An environmental health nurse is completing an assessment of a patient who has worked with pesticides in a lawn maintena...
An environmental health nurse is completing an assessment of a patient who has worked with pesticides in a lawn maintenance business for many years. The nurse is seeing this patient with complaints of chronic dermatitis.
A. The nurse is concerned about the chronic exposure this patient has had to pesticides. What regulations are in place for pesticides?
B. The nurse is taking exposure history. What type of questions should the nurse ask about the patient's present work?
C. What is the precautionary principle of environmental health for nursing practice?
Homework Answers
l
FIFRA ie Federal Insecticide,Fungicide and Rodenticide Act regulates the registration,manufacture,transportation and use of pesticides.
RUP-Restricted Use Pesticide may only be applied by certified applicators or under the direct supervision of a certified applicator.
FQPA-Food Quality Protection Act set tougher standards for new and old pesticides and it made uniform requirements regarding processsed and unprocessed fooods.
WPS -Workers Protection Standard aimed at reducing the risk of pesticide poisoning and injuries among agricultural workers and pesticide handlers.
B The nurse should use the Environmental Health Assessment using the pneumonic I P-R-E-P-A-R-E.
I-Investigate potential exposures such as asking questions How did the patient come in contact with the exposure?
P-Present Work. What was the root cause of exposure?
R-residence Where are the chemicals stored?
E-Environmental-Has anyone in the nearby environment raised concerns about water or pollution due to the the lawn maintenance business?
P-Past Work-How long were the patient working in the concerned business.?
CThe principles developed by ANA for scope of practice of Environmental health are
- Knowledge of environmental health concept is essential to nursing practice.
- The Precautionary Principle guides nurses in their practice to use products and practices that do not harm human health or the environment and to take preventive action in the face of uncertainity.
- Nurses have a right to work in an environment that is safe and healthy.
- Healthy environments are sustained through multidiscipliniary collaboration.
- Choices of materials,products,technology and practices in the environment that impact nursing practice are based on the best evidence vailable.
- Approaches to promoting a healthy environmentrespect the diverse values,beliefs,cultures and circumstances of patients andtheir families.
- Nurses must be supported in advocating for and implementing environmental health principles in nursing practice.
- Nurses participate in research of best practices that promote a safe and healthy envirinment.
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