Last Updated: 2008/4/17
Last Updated: 2008/4/14
Last Updated: 2008/4/14
Public Health Nurse
aInvested in your community.
aRelationships established and maintained with other community health care professionals.
aIn Depth knowledge of your community's population. aMore timely infectious disease response.
aTrusted resource and advocate for your community.
PUBLIC HEALTH NURSE DEFINED: A Public Health Nurse (PHN) is a person whose education is in nursing and in public health or a related discipline who is employed to improve health through a population focus. The practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences.
bust of Hygeia
mThe Client or unit of care is the population (Not insurance driven.)
mFlexibility with deliverables ~ To the town, to special populations, on a case by case basis.
mThe primary obligation is to achieve the greatest good for the greatest number of people of the population as a whole.
mThe processes used by public health nurses include working with the client as an equal partner.
mPrimary prevention is the priority in selecting appropriate activities.
mPublic health nursing focuses on strategies that create healthy environmental, social, and economic conditions in which populations may thrive.
mA public health nurse is obligated to actively identify and reach out to all who might benefit from a specific activity or service.
mOptimal use of available resources to assure the best overall improvement in the health of the population is a key element of the practice.
mCollaboration with the variety of other professions, populations, organizations, and other stakeholder groups is the most effective way to promote protect the health of the people.
PRINCIPLES OF PHN:
fThe client "unit of care" is the population.(Visiting Nurses Service- "unit of care" is reimbursable services only.)
fAchieve the greatest good for the greatest number of people.
fWork with the client as an equal partner.
fHealth promotion and protection are the priorities in selecting activities.
fSelect strategies that create healthy environmental, social and economic conditions.
fActively reach out to all who might benefit from a specific activity or service.
fUse available resources to assure the best overall improvement in health of the population.
fCollaborate with other professions and organizations to promote and protect health.
PUBLIC HEALTH NURSING SCOPE & STANDARDS of PRACTICE (from the 2007 edition.)
Standard 1. Assessment: The PHN collects comprehensive data pertinent to the health status of the population.
Standard 2. Population Diagnosis and Priorities: The PHN analyses the assessment data to determine tthe population diagnoses and priorities.
Standard 3. Outcomes Identification: The PHN identifies expected outcomes for a plan that is based on population diagnosis and priorities.
Standard 4. Planning:The PHN develops a plan that reflects best practices by identifying strategies, action plans, and alternatives to attain expected outcomes.
Standard 5. Implementation: The PHN implements the identified plan by partnering with others.
Standard 5A. Coordination: The PHN coordinates programs, services, and other activities to implement the identified plan.
Standard 5B. Health Education and Health Promotion: The PHN employs multiple strategies to promote health, prevent disease, and ensure a safe environment for populations.
Standard 5C. Consultation: The PHN provides consultation to various community groups and officials to facilitate the implementation of programs and services.
Standard 5D. Regulatory Activities: The PHN identifies, interprets, and implements public health laws, regulations, and policies.
Standard 6. Evaluation: The PHN evaluates the health status of the population.
STANDARDS OF PRACTICE of a PHN:
Standard 7. Quality of Practice: The PHN systemically enhances the quality effectiveness of nursing practice.
Standard 8. Education: The PHN attains knowledge and competency that reflects current and public health practice.
Standard 9: Professional Practice Evaluation: The PHN evaluates one's own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and guidelines.
Standard 10. Collegiality and Professional Relationships:The PHN establishes collegial partnerships while interacting with representatives of the population, organizations, and health and human service professionals, and contributes to the professional development of peers, students, colleagues and others.
Standard 11. Collaboration: The PHN collaborates with representatives of the population, organizations, and health and human service professionals in providing for and promoting the health of the population.
Standard 12. Ethics: The PHN integrates ethical provisions in all areas of practice.
Standard 13. Research: The PHN integrates research findings into practice.
Standard 14. Resource Utilization: The PHN considers factors related to safety, effectiveness, cost, and impact on practice and on the population in the planning and delivery of nursing and public health programs, policies, and services.
Standard 15. Leadership: The PHN provides leadership in nursing and public health.
Standard 16. Advocacy: The PHN advocates to protect the health, safety, and rights of the population.
Control of communicable diseases
Education for health
Prevention of disease and disability
Care of sick person in their homes
Generalists Know about every aspect of Public Health. A valuable resource to the town.
Specialists: Communicable disease, homelessness, environmental health, maternal-child health, gerentology, abuse, social services, mental health, etc.
Emergency Preparedness: Treat first responders and exposed individuals.
Immediate Risk communication.
Prevent panic and disorder ~ a trusted, professional and personal face on an emergency situation. ...
-"THE go to person".
Encourage self protective behaviors~ "What can I do?"
Emergency Dispensing Site or Operations coordinator.
Resource for disease specific information(Pandemic Flu, Tuberculosis, Pertussis, Hepatitis A, measles, Meningitis, etc.)