Agricultural Health Integration Guide

2015

Protecting the People who Feed America

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Contents About Us

Who We AreThe AgriSafe™ Network, a non-profit national membership organization, represents health professionals and educators who are concerned about the health and safety of farm families. Many agricultural injuries, diseases, and fatalities can be prevented through the delivery of agricultural occupational health services.

Farmers Who Feed Our Nationexperience an increased incidence of:• respiratory diseases• zoonotic infections• skin cancer• musculoskeletal disorders• hearing loss• depression• disabling injuries• occupational fatalities

Our Core ValuesWe believe that providing occupational health services to farmers will improve the quality of their lives and those of future generations.

Our Core StrengthOur core strength is based upon the professional standards required to deliver AgriSafe services. Only health professionals who have received extensive training in the field of agricultural health and safety earn the right to join as “AgriSafe Certified Members”. This is where our commitment to uphold the quality of AgriSafe services will never waiver.

Our DedicationThe AgriSafe Network is dedicated to supporting AgriSafe health professionals who are prepared to serve the health care needs of farmers.

Member Benefits Include:Continuing education via workshop and webinars• Educational resources• Technical assistance• Marketing benefits• Network opportunities with other clinicians and experts in the field• Updates on the most cutting-edge developments in agricultural health and safety

About Us .......................................................................................................................3Cycle of Development ............................................................................................4AgriSafe Builds National Impact ......................................................................6Invest in Your Health: Ag College Prevention Program .........................8Agribusiness Training ........................................................................................10Respiratory Health ..............................................................................................12Pesticide Safety.....................................................................................................13Resources .................................................................................................................14

This is an interactive resource guide. To access resources listed simply click the text or images.

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Cycle of Development Cycle of DevelopmentRural health professionals must engage in evidenced based practices that directly improve

the health of farmers and ranchers. Recognizing their critical role, health professionals joined forces in 2003 to create a national non-profit network known as the AgriSafe Network.

SupportAgriSafe’s role is to overcome these challenges through a collaborative approach. Network initiatives prepare a workforce of rural providers in the field of occupational agricultural health. Membership options are diverse and include: • state affiliate level• organization level• certified level• individual

ImpactAgriSafe shifts the quality of health care towards an occupational approach so that farmers can receive the same occupational health care afforded to other industries. Core components of AgriSafe’s innovative occupational health initiatives are:• clinical resources• advanced training programs• outreach services• distance education • Ag Health Risk Assessment• college health curriculum

Health & Injury Issues in Agriculture• respiratory • musculo-skeletal• hearing• vision• chemical exposures• mental health• high fatalities and injuries

ChallengesChallenges for health care providers serving rural/agricultural communities:• nurses in rural communities are often the front line care for work related injury / illness• few businesses have identified safety managers• strong dependence on local health care provider• health care providers may have limited access to professional development in agricultural medicine

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Australia

Canada

AgriSafe Builds National Impact

= AgriSafe Member

= AgriSafe State Affiliate

= Agrisafe Approved Trainings

= AgriSafe Onsite Trainings

State Affiliates

IllinoisRobert (Chip) Petrea, PhDAgricultural Safety & Health Network, Urbana & Champaign

IowaKelley Donham, MS, DVMIowa’s Center for Agricultural Safety & HealthUniversity of Iowa College of Public Health, Iowa City

LouisianaAnn Carruth, DNS, RNSoutheastern LA University, Hammond

NebraskaRisto Rautiainen, PhDCentral States Center for Agricultural Safety and Health (CS-CASH) University of Nebraska Medical Center, College of Public Health Omaha North CarolinaRobin Tutor, MPH, OTR/LNC Agromedicine Institute, Greenville North Dakota Denise Andress, RN, BSNSouthwest Area Health Education Center, Hettinger VermontJean McCandless, MSW

AgriSafe Builds National Impact

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Invest in Your Health Ag College Prevention Program

Our goal is to empower students to recognize agricultural health and safety risks, and become their own health advocates.

AgriSafe provides customized educational and preventive screening services for students at two year or four year agricultural college programs.

“I’ve had a cough, and just

don’t feel good after helping clean a bin

out a couple times, is this what I should

use?”

