copy of public health nursing

8/6/2019 Copy of Public Health Nursing

1/32


2/32

Nevada State Health Division

Objectives

Introduction to Public Health &Community Health

The Role of the Community Health Nurse

Nevada Overview

Helpful Information


3/32

Public Health & Community Health

Health care isvital to all of ussome of the

time, but publichealth is vital toall of us all ofthe time.

C. Everett Koop


4/32


Public Health

Definition :

Public HealthPublic Health ~ The science and

practice of protecting and improvingthe health of a community, as by preventative medicine, healtheducation, control of communicablediseases, application of sanitarymeasures, and monitoring ofenvironmental hazards.

The American HeritageDictionary


5/32


6/32


What is Public Health?

Public Health System =

Government + Private SectorSeveral Unique Factors

Public Healths Primary

Responsibilities (IOM)

National Association of County & City

Health OfficialsMaine Center for Public Health


7/32


What is Community Health?

Relationship betweencommunity health and

public health PublicPublicHealthHealthState of Nevada ~

Community Health

Nurses


8/32


Levels of Public Health

Institute of Medicine

Center for Disease Control and Prevention

Federal

Regional

State

Local

Environmental Protection Agency

Human Resources &

Services Administration

National Instituteon Health

United StatesDepartment of Health and Human Resources

(Region 9)

State of NevadaDepartment of Health and Human Services

Clark County Health DistrictWashoe County Health DistrictCounty Health

Officer


9/32


Prevention

Levels of Prevention:Primary Prevention refers to those measuresthat focus on prevention of health problemsbefore they occur

Secondary Prevention begins when pathologyis involved and is aimed at early detectionthrough diagnosis and prompt treatment

Tertiary Prevention is the treatment of anestablished disease

Nurses Role in PreventionEssentials of Community-BasedNursing:

http://communitynursing.jbpub.


10/32


Brief History of Public Health

1860s-70s Germ Theory1872 APHA Founded1887 Hygienic Lab (NIH)1893 Lillian Wald Nurses Settlement

1906 Pure Food and Drug Act1925 - TB Vaccinations1929 - Penicillin Discovered1932 Tuskegee Study1940s Penicillin used to combat disease1950s Plethora of new medications

1849 John Snow

1955 Polio Vaccine Released

1964 SG Report on Smoking

1965 Medicare/ Medicaid

1970s WHO declares Smallpoxeradicated

1975 Nurse Training Act

1990s HIV/AIDsHealth Care Timeline:http://www.fin343.org/Student%20Presentations/200

Center for Disease Control

1854 FlorenceNightingale
http://www.fin343.org/Student%20Presentations/2001/gotimeline.htmhttp://www.fin343.org/Student%20Presentations/2001/gotimeline.htm


11/32


Public Health in NV

1931 ~ Nevada State Nurses AssociationFirst Convention1950 ~ State Directors of Public Health

Nursing1961 ~ Orvis First Graduating Class1963 ~ Nevada State Hospital School ofPractical Nurses First Graduating Class1964 ~ Special Tuberculin Testing Survey

in Nevada1965 ~ Nevada Department of Health andWelfare enlists in the Medicare Program1979- Statewide Cancer Registry2002- Development of Public HealthPreparedness Program


12/32


10 Greatest Public Health

Achievements in the United StatesVaccination

Motor-vehicle safety

Safer workplaces

Control of infectious diseasesDecline in deaths from coronary heartdisease and stroke

Safer and healthier foods

Healthier mothers and babiesFamily planning (Title X)

Fluoridation of drinking water

Recognition of tobacco use as a healthhazard

Center for Disease Control


13/32

Nevada State Health Division National Statistics

Source: CDC


14/32

Community Health Nursing


15/32


Quick Facts:

Mission of the Nevada Bureau of

Community HealthCommunity Service Clinics

Offer free or low-cost services to all communitymembers

30 Community Health Nurses in 18 primarylocations and numerous satellite sites

Operate on a sliding fee scale based on income

Never deny services



16/32


Services Include:Family Planning, Education, Counseling and

Treatment;Health Education;

Cancer Screening;Immunizations;Well-Child Examinations and Healthy KidScreenings;Sexually Transmitted Disease Education,Counseling, and Treatment;HIV/AIDS Counseling, Education and Testing;

Assist Office of Epidemiology withCommunicable Disease Investigation;

Tuberculosis Screening and Education;School Health Promotion and Education; andChildren's Special Health Care Needs referrals



