The extension of interest to the community as a whole and to all its members, with the assumption of responsibility for surveillance at least, if not for comprehensive health care, is a key to the introduction of COPC into existing primary care practices. This is so whether they are conducted by family physicians, by pediatricians or internists, or by other practitioners, in solo practice, or in a group practice, or in a community health center. Generally, such practices provide services in response to patients who turn to them for care or advice. If they conduct home visits it is in response to a call or a follow-up visit for care of a patient. This visit might be conducted by a physician or by a visiting nurse.

The central team might consist of at least four groups: physicians, nurses, social case workers, and community organizers/health educators. The physicians and nurses, or their less skilled alternates where circumstances so dictate, should be trained in clinical and community health skills. These skills may be effectively combined by some physicians and nurses who have had clinical and epidemiologic training. However, these skills can also be brought together by complementary functioning of different members of the central team, providing all have had a basic training in the various skills needed for COPC. As key personal “health care givers” in COPC, doctors and nurses need to understand health-related behavior and community determinants of health, since an important part of their work is directed towards changing behavior when necessary. Nevertheless, there is little doubt that the behavioral aspects of community health care also need the attention of special workers, such as the social caseworker and the community organizer/health educator. These, too, need special training for their roles in COPC.On September 16, 2010, The OPC Foundation and the MTConnect Institute announced cooperation to ensure interoperability and consistency between the two standards. [7] Design [ edit ] Veterinary nurses must maintain and develop the knowledge and skills relevant to their professional practice and competence and comply with RCVS requirements on the Period of Supervised Practice (PSP) and continuing professional development (CPD). Different communities may have different understandings of participation that range from the sharing of information to involvement in decision-making regarding health services. Health facility community committees can assist with community participation, but may also lead to conflict as community members are more aware of their rights. Community participation can also reflect paternalistic and authoritarian community leadership styles and undermine opportunities for participation from women, youth and marginalised men. Information about the presence of risk markers or known risk factors as a basis for the identification of vulnerable individuals and groups; “at-risk” registers may be helpful. 7.

Veterinary nurses must not disclose information about a client or the client’s animals to a third party, unless the client gives permission or animal welfare or the public interest may be compromised.The RCVS Code of Professional Conduct sets out veterinary nurses’ professional responsibilities. Supporting guidance provides further advice on the proper standards of professional practice.