This chapter describes the Drexel University College of Nursing and Health Professions (CNHP) public health nursing faculty spearheaded the now 17-year-old partnership. The 11th Street Family Health Services center, with its large patient base, broad outreach, and innovative model is a primary component of the college’s mission. CNHP is committed to leading the way in improving health and reducing health disparities through innovative education, interdisciplinary research, and community-based practice initiatives. After the Future Search conference, the 11th Street Partnership for Community Based Care (PCBC) was established. CNHP-based program to improve the health status of residents in a public housing community has grown into a center that is now a nationally recognized transformative and integrated model of comprehensive care. The staff continues to refine programs and share best practices with others who are engaged in similar community efforts, and nurses will continue to lead the way in this university-community collaboration.

The 19130 Zip Code Project at the Community College of Philadelphia (CCP) started as a curriculum innovation: the CCP Department of Nursing’s response to the national shift toward community-based health care. The project resulted in the refocusing of the nursing curriculum and the development of partnerships with CCP’s neighbors in the 19130 zip code. It also is an excellent example of a nurse-managed wellness center without walls. The Zip Code Project has put down deep roots in the neighborhood and in the nursing curriculum. It has produced a community-based model for educating local health professionals and a service-learning model for enhancing health service delivery by local agencies. The faculty arranged community-based clinical experiences for nursing students in the neighborhood surrounding CCP. Although CCP sits in the middle of the zip code, faculty knew little about community-based health care services in the community.

There are many abnormalities that can be identified on a chest radiograph. This chapter introduces some of the more common findings seen on a chest radiograph including atelectasis, pulmonary edema, pleural effusion, consolidation, pneumothorax, pneumomediastinum, hyperaeration, masses, and COVID-19. The more radiographs one reviews and evaluates, the more findings of normal variants and abnormalities one will be able to identify. Comparing one’s interpretation with a radiologist’s final reading is an excellent way to improve one’s skills. If there is something identified or not identified by the radiologist, examine the films again. One may be able to visualize the area noted in the report, which will help one to identify subtle findings on other images. Establishing a working relationship with radiology colleagues will also enhance one’s knowledge and proficiency.

Any uterine bleeding that occurs outside of the normal menstrual parameters for duration of bleeding, amount of flow, cycle length, and timing is considered abnormal uterine bleeding (AUB). Many different terms have been used historically to describe symptoms or diagnoses of AUB. This chapter lists the terms used to describe AUB. Due to this lack of consistency in nomenclature used for AUB, a new classification system was adopted by the Fédération Internationale de Gynécologie et d’Obstétrique (FIGO) in November 2010 and updated in 2018. FIGO classification system guides clinical evaluation for AUB and recognizes that a woman may have one or more entities causing AUB and/or have entities that are symptomatic and do not contribute to the bleeding. The chapter presents a tabulation of the differential diagnoses for AUB categorized by age. It also discusses the clinical management of AUB.

The progressive care certified nurse (PCCN®) examination is written and administered by the AACN and accredited by the NCCA. This exam is designed for RNs and APRNs who practice in progressive care units or provide direct care for acutely ill patients. The PCCN examination is a 2.5-hr exam with 125 multiple choice questions. Of the 125 multiple choice questions, 100 are scored, and 25 are sample test questions to be used on future exams. Test covers two main topics: Clinical Judgment and Professional Caring/Ethical Practice. Clinical Judgment accounts for 80% of the questions and covers each body system, and its related diagnostic tests and nursing interventions. The examination cost for AACN members is $195, and the cost for nonmembers is $300. After successfully passing the PCCN examination, certification is active for 3 years. Online renewal is available to active PCCN certifications 4 months before the scheduled renewal date.