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

Pediatrics Nursing Services Recent Changes
  • 3 changes for May-Aug 2020 update

HPI/PMH/ROS Tab

  • Addition of DVPRS elements

Behavioral Health Tab

  • Updated PHQ-2a positive score from ‘2’ to ‘3’
  • Removed the clinical clue ‘Document Suicidal and/or Homicidal Ideation below.’
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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