ALLIANCE ANNUAL REPORT
The Occupational Safety and Health Administration (OSHA)
and
The American Association of Occupational Health Nurses, Inc. (AAOHN)
June 12, 2007

1. Alliance Background

   Date Signed

   May 7, 2003

   Date Renewed

   October 10, 2005
   June 4, 2007

   Overview

   The OSHA and AAOHN Alliance focuses on promoting healthy and safe workplaces, for large and small businesses, especially in the areas of musculoskeletal disorders (MSDs), workplace violence and promoting the use of automated external defibrillators (AEDs) in the workplace. In addition, OSHA and AAOHN are helping businesses promote employee wellness and prevent illnesses and injuries within the workplace.

   Implementation Team Members

   OSHA:

   Shelia Arbury

   Directorate of Science, Technology and Medicine (DSTM)

   Greg Barber

   Directorate of Enforcement Programs (DEP)

   Sandi Khan

   Office of Outreach Services and Alliances (OOSA)

   AAOHN:

   Dean Burgess

   Public Policy and Advocacy Manager

   Ann Cox

   Executive Director

   Susan Randolph

   President

   Evaluation Period

   May 7, 2006 – May 6, 2007

2. Implementation Team Meetings

   July 17, 2006

   Meeting, OSHA, Washington, DC

   February 14, 2007

   Meeting, OSHA, Washington, DC

   May 2, 2007

   Conference Call

   In addition to these formal meetings, the Alliance coordinators from both groups maintained regular contact throughout the reporting period to monitor the Alliance's progress and results.

3. Results

   • Events and Products

     Outreach and Communication Goals

     • Disseminate health and safety information and guidance directly to businesses and through meetings (e.g. Chamber of Commerce events, Rotary Club meetings), conferences, events, and print and electronic media, including links from OSHA's and AAOHN's Web sites.

     Events

     2007 North American Occupational Safety and Health (NAOSH) Week May 6-12, 2007

     AAOHN, and a number of other Alliance Program participants, supported 2007 NAOSH Week, May 6-12, 2007. Sponsored annually by the American Society of Safety Engineers (ASSE), an Alliance Program participant, and the Canadian Society of Safety Engineering, NAOSH Week focuses on the importance of preventing injuries and illnesses in the workplace. AAOHN promoted the Week's kick-off event, which was held at the U.S. Department of Labor in Washington, DC in its monthly publication; ProHealth Alert and in its weekly eNewsletter.

     2007 Teen Summer Job Safety Campaign

     AAOHN supported OSHA's 2007 Teen Summer Job Safety Campaign and its kick-off event, April 17, 2007. AAOHN promoted the Campaign in its monthly publication; ProHealth Alert. The Campaign is a multi-year project to increase awareness about workplace hazards and provide information about the hazards to young workers and their parents. The focus of the 2007 Teen Summer Job Safety Campaign was construction.

     Products

     OSHA and AAOHN Alliance Web page

     OSHA is continuing to update the OSHA and AAOHN Alliance Web page that is posted on the Agency's Web site. The page includes the OSHA and AAOHN Alliance agreement, annual reports, activities and events, products and resources and milestones and successes.

     AOHN and OSHA Alliance Web page

     AAOHN continues to update its Alliance Web page on the organization's Web site with OSHA information related to the occupational and environmental health nursing profession. AAOHN also includes links to OSHA's Safety and Health Topics pages and publications on its Public Policy Web page. In addition, AAOHN provided information on its Alliance Web page about and promoted the 2007 NAOSH Week and the 2nd Annual Emergency Preparedness Conference –Disaster Readiness on the Home Front sponsored by The Joint Commission/Joint Commission Resources (JCR), also an Alliance Program participant.

     ProHealth Alert

     AAOHN posted several OSHA-related articles in its monthly publication, ProHealth Alert and in its weekly eNewsletter that includes a ProHealth Alert section. The articles provide safety and health information to AAOHN members. (For a complete listing of the articles, see the Alliance Program Reach Table of this report)

     • Encourage AAOHN chapters to build relationships with OSHA's Regional and Area Offices and State Plan States to address health and safety issues, including emergency management, MSDs, and workplace violence. Several chapters have initiated contact, but two now have contracts with OSHA's Regional and Area Offices.

