Community - Exam 2 Home, school, and occupational Nursing Flashcards
What services can be billed for in Skilled Nursing care?
Assessment, Teaching, Case management, Interventions, Assessing living environment.
What are some risks to assess in a living environment?
Risk for falls, exposed electrical outlets, extension cords, use of oxygen, appropriate lighting, safety devices, environmental hazards.
What additional factors should be assessed in a living environment?
Does the patient have food, any help with activities, live alone, support system, can dispense meds, access to care?
What is the Interdisciplinary Team (IDT) in Skilled Nursing?
A team approach including nurses, PT/OT/speech, social work, health aids, and PC’s.
What is the focus of Patient and Family Centered Care?
Build rapport/partnership, involve clients and family in decision making, honor the role of caregiver.
What did the 1973 Rehabilitation Act ensure?
Children could not be excluded from school due to disability, ensuring equal opportunity and required health services.
What is the significance of the 1975 Education for all Handicapped Children Act?
All children should attend in least restrictive environment and schools must develop Individual Education Plans (IEP).
What changes did the 1997 Individuals with Disabilities Education Act (IDEA) bring?
More children allowed and more allowances from schools.
What do the 2001/2015 NCLB - Every Student Succeeds Act address?
Accommodations for disabilities, poverty, limited English proficiency, or homelessness.
What is the difference between an Individualized Educational Plan (IEP) and an Individualized Health Plan (IHP)?
IEP meets educational needs; IHP meets health needs including action plans and medical orders.
What was the purpose of the 1964/2010 Child Nutrition Act?
Originally for malnutrition among disadvantaged kids, now addressing childhood obesity and funding school lunches.
What are the 6 roles and functions of the school nurse?
Direct caregiver, health educator, case manager, consultant, counselor, community outreach.
What are School-Based Health Centers?
Provide a variety of health services to kids who might not have access, operating on-site in schools.
What services does Success Street provide?
School-based health care services including physicals, vaccines, mental health counseling, and sexual health education.
What are the levels of prevention in schools?
Primary: education to prevent problems; Secondary: screening and referrals; Tertiary: continued care for long-term services.
What are the 10 roles of AAOHN?
Clinician, case manager, coordinator, manager, nurse practitioner, corporate director, health promotion specialist, educator, consultant, researcher.
What does the Host refer to in the Epidemiological Model?
Workers and families, including age, gender, health, ethnicity, work practices, and lifestyle.
What types of agents are considered in the Epidemiological Model?
Biological, chemical, mechanical, physical, psychosocial.
What environmental factors are considered in the Epidemiological Model?
Physical factors like heat and ventilation, social factors like poor sanitation, and psychological factors like stress.
What is the difference between worker assessment and workplace assessment?
Worker assessment involves traditional history and physical assessment; workplace assessment includes walk-throughs for hazards.
What is the purpose of OSHA and NIOSH?
OSHA develops and enforces safety regulations; NIOSH focuses on research and surveillance of work-related hazards.
What changes have occurred in the workplace?
Aging workforce, more disabilities, shift from manufacturing to service jobs.
What are examples of primary prevention?
Programs for coping skills, nutrition, health hazards to maintain/enhance health.
What are examples of secondary prevention?
Early detection, screenings, referrals to prevent further harm.
