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Public Health Nursing Practice Manual

Standard of Practice

Evaluation (Cont.)

© 2007 LAC DPH-Public Health Nursing

Description

Lead Poisoning

Practice

of the initial home visit or within the timeframe agreed upon with the PHNS.

    • Fax the initial documentation on the LPFF (p. 1-10), Appendix C (p. 1) to the assigned REHS within 30 calendar days of the initial DPHN home visit.

    • Submit the original LPFF and Appendix C, nutritional assessment “What Does Your Child Eat”, growth chart, client consent form, client release of information form, Medi-Cal Outreach Questionnaire, and the PHN Assessment to the assigned CLPPP-PHN within 30 days of case closure.

    • Retain a copy of all forms for the district medical record.

  • 4.

    Document in the NPMS:

    • File a copy of the PHN Assessment per the PHN Assessment Form instructions.

  • 5.

    Evaluate caregiver satisfaction:

  • Give client satisfaction form to the caregiver for completion and submission in a pre-addressed, stamped envelope.

C 26

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