Roles of public health nurses Flashcards
school nurse
advances the wellbeing, academic success and life-long achievement and health of students
facilitate positive student responses to normal development
provides case management services
roles of school nurse
care provider
student advocate
health educator
community liaison
case manager
consultant
counselor
supervisor
independent practitioner
member of interdisciplinary team
researcher
two acts that impact the role of the school nurse
FERPA- family educational rights and privacy act- strong privacy protection act of education and health records
HIPAA
8 components of school health programs
health education
physical education
health services
nutrition services
counseling, psychological and social services
healthy school environment
heath promotion for staff
family and community involvement
occupational health nursing
a specialty nursing practice focused on the promotion, prevention, and restoration of health within the context of a safe healthy work environment
prevention of adverse health effects from occupational and environmental hazards
delivers safety programs and services to clients
makes independent nursing judgements in providing health care services
common settings and role of occupational health nurses
manufacturing
service industries
ag
construction
technology
roles as clinician, case manager, coordinator, corporate director, health promotion specialist, educator, consultant, researcher
major occupational health organizations
OSHA
AAOHN
NIOSH
primary prevention strategies for occupational health nursing
individual worker assessments, workplace assessments, focused interventions to promote health, non-occupational and occupational specific health programs
secondary prevention strategies for occupational health nursing
aimed at early diagnosis, early treatment, interventions, and limiting disability
identifying health needs, health problems, and employees at risk, periodic assessments to document health changes, job transfer evaluations, assess for commonly occurring health problems
tertiary prevention strategies for occupational health nursing
rehab and restoration of worker to optimal level
case management of disabled employees
negotiation of workplace accommodations appropriate to employees limitations
counseling and support of workers returning to work
forensic nursing
forensic means pertaining to the law; legal
forensic nursing is the application of the nursing process to public or legal proceedings and the application of forensic health care in the specific investigation of trauma and/or death related to abuse, violence, criminal activity, liability and accidents
responsibilities of forensic nurses
varies depending on subspecialty and ay include screening, assessment and collection of evidence, documentations and expert testimony, involvement in paternity disputes, involvement in cases of workplace injury, malpractice, MVA’s, food and drug tampering, and medical equipment defects
forensic APRN’s assist in developing and implementing protocols and systems to help victims of violent occurrences, assist in research and policy changes, develop and supervising systems of care for forensic related complex health issues
forensic nurses practice in/ subspecialties
multiple areas of public health system
SANE
forensic death investigator
nurse coroner
legal nurse consultant, nurse attorney
clinical forensic nurse examiner
forensic psych nurse
corrections
forensic nurse educator/consultant
SANE
sexual assault nurse examiner
forensic nurse death investigator
looks for causes of death
work with law, give medical expertise
can provide information on potential causes of death
nurse coroner
elected by public
performs death investigation
use nursing knowledge to identify cause of death lay coroner may have missed
can become a board certified American Board of Medicolegal death investigator
legal nurse consultant
hired by attorneys and insurers to evaluate, analyze, and render informed opinions on delivery of care and outcomes
review and interpret medical records
provide objective opinions based on standards of care
testify in court as expert witness
nurse attorney
educated in nursing and law
involved in licensure disciplinary action or agency oversight
legal consultants for organizations or groups of professionals
clinical forensic nurse examiner
organ and tissue donation and transplant
conducts physical exam and collects any evidence that may be required
knowledgeable about legal specifications related to organ donation and have familiarity with agency policies and procedures for determining brain death
excellent communication skills
corrections nursing
primary goal to maintain a safe, secure, and humane environment for inmates in prison system
screenings upon entry to facility, communicable disease
conduct physical and mental health history
reimbursement for home care
private pay insurance
>65
homebound, under care of physician
requires medical necessity
also covered by Medicaid if eligible
OASIS data used to determine Medicare and Medicaid pay rate and measures outcomes of adult home care pt’s
what does OASIS data include?
sociodemographic, environmental, support system, health statues, and functional status
hospice home care
end of life care for terminally ill
goal is to increase the quality of remaining life
supports patient and family/caregiver through dying process
provides grief support
reimbursement of hospice care
home care covered through Medicare hospice benefit and requires terminal diagnosis, decision to receive palliative care only and to no longer receive curative tx
Medicare covers: Hospice providers, short term inpatient or respite care, prescription drugs and pain relief symptoms
Medicare does not cover room and board for hospice provided at home, in nursing home or hospital inpatient facility
