| Visit Date: May 4, 2020 | ID Number: 153182 | ||
| Visit Count: | Children Served: Provider opted out of answer | Community Health Worker: Dahabo M | |
Consultation services Delivered |
|||
| What type of Consultation was it? In-person consultation session | |||
| Consultation with providers/caregivers on administering ASQ * Answered: Yes | |||
Healthy and Safe Environment Concerns |
|||
| How to prevent the spread of illness: Answered: Yes | |||
Child Development Concerns |
|||
Health Related Social Needs Concerns |
|||
| Hand-washing – diapering – toileting. Answered: Yes | |||
HealthCare Concerns |
|||
| Taking care of yourself (Whole Person). Answered: Yes | |||
| Child Caregiver relationship. Answered: Yes | |||
| Did you make a Community Resource-Referral. Answered: Yes | |||
| Consultation Duration Start Time: 2:11 PM End Time: 2:18 PM Time Period: 15 mins |
|||
Goals |
|||
| Progress Made Towards Goal?: | |||
| Goal Attained? | |||
| Progress made towards goal? | |||
Notes for this Consultation
I delivered face mask and gloves, I also put them at the grandma’s door. We also talked about how to wear the face mask and gloves. We talked about social distancing, hand washing.
|
|||