Skip to main content

What are the Duties and Responsibilities of Company Nurses?

What are the Duties and Responsibilities of Company Nurses?

What are the Duties and Responsibilities of Company Nurses?



by: Arlene Gentallan

PATIENT CARE

    A company nurse is the first line of response to relieve the immediate health concern of the people working in the company. Their health concern can vary from a mild ailment to a serious life-threatening condition.

Assess the patient for his/her chief complain. Gather data (history taking.) Ask for symptoms. Observe for sighns.

...so you can give proper intervention.


INDEPENDENT NURSING ACTION

    There are several independent actions you do to help ease the patient such as providing cold compress in case of fever and hot compress in case of dysmenorrhea.


DISPENSING MEDICATION

    There are several over-the-counter medication a company nurse can readily provide to alliviate the specific health concern of the person. These are usually non-drowse medications because it's a work setting. Common medications are:s

Paracetamol for fever/pain
Mefenamic acid for pain
Strepsil for sorethroat
Phenylpropanolamine / Phenylephrine for cold
Ambroxol for phegm
Butamirate for dry cough
Antacid for hyperacidity
Topical analgesic for muscle pain
Eye drop (artifical tear) for eye irritation
Metoclopromide for nause and vomiting
Betahistine Mesylate for dizziness
Captopril for hypertension
Metoprolol for hypertension
Loperamide for diarrhea
Band aid for bruises and wound


HEALTH TEACHING

    A nurse's role as an educator is crucial for the patient's wellbeing. Providing them information is the best way for them to take active part in maintaining/improving their health. Give them helpful advises and insight regarding ways to improve their current health condition. These advises can range from lifestyle such as diet and exercise up to referral regarding which health professional they can go to diagnose them.


REST A PATIENT

    Be mindful of the company's policy. Usually, an employee is alloted a certain timeframe (can be 5 minutes to a few hours) of rest period within their paid working hours provided they have valid medical concern. This is beneficial to the employee to allow them to recuperate a few minutes before they get back to work. Just make sure to properly assess the patient's condition to make sure the employee is not abusing this priviledge.


SEND A PATIENT TO HOSPITAL

    If it's a condition warranting emergency treatment, you will have to accompany the person to the hospital. Assess the situation properly so you can properly decide your best transport option. For example, in the case of a person who suffered from fall, you won't be able to move him/her on your own because their's a risk of aggravating his/her condition so you'll have to call an ambulance.


SEND A PATIENT HOME

    If the person is afflicted with communicable disease like sore eyes, measles, and chickenpox, there is a high risk of them passing the disease to their workmates. Now, we don't want that to happen so it's important for them to get well first before going back to work. Advise them to visit a hospital/clinic they prefer to be given proper treatment. Remind them to obtain a medical certificate as proof and come back when their doctor deems them fit to work.


WORK AS A TEAM WITH THE COMPANY PHYSICIAN

    We can do better as a team. Nurses and doctor, each have specific responsibility and capability as dictated by their profession but with a common goal to bring the person back to his/her optimal level of functioning.


MEDICAL CERTIFICATES VALIDATION

    Employees take leave / absenses because of various reasons, one of this is medical reason. The proof being is a medical certificate. You will be tasked to verify it. It's usually done by you calling the hospital/clinic in which they sought medical help. A company nurse may also need to validate the document with the company physician.


HOME VISITING

    In cases in which an employee fails to return to work due to medical reason, especially if it's beyond the timeframe given to them to rest, you may be tasked to visit them at home to see how they're doing.


DOCUMENTATION

    It's not just in the hospital setting where the quote "If it's not documented, it's not done." applies. You also have documenting responsibility as a company nurse. Stuffs such as these shown below needs to be documented:
    What was done.

       - What did you do during your shift? The usual things. The unusual thing.
    Patient care

       - What was the chief complain of the patient and what were the interventions (independent nursing actions, health teaching, medications, and resting period) given to correct it?
    Daily census

       - The number of females, males, and specific incident/health concern cattered to for the day.
    Medications dispensed

       - How much of each particular medication was given for the duration of your shift.
    Borrowed items

       - Clinic property that were borrowed should be recorded.
    Endorsement

       - The transfer of responsibility to the next nurse on duty. Is there a task you will need to delegate to the next shift?


ANNUAL PHYSICAL EXAMINATION (APE)

    Making sure that employees are fit to work and finding out any deviation in their health status is important to correct it. Make sure that employees comply to the annual physical examination. There's usually an APE team that will supervise the employees to complete this annual event.


