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A Day in the Life of an Occupational Health Nurse in Rural America 

By Barbara Chandler

Published 29 November 2024

Home / Article / A Day in the Life of an Occupational Health Nurse in Rural America 
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If I could share with the world what I do as an occupational health nurse in rural America, I would talk endlessly about my passion for promoting health and wellness in the workplace. My role goes far beyond bandaging cuts and conducting health screenings—it’s about making a tangible difference in the lives of hardworking individuals who keep the wheels of our community turning.

I live in Enid, Oklahoma, a charming town of roughly 50,000 people nestled in the heart of rural America. Life here is simple, but the work we do is anything but. I work for one of the world’s largest international protein companies, the second-largest employer in the county. The plants under my care operate around the clock, with 1,600 people working tirelessly to produce high-quality protein that feeds the world. The hustle and bustle of these plants are palpable, and as the nurse manager, I oversee the occupational health department, ensuring that safety and wellness are always a top priority.

Our role begins with ensuring compliance with OSHA standards through programs such as hearing screenings, respiratory programs, post-offer health assessments, and drug testing. On top of these programs, we provide immediate care for day-to-day injuries—slip and falls, lacerations, smashed fingers, and musculoskeletal complaints that come with the territory of physical labor. We offer a variety of treatments, including ice, heat, muscle rubs, K-taping, and over-the-counter medications. The joy in my job comes not only from treating these injuries but from the satisfaction of knowing that we’re creating a safe and supportive environment for our workers.

However, not all injuries can be treated in-house. In cases where the injury or illness requires more advanced care, I have the privilege of managing the workers’ compensation process. Oklahoma is an employer-choice state, meaning I have the ability to select the best physician and appointment times for our team members, ensuring they receive timely and top-notch care. We also pride ourselves on our robust light-duty program, which allows us to accommodate nearly any restriction or accommodation a worker may need, helping them return to work sooner and recover more quickly.

But my favorite part of my job—what truly gets me out of bed each morning—is health promotion. A healthy worker is a happy and productive worker, and promoting health and wellness is key to retention and job satisfaction. We have an incredibly diverse workforce, with many of our workers hailing from Pacific Islander and Hispanic cultures. While our backgrounds may differ, our need for love, acceptance, and healthcare is universal.

Access to healthcare can be a challenge in rural Oklahoma. While we’re fortunate to have an onsite clinic available free of charge for our team members, access to specialists is a different story. The nearest specialists are located in Oklahoma City or Tulsa, a 90-minute to two-hour drive away—an impossible journey for some, particularly those without cars or driver’s licenses. For many of our workers, taking time off work to attend a doctor’s appointment can mean a significant financial hit. Preventive care, while crucial, often takes a backseat when workers are more focused on putting food on the table.

This is where our onsite wellness programs come into play. I’m incredibly proud of our annual mammogram events, where we bring a mammogram bus to the plant for two days, offering screenings to around 75-80 team members without requiring them to take time off work. Preventive care is crucial, and by bringing services to the workplace, we’re removing barriers that might otherwise prevent workers from getting these life-saving screenings.

Our health fairs are another hit, especially when we focus on areas like dental care, which many of our workers were unfamiliar with. We’ve even had workers who didn’t realize that dentists are doctors for teeth! Our fairs provide an opportunity to teach them about oral hygiene, flossing, and brushing, and everyone loves the prizes we give out. These events aren’t just about health—they’re about empowerment, teaching our workers that taking care of their bodies will allow them to take care of their families for years to come.

Diabetes and high blood pressure are two of the biggest health concerns we tackle regularly. We offer screenings, educational sessions on nutrition, and medication management—especially important in a workforce where cultural differences often affect how people view and manage their health. It’s an incredible feeling to make an impact, no matter how small, on the long-term health of our workers.

My favorite part of my job - what truly gets me out of bed each morning - is health promotion.

Working in occupational health in rural America is as rewarding as it is challenging. We’re not just dealing with sprained ankles or bruised egos—we’re working to ensure the safety, health, and overall well-being of a diverse and hardworking population. We deal with cultural and logistical challenges daily, but there’s nothing more fulfilling than seeing the positive effect we can have on our workers’ lives, knowing that they leave work healthier and happier than when they arrived.

As an occupational health nurse in rural America, my job is not confined to treating injuries. It’s about advocating for the health and wellness of those I serve. It’s about meeting people where they are, whether that’s with a K-taping treatment for a sore shoulder or bringing a mammogram bus to the plant to catch early signs of breast cancer. And at the heart of it all is the understanding that health and wellness are fundamental to a worker’s productivity, satisfaction, and quality of life.

I am proud to work for a company that values its employees enough to invest in their health and well-being. As we continue to grow, innovate, and feed the world, we also strive to ensure that the individuals behind the protein are cared for—mind, body, and spirit. That’s the heartbeat of my job, and it’s why I wake up every day excited to do what I do.

 

Barbara Chandler | Linkedin

Barbara is the Nurse Manager for Tyson Foods in Enid, OKlahoma, US, where she leads a dedicated team of Occupational Health Nurses focused on the health and wellness of over 1,600 team members. She holds a Bachelor’s Degree in Nursing from The University of Oklahoma and will complete her MSN/MBA at Purdue University in 2025. Barbara is an active member of the American Association of Occupational Health Nurses (AAOHN) and serves on its Practice Committee.

 

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