Online Program

Comprehensive Multilevel Nursing Practice and the California Poison Control System

Sunday, November 1, 2015

Teresa Dodd-Butera, MS, PhD; RN/DABAT, Graduate School of Public Health, San Diego State University, San Diego, CA
Molly Broderick Pritty, MSN; RN/CSPI, San Diego Division, California Poison Control System, San Deigo, CA
Margaret Beaman, PhD; RN, Department of Nursing, CSU San Bernardino, San Bernardino, CA
Katrina Flores, MPH, Graduate School of Public Health, San Diego State University, San Deigo, CA
The Comprehensive Multilevel Nursing Practice (CMLNP) framework addresses accessibility and outcomes in underserved populations. Providing individual, population, and public health services are functions of poison control centers. The purpose of this study was to evaluate the CMLNP conceptual model as the foundation for practice in the treatment and prevention of toxic exposures to the maternal-fetal environment. As part of an ongoing study on maternal - fetal exposures, pregnancy-related calls from the California Poison Control System (CPCS) were reviewed, years 2000 through 2007 (n = 9101), using a retrospective descriptive design. Carbon monoxide (CO) exposures accounted for 158 cases; the median maternal age was 27 (range 16- 47); and median gestational age was 20 weeks. Seventy-seven percent (N=122) of CO exposures occurred in residences, with 35 callers (22.2%) reporting faulty in-home furnaces or water heaters. A total of 8.9% (n=14) were reported as workplace exposures. Only 20 (12.7%) of the callers noted a CO detector alarm warning. Interventions aligned with the CMLNP model include individualized information provided by telephone consultation. Recommendations for extending the CMLNP framework to population – specific caregiving could be through community educational programs included in Poison Prevention Week for home appliance inspection, and the use of CO detectors in occupational and residential settings. Systems level functions include health policy formation and dissemination of information on the California Health and Safety Code. Utilizing CMLNP provides a theoretical and conceptual model as a basis for nursing practice and public health to avert this significantly toxic exposure for mothers and children. 

Learning Areas:

Other professions or practice related to public health
Public health or related laws, regulations, standards, or guidelines
Public health or related nursing
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Discuss the Comprehensive Multilevel Nursing Practice (CMLNP) conceptual framework Evaluate the applicability of the CMLNP intervention levels to the functions of the poison control center. Identify areas for education that focus on prevention and early detection of carbon monoxide exposures to the maternal-fetal environment.

Keyword(s): Nurses/Nursing, Perinatal Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a registered nurse and a Diplomate of the American Board of Applied Toxicology (DABAT). My research focuses on clinical toxicology, poison prevention, the role of poison control centers in national and global health, and exposures to the maternal-fetal environment and special needs populations. I am currently the MSN Coordinator at CSUSB and previously worked with the Georgia Poison Control Center and the California Poison Control System, San Diego.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.