“As a new generation of farmers,

you have access to great information and technology.

You can choose what you want to do with it. I’m here to help

you make smart choices.” Carolyn Sheridan Clinical Director

“Both my mom and dad have high

blood pressure, sometimes I worry

about that. ”

For more information on adopting this program at your college or university contact:

Carolyn Sheridan AgriSafe Network Clinical Director csheridan@agrisafe.org 866.312.3002

Contact Us

The following educational topics are covered:• Agricultural Hazards• Ergonomics • General Health and Wellness• Hearing Loss• Injury and Illness Prevention• Respiratory Hazards • Pesticides and Human Health • Skin Cancer

Educate

Each student will receive the following:• BMI• Blood Pressure Screening• AgriSafe Health Risk Assessment • Respirator Fit Test

Optional Add-On Services:• Basic Lung Function Screening and Review of Results• Dermascan to Screen for Sun Damage• Hearing Screening

Prevent

Each Student Will Receive the Following:• AgriSafe Membership• Educational Materials • Follow Up Behavior Survey • Web-Based Health Tools• Web-Based Trainings

Sustain

Each Student Will Receive the Following:• AgriSafe Head to Toe Personal Protective Equipment Packet

(Chemical Gloves, Ear Plugs, Goggles, and Respirators)• Direction on Use and Care of Personal Protective Equipment

Protect

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Agribusiness Training Agribusiness Training

&AgriSafe Network

The National Education Center for Agricultural Safety (NECAS)

joined forces in to offer a variety of training options and educational resources.

Grain Safety

Chemical Safety

Equipment Safety

Respirator Selection

Confined Space and Manure Entry

Occupational Health Risk Assessments

Prevention of Grain Storage Fires and Explosions

Prevention and Recognition of Pesticide Poisoning

Personal Protective Equipment Selection

Federal Health and Safety Standards

OSHA Agricultural Standards

Respiratory Health

Manure Safety

Ergonomics

&Customized On-Site Workshops

Webinars

This material was produced under grant SH-SH22284SH1 from the Occupational Safety and Health Administration, U.S. Department of Labor. It does not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply

endorsement by the U.S. Government. Schedule a Training : To arrange an onsite training please contact Natalie Roy at nroy@agrisafe.org

Performance = Exceeding Our Goals 406 trained through distance-based webinars374 trained through onsite trainings68 hours of training provided

The goal is to help businesses maintain

a healthy and productive workforce.

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Cholinesterase ResourcesAgriSafe joined forces to develop clinical resources with the National Farm Medicine Center and the Migrant Clinicians Network to aid in cholinesterase monitoring. These resources include: • Clinical Algorithm • Protocol • Cholinesterase Monitoring WebinarThese resources were developed with the idea that rural health professionals must have access to clear standards and recommendations when monitoring insecticide handlers.

Respiratory Resources

Respiratory educational brochures are available as free download for members. They can be customized with local AgriSafe logo.

For more information contact Natalie Roy at nroy@agrisafe.org

The Agricultural Respirator Selection Guide is designed to assist trained safety and health professionals to recommend appropriate respirators based on the clients’ agricultural exposure. Included in this guide is an algorithm that logically guides the user in the selection process. This guide is not intended for individuals who have not received training in respirator selection.

Cholinesterase Resources

Educational videos aimed at increasing use of Respiratory personal protective equipment featured AgriSafe Clinical Director, Carolyn Sheridan.

Emerging Issues Require Immediate ResponseDrought conditions in the midwest caused confusion and concern among Ag producers regarding aflatoxin and endotoxin exposures. AgriSafe joined other partners to create an educational media campaigned aimed at providing accurate and timely information to reduce risk of exposure.

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ResourcesAgricultural Occupational Screening Online Health Risk Assessment

Copyright 2014 AgriSafe Network Inc.

