2015

Agricultural Health
Integration Guide

Protecting the People who Feed America

Contents
About Us........................................................................................................................
Cycle of Development.............................................................................................
AgriSafe Builds National Impact.......................................................................
Invest in Your Health: Ag College Prevention Program..........................
Agribusiness Training.........................................................................................
Respiratory Health...............................................................................................
Pesticide Safety.....................................................................................................
Resources..................................................................................................................

About Us

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Who We Are

Our Core Strength

The 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.

Our 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.

Farmers Who Feed Our Nation

Our Dedication

experience an increased incidence of:

respiratory diseases
zoonotic infections
skin cancer
musculoskeletal disorders
hearing loss
depression
disabling injuries
occupational fatalities

The 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

Our Core Values

We believe that providing occupational health

services to farmers will improve the quality of
their lives and those of future generations.

This is an interactive resource guide.

To access resources listed simply click the text or images.

Cycle of Development

Cycle of Development

Rural 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.

Challenges

Support

Challenges 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

AgriSafes 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

Health & Injury

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

Impact

AgriSafe 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 AgriSafes innovative
occupational health initiatives are:
clinical resources
advanced training programs
outreach services
distance education
Ag Health Risk Assessment
college health curriculum

AgriSafe Builds National Impact

AgriSafe Builds National Impact

Canada

State Affiliates
Illinois

Robert (Chip) Petrea, PhD

Agricultural Safety & Health Network, Urbana & Champaign

Iowa

Kelley Donham, MS, DVM

= AgriSafe Member

Iowas Center for Agricultural Safety & Health

University of Iowa College of Public Health, Iowa City

= AgriSafe State Affiliate

Louisiana

= Agrisafe Approved Trainings

Australia

Ann Carruth, DNS, RN

= AgriSafe Onsite Trainings

Southeastern LA University, Hammond

Nebraska

Risto Rautiainen, PhD

Central States Center for Agricultural Safety and Health (CS-CASH)

University of Nebraska Medical Center, College of Public Health
Omaha

North Carolina

Robin Tutor, MPH, OTR/L

NC Agromedicine Institute, Greenville

North Dakota

Denise Andress, RN, BSN

Southwest Area Health Education Center, Hettinger

Vermont

Jean McCandless, MSW

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.

Educate
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

Both my mom
and dad have high
blood pressure,
sometimes I worry
about that.

Prevent
Each student will receive the following:

As a new
generation of farmers,
you have access to great
information and technology.
You can choose what you want
to do with it. Im here to help
you make smart choices.
Carolyn Sheridan
Clinical Director

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

Protect

Ive had a
cough, and just
dont feel good after
helping clean a bin
out a couple times, is
this what I should
use?

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

Sustain

Contact Us
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

Each Student Will Receive the Following:

AgriSafe Membership
Educational Materials
Follow Up Behavior Survey
Web-Based Health Tools
Web-Based Trainings

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.

Performance = Exceeding Our Goals

406 trained through distance-based webinars

374 trained through onsite trainings
68 hours of training provided
The goal is to help businesses maintain

a healthy and productive workforce.

Grain Safety
Chemical Safety
Equipment Safety
Respirator Selection

&

Webinars
Customized
On-Site Workshops

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

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.

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Schedule a Training : To arrange an onsite training

please contact Natalie Roy at nroy@agrisafe.org

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Respiratory Resources

Cholinesterase Resources
Cholinesterase Resources

Educational videos aimed at increasing use of

Respiratory personal protective equipment featured
AgriSafe Clinical Director, Carolyn Sheridan.
Emerging Issues Require Immediate Response
Drought 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.

Respiratory educational brochures are

available as free download for members. They
can be customized with local AgriSafe logo.

AgriSafe 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 Webinar
These resources were developed with the idea that
rural health professionals must have access to clear
standards and recommendations when monitoring
insecticide handlers.

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.

For more information contact Natalie Roy at

nroy@agrisafe.org

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Resources
Agricultural Occupational Screening

Online Health Risk Assessment

Agricultural Health and Safety Goals - 2 Page Document

CLIENT HEALTH GOALS

AgriSafe Network Sample Clinical Screening Form

Date: ____/____/________

ID#_________

Name:

Name_________________________________________
Address_________________________________________________________ZiP___________
Email Address_________________________________Cell Phone_______________________

___________________________________________________________________________________

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

___________________________________________________________________________________
___________________________________________________________________________________

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___________

Clinical Data

Date:

HEALTH GOALS ____________________________________________________________________

NURSING CONCERNS
Result

___Referral ___ Monitor ___ No Concern ___ Already Under Dr.s Care

Referral

Monitor

Weight
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 _______

No
concerns

Blood
Pressure

Tobacco
Use

Cholesterol

Stress

Cholinesterase

Drinking
Water

Respiratory

Male
General

Vision

Female
General

Comments: __________________________________________________________
Pulmonary Function Screening (if indicated by exposures and/or symptoms)
Predicted

Actual

% Predicted

FVC

Liters

Liters

________ %

FEV1

Liters

Liters

________ %

Liters

________ %

FEF 25/75%

Liters

FEV1/FVC%
Education:

Referral

Monitor

Musclo/
skeletal

No
concerns

Hearing

Actual Percentage ________ %

Skin

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

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

Health Professional Signature: ________________________________

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

Client Signature: ____________________________________________ Date: __________________

Date: _________________

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

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

Health Goals - Page 1

Copyright 2014 by the AgriSafe Network

Copyright 2014 AgriSafe Network Inc.

