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COHN test Format | COHN Course Contents | COHN Course Outline | COHN test Syllabus | COHN test Objectives

Exam Code: COHN

Exam Name: Certified Occupational Health Nurse

Total questions: 160 multiple-choice questions (135 scored + 25 unscored/pilot)

Time allotted: 3 hours

Passing score / criteria: Pass/fail status is based on a scaled score derived from the raw number of correct answers.

The minimum passing score is determined by a standard-setting process (Angoff method) with subject matter experts.



Clinician Role

- Assessment

- Obtain an occupational and environmental health history

- Conduct post-offer/pre-placement health exams

- Assess health needs of workers and worker populations (i.e.- health risk exam- jobhazard analysis- changing demographics- injury evaluation and triage)

- Identify laws and regulations affecting nursing practice (e.g.- licensure- practice acts- NurseLicensure Compact)

- Monitor new developments related to emerging health care issues

- Assess workers with work restrictions or limitations and make appropriate job placementrecommendations (i.e.- fitness for duty)

- Identify physical requirements to fulfill essential job function

- Identify ethical issues in practice

- Identify health surveillance of individuals/groups for specific hazards (e.g.- hearingconservation- respiratory protection- laser safety- hazardous materials)

- Planning

- Interpret results of screening tests and health history; refer per policy protocol

- Recommend changes in job/work to accommodate workers health status and history

- Recommend programs and testing based on worker health needs

- Formulate a response to emerging healthcare issues

- Implementation

- Use and maintain a health recordkeeping system

- Recognize and respond to ethical issues in practice

- Provide treatment of work-related injuries or illnesses

- Provide direct care for non-work-related injuries and illnesses for workers

- Provide health promotion- disease prevention screening tests (e.g.- cancer screening- bloodpressure monitoring- cholesterol- health risk appraisals)

- Refer workers to an employee assistance program

- Provide individual counseling services for worker

- Perform medical surveillance and regulatory compliance testing/screening

- Assure confidentiality of personal health information and comply with established codes ofethics- legal or regulatory requirements

- Comply with OSHA occupational injury and illness recording and reporting requirements

- Evaluation

- Evaluate the quality of care provided by internal and external health services

- Evaluate injuries- illnesses or incidents using root cause analysis

- Demonstrate the value of clinical services by internal occupational health services

- Interpret medical surveillance and regulatory testing and screening

Coordinator Role

- Assessment

- Monitor laws and regulations affecting nursing practice (e.g.- licensure- practice acts)

- Analyze injury- illness- and incident data

- Reference safety data sheets

- Determine staffing requirements

- Identify hazards through work site walk-through surveys

- Assess ergonomic needs

- Assess and report on the organizations regulatory compliance with applicable standards(e.g.- OSHA)

- Planning

- Collaborate with other disciplines to protect and promote worker health and safety

- Identify appropriate personal protective equipment

- Coordinate medical testing for DOT compliance

- Develop occupational health and safety policies and procedures

- Develop the components of a drug and alcohol screening program

- Establish goals and objectives for an occupational health and safety program

- Develop nursing protocols

- Incorporate knowledge of cultural beliefs and practices in implementing programs andservices

- Establish guidelines related to workplace violence

- Utilize principles of ergonomics for worksite design

- Develop emergency preparedness plans

- Implementation

- Coordinate health promotion and disease prevention strategies and programs

- Coordinate surveillance programs

- Incorporate computer technology for occupational health practice

- Use software applications for health information management (i.e.- informatics)

- Recommend control measures to reduce or eliminate exposures/hazards

- Apply regulatory standards and guidelines

- Prepare and provide testimony or documentation for legal proceedings (e.g.- workercompensation- dismissal- EEOC)

- Participate in administrative proceedings related to occupational health

- Prepare business reports for management (e.g.- budget- trending- vaccination compliance-program compliance)

- Adhere to policies and procedures for confidentiality

- Implement laws and regulations affecting nursing practice (e.g.- licensure- practice acts)

- Implement workplace substance abuse programs

- Establish and monitor compliance with infection control guidelines

- Coordinate and serve on interdisciplinary committees and teams

- Provide resources and information to meet the health and safety needs of the organization

- Develop programs based on health and safety management principles

- Participate in audits (e.g.- health- safety- environmental- organizational)

- Evaluation

- Conduct quality management/improvement program (s) for occupational health and safety(e.g.- benchmarking- best practices)

- Demonstrate the value of services provided (e.g.- case management- occupational healthservices)

- Interpret the data obtained during a work site walk-through survey exam

Advisor Role

- Assessment

- Assess education and training needs

- Determine management support for health- wellness- and safety programs

- Assess for opportunities for workplace- professional- and community involvement

- Planning

- Interpret needs test results

- Select teaching methods and content based on the characteristics of learners (e.g.- applyadult learning principles- cultural differences)

- Develop educational strategies to effectively communicate risks to workers

- Plan new worker occupational health and safety orientation programs

- Develop education and training programs (i.e.- health and safety)

