Partnering With Community Agencies To Conduct A Secondary

Partnering with Community Agencies to Conduct a Secondary Prevention Program Margaret Hopkins, MS, RN Lois Schoener, PhD, RN, CNE

Partners
Elmira College –
Small liberal arts college in the Finger Lakes Region of upstate New York
Schuyler County Health Agency –
A county public health and certified home health agency
The Falls Home
100 bed residential care facility provides 2 levels of care: moderate and episodic nursing care

TB Screening Clinic – Needs Assessment
Epidemiology
Caucasian elderly are among the fastest growing segments of the population with active TB
Those 65 years of age and older have the highest TB case rate per 100,000 population
Elderly housed in congregate living setting are at greater risk of contracting TB
Those with multiple high chronic diseases are at greater risk for TB

TB Screening Clinic – Needs Assessment
The Falls Home has 100 residents
Characteristics of Residents
Age range 59-83 with majority over age 70
98% of residents are Caucasian
Only 1 resident had known TB status
Medically fragile population with multiple chronic conditions

Partner’s Goals
PHA
Improve the health of a community through case finding
Adult Care Facility
Maintain health of residents
College
Provide students with the opportunity to connect public health theory with practice

Student Objectives
Effectively apply knowledge about TB gained in the classroom and laboratory to clinical practice
Become competent in administering intradermal injections and assessing and classifying TB skin reactions
Use public health competencies in a case-finding experience for a high-risk population
Collaborate and cooperate with community agencies to implement a TB screening clinic

Organization of clinic
Date for TB clinic mutually established
Each organization identified its contribution to the clinic

Student Preparation for Clinic
Residents and their primary care physicians notified of the clinic
Immunization records updated

Implementation
Organized and scheduled to allow appropriate timing for use of the two-step testing method and interpreting results
First PPD administered
Read 48 hours later
Second test – 14 days after first test
Read 48 hours later

Human resource contribution
Elmira College
12 Senior Nursing students in a community health course
Clinical faculty member
Schuyler County Public Health Agency
Resource nurse
MD for coverage
The Falls Home
Secretarial Staff
Aides

Additional resource contribution
Elmira College
plan and implement clinic
Professional staff support – MD to “cover” clinic & PHN to verify questionable test results
Supplies – syringes, PPD Tuberculin, records
The Falls Home
Clinic space and staff to assist residents to clinic
Secretarial support
Stationery and postage

Outcomes
Clinic findings
Total of 80 residents were screened
No significant PPD reactions were noted.
The Falls Home
The goal of maintaining the health of the residents was supported
The goal of improving the health of the community through secondary prevention measures was promoted.

Outcomes
Elmira College
Goal to provide students with the opportunity to connect public health theory with practice was met
Student Objectives
All objectives were met
Students effectively carried out the clinic and provided health education about TB
Each student administered 12 to 15 mantoux tests and read results of tests.
Students effectively collaborated with two organizations

Student Objectives
Categories of public health competencies used by students in the implementation of the clinic:
Basic Public Health Science Skills
Cultural Competency Skills
Communication Skills
Community dimension of practice skills
Program Planning
* Counicl on Linkages Between Academia and Public Helath Practice: Core Competencies for Public Health Professionals

Epilogue
Students and faculty provided more than 220 hours of service to the agencies
The responsibility for conducting this clinic was shared
The clinic was conducted at no cost to residents, allowing those with limited financial resources or health insurance to avail themselves of the service
All constituents expressed a high level of satisfaction with this project. As a result a tetanus immunization clinic was implemented for residents.

Partnering With Community Agencies To Conduct A Secondary

by loisschoener on Aug 11, 2009

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