CLIENT HEALTH GOALS

HEALTH GOALS ____________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

NURSING CONCERNS Result Referral Monitor No

concerns Referral Monitor No

concerns Weight

Musclo/ skeletal

Blood Pressure

Tobacco Use

Cholesterol

Stress

Cholinesterase

Drinking Water

Respiratory

Male General

Vision

Female General

Hearing

Skin

Health Professional Signature: ________________________________ Date: _________________

Client Signature: ____________________________________________ Date: __________________

Name: Date:

Agricultural Health and Safety Goals - 2 Page Document

Health Goals - Page 1

Safety Goals - Page 2

Agricultural Occupational Respiratory Assessment Name_________________________________________ email address: _______________________________

City____________________________ State______ Zip____________ Phone__________________________

Birth Date ______________ Age _____ Ht _____ Wt _____ B/P ________________ Male ___ Female ___ Family Physician __________________________________Address ___________________________________________________ Farming Status- Please check those which apply to you: Student_________ Active Farmer _____________

Part-time Farm Worker _________ Other Occupation _____________________________________________

Type of Respiratory Exposures Cattle ____ Hogs _____ Hog Confinement ____Poultry Confinement ____

Grain _____ Hay _____ Pesticide Application ______Other ________________________________________

What age did you start working on the farm or in the agricultural setting? _______________________________________

How often do you wear a mask when working in the agricultural settings? Exposure Always Sometimes Never N/A What type of Mask √ all that apply Grain Dust (all types – corn, beans, etc) 1 strap / 2 strap / cartridge Silo Dust 1 strap / 2 strap / cartridge Moldy Grain 1 strap / 2 strap / cartridge Working with Hogs (treating, moving) 1 strap / 2 strap / cartridge Working with poultry 1 strap / 2 strap / cartridge Feeding livestock 1 strap / 2 strap / cartridge Power washing/disinfecting 1 strap / 2 strap / cartridge Handling chemicals 1 strap / 2 strap / cartridge Handling grain/grinding feed 1 strap / 2 strap / cartridge SMOKING STATUS ___ Current Smoker ___ Ex-Smoker ___ Never or <100 Cigarettes Smoked in Lifetime RESPIRATORY SYMPTOMS – CHECK ALL YOU EXPERIENCED IN THE PAST MONTH

____ Currently have a cold ____ Sinus Problems ____ Asthma ____ No Symptoms ____ Cough with exposures ____ frequent cough ____ Cough with phlegm ____Wheezing ____ Cough at end of work day ____ Shortness of breath ____ Chest pain or tightness

RESPIRATORY SYMPTOMS – CHECK if YOU EXPERIENCED ANYTIME RELATED TO AGRICULTURAL WORK

_____ No Symptoms ____ Cough with exposures ____ frequent cough ____ Cough with phlegm ___Wheezing ____ Cough at end of work day ____ Shortness of breath ____ Chest pain or tightness ____ Sinus Problems

Screening LUNG FUNCTION TEST RESULTS * This is only a screening. Further follow up may be necessary.

Predicted Your Results Respirator: Type _____________________Size_________________

FVC Forced Vital Capacity

Liters Liters

_______ % Predicted - The volume of air exhaled with a maximum forced effort. Often reduced in people with chronic lung disorders. Good indicator of overall lung health. Normal = 80% and above

FEV1 Liters Liters

________ % Predicted – The volume of air exhaled in first second of rapid forced expiration. Good indicator or airway health including large airways. Normal = 80% and above

FEV1/FVC Ratio % % _______% Indicator of airway health. Normal = 70% and above

_____Results are Normal _____Results below recommended levels ______Recommend Physician Evaluation Comments: ________________________________________________________________________________ ____________________________________________________________________________________________________________ Evaluator Signature ________________________________ Date ___________________

Agricultural Respiratory Assessment

Copyright 2014 by the AgriSafe Network

AGRISAFE DERMASCAN SCREENING

Name_________________________________________ Street/P.O. Box ______________________________

City____________________________ State______ Zip____________ Phone (_____)____________________

Birth Date ______________ Age _____ Ht _____ Wt _____ Male ______ Female ______

Farming Status- Please check those which apply to you - Active Farmer _________ Retired Farmer _________

Part-time Farm Worker _________ Student _________Other Ag Related Occupation _____________________

Have you ever been diagnosed with skin cancer? Yes No

If yes, what year were you diagnosed? ___ ___ ___ ___ Do you have any pigmented spot(s) that have changed in size, color, contour, or thickness recently?

