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               174   unit 3 | Professional Issues                                                                          CikguOnline
               Centers for Disease Control and Prevention   NIOSH
               The Centers for Disease Control and Prevention  The NIOSH is part of the CDC and is the feder-
               (CDC) is the lead federal agency for protecting the  al agency responsible for conducting research and
               health and safety of citizens both at home and  making recommendations for the prevention of
               abroad. The CDC partners with other agencies  work-related disease and injury. Occupational
               throughout the nation to investigate health prob-  hazards for health-care workers continue to be
               lems, conduct research, implement prevention  enormous health and economic problems.
               strategies, and promote safe and healthy environ-  According to statistics from the NIOSH, more
               ments. The CDC publishes continuous updates of  than 6.1 million illnesses and injuries occur in the
               recommendations for prevention of HIV transmis-  workplace yearly, with more than 2.9 million lost
               sion in the workplace and universal precautions  workdays attributed to occupational illnesses and
               related to blood-borne pathogens; it also publishes  injuries (cdc.gov/niosh/about).
               the most recent information on other infectious  Box 12-1 lists the most important federal laws
               diseases in the workplace, such as tuberculosis and  enacted to protect individuals in the workplace.
               hepatitis. Currently, the CDC is targeting public
               health emergency preparedness and response relat-  ANA
               ed to biological and chemical agents and threats  When looking at agencies that are instrumental in
               (cdc.gov/). Information can be obtained by con-  dealing with workplace safety, the ANA must be
               sulting the Mortality and Morbidity  Weekly  included. The ANA is discussed more completely
               Report (MMWR) in the library, via the Internet  in Chapters 10 and 15.The ANA’s history embod-
               (cdc.gov/health/diseases), or through the toll-free  ies advocacy for the nurse.
               phone number (800-311-3435). Interested health-  In 1999 the Commission on  Workplace
               care workers can also be placed on the CDC’s   Advocacy was established as part of the ANA.The
               mailing list to receive any free publications.  Commission consists of nine members, appointed


                box 12-1
                   Federal Laws Enacted to Protect the Worker in the Workplace
                • Equal Pay Act of 1963: Employers must provide equal pay for equal work, regardless of sex.
                • Title VII of Civil Rights Act of 1964: Employees may not be discriminated against on the basis of race, color, religion, sex,
                 or national origin.
                • Age Discrimination in Employment Act of 1967: Private and public employers may not discriminate against persons
                 40 years of age or older except when a certain age group is a bona fide occupational qualification.
                • Pregnancy Discrimination Act of 1968: Pregnant women cannot be discriminated against in employment benefits if they
                 are able to perform job responsibilities.
                • Fair Credit Reporting Act of 1970: Job applicants and employees have the right to know of the existence and content of
                 any credit files maintained on them.
                • Vocational Rehabilitation Act of 1973: An employer receiving financial assistance from the federal government may not
                 discriminate against individuals with disabilities and must develop affirmative action plans to hire and promote individuals
                 with disabilities.
                • Family Education Rights and Privacy Act—Buckley Amendment of 1974: Educational institutions may not supply
                  information about students without their consent.
                • Immigration Reform and Control Act of 1986: Employers must screen employees for the right to work in the United
                 States without discriminating on the basis of national origin.
                • Americans With Disabilities Act of 1990: Persons with physical or mental disabilities or who are chronically ill cannot be
                 discriminated against in the workplace. Employers must make “reasonable accommodations”to meet the needs of the
                 disabled employee. These include such provisions as installing foot or hand controls; readjusting light switches, telephones,
                 desks, tables, and computer equipment; providing access ramps and elevators; offering flexible work hours; and providing
                 readers for blind employees.
                • Family Medical Leave Act of 1993: Employers with 50 or more employees must provide up to 13 weeks of unpaid leave for
                 family medical emergencies, childbirth, or adoption.
                • Needlestick Safety and Prevention Act of 2001: This act directed the OSHA to revise the blood-borne pathogens stan-
                 dard to establish in greater detail requirements that employers identify and make use of effective and safer medical devices.
                Adapted from Strader, M., & Decker, P. (1995). Role Transition to Patient Care Management. Norwalk, Conn.: Appleton and
                Lange; osha.gov/needlesticks/needlefact
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