1. Public Health Nurse Role: Infectious Disease, Tuberculosis, and Vaccine Preventable Diseases Emily A. Litt, CPT, AN, USAR, DNP, RN Assistant Teaching Professor Brigham Young University  College of Nursing APHA Conference November 9, 2009

2. Disclosure  I have no personal financial relationships with commercial interests relevant to this presentation over the past 12 months.

3. Objective 1.Inform participants of PHN roles in Infectious Disease, Tuberculosis and Vaccine Preventable Diseases

4. CategoriesNumber of Participants Adolescent Health6 Adult Health6 Disease, Prevention and Control11 Emergency Preparedness7 Family Planning6 Generalist16 Immunizations17 Maternal & Child Health19 Tuberculosis8 Women’s Health18 Job Categories

6. Percentage of PHNs who work in clinics

7. Types of Public Health Clinics 1. Immunization (93%) 2. STDs & HIV (61%) 3. DOT (57%) 4. Prenatal (56%) 5. Family Planning (48%) 6. WIC (46%) 7. Well baby/child (44%) 8. Lead (44%) 9. Senior Health (35%) 10. School-based clinics (33%) 11. EPSDT (28%) 12. Primary care (20%) 13. Chronic Care Management (19%)

9. 88.3% 11.7% Percentage of PHNs who perform case management

10. Types of Case Management 1.Individuals TB (52%) 2.Pregnant women (47%) 3.Families with newborns/ young children (45%) 4.Breastfeeding women (37%) 5.Children with lead (33%) 6.Children with disabilities (33%) 7. Individuals chronic disease (25%) 8. Individuals with mental illness (18%) 9. Children with IEP plan (18%) 10. Frail older adults (17%) 11. Individuals HIV (13%) 12. Adults with disabilities (10%)

11. Percentage of PHNs who conduct home visits

12. Types & Frequency of Home Visits 1.Health Promotion (74%) 2.Case Management (72%) 3.DOT (68%) 4.Contact Investigation (68%) 5.Newborn (66%) 6.Abuse and Neglect (64%) 7.Parenting (62%) 8.Prenatal (58%) 9. Child G & D (58%) 10. Post partum (56%) 11. Special Needs Child (54%) 12. Lead (50%) 13. SIDS follow-up (40%) 14. Court ordered (34%) 15. PH nuisance (28%) 16. Homecare (20%)

13. Health Screenings 1. Immunization status (94%) 2. Mantoux (68%) 3. Hypertension/Blood Pressure (68%) 4. Infant/Child Growth and Development (66%) 5. Lice (62%) 6. Nutrition (62%) 7. Anemia (57%) 8. Abuse & Neglect (49%) 9. BMI (49%) 10. Lead (45%) 11. Vision (45%) 12. Hearing (45%) 13. Dental (43%) 14. Interpersonal violence (43%)

14. 93% PHNs work in immunization clinics 63% PHNs plan immunization clinics 1.Flu (95%) 2.General (88%) 3.Public Health [well-baby, WIC](61%) 4.Hep A/B for individuals exposed to disease (61%) 5.Schools (55%) 6.Hep A/B for employees at work sites (41) 7.Travel (20%) Vaccine Preventable Diseases

15. Disease Prevention & Control 78% PHNs investigate disease and other health threats

17. TB Prevention & Control  75% PHNs report that they work with clients with latent or active TB  23% work with TB clients daily; 15% weekly; and 28% monthly  83% administer and read tuberculin skin tests  68% of PHNs conduct Directly Observed Therapy (DOT) home visits  68% of PHNs investigate TB contacts

18. Percentage of PHNs who conduct DOT visits

19. Summary

20. Questions?