     Updates to AAOHN Chapters

     The OSHA and AAOHN Alliance implementation team members provide information on upcoming events and training at team meetings and through email correspondence and disseminate safety and health information to AAOHN Chapters. For example, AAOHN promoted the, "OSHA Alliance Symposium: Preventing Workplace Violence in the Healthcare Setting," through its monthly publication, ProHealth Alert. OSHA's Region IV, Mobil, Alabama Area Office Alliance with the EAP Lifestyle Management; Safe State Program; Deep South Center; Mercy Medical; HealthSouth; Community Health Systems Inc.; and Thomas Hospital and Auburn University at Montgomery co-sponsored the event as a product of their Alliance.

     AAOHN Chapter List

     AAOHN provided OSHA with an updated link to its list of Chapters that are located in the same geographical areas as OSHA's Regional and Area Offices and the agency's Ed Centers. OSHA added a link to the Chapter list on the OSHA and AAOHN Alliance Limited Access Page (LAP). In addition, several chapters have initiated contact with the Regional and Area Offices. OSHA's Region V signed an Alliance agreement with the South Central Wisconsin Association of Occupational Health Nurses and Region III signed an agreement with the Susquehanna Valley Association Of Pennsylvania Occupational Health Nurses, Inc. and is working with the Pennsylvania Association Of Occupational Health Nurses to develop an Alliance.

     • Develop electronic assistance tools for OSHA's Web page that address health and safety issues, including MSDs, and workplace violence and promoting the use of AED's in the workplace.

     OSHA's Safety and Health Topics pages and eTools

     Representatives from AAOHN serve on the editorial boards of the following OSHA Safety and Health Topics pages as part of the OSHA and AAOHN Alliance:

     • Automated External Defibrillators (AEDs)

       • Ann R. Cox, CAE, Executive Director; Atlanta, GA
       • Susan A. Randolph, MSN, RN, COHN-S, FAAOHN, Clinical Instructor, Occupational Health Nursing Program, University of North Carolina at Chapel Hill; Chapel Hill, NC
       • Jean Randolph, RN, COHN-S/CM, MPA, Nurse Consultant, Tucker, GA

     • Bloodborne Pathogens and Needlestick Prevention

       • Ann R. Cox, CAE, Executive Director; Atlanta, GA
       • Susan A. Randolph, MSN, RN, COHN-S, FAAOHN, Clinical Instructor, Occupational Health Nursing Program, University of North Carolina at Chapel Hill; Chapel Hill, NC
       • Jean Randolph, RN, COHN-S/CM, MPA, Nurse Consultant, Tucker, GA

     • Medical Screening and Surveillance

       • Dean Burgess, Director of Professional Affairs; Atlanta, GA
       • Mariann Cameron, RN, BSN, Global Health and Wellness Coordinator, Air Products and Chemicals, Inc.; Allentown, PA
       • Dawn Eltermann, Director of Occupational Safety and Health, BioServices, McKesson Specialty Pharmaceutical Services; Rockville, MD
       • Pamela Hirsch, APRN, MS, Med, Clinical Program Manager, Occupational Health Program/Office of Public Health and Environmental Hazards/VHA; Washington, DC
       • Barb Renner, RN, COHN-S, Case Manager, Barnes Care; St. Louis, MO
       • Susan Skelly, RN, COHN-S, PHR, Senior Case Management/Workers' Compensation Specialist; Upper Marlboro, MD
       • Margaret Thompson, RN, MSN, COHN-S, FAAOHN, Croft-Taylor Consulting, LLC.; Ridgefield, CT

     • Occupational Health Professionals

       • Dean Burgess, Director of Professional Affairs; Atlanta, GA
       • Dawn Eltermann, Director of Occupational Safety and Health, BioServices, McKesson Specialty Pharmaceutical Services; Rockville, MD
       • Pamela Hirsch, APRN, MS, Med, Clinical Program Manager, Occupational Health Program/Office of Public Health and Environmental Hazards/VHA; Washington, DC
       • Susan A. Randolph, MSN, RN, COHN-S, FAAOHN, Clinical Instructor, Occupational Health Nursing Program, University of North Carolina at Chapel Hill; Chapel Hill, NC
       • Barb Renner, RN, COHN-S, Case Manager, Barnes Care; St. Louis, MO
       • Margaret Thompson, RN, MSN, COHN-S, FAAOHN, Croft-Taylor Consulting, LLC.; Ridgefield, CT

     • Tuberculosis

       • Dean Burgess, Director of Professional Affairs; Atlanta, GA
       • Margaret Thompson, RN, MSN, COHN-S, FAAOHN, Croft-Taylor Consulting, LLC; Manhattan, NY
       • Jean Randolph, RN, COHN-S/CM, MPA, Nurse Consultant, Tucker, GA

