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PUBLIC HEALTH NURSING REFERRAL FORM Date of Referral:Referring Agency/Practice Agency/Practice Name:Phone:Address:Fax:Referring Staff Name:Title:Email:Condition Prompting Referral Pregnant |Postpartum
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Understand the purpose and goals of public health nursing.
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Gather necessary information on the community and individuals being served.
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Assess the health needs and risks of the community.
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Develop and implement interventions to address the identified health issues.
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Evaluate the effectiveness of the interventions and make adjustments as needed.
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Maintain accurate records and documentation of the nursing services provided.
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Collaborate with other healthcare professionals and community organizations to improve public health outcomes.

Who needs public health nursing?

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Individuals who require preventive healthcare services.
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Communities with limited access to healthcare resources.
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People with chronic illnesses who need ongoing support and education.
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Groups at higher risk for specific health conditions, such as pregnant women or the elderly.
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Public health nursing focuses on promoting and protecting the health of populations through the use of knowledge from nursing, social, and public health sciences.
Public health nurses employed by healthcare facilities or government organizations are required to file public health nursing reports.
Public health nursing reports can be filled out by documenting and reporting on various community health initiatives, interventions, and outcomes.
The purpose of public health nursing is to prevent disease, promote health, and improve the quality of life within communities.
Public health nursing reports typically include information on community health assessments, program evaluations, and health promotion activities.
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