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Jenna Applebach
assessments, TB testing, screening infants and children for developmental issues, teaching new
mothers on all levels of care for newborns and infants, and charting. In reality, the list goes on
and on, as public health nurses are responsible for a great many areas concerning health and
well-being.
Public health nurses typically collaborate with other public health nurses, social workers,
health educators, dieticians, sanitarians, and physicians. Educational preparation includes either
an ADN or BSN in nursing, working as an RN for 500 hours in public health, and passing the
Community/Public Health Nursing certification exam. Public health nurses, as I have learned,
may specialize in immunizations, communicable diseases, working with new mothers and
infants, etc. Typical sources of funding for clients in this setting include Medicaid, Medicare, and
private health insurance. It all depends on which services are covered under these
programs/insurance agencies. For instance, certain immunizations may not be covered and the
client may have to pay for such a service out-of-pocket. Public health departments also accept
donations to cover for their free services as well.
An example of a vulnerable population that nurses provide care to in public health might
include poor mothers with WICC benefits (through teaching them the proper care of their infants
and children), children from poor families, minority populations such as Native Americans,
persons with diabetes, and more. The types of nursing actions I did included taking blood
pressures and measuring weight on sliding scales, the physical assessment of clients, the
developmental screening of a baby, and therapeutic communication.
My overall impression of public health nursing was a positive one. I would not want to
start off as a public health nurse as I am afraid I might lose some of my hospital nursing skills,
but it is definitely another option for further into my future. Also, because Manistee is a smaller
Jenna Applebach
community, it was obvious that the nurses had established better relationships with some of their
clients. I love seeing that trusting relationship between clients and nurses.