TSWF Pediatric Nursing Services AIM Form Training May May-Aug 2020 - - PowerPoint PPT Presentation

“Medically Ready Force…Ready Medical Force”

TSWF Pediatric Nursing Services AIM Form Training May May-Aug 2020 Form Version

“Medically Ready Force…Ready Medical Force”

Dis isclaimer

Content shown is from an AHLTA Training System (ATS) and does not contain actual patient data.

“Medically Ready Force…Ready Medical Force”

Recent Changes

• The following group of slides reflect changes made

to all CORE compatible forms. The specific training slides for this form follow the change slides.

“Medically Ready Force…Ready Medical Force”

Peds General, Peds 7-18 and Peds Nursing Updates

4

A score of 3 or greater on the PHQ-2 Adolescent screening is now considered as positive for all ages. These changes are reflected in the highlighted locations. Updated clinical clue to ‘If the PHQ-2 is positive (score of 3 or higher), complete the PHQ-9A below and alert provider.’

“Medically Ready Force…Ready Medical Force”

Peds Nursing Updates

5

Added the DVPRS elements on the ‘HPI/PMH/ROS’ tab

“Medically Ready Force…Ready Medical Force”

Objectives

Pediatric Nursing Services Training Objective: Identify the clinical workflows, screeners and tools available in the TSWF Pediatric Nursing Services form Pediatric Nursing Services Learning Objectives: At the conclusion of today’s activity, the participant will be able to:

• Understand that the Pediatric Nursing Services AIM form may be incorporated into

scheduled Provider Visit workflows or stand-alone Nursing Visit workflows and T-Cons

• Understand the documentation requirements found on the HPI tab (patient intake/Med

Rec/Preventive Services)

• Verbalize the elements found on the Behavioral Health and Chronic Conditions tabs
• Provide an overview on how this form is used to document immunizations, medications,

nursing procedures, and patient education

“Medically Ready Force…Ready Medical Force”

Agenda

• Introduction/Overview
• Who can use this form?
• Discuss ideal integration and workflow
• Basic Reminders
• How to use the Peds Nursing AIM Form

“Medically Ready Force…Ready Medical Force”

Why Use a TSWF Peds Nursing AIM IM Form?

• Creates standardized clinical nursing notes
• Daily charting is easier and faster
• Provides patient education/counseling notes
• Air Force-Specific Notification: This form replaces the

need to use the AFMOA-approved support staff protocol questionnaires

“Medically Ready Force…Ready Medical Force”

Who should use th the TSWF Peds Nursing AIM IM Form?

• ALL services can use the Peds Nursing AIM Form,

however there are some service-specific items within the form

• Any clinic that administers medications or does

routine procedures can benefit from the use of this form

• Nurses and Clinical Support Staff
• Providers

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In Integration and Workflow

Methods of using the TSWF Peds Nursing AIM form:

• Provider appointments
• In conjunction with most TSWF AIM forms
• Stand-alone form for clinical support staff and

walk-in clinics

“Medically Ready Force…Ready Medical Force”

In Integration and Workflow

Example 1

• Starting with a TSWF Peds AIM form, the

provider asks the clinical support staff to administer the patient an “Albuterol” treatment. The support staff will pull up the TSWF Peds Nursing AIM form to chart the administration of the treatment.

• Proceed directly to the S/O Note when used in

conjunction with a provider visit. (Next slide)

“Medically Ready Force…Ready Medical Force”

In Integration and Workflow

Choose “Add Additional S/O Note” to document the nursing procedure

“Medically Ready Force…Ready Medical Force”

In Integration and Workflow

Example 2

• A patient is being screened by a nurse or support

staff for Thrush. The AIM form can be used to chart the stand-alone procedure in the patient’s encounter (according to the MTF’s or Service’s protocol).

• When using for stand-alone nursing procedures, the

staff should change their roles and add a supervising provider.