- Develop business case to enlist management support

- Implementation

- Educate and train workers about health and wellness (e.g.- self-care-complementary/alternative medicine- stress management)

- Educate management at all levels about occupational health and safety programs

- Educate and train occupational health and safety staff

- Serve as a preceptor or mentor for students and health care professionals

- Train workers on proper use and care of personal protective equipment

- Serve on professional and community boards

- Evaluation

- Communicate the results and outcomes of educational and training programs

- Evaluate value added service

- Measure program outcomes

Case Manager Role

- Assessment

- Identify work-related cases that are appropriate for case management

- Identify non-work-related cases that are appropriate for case management

- Identify legal- labor- and regulatory implications related to case management

- Planning

- Develop case management plans for individuals

- Develop and/or coordinate a network of resources for case management

- Develop a multidisciplinary plan of care in collaboration with the worker and their supportsystems

- Implementation

- Manage short-term or long-term disability cases

- Administer or manage integrated disability management strategies (I.e.- STD- LTD- FMLA-workers compensation- ADA/ADAAA)

- Manage workers compensation cases

- Refer workers for rehabilitation as indicated

- Coordinate administration of case management with vendors and community resources

- Communicate essential job functions information to providers

- Recommend modified duty based on work restriction and fitness for duty

- Evaluation

- Analyze workers compensation data

- Monitor treatment plan and outcomes (e.g.- early return to work- work conditioning- workcapacity exam- adherence to treatment plan- opioid minimization)

- Evaluate health care delivery to workers provided by external providers



- CHEMICAL HAZARDS

- solvents- cutting oils (e.g.- benzene)

- reproductive hazards

- asbestos- silica- cotton dust

- carcinogens

- heavy metals (e.g.- lead- cadmium- nickel-chromium- mercury)

- latex allergy

- carbon monoxide- methane

- toxicology terms (e.g.- acute/chronic/dose/PEL)

- cyanide- hydrogen sulfide

- exposure routes (e.g.-inhalation/absorption/ingestion/injection)

- chlorine- toluene isocyanates (i.e.- sensitizingagents)

- target organs (e.g.- neurotoxins/hepatotoxins)

- •ethylene oxide

- medical surveillance

- pesticides (e.g.- organophosphates)

- other chemical hazards

- BIOLOGIC HAZARDS

- food and water borne pathogens

- bloodborne pathogens (e.g.- HIV- hepatitis B)

- tuberculosis

- travel medicine

- immunizations/tetanus

- other biologic hazards

- PHYSICAL HAZARDS/ERGONOMICS

- noise vibration/hearing loss

- upper extremity disorders/algorithms

- radiation (e.g.-ionizing/lasers/infrared/microwaves/NRC)

- back disorders

- heat/cold stress

- work station design (e.g.- VDTs)

- electrical

- job task analysis

- PSYCHOPHYSIOLOGIC/STRESS

- violence (e.g.- critical incident stress debriefing– CISD)

- drug screening/chain of custody/hair samples

- shift work

- aging workers

- fitness for duty/job placement (e.g.- transitionalwork/return to work)

- cultural differences

- stress/time management

- disaster planning

- employee assistance programs (e.g.- drugabuse/alcoholism)

- SAFETY AND INDUSTRIAL HYGIENE ISSUES

- safety walkthrough

- personal protective equipment (e.g.-respirators/gloves/clothing/hearing protection)

- splash exposure

- engineering controls (e.g.-automation/substitution/isolation/distancing)

- sampling (e.g.- area/personal)

- administrative controls (e.g.- rotation/shift adjustment/training)

- indoor air quality/radon

- other safety hazards

- STANDARDS AND REGULATIONS

- hazard communication

- OSHA standards (e.g.- respiratory protection)

- MSDSs

- ADA/ADAAA (e.g.- job placement)

- DOT

- FMLA

- confined space

- HIPAA

- lock out/tag out

- Bloodborne Pathogens

- EMERGENCY RESPONSE

- burn care

- strains and sprains

- eye injuries

- crush injuries/amputation/bleeding

- cardiac emergencies/AEDs

- head injuries

- DISEASE MANAGEMENT

- dermatitis

- cholesterol

- occupational asthma/acute respiratory distress

- hypertension

- pulmonary function testing

- disease state management

- case management/clinical outcomes

- chronic pain management

- diabetes

- wound care

- asthma

- HEALTH EDUCATION/PROMOTION

- smoking cessation

- adult learning theory

- counseling/health promotion (e.g.- Healthy People 2020 objectives)

- levels of prevention

- confidentiality

- literacy/language issues

- AIDS education

- communicating risk

- counseling

- health risk exam

- MANAGEMENT PRINCIPLES

- ethics

- legal/regulatory practice aspects

- principles ofmanagement/communication

- INFORMATION MANAGEMENT/RECORDKEEPING

- confidentiality

- recordkeeping

- workers compensation

- research designs

- policy and procedures/protocols

- CLINICAL PRACTICE

- pre-placement evaluation

- clinical exam

- screening test results analysis

- return to work exam

- performing screening tests

- work restriction management

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