FLU VACCINATION

    Prevention is better than cure. For a fee, discount or free, as per company policy, employees may be given flu shot to help prevent this commonly transmitted disease. Usually it's the company nurse who gives this prophylactic injection.
    Before:

       Always gather pertinent information from the person before injecting a flu vaccine. You have to ask them if they have an allergy to egg, is pregnant, is immunocompromised or have an preexisting disease. These are the conditions you have to watch out for. You can not give them a flu vaccine because of the risk.
    During:

       Inject intramuscularly (usually the deltoid muscle is used) at 90 degrees angle. Remember to aspirate the syringe before pushing the medication. If their's blood, withdraw the syringe. Keep in mind to never push the medication if their's blood aspirated. Apply pressure with cotton balls to prevent bleeding.
    After:

       After the intramuscular injection of flu vaccine, advise the person that it's normal for pain/heaviness to be felt on the site but will subside in a couple of minutes. Advise them that it's normal for them to develop headache, cold, and fever. This is due to their immune system reacting with the vaccine.


    Note: These are based from my experience as a company nurse. The purpose of this article is to serve as a helpful guide, not as standard. Please don't hesitate to check on your policy / guideline / regulation / standard / protocol.





Comments

Popular posts from this blog

18 Interesting Facts about Tetanus

18 Things You should know about Tetanus...before it's too late

By: Arlene Gentallan




        Tetanus is made popular by it's terrifying feature "lockjaw." It's a fatal disease. Victims may also suffer from "opisthotonus" which is an involuntary arching of the spine during which the sufferer is aware and is experiencing an intense pain,



1. If you got stump by a dirty rusty nail, there's a chance you can get this lethal infection.



2. The causative agent of tetanus, Clostridium tetani, is an obligate anaerobe. This means that they can not multiply in the presence of oxygen.

Airless environment providing favorable breeding ground to clostridium tetani includes deep wound, poorly cleaned wound, and wound with large area of dead cells.



3.Clostridium tetani, the bacteria responsible for tetanus is found virtually everywhere. It is most commonly found in soil, dust, and feces.



4. Tetanus is a common disease worldwide especially in areas with poor hygiene, sanitatio…

8 Amazing things about Rosemary

8 Health Benefits of Rosemary

By: Arlene Gentallan



        You might think of rosemary (Rosmarinus officinalis) as something you stuck in your dishes to taste, but this ancient symbol of remembrance has a rich history embracing both legends and reality. Rosemary's history brings forth images of Greek goddess Aphrodite, and Christian's Virgin Mary.

        In ancient times, rosemary is present in the most important life events such as weddings and funerals. It is believe to ward off evil spirit and nightmares. Ehem, rosemary has such an amazing fragrant that it has been used in ancient times to cover up the stench of rotting corpse.


Did you know: Rosemary comes from the latin "ros marinus" which translates to "dew of the sea."

1. Memory Booster

        Research has confirmed that this "ancient symbol of remembrance" actually does help you remember. Even it's smell can enhance memory and improve learning.



2. Uplifts the mood & Relieves stress

8 Horrifying things Pesticide does to your body

8 Horrifying things Pesticide does to your body

By Arlene Gentallan



        "With great quantity comes less quality." Pesticide's worldwide use to increase production of fruits and vegetables feeds many at the cost of their own health.

        Pesticide poisons everything. It doesn't just kill pest and bugs, but it also poisons our air, water, and soil. Harmful chemicals are then passed on to supposedly healthy fruits and vegetables. Although you can wash away pesticide on the outer surface of those produce, you can't remove chemicals already absorbed inside.

        Pesticide content of a fruit or vegetable may vary from small to large amount depending on where it came from.



While eating fruits and vegetables with minimal pesticide residue may not show cause symptoms right away, long term consumption can lead to serious health effects:


1. Cancer & Tumor

        Pesticide contains many toxic compounds which are carcinogens. It promotes tumor and ca…

DIY: Cinnamon Mouthwash to get rid of Bad Breath

DIY: Cinnamon Mouthwash to get rid of Bad Breath

By: Arlene Gentallan



        Cinnamon is an indispensable spice famous for it's incredible aroma and superb taste. But it's not just a spice, it's also an ancient wonder with many health benefits which includes getting rid of bad breath or halitosis.


There are reasons to swtich to natural alternative medicine...

        Did you know that commercially available mouthwash contains ethanol which increases oral concentration of acetaldehyde which by the way is a carcinogenic compound. Studies have shown that using these products may increase your risk of developing mouth and throat cancer.



1. Cinnamon, Honey, Lemon & Baking soda Mouthwash

        We know that cinnamon has antimicrobial property, but it's not alone. Lemon, honey, and baking soda also kills bacteria. We can combine these natural ingredients to make a home made chemical-free mouthwash alternative.

Ingredients:
Cinnamon powder (1/2 tablespoon)Fresh lemons (2 pi…

A leftover Onion is Deadly?

Botulism: Don't keep Onion leftover

By: Arlene Gentallan


Onion has a number of important health benefits, but don't ever keep an already sliced leftover of this pungent vegetable. Leftover onions are not safe! Even sauteed onions left at room temperature for prolong periods can be fatal!

        Hold it right there! Suppose I only need half an onion for my recipe. So I cut an onion into half, cook one half, while I store the other half on the shelf / refrigerator. You mean to say that's fatal?



The facts

Sauteed Onion

        In the year 1983, 28 people were afflicted with botulism after eating patty-melt sandwich containing sauteed onions. Botulism toxin were isolated in the sandwich wrapper.

