| Visit Date: May 26, 2020 | ID Number: 153124 | ||
| Visit Count: | Children Served: Provider opted out of answer | Children Served: select number | Community Health Worker: Jenel S |
Consultation services Delivered |
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| What type of Consultation was it? Phone or virtual consultation session | |||
| Consultation with providers/caregivers on administering ASQ * Answered: No | |||
| Did you make a Child Development Referral (Not Screening) * Answered: No | |||
| How Many Referrals: Answered: select number | |||
| Get information on how to help me cover my basic needs (food – clothing – housing – medical attention) Answered: No | |||
Healthy and Safe Environment Concerns |
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| Is your home safe for children? : Answered: No | |||
| Safe Sleep: Answered: No | |||
| How to prevent the spread of illness: Answered: Yes | |||
| First Aid: Answered: No | |||
| Car Seat Safety: Answered: No | |||
| CPR: Answered: No | |||
| Toxic: Answered: No | |||
| Being ready for a natural disaster: Answered: No | |||
Child Development Concerns |
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| How do I incorporate activities from my homeland that will support the healthy development of my children?: Answered: No | |||
| How do I help children that have difficult? behavior (setting limits and sticking to them)?: Answered: No | |||
| How do I know that the children in my care are learning and developing OK? : Answered: No | |||
| Developmental Screening?: Answered: No | |||
| Early Intervention: Answered: No | |||
| How do I help babies brain develop?: Answered: No | |||
| How to help the children in your care get ready for school. Answered: No | |||
| How my relationship with the children can help them feel secure about themselves. Answered: No | |||
| Childcare Play and Learn and / or outdoor time. Answered: No | |||
| Referral to early intervention for a special needs child. Answered: No | |||
Healthy Children |
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| Working with children with special healthcare needs. Answered: No | |||
| Immunizations and Well Child Schedules. Answered: No | |||
| Hand-washing – diapering – toileting. Answered: No | |||
| Medication Management Children (Non-clinical). Answered: No | |||
| Nutrition (meal planning – allergies – infant Feeding). Answered: No | |||
| Social/Emotional development. Answered: No | |||
| Mental/Behavioral Health Services (Child). Answered: No | |||
Healthy Caregivers |
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| Taking care of yourself (Whole Person). Answered: Yes | |||
| Getting further training or school or Certification to improve my Health-Related Social Needs (HRSN). Answered: No | |||
| How to help me cover my HRSN (e.g. food, transportation, housing, medical needs, employment). Answered: No | |||
| Coping with stressful situations. Answered: Yes | |||
| Mental / Behavior Health Services (Non Clinical). Answered: No | |||
| Medication Management Adult (Non Clinical). Answered: No | |||
| Child Caregiver relationship. Answered: No | |||
| Caregiver of Child relationship. Answered: No | |||
| Did you make a Community Resource-Referral. Answered: No | |||
| Resource-Referral Type(s). None Of The Above |
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| Consultation Duration Start Time: 7:00 PM End Time: 7:57 PM Time Period: 60+mins |
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Goals |
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| Goals: Progress made towards goal? | |||
Notes for this Consultation
Provider shared that the day became a bit stressful as the child had woke up runny nose, coughing, and sort of scratchy throat. Provider was not exoecting this and had to first protect herself just in case and then provided him with his albuterol treatment by the nebulizer and other medicine and remedies. There was no fever. All this took place while he had class that he was not paying attention in and had to leave early. Stated she gave him a shower and made him lay back down until lunch time. Provider also had work assignments that had to be completed so a semi tough day. |
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