Visiting Nurses Association

Health care delivery system affected Hospitals, EMS, psychiatric facilities, long-term care, elderly/ disability services, home health agencies, blood services, assisted living facilities, cemeteries, senior meal sites, pharmacies, medical equipment suppliers, EMS dispatch, urgent care centers, eye care, dialysis units, physician offices, hearing and dental care. Meals on Wheels, and Visiting Nurse Associations. 

Visit the Emergency Nurses Association Web site and look for their position statement on hazardous material exposure. How do they define a hazardous material What does the position statement say and how will this affect your practice ... 

Weather conditions are a major factor in the types of illnesses and injuries that the nurse will need to respond to. Papal visits to San Antonio and Denver resulted in many persons with heat-related illnesses (Gordon, 1988 Paul, 1993). Rapid changes in weather patterns during a mass event are associated with an increased number of individuals seeking care (Walsh, 1994). Insect stings occur primarily in warm weather. Warm weather events increase the likelihood of heat-related problems. 

The purpose and type of analysis undertaken will determine the categories for which cost data will need to be collected. For example, hospital costs may involve identifying costs of services, facihties and overheads, while community costs may involve costs associated with visits to GPs, nurses or other health professionals. From a third party perspective one may want to consider actual charges rather than costs because often third parties do not cover total health care costs. As regards patients it is important to place a value both on their time and that of their family, as well as to take into account any out-of-pocket expenses incurred. In such matters, however, it can be important to assess the relative importance of a cost item to the overall outcome since the cost of including some minor costs may not be justified by their significance in the total picture. 

The Child Guidance Team included a psychologist to test and assess the child, a psychiatric social worker to visit the family, and a psychiatrist to do a clinical interview with the child. These three mental health professionals would meet as a team with the child s teachers, guidance counselor, nurse, and an administrator. The American Orthopsychiatric Association was formed in 1924 as an interdisciplinary organization of psychologists, psychiatrists, and social workers who worked in the Child Guidance Clinics (Levine Levine, 1992). 

---