- Created 06/10
- Reviewed 12/14
Purpose:
To individualize and document comprehensive home visits with pregnant women and their families that occur at least monthly.
Document on Home Visit Plan Form–Prenatal Families FS/PE 16c:
- Specific prenatal education information shared with the family
- Education information in other areas such as parenting, child development, health, safety and nutrition shared with the family
- Resources and/or referrals discussed with the parent(s)
- Plans for the next visit
Complete:
- Home Visit Plan Form–Prenatal Families FS/PE 16c
- Supplemental Prenatal Client Questions for appropriate trimester
Completed By:
- EHS Staff member and the family
Distribution of Home Visit Plan Form and Home Visiting Notes (FS/PE 17a1) –Prenatal Families FS/PE 16c:
- 16c – Scanned into ChildPlus and then placed in site file.
- 17a1 – Home Visiting Notes
- Original to family.
- Copy attached to Home Visit Plan form and placed in site file.