Subspecialties of Public Health Nurses – Flashcards
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School Health
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Individuals with more education are likely to live longer, experience better health outcomes, and practice health promoting behaviors
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Acts that affect the school nurse
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FERPA and HIPPA
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FERPA (family educational rights and privacy act)
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Strong privacy protection act of education and health records
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School nurses collaborate with who
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Health educators
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How do school nurses act as a consultant
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Other staff members can come and talk to them about their health
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How do school nurses differ from PE teachers
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They promote lifelong physical activity
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Physical activity
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Children should engage in 1 hour or more per day
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Individualized Healthcare Plan (IHP)
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School nurses may develop these if a kid has a chronic disease
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School nurses and mental health
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School nurses are one of the most trusted individuals and can provide an initial assessment and then refer them if needed
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Youth Risk Behavior Survey
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Determine the prevalence and age of certain health risk behaviors
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Where is occupational nursing
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- Manufacturing - Service industries - Agriculture - Construction - Technology
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AAOHN (American Association of Occupational Health Nurses)
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Responsible for defining the scope of practice for occupational health nurses
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OSHA (Occupational Safety and Health Administration)
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- Enforce safety and health regulations - Standards for hazardous exposures - Education
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NIOSH (National Institute of Occupational Safety and Health)
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- Part of CDC - Conducts research related to exposure and tells OSHA
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Primary Prevention for OHN
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- Prevent exposure to hazards - Facilitate lifestyle changes - Individual worker assessments (H/P, hazard exposure) - Workplace assessments (Potential hazard and disease) - Interventions to promote health (health fairs) - Non-OH health program (cancer awareness) - OH programs (right to know training)
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Right to Know Training
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You have a right to know what potential exposures you could have that could affect your health
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Secondary Prevention for OHN
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- Put people in a safe work environment based on their medical history - Assessments/exposure protocols - Job transfer evals - Assess for commonly occurring conditions
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Official Agencies
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- Operated by local or state governments - Funded by taxes
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Non-profit
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- Tax exempt - Profits are reinvested into the agency
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Proprietary Agencies
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- For profit - Pay federal taxes on profit made - Percentage of profits reinvested into agency
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Hospital-Based Agencies
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- Payment through third party payers' reimbursement - Provide hospitals with an additional revenue source
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Reimbursement for Home Care Under Medicare
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- >65 - Homebound - Under care of a physician - Requires medically necessary skilled nursing care
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OASIS (Outcome and Assessment Information Set)
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- Mandatory for all Medicare and Medicaid people receiving skilled care - Data used to determine pay rates
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HHNA (Home Healthcare Nurses Association)
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Major professional organization for Home Health
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What does Medicare cover under Hospice care?
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- Hospice provider services - Short term inpatient or respite care services - Prescription drugs
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What does Medicare not cover under Hospice care?
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- Room and board