     • Workplace Violence

       • Dean Burgess, Director of Professional Affairs; Atlanta, GA
       • Dawn Eltermann, Director of Occupational Safety and Health, BioServices, McKesson Specialty Pharmaceutical Services; Rockville, MD
       • Pamela Hirsch, APRN, MS, Med, Clinical Program Manager, Occupational Health Program/Office of Public Health and Environmental Hazards/VHA; Washington, DC
       • Barb Renner, RN, COHN-S, Case Manager, Barnes Care; St. Louis, MO
       • Margaret Thompson, RN, MSN, COHN-S, FAAOHN, Croft-Taylor Consulting, LLC; Manhattan, NY
       • Jean Randolph, RN, COHN-S/CM, MPA, Nurse Consultant, Tucker, GA

   • OSHA's Hospital eTool

     As part of the OSHA and AAOHN Alliance, representatives from AAOHN are participating on the agency's update of its Hospital eTool:

     • • Ann R. Cox, CAE, Executive Director; Atlanta, GA
       • Dean Burgess, Director of Professional Affairs; Atlanta, GA
       • Jean Randolph, RN, COHN-S/CM, MPA, Nurse Consultant, GA
       • Karen Stoops, Occupational Health Nurse Program Manager, Naval Hospital Pensacola, FL
       • Jean Goss, Administrative Director, Employee Health Services, Wake Forest University Baptist Medical Center, NC
       • Yolanda Lang, Coordinator Employee and Occupational Health, University of Pittsburg Medical Center, PA
       • Christina Pionk, Nurse Practitioner, University of Michigan Employee Health Services, MI
       • Olga Tomkins, Manager Occupational Health, Occidental Oil and Gas Corporation, TX

     • Encourage AAOHN chapters to act as resources for OSHA's Training Institute and Education Centers to assist in the promotion and presentation of health and safety courses, including emergency management, MSDs and workplace violence.

       The OSHA and AAOHN Alliance implementation team has not started work on programs or projects to address this goal.

     Promoting the National Dialogue on Workplace Safety and Health

     • Raise awareness of and demonstrate commitment to improving the health and safety of the workplace and reducing injuries and illnesses whenever AAOHN and OSHA leaders address groups.

     Events

     AAOHN 2007 Symposium and Exposition, April 13-20, 2007, Orlando, Florida

     OSHA staffed an Alliance Program exhibit booth and distributed compliance assistance and Alliance publications, including the OSHA and AAOHN Alliance Activities Summary, to attendees at the AAOHN 2007 Symposium and Exposition, April 13-20, 2007, in Orlando, FL,

     • Encourage AAOHN's members to act as industry liaisons and resources for OSHA's cooperative programs and Compliance Assistance Specialists.

       The OSHA and AAOHN Alliance implementation team has not started work on programs or projects to address this goal.

   • Executive Summary

     Through the Alliance, OSHA and AAOHN are continuing to work together to increase awareness of the compliance assistance resources and programs that are offered by both organizations. AAOHN has demonstrated their commitment to the Alliance Program by supplying information and resources as requested by the Agency including providing OSHA with expertise to help review and update the Agency's Safety and Health Topics pages such as: Bloodborne Pathogens and Needlestick Prevention, Automated External Defibrillators, Tuberculosis and Workplace Violence. In addition, AAOHN publishes safety and health information and OSHA-related articles in its monthly publication ProHealth Alert and weekly electronic eNewsletter. AAOHN also added an AAOHN and OSHA Alliance Web page to the organization's Web site that includes a links to the OSHA and AAOHN Alliance Web page.

     In addition, OSHA and AAOHN representatives provided their expertise and shared information through a number of different avenues. For example:

     • During the AAOHN 2007 Symposium and Exposition, OSHA representatives staffed an Alliance Program exhibit and distributed compliance assistance and Alliance Program information to conference attendees.
     • AAOHN representatives are participating on OSHA's update of its Hospital eTool.
     • AAOHN, along with other Alliance Program participants, supported 2007 NAOSH Week and OSHA's 2007 Teen Summer Job Safety Campaign.
     • AAOHN promoted OSHA's Region IV, Mobil Area Office's, "OSHA Alliance Symposium: Preventing Workplace Violence in the Healthcare Setting," that was co-sponsored by Mobil's Area Office Alliance with the EAP Lifestyle Management; Safe State Program; Deep South Center; Mercy Medical; HealthSouth; Community Health Systems Inc.; and Thomas Hospital and Auburn University at Montgomery.

