees, nursing students, schools of nursing, and mission (EEOC) is making pregnancy discrimination a priority. In partner organizations to take action within five domains: physi- 2017 alone, the EEOC settled multiple pregnancy discrimination cal activity, sleep, nutrition, quality of life, and safety. An online cases for a total amount exceeding $700,000 in monetary dam- platform will be examined to increase positive actions, friendly ages. Additionally, the EEOC referred a lawsuit, U.S. v. School competition, content and resources, data, and connections among Board of Palm Beach County, Florida, to the Department of healthcare employees, employers, and organizations. A detailed Justice, which settled early this year for $350,000. These numbers health survey, competitive challenges, commitments, and metric indicate a huge liability that employers may face and reiterate requirements will be outlined. the importance of understanding laws that affect pregnancy in the workplace and the need to implement best practices to ensure Objectives: compliance. It has become one of the most common forms of dis- 1. Examine the current data on the status of nurse health, safety, crimination lawsuits, second to disability. In light of the Supreme and wellness through an ongoing health risk appraisal. Court’s decision and the EEOC’s focus on pregnancy discrimina- 2. Describe the Grand Challenge methodology. tion, policies should be reviewed carefully with employment law 3. Identify strategies used in a specific Grand Challenge to in- experts, as a pregnant employee under similar physical restric- crease the health of the nation’s 3.8 million registered nurses. tions will now have an easier road to establishing discrimination on the basis of pregnancy if denied an accommodation offered to Speaker Bio: an employee who suffered a workplace injury. This session will Jaime Murphy Dawson is the Director of explore the safest path to take in handling accommodations for Program Operations for the Healthy Nurse, pregnant employees. Healthy Nation™ Grand Challenge in the Department of Nursing Practice and Work Objectives: Environment at the American Nurses Asso- 1. Understand the basics of the Pregnancy Discrimination Act ciation (ANA). Her past programmatic work (PDA) and how the EEOC has interpreted the Americans with at ANA has included occupational safety and Disabilities Act in regard to the PDA. health topics such as safe patient handling 2. Describe the issues behind the Supreme Court ruling Young v. and mobility, healthcare worker vaccination, violence prevention, United Parcel Service, Inc. and the many cases handled by the and sharps safety. She attended George EEOC in 2017.

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3. Identify those policies and procedures which may be in viola- trends and initiatives. tion of the PDA. 3. Exchange best practices in reducing blood exposures. 4. Review the three main issues courts have used to provide guid- ance on the PDA. Speaker Bios: Terry Grimmond is an Australian consultant Speaker Bio: microbiologist with 51 years’ experience in Stephen A. Burt is President and CEO of disease transmission and prevention, and an Healthcare Compliance Resources, an affili- AOHP member for many years. His interna- ate of Woods Rogers Consulting, a company tional research is focused on reducing sharps developing and delivering strategic solutions injury risk to healthcare workers, and he to today’s healthcare regulatory compliance is Co-Investigator of AOHP’s annual USA problems. From 1981 to 1994, as Corpo- EXPO-S.T.O.P. Sharps Injury Survey. Grim- rate Director of Environmental Health for mond serves on sharps container standards Carilion Healthcare System (Roanoke, VA), in four countries, chaired the review of the U.S. Standard and rep- he was responsible for OSHA, EPA, and resents Canada on the ISO Standard. He has published extensively Joint Commission compliance and was awarded the prestigious and spoken at more than 190 conferences in 22 countries, receiving American Hospital Association’s Phoenix Award in 1988. During multiple awards for his work. this time, he was non-legislative appointee to the Joint Legisla- tive Administrative Review Commission (JLARC). Most recently, Dr. Linda Good has over 20 years of experi- he served two years as the Corporate Administrator of Employee ence as an occupational health professional, Safety for Inova Health System in Falls Church, VA, with responsi- and she currently oversees the team that bility in employee health and for OSHA compliance. Burt conducts provides services to the 14,000 employees over 30 full-day OSHA, HIPAA, and employee health seminars an- of Scripps Health. She is Co-Author of the nually for the University of North Carolina, Duke University, East EXPO-S.T.O.P. Sharps Injury Survey. Carolina University, AOHP, the Virginia Hospital and Healthcare Association, and the American Hospital Association, among others. He is a member of the Virginia Chapter Board and serves as Chair C006 September 8, 2018 I of the AOHP Government Affairs Committee. Burt is the Past Saturday 12:45 pm - 1:45 pm Executive Vice President of AOHP. Closing Keynote – Level: Intermediate

