COHN case studies
COHN · Put your knowledge to work in context.
The Certified Occupational Health Nurse (COHN) credential is awarded by the American Board for Occupational Health Nurses, Inc. (ABOHN), an organization whose examinations are accredited by the National Commission for Certifying Agencies (NCCA) and which holds membership in the American Board of Nursing Specialties (ABNS). The COHN case studies are 5 cases and about 4,233 words.
1Grinder Operator with Numb Fingers and Blanching: Assessment, Work Status, and Recordability
Marcus R., 47, has operated a pedestal grinder in a foundry for 12 years, averaging 6 hours of tool use per shift. At the plant clinic he reports 3 months of numbness and tingling in the thumb, index, and middle fingers that wakes him at night; he has dropped small parts twice and twice noticed his fingertips turn white after rinsing parts in cold water.
913 words, about 5 min2Justifying a Return-to-Work Program to a CFO in a 340-Employee Distribution Center
You are the sole occupational health nurse for a 340-employee distribution center. Last year the site recorded 19 OSHA recordable injuries, 61% of them sprain/strain from manual order picking, and 42 lost workdays.
814 words, about 4 min3Paint Booth Wheeze: A Suspected Sentinel Occupational Asthma Case
You are the contract occupational health nurse for a 210-employee auto parts plant. A 38-year-old paint technician in the clear-coat booth has had 14 months of cough, chest tightness, and wheeze that improve on weekends and vacations and worsen mid-shift.
855 words, about 4 min4Biometric Screening: a 168/104 Reading, a Suspicious Data Request, and an Abnormal A1c
You manage wellness for a 1,200-employee campus. At the annual vendor-run biometric screening, a 54-year-old maintenance planner with no primary care provider in three years has a single reading of 168/104 mmHg; he feels fine and wants to go back to work.
824 words, about 4 min5Return to Forklift Duty Four Weeks After an MI: When the Release Note Doesn't Match the Job
A 58-year-old forklift operator returns to the plant clinic 4 weeks after an MI treated with two drug-eluting stents. His cardiologist's note says may return to full duty, no restrictions.
827 words, about 4 min