Community Public Health

Running head: CONCEPTS IN COMMUNITY AND PUBLIC HEALTH           Concepts in comm. p.1

Concepts in Community and Public Health
Grand Canyon University
October 17, 2010

October 13, 2010

Senator Barbara Boxer
112 Hart Senate Office Building
Washington DC, 20510

Dear Senator Boxer,

My name is XXXXX RN Nurse Coordinator in charge of the Health Clinic X17. This health organization requires a continual re-evaluation of services to ensure that the customers are receiving meaningful, state-of-the-art service that will improve the health, safety, and productivity of the county workforce. One of the tools we employ is a “Customer Satisfaction Survey.”

Over the past nine months, I have noted 83 negative comments that made reference to this facility. These issues have been addressed with the area nurse manager, the building manager and the contracting company, yet continue to be problematic.

The Health Center is located in the first subterranean floor, between the loading dock and entrance to the parking garage. Concerns have been expressed about potential exposure to vehicle exhaust. OSHA   has conducted surveys for common airborne contaminates in the past. The results of these surveys have always yielded the same; the concentration of none of these contaminates reaches or exceeds OSHA Permissible Exposure Limits (PEL). The building has made improvements to the ventilation system in the Health Center. Unfortunately complaints continued.

The perception rested primarily with my health care professional staff. Through the Customer Satisfaction Surveys, it is now apparent that the perception of an unhealthy environment is not limited to the staff that spends eight hours a day in the Health Center. Clients spending less than an hour in the Health Center are complaining about the conditions.   Even though the exposures are below the PELs almost all clients are able to detect an odor.

The PELs are established by the Department of...