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Foreword September 2007

The Public Health Nursing Practice Manual has been revised and is an up-to-date reference to define, direct and guide the practice of public health nursing in Los Angeles County. The Manual’s availability and use throughout the Departments of Public Health and Children and Family Services ensures that public health professional nursing practice is consistent and in keeping with national trends and standards.

This second edition has been updated to reflect changes in the national standards for public health nursing practice and program requirements, as well as changes in documentation and evaluation of practice methodologies.

The contents of this manual were developed with the district public health nurse (DPHN) in mind. However, Section A pertains to PHNs practicing in both districts and programs. Sections B-F were designed so that program-specific PHN practice standards/guidelines could be inserted into those sections.

Major changes and updates in this edition include:

  • Section A: Updated to reflect changes in the 2007 Public Health Nursing: Scope and Standards of Practice

  • Section C: Revised to reflect changes in DPHN practice standards due to new regulations or program requirements, and revisions to the Standards of Practice outlined in the above document

  • Section E: Guidance documents developed for PHN Assessment and Consumer/Community Service with reference to the Nursing Practice Management System Manual for detailed instructions on completing the computer modules

  • Section F: Evaluation of Practice section– completely revised for ease of use and tested for interrater reliability

  • Section G: Appendix: New section–Includes “Quad Council PHN Competencies”

  • Section H: Best Practices: New section for manual user to add best practice references

Use and refer to this manual often, as it will help facilitate your practice. Whether you are new to this specialty or an experienced PHN, the Manual will help increase the depth of your practice and is one of the many tools to help you achieve your goal of promoting and protecting the health of all Los Angeles County residents.


Nancie S. Bendaña, RN, MS Director of Public Health Nursing County of Los Angeles – Department of Public Health

© 2007 LAC DPH - Public Health Nursing


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