     Finally, OSHA and AAOHN agreed to renew its Alliance agreement for another two years.

     Alliance Program Reach

     Type of Activity (Conference, Training, Print and Electronic Distribution, etc.)	Number of Individuals Reached or Trained
     OSHA-AAOHN Alliance Web page on OSHA's Web site	6,396
     Automated External Defibrillators (AEDs) Safety and Health Topics page	26,951
     Bloodborne Pathogens and Needlestick Prevention Safety and Health Topics page	187,188
     Medical Screening and Surveillance Safety and Health Topics page	6,396
     Occupational Health Professionals Safety and Health Topics page	6,396
     Tuberculosis Safety and Health Topics page	58,328
     Workplace Violence Safety and Health Topics page	115,870
     April 13-20, 2007 AAOHN 2007 Symposium and Exposition Orlando, Florida Exhibit booth	1,400
     May 1, 2006: OSHA Notifies 14,000 Employers With Higher Than Average Illness and Injury Rates AAOHN Weekly Electronic Newsletter	8,500
     May 8, 2006: Safe Use of Glutaraldehyde in Health Care Handbook Available from OSHA AAOHN Weekly Electronic Newsletter	8,500
     May 22, 2006: Workplace First Aid Best Practices from OSHA AAOHN Weekly Electronic Newsletter	8,500
     May 30, 2006: Workplace First Aid Best Practices from OSHA AAOHN Weekly Electronic Newsletter	8,500
     August 7, 2006: New Fire Service Publication from OSHA AAOHN Weekly Electronic Newsletter	8,500
     August 21, 2006: New Fire Service Publication from OSHA AAOHN Weekly Electronic Newsletter	8,500
     September 5, 2006: New APFs Complete OSHA Respiratory Protection Standard Revision OSHA/Red Cross Workplace First-Aid Program Webcast Available Free in Archive AAOHN Weekly Electronic Newsletter	8,500
     September 11, 2006: OSHA Debuts Spanish-Language E-Newsletter AAOHN Weekly Electronic Newsletter	8,500
     September 18, 2006: Emergency Preparedness Conference Scheduled for October 19-20 AAOHN Weekly Electronic Newsletter	8,500
     September 25, 2006: OSHA Hexavalent Chromium Standard Recognizes LHCPs as Providers AAOHN Weekly Electronic Newsletter	8,500
     October 2, 2006: OSHA Seeks Comments on Chemical Labeling Proposal AAOHN Weekly Electronic Newsletter	8,500
     October 9, 2006: OSHA Debuts New Safety and Health Topics Web Resource AAOHN Weekly Electronic Newsletter	8,500
     October 16, 2006: OSHA Releases Top 10 Violations List AAOHN Weekly Electronic Newsletter	8,500
     October 23, 2006: OSHA Cold Stress Card Offers Tips for Protecting Workers AAOHN Weekly Electronic Newsletter	8,500
     November 27, 2006: OSHA Posts New Avian Flu Publications on Web Site AAOHN Weekly Electronic Newsletter	8,500
     December 4, 2006: OSHA Guide for Creating Workplace First-Aid Programs AAOHN Weekly Electronic Newsletter	8,500
     December 4, 2006: OSHA Guide for Creating Workplace First-Aid Programs AAOHN Weekly Electronic Newsletter	8,500
     January 8, 2007: OSHA Web Site Offers Personalization Option AAOHN Weekly Electronic Newsletter	8,500
     January 16, 2007: OSHA Unveils Web-based Hurricane Recovery Resource AAOHN Weekly Electronic Newsletter	8,500
     January 29, 2007: All About OSHA Now Available in Spanish AAOHN Weekly Electronic Newsletter	8,500
     February 5, 2007: OSHA Reminder to Employers: Time to Post Illness/Injury Summaries AAOHN Weekly Electronic Newsletter	8,500
     February 12, 2007: OSHA Releases Pandemic Flu Workplace Guidelines AAOHN Weekly Electronic Newsletter	8,500
     February 20, 2007: OSHA Updates 25-Year-Old Electrical Installation Standard AAOHN Weekly Electronic Newsletter	8,500
     March 19, 2007: 14, 000 Employers Have Higher than Average Injury, Illness Rates: OSHA AAOHN Weekly Electronic Newsletter	8,500
     March 26, 2007: OSHA Final Rule on Employer-Supplied PPE Expected AAOHN Weekly Electronic Newsletter	8,500
     April 23, 2007: OSHA Launches Youth Job Safety Campaign AAOHN Weekly Electronic Newsletter	8,500
     May 7, 2007: OSHA Announces National Emphasis Program on Diacetyl AAOHN Weekly Electronic Newsletter	8,500
     May 21, 2007: OSHA and Red Cross Offer Worksite Emergency Preparedness Webinar AAOHN Weekly Electronic Newsletter	8,500
     May 29, 2007: OSHA Unveils New Pandemic Flu Guidance for Healthcare Workers AAOHN Weekly Electronic Newsletter	8,500
     May 2006: Teens Focus Of OSHA Summer Jobs Safety Campaign OSHA's Top Ten List Offers Safety, Compliance Opportunities Teens Focus Of OSHA Summer Jobs Safety Campaign 2007 North American Occupational Safety and Health Week AAOHN Monthly Print Newsletter, ProHealth Alert	9,000
     June 2006: Safe Use Of Glutaraldehyde In Health Care Handbook Available From OSHA AAOHN Monthly Print Newsletter, ProHealth Alert	9,000
     July 2006: Workplace First Aid Best Practices From OSHA OSHA Resources For Avoiding Heat-Related Illnesses AAOHN Monthly Print Newsletter, ProHealth Alert	9,000
     September 2006: Fraud Alert: Callers Posing As OSHA Employees Threaten Fines AAOHN Monthly Print Newsletter, ProHealth Alert	9,000
     October 2006: OSHA Debuts Spanish-Language E-Newsletter New APFs Complete OSHA Respiratory Protection Standard Revision OSHA/Red Cross Workplace First-Aid Program Webcast Available Free in Archive New Fire Service Publication from OSHA AAOHN Monthly Print Newsletter, ProHealth Alert	9,000
     November 2006: OSHA Debuts New Safety and Health Topics Web Resource OSHA Hexavalent Chromium Standard Recognizes LHCPs as Providers AAOHN Monthly Print Newsletter, ProHealth Alert	9,000
     January 2007: OSHA Guide for Creating Workplace First-Aid Programs OSHA Posts New Avian Flu Publications on Web Site AAOHN Monthly Print Newsletter, ProHealth Alert	9,000
     February 2007: Notice of Submitted Comments/Letters OSHA on Globally Harmonized System of Classification and Labeling of Chemicals (posted www.aaohn.org/publicpolicy) OSHA Web Site Offers Personalization Option OSHA Posts Workplace Violence Standard Interpretation Letters AAOHN Monthly Print Newsletter, ProHealth Alert	9,000
     March 2007: OSHA Reminder to Employers: Time to Post Illness/Injury Summaries AAOHN Monthly Print Newsletter, ProHealth Alert	9,000
     April 2007: OSHA Updates 25-Year-Old Electrical Installation Standard OSHA Releases New "It's The Law" Poster OSHA Releases Pandemic Flu Workplace Guidelines AAOHN Monthly Print Newsletter, ProHealth Alert	9,000
     TOTAL	745,425

