(Reprinted from the Journal ol PbymcaJ Chemistry, 0, 381 f 19JM>.| Copyright 1956 by tha Awricm Chamical Society and reprinted by permieewo of the copyright owner.

coordinated with community plans for such events See "Planning for Emergencies," Chapter 18 Procedures should include selecting, train ing, and supervising auxiliary personnel, and should provide for 1 Selecting and training auxiliary nursing personnel 2 Selecting and training first aid workers 3 Transporting and canng for the injured 4 Transferring seriously injured to hospitals 5 Coordinating these plans with the safety department, guards, police, road patrols, fire departments, and other interested community groups Duties of the occupational health nurse Occupational health nursing is a specialized branch of the nursing profession The posi tion requires a registered professional nurse, who is licensed in the state where employed In addition, it is desirable that the occupa tional health nurse have some knowledge of workmen's compensation laws, insurance, health and safety laws, occupational diseases, sanitation, first aid, and record keeping The occupational health nurse contributes the most when she works with the company physician who provides her with written di rectives that have been discussed between them, so they are mutually agreed upon and understood Working with the physician, the occupa tional health nurse can provide a variety of nursing services, such as initial care for in juries or illnesses, counseling, health educa tion, consultation about sanitary standards, and referral to community health agencies She also can participate m programs to evalu ate employee health, such as health exami nations, or to prevent disease, such as immu nizations Working with the physician, the plant nurse can perform excellent employee health edu cation services in the distribution of literature on heart care, weight control, cancer and tuberculosis prevention, and the prevention and treatment of venereal disease When the physician is only at the establish ment part time, the nurse is responsible to him on professional matters, and to a member of management on administrative matters In this case, the nurse works with the safety di rector m planning and conducting accident prevention programs The occupational health nurse must main tain a confidential professional relationship with the employees in conformity with legal and ethical codes She may not divulge in formation contained in individual employee health records unless the employee gives his signed permission, the medical files are only accessible to medical personnel It must be cleai that establishment of medi cal diagnosis and definition of treatment are the functions of the physician The nurse is not a substitute for him Each has a legally defined area of practice and responsibility An effective company medical program re quires the services of both a physician and a nurse According to a statement published by the American Medical Association m 1959 "Courts have held that professional nurses have a legal duty to interpret evidence presented by the patient possibly indicating the need for medical attention, and to proceed m the light of that interpretation to do what is required for the patient, as for example the need to call a physician, to discontinue a treatment where there is evidence of its harm ful effect, for example on an unconscious pa tient, or to determine the patient's need for special medication, for example, sedatives There can be little doubt that by custom and usage the relationship between doctor, patient, and nurse is one in which the parties recognize that the nurse as well as the physician has the function and responsibility to observe and interpret the patient's reactions "In emergency cases, industrial nurses have a duty to determine the need for prompt medi cal attention, to make a tentative diagnosis of the patient's condition, and to employ neces sary resuscitative and first aid measures " Physical examination program Supervision of the health status of workers by qualified medical personnel is essential if any occupational health program is to obtain maximum benefits for both employer and em ployee Therefore, a program of physical examinations should be established The 553

i Kr.

Monsanto f AOU AA .* LO> A '.O'. *> April 2, 198.0 Dept, of Medicine & Environmental Health cc T.

MONSANTO CHEMICAL COMPANY From Locations Texas City, Texas Date July 24, 1959 Subject : MAJOR INJURY REPORT To W.

Year 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 AMERICAN BRAKEBLOK DIVISION SALES IQ NAPA MILWAUKEE HEAVY DUTY THICK BLOCKS Cubic Inches 107,200 155,800 44,200 43,300 80,100 33,100 37,800 68,600 81,200 51,400 69,800 41,385 164,990 186,422 Dollars $ 7,106 9,567 2,879 2,823 5,246 2,168 2,580 4,510 5,139 3,2474,361 2,587 10,401 11,931 Selling Price Per MCI $ 66.28 61.39 65.14 65.20 65.46 65.41 68.25 65.74 63.27 63.16 62.50 62.51 63.04 64.00 SCI 01998