“Medically Ready Force…Ready Medical Force”

Basic Reminders

• Never set a TSWF AIM form as a default
• Add yourself as an additional provider

(paraprofessional/nurse)

• Create a favorites list using the diagnosis/procedure

codes frequently used in the clinic

• Always screen for allergies: It pulls the information

from CHCS into AHLTA:

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HPI/PMH/ROS Tab

A summary of changes made to the AIM form TSWF resource information, training request, and/or AIM form change request

“Medically Ready Force…Ready Medical Force”

HPI/PMH/ROS Tab

Medication Reconciliation: Clinical support staff can complete the field documenting “Medication list updated at the beginning of the visit.” The lower section is for provider use only.

• ‘How to Use FLACC’ link is provided
• Complete the ‘Date List Updated’ in

the Medicines field

“Medically Ready Force…Ready Medical Force”

Behavioral Health Tab

Elements on the BH tab include PSC, C.R.A.F.F.T., SCARED and the Vanderbilt scale

“Medically Ready Force…Ready Medical Force”

Im Immunizations Tab

Overview

Document patient’s outcome and observation in the Outcome of Patient section. This section will gray out if completed on a different tab to prevent duplicate documentation.

“Medically Ready Force…Ready Medical Force”

Im Immunizations Tab

Pre-Vaccination Sc Screenin ing Checkli list

All pre-positioned text in the documentation fields can be edited/deleted according to specific needs.

“Medically Ready Force…Ready Medical Force”

Im Immunizations Tab

Ge General l Vaccin ination

Additional immunizations may be entered in the “Additional Vaccinations” text box.

“Medically Ready Force…Ready Medical Force”

Im Immunizations Tab

PPD Readin ing

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Meds 1 Tab

Overview

2 dosage calculators are available to quickly calculate pediatric medication dosages

“Medically Ready Force…Ready Medical Force”

Meds 1 Tab

Respir iratory ry It’s very important to document everything in this section, especially “Medication Verified By” and “Time Administered”

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Meds 2 Tab

Overview

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Meds 2 Tab

De Depo Provera

Additional notepad added for further documentation of Depo- Provera injection

“Medically Ready Force…Ready Medical Force”

Meds 2 Tab

IV IV Hydration

The Additional IV Hydration text box allows for further IV hydration documentation.

“Medically Ready Force…Ready Medical Force”

Meds 2 Tab

Syn ynagis is In Injection

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Procedures 1 Tab

Overview

A link to the TSWF Procedures AIM form gives access to other procedures

“Medically Ready Force…Ready Medical Force”

Procedures 1 Tab

Respir iratory ry

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Procedures 1 Tab

Heel Sti Stick

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Procedures 1 Tab

Toe

• enail

il Removal

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Procedures 2 Tab

Overview

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Procedures 2 Tab

Thru rush

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Procedures 2 Tab

In Inju jury ry Car are

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Procedures 2 Tab

Ear ar Irr Irrig igation

“Medically Ready Force…Ready Medical Force”

Patient Education 1 Tab

Overview

“Medically Ready Force…Ready Medical Force”

Patient Education 1 Tab

Common Child ildhood Illn Illnesses

“Medically Ready Force…Ready Medical Force”

Patient Education 1 Tab

Respir iratory ry (2 (2-6 years)

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Patient Education 2 Tab

Metaboli lic

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Patient Education 2 Tab

Metaboli lic

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Patient Education 2 Tab

Se Sexually ly Tran ansmit itted In Infections

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Obsolete Terms Tab

*Complete this step at every visit* The Obsolete Terms tab removes AHLTA past medical history MEDCIN terms which copy forward and are no longer used, or emit in different areas of the TSWF-AIM forms.

“Medically Ready Force…Ready Medical Force”

TSWF Resource Material

The TSWF repository for training/educational materials and updates: www.tswf-mhs.com/

“Medically Ready Force…Ready Medical Force”

Pri rimary Care Clinical Community Content Working Group

▪ DHA - Maj Matthew J Royall ▪ ARMY - Dr. Robert Marshall ▪ AIR FORCE – Dr. Matthew Barnes

TSWF Feedback https://www.milsuite.mil/book/groups/tswf TSWF Website http://www.tswf-mhs.com/