4. Upcoming Milestones

   In the upcoming year, OSHA and AAOHN will renew its Alliance agreement and focus on continuing to work together to promote healthy and safe workplaces, for large and small businesses, particularly in addressing workplace hazard preparedness and security issues, such as workplace violence, musculoskeletal disorders (MSDs), bloodborne pathogens (BBP) and personal protective equipment (PPE).

   For example, representatives from AAOHN will continue to serve on the editorial boards of numerous OSHA Safety and Health Topics pages and provide expert input on occupational safety and health issues. AAOHN will also continue to participate on the agency's update of its Hospital eTool.

   AAOHN will continue to promote and encourage its Chapters to sign Regional and Area Office Alliances.

   AAOHN will continue to post safety and health information on conferences and compliance assistance products in its weekly electronic newsletter and monthly publication, ProHealth Alert. In addition, AAOHN will support the 2008 North American Occupational Safety and Health Week and the 2008 Teen Summer Job Safety Campaign.

   AAOHN will also work with the American Red Cross to develop a Web cast on bloodborne pathogens that will be presented in November 2008.

   Further, the OSHA and AAOHN implementation team is developing plans to promote the Alliance through a number of speaking and exhibiting opportunities, including the AAOHN 2008 Symposium and Expo, April 25-May 1, 2008 in Salt Lake City, Utah.

Report prepared by: Sandra Khan, Alliance Coordinator, Office of Outreach Services and Alliances, June 12, 2007.