Documentation reflects consideration of client’s needs in determining interventions and/or on-going revisions of the plan of care (p. C25).
Documents client understands lead poisoning (p. C25).
Initiates action for non-adherent client (p. C25).
Follows up on non-adherent client
Completes and submits lead investigation forms as per PHN Practice Manual (pp. C25-C26).
6. Follows up on referrals as reported by client (p. C25).
© 2007 LAC DPH-Public Health Nursing
Lead Standard of Practice Evaluation Form
Circle appropriate period