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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DHA COVID-19 Abbreviated Documentation AIM Form

AHLTA Vitals Module training to support TSWF Nursing

TSWF Virtual Training video on Nursing and Peds Nursing AIM forms from June 10th, 2020

Nursing Services Recent Changes

See Visual Change Log (below) for Core-Compatible form changes that apply to this form.

  • No specific changes this update

Jan-Apr Mid-Cycle Changes

  • Revision 1 – Split the Urinary Tract Infection / Dysuria box into two sections to allow more room for documenting.
  • Revision 2 – Changed Depo clue to read “DEPO Window= target 13 weeks (91 days) with range 11-15 weeks (77 days to 105 days)
  • 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
Lisa Kennedy

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