Professional Documents
Culture Documents
Community violence
o Workplace violence (what are most dangerous for health care staff)
In the health care field, the most frequent areas for the occurrence
of violence are the emergency departments, psych units, geriatric
units, and waiting rooms
o Gangs
Although gang problems declined in the 1990s, they have steadily
increased since that time
In 2007, there were estimated 788,000 youth gang members in
27,000 active gangs. By 2011 there were 30,000 gangs in the usan
ever-increasing problem!
o Hate Crimes
Often considered worse than other crimes involving violence
because the crime is personal, attacking the victims identity
physical: nausea, light headedness, dizzy, gi probs, rapid HR, tremors, grinding of teeth,
fatigue, poor sleep, pain, hyperarousal, jumpiness
# of children seen my school health nurse increasing bc many children do not have
a regular source of health care.
Injury prevention
schoolyard & playground safety
over 200,000 children a year are injured on playgrounds in the us (comes in 2nd after
injuries in homes)
smoking
single leading preventable cause of death in the united states
dental health
one of the most frequent health complaints of school aged children in dental caries
causes- poor oral hygiene, lack of fluoridated water, and lack of funds or insurance for
dental care
half of children aged 12-15 years will have dental caries
approx 75% of those between the ages of 12 & 19 yrs have had tooth decay
Immunizations
Because states require proof of current immunization status or evidence of immunity
before school entrance
School nurse plays an important role in verifying compliance, educating children and
parents about immunizations, and coordinating school immunization programs
As a result of these laws, vaccine preventable deaths (VPD) are at or near record low
levels. According to the CDC many vaccine preventable communicable diseases have
been reduced by greater than 95% as a result of immunizations
Early Periodic Screening, Diagnostic, & treatment services
Medicaid-eligible children are guaranteed access to comprehensive health care services
and routine dental exams.
Screening services must include:
o Comprehensive health and developmentalhistory
o Unclothed physical exam
o Immunizations & lab tests that are age appropriate
o Lead toxicity screenings (because these children have very low income it is
likely that they live in older housing that may have lead paint (private
physicians caring for kids with insurance unlikely see this problem)
Most common chronic school age chronic health problem that a school nurse manages
Asthma
o More than 6.7 million children (9%) under the age of 18 have asthma
o One of the most common chronic childhood conditions and accounts for
some 14 million lost school days every year
o Obesity, htn, heart disease, and diabetes continue to rise d/t sedentary life
style
Category of meds administered in schools the most meds to treat adhd
Care of children with special health needs
o Several legislative acts focus of the right to public education in the least
restrictive environment possible regardless of mental of physical disabilities
Individuals with disabilities education act 1990
o Children with special needs include those with severe sensory or motor
challenges, mental and emotional challenges, and chronic illnesses. Some
An occupational health nurse works in a state that requires continuing education units
per year for renewing a nursing license. A course that would be helpful in the role
Ohn jobs expanded through 20th century bc employers realized that ohns worked to
avoid injuries and keep employees healthy
These actions allowed employers to achieve savings in costs
By 2010 the baby boom generation reached the ages of 45-64 and middle and older
age groups in the labor force now outnumbered younger workers; with this increase in
age we see increase in hc costs
Ergonomics: adaptation of the work site to the worker to establish the best fit
between the human and job conditions to maximize health and well being
Ethical dilemmas arise because the nurse is loyal to both workers and management
A SANE nurse was called to the emergency department to help with a woman who has
been severely beaten and raped
o Nurses responsibilities as a forensic nurse is to initiate proper collecting,
preservation, and chain of custody of evidence with appropriate
documentation
The national association of medical examiners (NAME) ids 5 acceptable options for
recording manner of death:
o 1. Natural
o 2. Accidental
o 3. Suicide
o 4. Homicide
o 5. Undetermined
nurse coroner
o Utilizes crucial communication skills and empathy when dealing with
grieving families (this is a specific skill set for a forensic nurse)
o Nurses are acutely aware of the importance of using open ended questions,
attentively listening, and being fully present with family and friends
An emergency department nurse wasnt sure whether there was enough evidence one
way or the other to suspect child abuse with a child client, as there wasnt much
evidence of physical harm. The forensic nurse agreed to see the child. What would be
the forensic nurses primary focus? observe the childs appearance and behavior and
how the child interacted with other children and adults
Correctional nursing
The primary goal in correctional facilities are security and a safe and humane
environment for inmates
what would be the correctional nurses first and most crucial responsibility if a prisoner
were bleeding where another inmate had attacked him with a fork?
o Unlike any other care setting, clients are inmates and care is negotiated and
provided with recognition of safety and security 1st for the nurse
o The nurse must be cognizant of an escape route before he/she enters the
area to provide care for the injured inmate-safety always comes 1st
Adolescent in prison
o A particular concern for incarcerated adolescents occurs when they are
incarcerated in adult facilities
o Adult facilities that are ill equipped to deal with the challenges of adolescent
development
o Must be aware of their individual vulnerability
The correctional health nurse was completing an admission physical for a newly
incarcerated prisoner. The nurse realized the prisoner was talking to someone other
than the nurse. What does the nurse need to remember
o Prisons and jails have become the residence of a very large number of
persons who have mental illness
Respect the inmates right to refuse medication- even if the result is an adverse outcome
make contributions to fund a nurses salary. His plan was implemented in 1985 as a
joint venture with Lutheran general hospital & 6 congregations in Chicago area, thus
was born modern parish nursing
1997 parish nursing recognized as nursing specialty by ana
2005 (spring) the scope and standards for faith community nursing
o ana revised the standards providing a clearer definition of the practice and
changing the name of the specialty from parish nurse to faith community
nurse. While acknowledging the importance of the Judeo-Christian basis of
the practice, the authors believed the change better reflected the diversity
now found in the specialty.
Plague
Ebola
Anthrax
Small pox
norovirus