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The PHN standards as outlined by the American Nurses Association (ANA) “reflects the thinking of the practice specialty of holistic nursing on various issues and should be reviewed in conjunction with state board of nursing policies and practices” (2013). The ANA publication of the public health nurse scope and standards of practice “guides public health registered nurses in the application of their professional skills and responsibilities” (2013). There are numerous components within the 17 PHN standards of practice. Standards 1-6 are titled Standards of Practice for Public Health Nursing and Standards 7-17 are titled Standards of Professional Performance for Public Health Nursing.
My practicum setting is at the Rand Schrader HIV Clinic at LAC+USC Medical Center. This clinic serves LA County with AIDS/HIV testing, treatment, education, and prevention, information and referral, outreach, counseling, and STD testing. I expect to practice all PHN standards within my practicum setting but I more often expect apply the following standards to my initiatives; ethics, evidence-based practice and research, and environmental health. The public health nurse practices ethically. Due to the sensitive diagnoses many of the patients at the clinic have, I know that delivering “services in a manner that preserves, promotes, and protects the autonomy, beliefs, dignity, values, and rights of individuals” (2013, p. 44) will be of the greatest importance. Ethical practice also includes maintaining professional relationships and boundaries. I will be sure to maintain individual confidentiality within legal and regulatory parameters. I will commit to assisting individuals that visit the clinic for care in developing their skills in self-determination and informed decision-making. This means guiding individuals to follow their prescriptions and make it to their clinic appointments. Integrating evidence-based practice and research into my work at the HIV clinic will be paramount to implementing my initiative ideas to improve patient care at the clinic. Monkeypox was declared a public health emergency in the United States on August 4, 2022. This virus outbreak is disproportionately affecting gay, bisexual, and other men who have sex with men. The CDC released MMWR on August 5th for interim guidance for prevention and treatment of monkeypox in persons with HIV infection. Currently, “data are limited for monkeypox in patients with HIV, prompt diagnosis, treatment, and prevention might reduce the risk for adverse outcomes and limit monkeypox spread” (O’Shea, et al., 2022). Understanding and keeping current with the latest practice will be paramount with my project initiatives for the at-risk population I will be working with.
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