Well, Kate Franklin, my highly competent technician has written a short story about her day carrying out health surveillance. Bear in mind that this is not the same every day. She also carries out face fit testing, drug & alcohol testing and biological surveillance – Isocyanate testing, chromium testing and lead testing. She also helps with contract writing and policy making.
A day in the life of…in Kate’s own words.
Being an Occupational Health Technician (OHT) can have its ups and down; just like any job. You can have a full clinic booked for a day and each person turns up at their allocated time. On other days, people will turn up as and when they want to. I have discovered during my time of being an OHT, that the people that have booked to see me, usually don’t want to attend their appointments; they think I am going to find something wrong with them that will make them lose their jobs. I have to reassure people that we are there to help but also that health surveillance is a legal requirement. If we find anything wrong, there is something that can be done about it. The plus side of being an OHT, for me, is the day to day interaction with people. I love meeting new people. I also love the part of my job where I feel a sense that I am helping this person if I do find something wrong.
Towards the end of each month, I confirm with my Manager, David Barber, my availability for the next month. David, for those who don’t know, is the owner of David Barber Occupational Health Limited. I keep him informed and up-to-date on what days I can work and when our weekly or monthly meetings are booked in, depending on how busy we are.
Once clinic dates have been confirmed, clinic lists are put together by the clients’ HR department and are emailed to me.
The morning of the client session, before I have even left the house, I must calibrate the spirometry equipment to check that it is ok. This can usually be completed in one attempt, although sometimes it can take up to three times, and usually when I’m in a rush to leave the house! Once the machine has passed, I print out the certificate, sign it and then scan it for our company records. I have to carry out this procedure as it is part of the HSE protocol.
Upon arrival at the client’s location, I sign in and telephone HR. I’ve worked closely with this particular client for nearly 12 months. We have established a close relationship and often chat about the weekend/family etc. before speaking about the clinic ahead. They advise me on anything that I need to know before I start.
It’s then time to unload the equipment and set up the room. Once all the equipment is assembled, I need to check that it is all working. Initially, I start with the hearing test and test myself. Even to this day, I still find it difficult as I’m sure I can hear my own heartbeat when conducting the test.
I then go through clinic list to check if this is the person’s first time of seeing me or are they being sent for a 6-month or 12-month review. If they are to be seen for a 6-month review, it will be because they had a poor hearing test result, poor Spiro test result or high blood pressure. Hopefully, they would have been to see their GP after their last review before we see them again.
9 am and my first person arrives for their appointment. I always confirm their name and then introduce myself. They always assume that I am an Occupational Health Nurse! I confirm that I am an OHT but competent to carry out the health surveillance testing. I reassure them that if an Occupational Health Advisor or Practitioner is required, I can refer them to that person, depending on the outcome and results.
I explain to the patient as to what will occur during the appointment and we start off with a hearing test. Initially, I ask questions regarding their hearing and their ears, for example, are they prone to ear infections and do they suffer from tinnitus. I then explain the hearing test to them, for example, press the buzzer every time you hear a beep etc. The test usually takes around 5 minutes, testing the left ear first and then onto the right ear. At the end of the test, the wearer takes off the headset, I input the numbers and calculate the results. I then give them the result to the patient. Generally, people have a Category One hearing ability. That’s the best that your hearing can be for your age. You may also find that patients have a Category Two or Three hearing ability. This usually means that they have a mild hearing impairment. The test can also pick up Unilateral Hearing Loss (UHL). UHL is a type of hearing impairment where there is a difference of more than 40 dB(a) between the ears. With anyone who has UHL, we always send them a copy of their hearing results and refer them to their GP as this is not usually work related.
The second questionnaire that I must complete is regarding the patient’s general health. The questions include, are they asthmatic or are they diabetic; and if they are, are they taking their medication. I also check how tall the person is and how much they weigh, so that we can work out their BMI, or Body Mass Index. We also ask if they smoke and how many units of alcohol do they tend to consume? There is nothing like promoting a bit of health and wellbeing during this part of the appointment.
During the second questionnaire, I also take the patient’s blood pressure after I have asked them first if they are on blood pressure tablets. Once we have a reading, I double check the blood pressure reading chart that I keep on my desk and show the person where they are on the chart. I find that having a visual chart/picture, it easier for the person to understand what their blood pressure reading means. If the reading is high, I take their blood pressure three times to get an average. With anyone who has high blood pressure, I always strongly advise them to visit their GP or go to the nearest Walk in Centre. There are also restrictions put into place if the reading is high, for example; no more forklift truck driving, no working at heights and not working in confined spaces until they have clearance from their GP.
If the reading indicates that the person has pre-high blood pressure, it will be a case of promoting health and wellbeing. Are they a smoker? Could they cut down? Do they drink large quantities of alcohol? Do they exercise etc.?
If any of the results from any of the questionnaire raise alarm bells, we always advise the person to visit their GP and we will review the patient in 6 months’ time. If all results are satisfactory, we will see the patient on an annual basis.
Once all the surveillance has been completed, all my notes are sent to my manager, David, who reviews the results and signs-off the Fit for Work certificate. I am not qualified to sign off these reports as it must be an OHA (Occupational Health Advisor) or OHP (Occupational Health Practitioner) that can confirm that this person is fit for work.
Once the certificates have been signed by my manager, they are automatically available for the clients’ HR department to access securely online and keep a copy for their company records. The client company can access these certificates via the secure online portal that we use for this purpose.
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