CHN Review Final Assessment November 2009

1. CHN Review Final AssessmentNovember 2009 Topics: Disaster & Bioterror, Case Management, Forensics, Epidemiology, Environmental Health

2. Disaster • Disaster Planning: Important aspects • Problems with planning • Types of Disasters: Natural & man-made • Stages of a Disaster • Agencies & Missions of each: OEM, ARC, DHS, FEMA • Individuals: Tiers of medical care in a disaster: First Responders

3. Bioterrorism • Review possible and most likely bioterror agents • Know the difference between the agents used for terrorism—nuclear, biological, radiation. • Agencies: Department of Homeland Security

4. Correctional Health • Potential forensic cases • The correctional health environment & how the nurse responds • Risks • Right & privileges of the incarcerated

5. Case Management • Identify those traits that are needed by a professional nurse case manager: • Communication, independence, flexibility, creativity. • Case Managers are typically NOT direct care providers, i.e., they do not perform advanced clinical nursing skills or techniques on clients. • Identify patients / clients in need of nursing case management services • Typically, these patients are in need of a case manager to coordinate care across a broad spectrum of services, e.g., skilled nursing care, placement in facilities, durable medical equipment, pharmaceutical services, physical & occupational rehabilitation. Typically not acute cases, or those not requiring extensive follow-up. • Note that nurses serving other functions or having other job titles , e.g., public health nurse or school nurse or occupational health nurse may also be performing “case management” and be working as a “case manager” if they are caring for individuals with complex health problems.

6. Epidemiology • Definitions: • Epidemic, endemic, pandemic, prevalence, incidence

7. Environmental Health • All of the factors associated with environmental , with examples of each • Primary, Secondary, & Tertiary Prevention