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Future direction OH Nursing...?



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Jul 16, 2009 08:23 AM

Future direction OH Nursing...?

by qatrat

I'm thinking about my future as an OHN - I like what I do but it's groundhog day...

10 years (onshore / offshore heavy industry, remote are support) and wondering what's next. I live / work in jurisdictions (Middle East / Australia) that don't and probably wont recognize OH NPs, so why bother fighting it. I watch my profession being dumbed down and the wages with them - 2 years ER will get you a job with OHN title in most countries, in some you can call yourself a OHNP with no OH background at all. Guess I took the long / wrong route: BNursing, hyperbaric and ICU certification, Post Grad Dip Safety Science, Master Occ Med, chartered professional membership of safety institutes, certified auditor etc etc...

Looking at opportunities for senior corporate level positions, it appears the preference (outside the US - dunno about that market, not eligible to work there) is for Occ Therapists or Occ Hygienists (IHs) and rarely Occ Physicians - most Health, Safety and Environment Managers generally only have either an engineering degree or a trade certificate / NEBOSH dip etc without any specific specialty in any of the disciples (H,S or E)... I'm yet to see a high level position that invites OHN's. Typically the interview goes something like, "...oh I see you are a nurse. That's nice but we're looking for someone with more experience in engineering / process control / construction / safety. Thanks for coming..".

I pride myself on being a good ambassador of OHNs, I strive to educate junior nurses entering the profession, but I find it harder every day. What do I tell a bright young thing - that you will rapidly hit a ceiling and to chose another specialty.

Reading the boards it seems that RNs want to transition to OHN because they don't like hospitals - that's fine, but OH nursing is somewhat more complex than just nursing outside a hospital. Throw in case management, business management, administrative law and compliance, health promotion, emergency medicine, pre-hospital care, travel medicine, public health, cross overs in safety / occ hygiene / IH and you have a much better description of our role. Or perhaps I'm the one looking at this all-wrong...

So, I'm looking for global thoughts. To all the experienced / certified / qualified OHNs out there - how do you see the future of the specialization going? What would you recommend to a new grad planning an OH career? How do we claw back our professional credibility? Or do we bother?


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5 Comments
No. 1
from ownadobe
Old Jul 23, 2009, 06:29 PM

Default Re: Future direction OH Nursing...?
As an OH nurse for over 8 years I would personally recommend that OH is not for a new grad. Since there are so many asects like you have mentioned a person needs to gain experience before moving into the OH field. Often the OH nurse works alone, no physician to assist in decision making. An OH nurse needs to have very good assessment skills in addition to people skills. He/she needs to be a self starter and comfortable in decision making both medical and business. I have always been one that feels a new grad should get at least 1-2 years in a hospital for clinical experience then branch out after that.
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No. 2
Old Jul 26, 2009, 06:02 PM
Updated Jul 26, 2009 at 06:11 PM by JerseyLilly

Default Re: Future direction OH Nursing...?
gatrat,

Good post! I am a COHN-S and what I am seeing especially in the northeast market is that there are not too many job opportunities at the moment, due to downsizing and budgetary constraints. I am seeing alot of multi-tasking at jobs, where there is an overlapping of OHN tasks, safety, and other disciplines, often to the point of not being sound practice, because the work force is being cut and those who remain must take up the responsibility. I believe the specialty of OHN is evolving due to research PLUS the ever-changing face of businesses and their economic health. I see more and more nurses doing the safety and environmental piece, especially in a manufacturing setting, and am wondering if more and more OHN's will be "favored" if they become certified as a COHN-S's safety manager? Perhaps, a COHN certification is no longer enough these days???
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No. 3
from katkonk
Old Aug 20, 2009, 10:20 PM

Default Re: Future direction OH Nursing...?
I believe that the OHN market is saturated at the moment, and that since so many businesses have downsized and had lay-offs (including the nurses), the job outlook is grim. I do see some areas of the country using OHN's more (by tracking what appears on monster.com and careerbuilder.com), but overall I see a vast decline in demand. I would not encourage any new grad at this time to go for Occ Health.

I have been in the biz of Occ Health for 9 years, and last year switched to working in other areas due to lack of demand (and a career misstep on my part). I also see more demand for case managers than OHN's onsite. Sad, since the hands on, onsite nurse can bring so much to the company. I think this will turn around again, when the economy does, but that will take a long while.
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No. 4
Old Aug 20, 2009, 10:47 PM

Default Re: Future direction OH Nursing...?
Yes, I agree with you! There arer more case management positions out there than Occ Health. Companies are focusing on how the nurse will save them money! The focus, unfortunately is less on the employee and more on the business. It IS about the dollars and cents!
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No. 5
from NMiller1
Old Aug 27, 2009, 04:13 AM

Default Re: Future direction OH Nursing...?
The economy has taken a big toll on our contract services. Our client population is down over 50% and as the program manager (plus I have my own clinic) - I am down to a part time job for a few months. If the free market is not constrained in the future, I am anticipating a recovery. But if the government continues on its current path, I anticipate that a great number of private industries will end up closing their doors. I have expanded my capabilities in as many directions as I can think of to show my value. Claims cost analysis and working to reduce cost of litigated claims has been a focus. This is NOT a job for a new grad in any way. You have to have some good experiences in nursing in order to function at an independent and high level.
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