Learning for life: confined space medicals

Life Long Learning and Continuing Professional Development (CPD) are the
processes by which professional people, such as nurses, develop and improve
their practice for the benefit of their clients.

There are many ways to address CPD, formally, through attending courses,
study days and workshops, or informally, through private study and reflection.
Reading articles in professional journals is a good way of keeping up-to-date
with what is going on in the field of practice, but reflecting and identifying
what you have learnt is not always so easy.

The following questions are designed to help you to identify what you have
learnt from studying the article. They will also help you to clarify what you
can apply to practice, what you did not understand and what you need to explore

1 How may leptospirosis present itself?

a) diarrhoea and vomiting
b) flu like symptoms
c) sore throat and runny nose
d) earache

2 Reynauds disease is more painful in

a) hot and humid conditions
b) constantly wet conditions
c) hot and dry conditions
d) cold damp conditions

3 BMI stands for

a) body mass index
b) base metabolic index
c) body mechanics index
d) body metabolic index

4 BMI is calculated using

a) age and height
b) height and weight
c) age and weight
d) height, age and weight

5 Spirometry is undertaken to determine

a) the ventilation capacity of the respiratory system
b) the gas transfer of the respiratory system
c) the blood gas transport of the respiratory system
d) all of the above

6 Confined space workers are at risk of Hepatitis B because

a) rat bites
b) needlestick injuries
c) poor personal hygiene
d) working in sewers

7 Workers should be referred to the physician if blood pressure is
greater than

a) 150/80
b) 160/85
c) 170/80
d) 180/95

8 Psychological assessment is undertaken to ensure

a) freedom from claustrophobia
b) stable personality
c) freedom from agoraphobia
d) freedom from arachnophobia

9 At what age is re-examination required annually?

a) 40
b) 45
c) 50
d) 55

10 The incidence of leptospirosis has reduced today because of

a) Pest control measures
b) PPE
c) Detergent in waste water
d) All of the above


1b Reading more about Leptospirosis. 1) Noone J, (1998) Diagnosis
& treatment of leptospirosis in primary care settings, Nurse Practitioner
May 23(5) p62-73. 2) Payling K, (1994) Leptospirosis: identification and
management. Occupational Health May 46(5) p164-5
For further information on BMI read the article Crombie N. (1999)
Obesity Management, Nursing Standard, Aug 13 (47) p43-6
5a Read Booker R, (1999) Getting to grips with spirometry (Skills Update
series) Community Nurse July 5(6) p17-20
6b Read Howard G, (1996) Hepatitis B and the employers duty to
vaccinate, Occupational Health Aug 48(8) p284-6,303
7d Borrow and study a copy of RCN Nursing Update video and workbook On
the way up: Hypertension. Learning Unit 080 from your RCN Office.

Comments are closed.