Year 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 AMERICAN BRAKEBLOK DIVISION SALES TO NAPA FRESNO HEAVY DOTY THICK BLOCKS Cubic Inches Dollars 268,600 $ 17,805 102,100 6,269 244,300 15,915 239,500 15,613 29 7,600 19,481 223,200 14,600 218,800 14,933 242,100 15,915 188,300 11,913 140,700 8,885 235,200 14,698 239,706 14,984 163,325 10,296 235,750 15,088 Selling Price Per MCI $ 66.28 61.39 65.14 65.20 65.46 65.41 68.25 65.74 63.27 63.16 62.50 62.51 63.04 64.00 SCI 02012

Year 19571958 1959 1960 1961 1962 1963 1964 1965 AMERICAN BRAKEBLOK DIVISION SALES TO NAPA ATLANTA HEAVY DUTY TRUCK STRIPS Cubic Inches 199,100 230,800 263,500 212,300 180,000 185,900 167,200 163,448 148,203 Dollars $ 16,907 20,040 21,942 15,639 13,444 14,137 12,759 12,458 11,425 Selling Price Per MCI $ 84.92 86.84 83.28 73.67 74.69 76.04 76.31 76.22 77.09 SCI 02059

Yar 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 AMERICAN BRAKEBLOK DIVISION TOTAL SALES -- NAPA CHARLOTTE Cubic Inches 694,900 1,584,500 1,697,600 2,152,300 2,026,300 2,061,900 2,049,800 2,122,800 1,860,200 2,009,337 2,044,366 2,548,273 Dollars $ 40,850 88,120 97,952 122,102 124,948 124,377 120,612 121,714 107,075 112,886 115,210 144,133 Selling Price Per MCI 5 59.73 56.77 58.86 58.34 63.18 61.81 60.07 59.14 59.29 58.21 58.38 58.56 SCI 02069

Year 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 AMERICAN BRAKEBLOK DIVISION SALES TO NAPA CHARLOTTE PASSENGER CARS Cubic Inches 628,200 1,407,500 1,414,000 1,873.500 1,706,300 1,768,300 1,719,700 1,847,600 1,576,700 1,738,576 1,776,276 2,118,343 Dollars $ 36,503 76,581 79,390 101,581 100,956 103,020 98,437 103,520 88,186 94,961 97,482 115,598 Selling Price Per MCI $ 58.11 54.41 56.13 54.22 60.02 58.26 57.24 56.03 55.93 54.62 54.88 54.57 SCI 02072

Year 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 AMERICAN BRAKEBLOK DIVISION TOTAL SALES - NAPA DENVER Cubic Inches 862,600 750,100 834,400 890,700 850,200 1,040,900 965,500 1,272,400 1,296,700 1,306,900 1,181,200 1,118,850 1,345,776 1,961,733 Dollars i 58,405 46,370 51,532 52,392 51,908 61,771 61,774 79,651 77,725 76,975 68,864 63,631 77,213 114,263 Selling ?

Year 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 AMERICAN BRAKEBLOK DIVISION SALES TO NAPA PITTSBURGH HEAVY DUTY THICK BLOCKS Cubic Inches 549,700 596,500 427,100 549,900 588,500 413,500 258,700 469,100 515,700 503,900 529,800 630,715 751,063 960,484 Dollars $ 36,431 36,622 27,833 35,852 38,523 27,045 17,656 30,841 32,631 31,825 33,115 39,426 47,347 61,471 Selling Price Per MCI $ 66.28 61.39 65.14 65.20 65.46 65.41 68.25 65.74 63.27 63.16 62,50 62.51 63.04 64.00 SCI 02148

STARTER END PLATES (Cnl.)-534IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIHIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Make Years ,| Mdel?

NARCO CLEVE TO EAGLE PI CHER CO ATTN LOVELL D GRAVES AND/OR ED HALL INDUSTRIAL INSULATION PRODUCTS DIV CINCINNATI OHIO 6/20/67 1.J5 PM ENTER NEW ORDER SOLD TO ARMCO STEEL CORP.

64 ROSS A.