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This guide is intended to support new and existing community health center program grantees in the State of California to successfully navigate through their unique and complex environment, particularly in regards to financial and operational processes at both the state and federal levels. Offered for free on the California Primary Care Association Store.

MCN webinar It’s your right to know! Helping Community Health Workers Promote Chemical Safety on the Job

DATE: May 24, 2017, 1 pm (ET)

SPEAKERS: Juliana Simmons, MSPH, CHES



Continuing Education Credit

To receive CME* or CNE credit after viewing this webinar, you must:

  • Complete the Participant Evaluation associated with this webinar
  • Send an email with your first and last name stating which webinar you completed to



​José Navarro was excited for his new career after landing a job in the poultry industry. After five years on the job, 37 year-old Navarro began coughing up blood. He died soon after when his lungs and kidneys failed. His death triggered a federal investigation raising questions about the health risks associated with the use of toxic chemicals in poultry plants.

Millions of workers are exposed to chemicals everyday on the job. All workers have the right to know about the chemicals they work with and community health workers can be an important source of information and support for workers. This workshop will teach community health workers how to explain what happens when someone is exposed to chemicals and how workers can best protect themselves


Learning Objectives

  1. Recognize how workers become exposed to chemicals and illnesses
  2. Describe basic safety practices when working around chemicals
  3. Understand the role of community health workers in identifying and preventing work related illnesses and hazards


This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS09742, Technical Assistance to Community and Migrant Health Centers and Homeless for $1,094,709.00 with 0% of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

For the first time, the U.S. Preventive Services Task Force has released an e-book version of its Guide to Clinical Preventive Services. The e-book is compatible with many readers, including Kindle, Nook, iBook, and Kobo. The new “Guide to Clinical Preventive Services, 2014” is a comprehensive resource that can help primary care clinicians and patients decide together which preventive services are right for a patient’s needs. It includes all active Task Force evidence-based recommendations since 2004, including 28 new and updated recommendations since the 2012 guide, in a format meant for use at the point of patient care. It also includes information about topics in development, clinical summary tables and additional resources.

This is the first of several resources MCN is developing to aid health centers in addressing the unique healthcare needs of migrant patients within the Patient Centered Medical Home. In addition, MCN is developing tools and resources health centers can utilize as they seek PCMH recognition.

Open Access means that patients can get same-day appointments for acute care needs and rapid access to routine care needs. This resource describes what Open Access looks like for migrant patients.

NCQA Standard 1: Enhance Access and Continuity; Element A: Access During Office Hours

This booklet is intended to help Community Health Centers put in place an effective and efficient workers' compensation program.

Sample clinic policy for equipment cleaning to stop the spread of infection.
Sample clinic policy stating that the clinic will ensure all chemical exposures are assessed and accurate treatment is given.
These emergency evacuation procedures and assignments are designed to respond to many potential types of emergencies involving the widespread interruption of normal Center operations and evacuation/assembly of patients and staff, including fire, flood, gas leaks, chemical spills, explosions, major chemical contamination, bomb threats, tornadoes, and other civil defense emergencies.
Sample policy stating that the clinic will orient all new employees to infection control, employee health and their individual risks.
Sample policy stating that the clinic will comply with OSHA regulations.
Sample policy stating the procedure for a fire emergency.
Sample policy on handwashing for infection control.
Sample policy for reporting an incident or accident in the clinic.
Sample policy stating that the clinic will categorize job classifications based on Risk of occupational exposure.
Sample policy stating that the clinic will ensure that all laundry is properly handled and cleaned thoroughly.
Sample policy stating that the clinic will maintain a current procedural list where employees are at risk of occupational exposure.
Sample policy stating that the clinic will follow universal precautions as required by OSHA and provide staff with the necessary Personal Protective Equipment to safely perform job duties.
Sample policy stating that the clinic will comply with the relevant State Right To Know Program by educating its employees on the impact of chemicals used within the work place.
Sample policy stating that the clinic will make all employees aware of the work practice controls and ensure compliance with universal precautions.
Sample policy for proper instrument sterilization.
A p addressing all unexpected occurrences involving death or serious physical and/or psychological injury (including loss of limb or function) or the risk thereof are responded to, investigated and reported to appropriate entities immediately.
A more comprehensive policy addressing all unexpected occurrences involving death or serious physical and/or psychological injury (including loss of limb or function) or the risk thereof are responded to, investigated and reported to appropriate entities immediately.
Sample clinic policy stating that the clinic will take precautions to avoid/limit the risk of the transmission of tuberculosis.
Sample clinic policy to to provide tracking of all nosocomial infections and to alert the health center of any potential problems.