Agricultural Respiratory Assessment

Derma Scan Screening

AGRISAFE DERMASCAN SCREENING

Agricultural Occupational Respiratory Assessment

CLIENT SAFETY GOALS

Name:

Date:

SAFETY GOALS______________________________________________________________________

____________________________________________________________________________________

Name_________________________________________ Street/P.O. Box ______________________________

Name_________________________________________ email address: _______________________________

____________________________________________________________________________________________

City____________________________ State______ Zip____________ Phone (_____)____________________

City____________________________ State______ Zip____________ Phone__________________________

____________________________________________________________________________________________

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

Birth Date ______________ Age _____ Ht _____ Wt _____ B/P ________________ Male ___ Female ___

____________________________________________________________________________________________

Family Physician __________________________________Address ___________________________________________________

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

Farming Status- Please check those which apply to you: Student_________ Active Farmer _____________

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

Part-time Farm Worker _________

Have you ever been diagnosed with skin cancer?

If yes, what year were you diagnosed?

Yes

No

Type of Respiratory Exposures Cattle ____

Grain _____

___ ___ ___ ___

Yes

Are there any areas on your skin that bleed or will not heal?

Yes

Do you have any suspicious area(s) on your skin that you are concerned
about?
Without this screening, would you have seen a doctor for your skin?

Use tractors with a cab or canopy?

Wear long sleeves when in sun?
Use hat with a wide brim in the
summer?
Use sunscreen?

Hogs _____

Hog Confinement ____Poultry Confinement ____

Hay _____ Pesticide Application ______Other ________________________________________

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

Do you have any pigmented spot(s) that have changed in size, color, contour,
or thickness recently?

When outside, how often do you

Other Occupation _____________________________________________

Yes
Yes

Always

Sometimes

1
1
1

2
2
2

How often do you wear a mask when working in the agricultural settings?

No

Exposure
Grain Dust (all types corn, beans, etc)
Silo Dust
Moldy Grain
Working with Hogs (treating, moving)
Working with poultry
Feeding livestock
Power washing/disinfecting
Handling chemicals
Handling grain/grinding feed

No
No
No

Always

Sometimes

Never

N/A

What type of Mask all that apply

1 strap / 2 strap / cartridge
1 strap / 2 strap / cartridge
1 strap / 2 strap / cartridge
1 strap / 2 strap / cartridge
1 strap / 2 strap / cartridge
1 strap / 2 strap / cartridge
1 strap / 2 strap / cartridge
1 strap / 2 strap / cartridge
1 strap / 2 strap / cartridge

SMOKING STATUS ___ Current Smoker ___ Ex-Smoker ___ Never or <100 Cigarettes Smoked in Lifetime

Never

RESPIRATORY SYMPTOMS CHECK ALL YOU EXPERIENCED IN THE PAST MONTH

3
3
3

____ 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
Predicted

Respirator: Type _____________________Size_________________

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

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

_______% Indicator of airway health. Normal = 70% and above

FVC

Forced Vital
Capacity

RECOMMENDATIONS
____ Follow-up visit for PPE at AgriSafe Clinic

FEV1
FEV1/FVC
Ratio

____ Physician Evaluation

Comments: ________________________________________________________________________________

_____Results are Normal _____Results below recommended levels ______Recommend Physician Evaluation
Comments: ________________________________________________________________________________

____________________________________________________________________________________________________________

Evaluator Signature ________________________________

* This is only a screening. Further follow up may be necessary.

Your Results

Personal Protective Equipment Goals:

____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
PERSONAL PROTECTIVE EQUIPMENT LOG
Type of PPE

PPE

Currently Using

Recommended

(provide specifics)

(note brand & number)

Date ___________________

Evaluator Signature ________________________________

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(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: __________________

Safety Goals - Page 2

Copyright 2014 AgriSafe Network Inc.

____________________________________________________________________________________________________________

Copyright 2014 by the AgriSafe Network

Purchased or
Ordered from
Clinic

Date ___________________

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Protecting the People who Feed America

www.agrisafe.org
Follow us on Facebook at
www.facebook.com/agrisafe.network
866-312-3002
info@agrisafe.org
P.O. Box 1338
Spencer, Iowa, 51301

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

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