Yes No

Are there any areas on your skin that bleed or will not heal? Yes No

Do you have any suspicious area(s) on your skin that you are concerned about?

Yes No

Without this screening, would you have seen a doctor for your skin? Yes No When outside, how often do you…

Always

Sometimes

Never

Use tractors with a cab or canopy? 1 2 3 Wear long sleeves when in sun? 1 2 3 Use hat with a wide brim in the

summer? 1 2 3

Use sunscreen? 1 2 3

RECOMMENDATIONS ____ Follow-up visit for PPE at AgriSafe Clinic ____ Physician Evaluation

Comments: ________________________________________________________________________________ ____________________________________________________________________________________________________________ Evaluator Signature ________________________________ Date ___________________

Derma Scan Screening

Copyright 2014 by the AgriSafe Network 1

AgriSafe Network Sample Clinical Screening Form

CLINICAL DATA Age __________Wt _________Ht __________ BMI __________ BMI Categories: Underweight = <18.5 Normal weight = 18.5-24.9 Overweight = 25-29.9 Obesity = BMI of 30 or greater Education: Weight loss recommendations_____ Diet ____________ Exercise___________ CARDIOPULMONARY

Blood Pressure: Cuff Size: Regular Large Time 1 R/A __________ L/A__________ Seated Standing

*If needed, Time 2 R/A __________ L/A__________ Seated Standing

Apical: ______/minute Regular ______ Irregular ______ Respirations: ______/minute Lung Auscultation: clear______ diminished______ Dyspnea _______ Orthopnea _______ Peripheral Edema _______ Comments: __________________________________________________________

Pulmonary Function Screening (if indicated by exposures and/or symptoms)

Predicted Actual % Predicted

FVC Liters Liters ________ %

FEV1 Liters Liters ________ %

FEF 25/75% Liters Liters ________ %

FEV1/FVC% Actual Percentage ________ %

Education: Results ___ Exposures ___ BP recommendations ___ Smoking ___ PPE types, pros & cons, protection factors ___ VISION

OD 20/______ OS 20/______ OU 20/______ Corrected: Y_____ N_____ If yes: Glasses ___ Contacts___ Surgery___

Education: Hazards ___ Contact lenses ___ PPE types ___ Vented vs. Non-vented goggle ___

Date: ____/____/________ ID#_________

Name_________________________________________

Address_________________________________________________________ZiP___________

Email Address_________________________________Cell Phone_______________________

Telephone #_____-_____-_______ Social Security #_____-_____-______

Clinical Data ___Referral ___ Monitor ___ No Concern ___ Already Under Dr.’s Care

Cardio ___Referral ___Monitor ___No Concern ___ Already under Dr.’s Care Respiratory ___Referral ___Monitor ___No Concern ___ Already under Dr.’s Care

Vision ___ Referral ___ Monitor ___ No Concern ___ Already Under Dr.’s Care

Copyright 2014 AgriSafe Network Inc.

CLIENT SAFETY GOALS

SAFETY GOALS______________________________________________________________________

____________________________________________________________________________________ ____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Personal Protective Equipment Goals:

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

PERSONAL PROTECTIVE EQUIPMENT LOG Type of PPE

Currently Using (provide specifics)

PPE Recommended

(note brand & number)

Purchased or Ordered from

Clinic (include date)

Fit Demo (Y/N)

Reviewed PPE

Storage & Care (Y/N)

Respiratory

Vision

Skin

Hearing

Chemical

Other

Health Professional Signature: ________________________________ Date: _________________

Client Signature: ____________________________________________ Date: __________________

Name: Date:

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The AgriSafe Network is a nonprofit 501(c)3 therefore, all donations are tax exempt. If you are interested in supporting the Network, please contact us at 866-312-3002 or E-Mail us at info@agrisafe.org

www.agrisafe.orgFollow us on Facebook at

www.facebook.com/agrisafe.network

866-312-3002info@agrisafe.org

P.O. Box 1338Spencer, Iowa, 51301

Protecting the People who Feed America