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Behavioural Toxicology in Occupational Health

should be occupational health nursecentred, with support from a medical practitioner with special interest or qualifications in occupational health. The trained occupational health nurse has a wide range of skills beyond a sound basic training and some practical experience (State Registered Nurse), including a useful knowledge of occupational (industrial) diseases and toxicology; the exercise of impartiality in employer/employee relations; health screening procedures and health interviews; initial treatment or management of conditions such as eye injuries, burns, skin problems, strains and sprains; counselling and communication, with a sound knowledge of local community health and welfare services; the ability to perform selective laboratory procedures for biological and workplace environment monitoring; and some knowledge of local health, safety, and Workers' Compensation legislation. A hospital with 200 or more beds has sufficient staff members (and related problems) to fully occupy an occupational health nurse with part-time doctor support and at least part-time receptionist/clerical assistance. In the large regional referral and teaching hospitals, units staffed with appropriately qualified personnel can be developed to provide not only services for those hospitals' staff members, but advisory and consultative services to other (district) hospitals, consultations on the work-relatedness of patients' problems and, by invitation, advisory services to industrial and commercial establishments in the region, particularly where small organizations cannot afford to have their own occupational health nurses or doctors. Sometimes these may be encouraged to group together to form viable independent units, with shared staff. THE MEDICAL JOURNAL OF AUSTRALIA