        Among those 28 individuals, one died 6 months later in the hospital, while 12 others required mechanical ventilation to support their breathing.



Here's another case...

Garlic-infused oil

        In 1989, 3 people were afflicted with botulism after eating garlic bread made from …

8 Simple Test to Know if your Honey is Real...or Fake

Honey: How to determine Fake from Real

By: Arlene Gentallan




        Honey is a nutritious delicious food packed with health benefits. But, chances are, you've bought a fake honey yourself. Did you know that "more than three-fourths of the honey sold in U.S. grocery stores isn’t exactly what the bees produce" according to an article published on Food Safety News.

        If three our of four honey are fake, your chances of buying a fake honey is indeed high. You have to know what's real.



What is the difference between real honey and fake honey?

        Real honey (aka. pure or natural) is made by bees from flower's nectar. On the other hand, fake honey (also called artificial or adultered honey) is made from sugar, dextrose, corn syrups, flour, artificial flavor, or high fructose corn syrup.



Crystallizing does not spoil the honey

        Did you know folks that it is normal for real honey to crystallize. There is a process called "ultrafiltration" where microsc…

Safest for Arthritis pain: Celecoxib, Naproxen, or Ibuprofen

Which is really safest for Arthritis pain: Naproxen, Ibuprofen, or Celecoxib

 By: Arlene Gentallan


        Arthritic pain can be debilitating. While alternative treatments are available, many people around the world depend on medicine to manage this agonizing symptom. Doctors prescribe the safest and lowest recommended dose effective to relieve pain.
Naproxen, ibuprofen, and celecoxib are popular generic names of a drugs that’s the well known among chronic pain sufferers...so which one is safest?

1. Acetaminophen (Tylenol), also known as paracetamol, is usually the first line of treatment in managing mild arthritis pain, however it doesn’t relieve inflammation. Dosage should not exceed 4000mg in 24 hours.
2. Nonsteroidal anti-inflammatory drugs (NSAIDs) which includes ibuprofen and naproxen. Ibuprofen relieves pain quicker than naproxen. While on the other hand, naproxen’s pain relieving effect last longer than ibuprofen.
3. Cyclooxygenase-2 inhibitors (COX-2 inhibitor) celecoxib is carr…

"Good" cholesterol goes "bad": A fatal turn

"Good" cholesterol goes "bad": A fatal turn

By: Arlene Gentallan



        High-density lipoprotein (HDL) is known as the "good cholesterol" because it removes "bad cholesterol" known as low-density lipoprotein (LDL) from the blood  stream. By doing so, HDL "good cholesterol" prevents LDL "bad cholesterol" from building-up fatty plaque (atherosclerosis) within the walls of the arteries.

        High levels of "good cholesterol" is linked to reduced risk of cardiovascular diseases such as heart attack and stroke.


...But as it turns out, high levels of "good cholesterol" isn't good for everyone.



It's in your genes


        Inevitably, our genes can influence our health. People who possess the genetic variant "P376L" on their genes have unusually higher-than-normal levels of high-density lipoprotein (HDL) "good cholesterol" which increases their risk of cardiovascular disease.
Researchers fo…

4 Tips to Improve Eyesight

Tips to Improve Eyesight

By Arlene Gentallan



        Our eyes is our window to the world. Through it, we see, we explore, we live. But if you're not one of those individuals fortunate enough to have 20/20 vision, you may ask...is there a way to make your eyesight better?



1. Follow the 20-20-20 rule

        Did you know that eye muscles is the most used muscle? Your eyes deserve some rest too... Every 20 minutes of computer use, rest your eyes by looking at something 20 feet away for 20 seconds.

        Remember the 20-20-20 rule so you won't end up with tired eyes!



2. Eye strengthening exercise


        It's not just your arms and legs needing good ol' exercise...your eyes need them too. Although there is proof that eye exercise can increase visual acuity, it can improve your focus, relax, and strengthen your eye muscles.

Close your eyes
Squeeze your eyes shut for about 5 seconds. Open your eyes and let it relax for about 5 seconds. Repeat this for about 5-10 t…

10 Reasons Cinnamon is Good for your Health

10 Health Benefits of Cinnamon



By: Arlene Gentallan

        Cinnamon doesn't just make amazing teas and delicious cinnamon rolls, it's also packed with health benefits. In fact, this popular spice has been used as an alternative medicine since the ancient times.

        So the next time you indulge yourself with this treat, you know you're taking full advantage not only of it's flavour and fragrance



A word of caution


        But before you indulge on cinnamon, a word of caution, cinnamon contains coumarin, a fat-soluble anticoagulant compound which our body stores. High doses of coumarin in the body can damage kidneys and liver!



High doses of cinnamon is toxic to the body

        Avoid cinnamon cassia since it contains larger amount of coumarin. Cinnamon cassia is ironically the most widely available type of cinnamon in the market.

        It is recommended to use ceylon cinnamon (also known as "true" cinnamon) instead which contains lesser coumarin.

        Bu…