The TSWF Nursing Services AIM form is intended to be used by nurses and clinical support staff in adult PCMH clinics. The form is not designed for use in pediatric and non-PCMH immunization clinics.

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Training Material for All Users

AHLTA and other training resources

Additional TSWF support

Nursing Services Recent Changes

  • 15 changes for Sep-Dec 2017 update
  • Sep-Dec r2 (updated October 2017): Verbiage change for HPV recommendations as listed:  https://www.cdc.gov/vaccines/hcp/vis/vis-statements/hpv.html
  • Sep-Dec r2 (updated October 2017): Minor word changes to the PHQ-9 to perfectly mirror the Pfizer Inc. version

Nursing Services-specific Changes:

  • Added an additional text box to the Depo-Provera ribbon 
  • Updated the Urinary Tract Infection Procedure ribbon 
  • Added Urinary Tract Infection Patient Education ribbon 
  • Added additional text to the Wound Care procedure 
  • Changed “EKG” to “ECG” 
  • Removed ‘Nrsg SVC AIM form used to document encounter’ checkbox

General PCMH Form Changes:

  • Added the term FIT-DNA to the Preventive Services Recommendation for colorectal cancer screening
  • Added a link next to the diabetes CCP for a diabetic foot exam. (The tool is hosted on the tswf-mhs.com website)
  • Changed order of screenings on BH/Other tab. PCL-5 now follows GAD-2
  • Added 2 contraceptive counseling links above the “Presently Using Birth Control” section
    Details: CDC Reproductive Health: https://www.cdc.gov/reproductivehealth/contraception/mmwr/spr/summary.html
    Mobile app & eBook: eBook Reader App Recommendations for Contraceptive Use and downloaded ebook: https://www.cdc.gov/reproductivehealth/contraception/ebook.html
  • Changed “annual” to “biennial” before “Retinal Eye exam done”
  • PE Tab: Moved “Accommodation” to the right of the solid line with other exam items not routinely performed
  • Moved ”Spleen” and “Abdominal Hernia” to the right of the solid line with other exam items not routinely performed

History

  • Created June 2014
  • Standardize documentation
  • Intended use in adult PCMH clinics

The TSWF Nursing Services form was created in early 2014 and went live on the AHLTA Enterprise in June 2014. It was created to standardize the nursing services documentation of administered immunizations, medications, nursing procedures, and patient education & counseling performed at the point-of-service. The form’s intended use is acute, routine, or other scheduled patient visits in adult PCMH clinics.

Form Lead

TSWF-Nursing Services Form Lead
Timothy Hill

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