To provide guidelines for a thorough and consistent management of immunizations to our Clients throughout the Waimanalo Health Center.

An encounter between a nurse and a patient in which the nurse acts as an independent provider of medical services, under the delegation and supervision of a physician, nurse practitioner, or physician’s assistant, who has no direct contact with the patient during that visit.
To establish a procedure by which a patient may have a throat culture performed and strep throat treated without a provider visit.
To provide for pertussis prophylaxis by the Registered Nurse to avoid pertussis infection and spread of clinical disease in patients served by the LSCHC.
To establish guidelines by which the RN may diagnose and manage a patient with pinworms.
To provide guidelines by which the registered nurse may provide Nicotine Replacement Therapy (NRT) to patients who are attempting smoking cessation. Research shows that NRT generally increases the rates of smoking cessation, therefore, except in the presence of serious medical precautions, NRT should be encouraged in smokers interested in quitting.
To establish guidelines by which the registered nurse may diagnose and manage a patient with cerumen impaction.
Policy statement for clinics to use for injectable contraceptive medications given to female patients at risk of pregnancy.
Clinic policy to improve assessment of treatment goals for diabetic patients.
Sample policy describing the procedure for physician on call.
Sample policy on Early Preventative Screening Detection Tests.
Sample clinic policy on the treatment of minors.
Sample clinic policy for pediatric immunizations
Sample clinic policy to assure that pregnant women receive thorough and consistent care throughout pregnancy and postpartum
Sample clinic policy stating that pregnant patients will receive thorough and prompt prenatal assessment and assignment to care
Sample clinic policy for HIV testing.
This policy is initiated to inhibit the transmission of infectious diseases in the work place.
To ensure that *** Health Center (***) is prepared to efficiently provide health services during an influenza pandemic.
Sample policy describing the procedure for correct blood lead collection.
Sample policy statement describing how to provide appropriate evaluation and follow-up of diagnostic testing.
Sample policy describing the process for reviewing lab results from outside sources.
Sample policy stating that the clinc will complete proficiency testing as per state or manufacturer requirements.
Migrant patients often have limited time and resources to attend clinic. To accommodate migrants this policy establishes standing orders for laboratory panels so that clients may receive the typically ordered profiles PRIOR to their first visit with the physician/mid-level provider. Hence the client will be enrolled, assessed per protocol, laboratory work will be ordered and drawn per these standing orders and the client will be given a subsequent appointment to see the physician/mid-level provider.
Sample policy on transferring clinic patients to the hospital.
Sample policy for referrals by non-physicians.
Sample process for initiating a consultation or referral.
Sample policy stating that the clinic will provide consultations, referrals, or transfers to other health care professionals or settings when deemed medically necessary and/or will be considered at the patient's request.
Advance directive description and policy in Spanish.

General description and elements of an advance directive policy.

Sample Clinic policy for offering and educating on advance directives to patients.
Staffing ratios are a critical component of clinic productivity and business plans. This table shows one way to look at staffing ratios by estimating how many support staff is reasonable for each FTE provider in the clinic. Clearly this figure will vary depending on the type of practice (i.e. very heavy procedure oriented, high risk patients, a lot of obstetrics) but this example is a good "bench mark" for a basic primary care CHC doing full scope primary care with a primary care provider staff.