TRACK: Management and Administration in OEM
Pam Carter, RN, MSN, COHNS, FAAOHN, American Association of Occupational Health Nurses, Pensacola, FL
Kathleen Fagan, MD, MPH, FACOEM, OSHA, Washington, DC
Michael J. Hodgson, MD, MPH, OSHA/DOL, Washington, DC
Robyn Robbins, United Food and Commercial Workers Union, Washington, DC
Clinical licensure represents a state-based qualification, with marked differences in scope of practice. Actual clinical practice depends on setting, quality management, training, and teamwork. We will present results for 4 states (Alabama, Florida, North Caroline, Georgia) of an assessment of practice levels and quality. We obtained scope of practice information and assessed practice patterns in one plant in and from each of four States. Various levels of licensed nurses were clearly unaware of their permitted clinical scope; physicians were unaware of appropriate collaborative and supervisory practices and responsibilities. The consequences clearly led to misclassification and under-reporting of injury.