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

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Pediatrics Nursing Services Recent Changes
  • 16 changes for Jan-Apr 2020 update

 To top of Meds 1, Meds 2, Procedures 1 and Procedures 2 tabs

  • Updated clinical clue wording ‘Remember to add yourself as a paraprofessional or nurse in the A/P module. Document medications and procedures in the A/P section!”

Updated broken links:

      Patient Education 1 tab >Common Childhood Illness>Medications>Patient Education Handouts:
      • https://medlineplus.gov/medicinesandchildren.html

Patient Education 1 tab>Respiratory (2-6 years)>Peak Flow Meter Education:

      • https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/Peak-Flow-Meter.aspx

Patient Education 1 tab>Respiratory (7-18 years)>Peak Flow Meter Education:

      • https://www.lung.org/assets/documents/asthma/peak-flow-meter.pdf

Behavioral Health tab>Screen For Child Anxiety Related Disorders (SCARED)>Screen For Child Anxiety Related Disorders (SCARED) Web Questionnaire:

    • https://www.pediatricbipolar.pitt.edu/sites/default/files/SCAREDChildVersion_1.19.18.pdf

Behavioral Health tab

  • PHQ 9A now autocalculates.

Procedures 1 Tab

  • Removed ‘Throat Culture’ section from ‘Respiratory’ ribbon
  • Removed ‘AF Throat Culture SSP’ section from ‘Respiratory’ ribbon
  • Removed ‘Centor Scoring Criteria’ section from ‘Respiratory’ Ribbon
  • Removed ICD’s, CPT and E&M clincial clues from ‘Respiratory’ ribbon
  • Added link to ‘DHA CSSP Sore Throat’ AIM form.

Procedures 2 Tab

  • Removed ‘Urinary Tract Infection/Dysuria’ ribbon.
  • Removed ‘Pregnancy Test’ ribbon.
  • Added link to ‘DHA Pregnancy Test AIM form’
  • Added link to ‘DHA Dysuria Test AIM form’
History
  • Created December 2015
  • Standardize documentation
  • Intended use in PCMH clinics for pediatric patients
The TSWF Pediatric Nursing Services form was created in late 2015 and went live on the AHLTA Enterprise in September 2016. 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 visits to PCMH clinics for Pediatric patients 0 months to 17 years of age.
Form Lead

TSWF-Pediatrics Nursing Services Form Lead
Lisa Kennedy

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