17/32



Scope ofPractice

Impact of

Nurses


18/32



Levels of PriorityCommunicable Diseases ~

CasualTransmission

Communicable Diseases ~Non-Casual (Intimate) Transmission

Communicable Infection &Disease Prevention

Other Prevention Activities and Primary Care

Freq

uencyofServices

Greatest

Least


19/32


Reporting

Majority of PatientsMajority of Patients

Unique CasesUnique Cases

Refer to the

Standard ofCareGuidelines

andProtocols

If Standardof Care

Guidelinesdo not

apply to a

particularcase or

you needclinicaladvice,

contact a

supervisor


20/32


Public Health Process

Patient

ommunity Health Nurse

Private Provider

ergency Room or Other

Office of EpidemiologyDisease Investigator

Community Health Nur

Private Provider

DiagnosisDiagnosis

DiseaseDisease

InvestigatioInvestigatio

nnTreatmTreatm

entent

Office of EpidemiologyDisease Investigator

Follow-Follow-

upup


21/32

Nevada State Health Division Bureau ofCommunity Health,


22/32



535 WesternAvenue

Lovelock, NV 89419(775) 273-2041

(Pershing)250 North Highway

160, Suite 6Pahrump, NV 89048(775) 751-7070

(Nye)

34 Lakes Blvd., Suite

101Dayton, NV 89403

(775) 246-6211(Lyon)

2475 Fort Churchill

Silver Springs, NV89429

(775) 577-5016(Lyon)

531 6th StreetElko, NV 89801(775) 778-0780 (Elko)1 Frankie Avenue

Tonopah, NV 89049(775) 482-6659(Nye/Esmeralda)

995 Campton StreetEly, NV 89301(775) 289-2107 (White Pine)

102 East Haskell StreetWinnemucca, NV 89445(775) 623-6575 (Humboldt)26 Nevin Way

Yerington, NV 89447(775) 577-5039 or 463-6539(Lyon)

485 West B Street, Suite103Fallon, NV 89406(775) 423-4434 (Churchill)175 Highway 50 (Stateline)Zephyr Cove, NV 89448(775) 586-7235 (Douglas)555 East Main StreetFernley, NV 89408

(775) 351-1301 or 575-3363 (Lyon)

Clinic Locations

150 Palmer StreetBattle Mountain, NV

89820(775) 635-2386

(Lander)360 Lincoln StreetCaliente, NV 89008(775) 726-3123

(Lincoln)

1133 Spruce StreetGardnerville, NV

89410(775) 782-9038

(Douglas)331 First StreetHawthorne, NV

89415(775) 945-3657

(Mineral)


23/32


NevadaNevada2003 Population Estimate

2,241,154

Population Change(1990 2000):

66.3%

Age Ranges:Under 5 = 7.3%

Under 18 = 25.6%Over 65 = 11.0%

Nevada Overview

Gender Breakdown:Females = 49.1%

Males = 50.9%

Land Area:

109,826 square miles

Persons per Square Mile:18.2

Persons Below Poverty:10.5%

United States Census

Race Breakdown:Caucasian = 75.2%

Black/African American = 6.8%Asian = 4.5%

American Indian/Alaskan Native = 1.3%Other = 12.2%

County Breakdown:Urban = 3Rural = 1

Frontier = 13


24/32


200

Bureau of

Community Health,2005


25/32


State Rankings

Nevadas Overall Health Ranking

(1990 2003)

United Health Foundation: Americas Health: State Health


26/32


Helpful Information

Administration/Logistics:

Organizational ChartDistribution of Funds

Funding Sources

Meeting Needs

CommunityResources


27/32


Organizational Chart

Richard Whitley,MS

DeputyAdministrator

Alex Haartz, MPH

Health DivisionAdministrator

Deborah McBride

Bureau Chief

Bureau ofCommunity Health

Bradford Lee, MD,

MBA, JD

State Health Officer


28/32


Distribution of

Funds

Health

Division


29/32


Health Division Funding Sources


30/32


Logistics

Rural/Frontier

Scheduling


31/32


Community Resources &

OrganizationsNevada Office of Rural Health

Great Basin Public Health

Leadership Institute

Nevada Rural Hospital Partners

Great Basin Primary Care

Association


32/32


Special Thanks

Maureen BudahlMaureen Budahl,APN, CHN,Regional Supervisor, Bureau ofCommunity Health

Randall ToddRandall Todd, DrPH, State of NevadaEpidemiologist

Dan Olsen,Dan Olsen, MPH, Rural Health

Resource Coordinator, CommunityHealth Nursing Program

copy of public health nursing

Documents