a continuum of care services
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Community Health Program

Fort Frances Tribal Area Health Services employs four Registered Nurses that provide Community Health Services to six communities in Southern Treaty #3: Anishinaabeg of Naongashiing, Mishkosiminziibiing, Ojibways of Onigaming, Mitaanjigamiing, Seine River, Rainy River and Lac La Croix.

WHAT DO COMMUNITY HEALTH NURSES DO?

Community Public Health Services focus on the following areas of service: Immunizations, Outbreak Management, Surveillance, Education, Tuberculosis, and Communicable Disease Emergencies

DELIVERY OF IMMUNIZATIONS

Community Health Nurses provide immunizations against vaccine-preventable diseases in your community through community appointments, community and school-based clinics. CHNs also provide prenatal education (group or one-on-one) to provide information and resources on the benefits of immunization during pregnancy, and beginning at 2 months of age for you and your family. Educational resources and material is also available to community members to help you make informed decisions about the importance of immunizations.

OUTBREAK MANAGEMENT

Investigation of contacts of infectious cases of disease are completed by your Community Health Nurse according to Federal and Provincial guidelines to prevent the spread of disease. CHNs provide training, education, data and support to help build knowledge and skills and bring awareness on Communicable Disease Control. This is supported by providing community health & safety through pandemic planning, and emergency preparedness; ensuring immunization coverage rates are improved to help protect against Vaccine Preventable Diseases; increasing access to health care through referrals and immunizations; and increasing awareness around publicly funded immunizations.

SURVEILLANCE

Community Health Nurses work with primary care providers to encourage the implementation of necessary laboratory investigations and control measures, as appropriate. They collect, analysis and interpret surveillance data to improve policies and programs to ensure immunization targets are being reached; and assist in the early identification of potential outbreaks and emerging trends. CHNs also keep records of all communicable disease control activities, including mandatory reporting forms, client records, immunization coverage rates and detailed documentation of how cases and outbreaks of disease are managed.

EDUCATION

Another important role of your Community Health Nurse is to provide educational information on communicable disease control and immunization to individual clients, community leaders and other community health workers supporting the development of community-based education and awareness materials. Your CHN will provide educational items such as newsletters, brochures, one-on-one or group education sessions as well as a monthly educational topic to promote health and wellness within your community. CHNs are also available to support community events and activities promoting health and wellness, and provide prenatal and post-partum education sessions.

TUBERCULOSIS

Collaborate with community members to foster involvement, address social economic factors influencing health (nutrition, hygiene, housing & work conditions) & provide targeted enhanced programming

  • Screen community members using an appropriate screening method (e.g. tuberculin skin testing, review of medical records), to identify people at high risk for tuberculosis, and implement appropriate follow-up and preventive actions

  • Liaise with appropriate provincial/territorial/regional public health authorities

  • Identify active TB cases in the communities in an organized and systematic manner and treat them through the use of directly observed therapy to ensure compliance with treatment regimens

  • Ensure all anti-TB medication is properly delivered to patients receiving treatment for active or latent disease in the communities

  • Screen all persons identified as contacts of an active TB client for the presence of active or latent disease and treat accordingly

  • Review effective strategies in preventing TB and create policies and procedures that meet community needs

  • Collect, analyze and disseminate TB information

  • Provide education and training to individuals such as health professionals, clients and community members to help control and prevent TB in the communities and to recognize the impact of nutrition and overcrowding housing on the incidence of TB

  • Conduct community-based research projects selected for their relevance to control and prevention of TB in the communities.


COMMUNICABLE DISEASE EMERGENCIES

Your Community Health Nurse supports developing, testing, updating and strengthening your community’s pandemic plan or major components of the pandemic plan on an annual basis. This includes developing linkages between leadership, provincial or regional health authority for development and testing of the community-level pandemic plan; providing training & education on influenza (one-on-one or group sessions, newsletters, brochures/pamphlets); offering immunization clinics (schools & community); and ensuring personal protective equipment is available and offering education upon the importance of using personal protective equipment.