Sep 26, '12 by NRSKarenRN
In the past ADN programs did not teach the role of community health/home health nurse. Those courses were taught at BSN level as not required for initial RN licensure.
Community and home health nurses scope of practice involves caring beyond an individual patient. We often have a broader focus on patient/family and community as a whole. Working as a staff level RN in private duty or intermittent skilled agency, you may not be exposed or participate in these roles.
As one grows and moves to an advanced level in home health, these skills are developed:
a. Educate and provide direct health care services to vulnerable and at risk populations:
Seniors; infants and childern 1st 2yrs life; working poor; immigrants, etc.
b. Develop knowledge basis about locally available health care programs and services to improve access to care:
How to obtain medications when without insurance, free/reduced fee health and dental clinics, federal, state and NP run health clinics, community health centers; free screening exam locations
c. Learn how to assess a "community" for health needs; Monitor health trends and identify health risk factors unique to specific communities
d. Set local priorities for health-related interventions to provide the greatest benefit to the most people
e. Advocate with local, state and federal authorities to improve access to health services for underserved communities
f. Design and implement health education campaigns and disease prevention activities, such as immunizations and screenings
These are skills I learned about in my BSN program and have developed to high level over past 25yrs in homecare to the point I am the "go to person" by Senior Mgmt and Health System Administration for linking staff, family members and information on services in 5 county area; provide website links for healthcare legislation & health insurance's policy and procedures and write/lobby legislators at state and national level.
Last edit by NRSKarenRN on Oct 7, '12