Topic: Respiratory Protection in Health Care: C005 September 8, 2018 I Where Do I Go for Answers? Saturday 11:40 am - 12:40 pm Presenters: Barbara I. Braun, PhD and MaryAnn Gruden, General Session – Level: Intermediate MSN, CRNP, NP-C, COHN-S/CM

Topic: Exchanging Best Practices to Reduce Topic Overview: National efforts to develop and disseminate Blood Exposures respiratory protection resources in recent years have led to the Presenters: Terry Grimmond, FASM, BAgrSc, GrDpAdEd and creation of a number of useful respiratory protection resources Linda Good, RN, PhD, COHN-S to assist leaders in meeting respiratory protection program re- quirements. Yet, challenges in resource dissemination, program Topic Overview: Bloodborne pathogen exposures represent one implementation, and clinical conundrums remain for a variety of of the most potentially devastating types of occupational injuries reasons. This presentation will explore these factors and provide among healthcare workers. Occupational health professionals practical information to assist in the implementation of respiratory devote a significant portion of their practice on exposures - evalu- protection programs in the healthcare setting. ating, treating, educating, tracking, reporting, and preventing. This team-taught presentation will demonstrate to conference partici- Objectives: pants how research and evidence-based practice can inform their 1. Identify key respiratory protection-related resources. management of this crucial concern and assist in bringing about 2. Understand impediments to dissemination and the role of indi- sustainable staff behaviors to reduce blood exposures. The session viduals. will include: a special conference-attendee preview of the 2017 3. Recognize challenging clinical situations in which new guid- AOHP-sponsored Exposure Survey of Trends in Occupational ance is needed. Practice (EXPO-S.T.O.P.) benchmarking research study results; 4. Effectively employ existing resources in updates on sharps and mucocutaneous exposure incidence; and the clinical setting. best practices in exposure prevention. Speaker Bios: Objectives: MaryAnn Gruden is a Certified Occupation- 1. Review findings of the 2017 EXPO-S.T.O.P. survey. al Health Nurse-Specialist/Case Manager. 2. Identify current bloodborne pathogen exposure prevention She received her Master’s in Nursing and

54 AOHP 2018 NATIONAL CONFERENCE, GLENDALE, AZ Family Nurse Practitioner from the University of Virginia. Gruden Barbara Braun is currently Associate has spent the past 27 years in the specialty of occupational health Director, Health Services Research, in the in healthcare. She most recently was the Manager of Employee Division of Healthcare Quality Evaluation at Health Services at Allegheny Health Network and led the network The Joint Commission. In her position, she WorkSAFE team on injury prevention. For the past 22 years she is involved with designing and implement- has served on the national Executive Board of the Association of ing collaborative projects related to quality Occupational Health Professionals in Healthcare (AOHP), includ- of care and multi-site infection prevention ing as Executive President. As a Board member and AOHP’s Com- research funded by CDC and AHRQ with munity Liaison, she has had the opportunity to write, speak, and partners at several academic medical centers. collaborate with national agencies such as the Occupational Safety She is a member of the CDC National Institute for Occupational and Health Administration (OSHA), NIOSH (National Institute Safety and Health (NIOSH) National Occupational Research for Occupational Safety and Health), CDC (Centers for Disease Agenda Healthcare and Social Assistance Sector Council, which is Control and Prevention), and The Joint Commission on healthcare charged with developing an industry-specific research agenda for worker safety issues. She is a past member of the NIOSH Board the nation, and is Co-Leader of The Joint Commission/JCR/OSHA of Scientific Counselors, an advisory board on NIOSH research Alliance activities. activities. She continues to advocate for healthcare worker safety as an occupational health consultant.

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