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Challenges and Opportunities for Public Health Nursing: Present and Future. Lillian Wald. PHN in Emergency Preparedness. Unique contributions of PHN - focus on populations. “Worst Case Scenario”. - Affects the entire state of Minnesota
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Challenges and Opportunities for Public Health Nursing: Present and Future
Unique contributions of PHN - focus on populations
“Worst Case Scenario” - Affects the entire state of Minnesota - Medications or vaccines dispensed to every citizen in 5 days or less - Clinics will operate 24/7
Unique contributions of PHN - systematic planning approach
Process for MDS Off-site Triage Level 1 Screener Treatment Center (First Aid) Bus
MDH Adjusted Standards of Mass Dispensing Matrix- Antibiotics
MDH Adjusted Standards of Mass Dispensing Matrix- Antibiotics
Unique contributions of PHN - collaborate with community partners
Other unique contributions of PHN - understand communicable or infectious disease process - work across “silos” - experience and skill working with assistive and volunteer personnel
By the numbers… Population Mn Micropolitan – 14.7% of population Rural – 12.8% RN’s Mn Micropolitan – 12.4% of all RN’s Rural – 7.9% Median Age Mn 47 years old Micropolitan and rural – 49 years % of all Nurses between 55 years and 65+ Mn Micropolitan – 27.6% Rural – 28.5% PHN’s Mn – 2.9% of all RN’s Micropolitan – 5.3% Rural – 7.5%
Challenges - aging workforce - salary - multicultural communities - limited learning opportunities for students
Opportunities - Pay based on performance, outcome, market standards -new models for work - new model for education
References Columbia University School of Nursing Center for Health Policy. (November 2002) Bioterrorism and Emergency Readiness Competencies for all Public Health Workers. Fromhttp://www.cumc.columbia.edu/dept/nursing/chphsr/pdf/btcomps.pdf Delaney,C. (2007,May 29). Health First – Build a refocused health system on the strengths of nurses [Letter to editor]. St.Paul Pioneer Press, p.B9. Office of Rural Health and Primary Care, Minnesota Department of Health. (July, 2006) Minnesota Registered Nurses Facts and Data 2006 Retrieved August 23, 2007 fromhttp://www.health.state.mn.us/divs/chs/workforce/rn06.htm