Public Health Nursing Documentation Guidelines - Indian Health ...
Public Health Nursing Documentation Guidelines - Indian Health ...
Public Health Nursing Documentation Guidelines - Indian Health ...
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<strong>Documentation</strong> and Coding <strong>Guidelines</strong> for <strong>Public</strong> <strong>Health</strong> Nurses<br />
8.0 PRIORITY, INTENSITY, AND TIMELINESS<br />
FOR CASELOAD MANAGEMENT<br />
The following priority, intensity, and timeliness criteria (sometimes called PIT) provides<br />
guidance for responding to referrals to a public health nursing (PHN) program.<br />
8.1 Priority One<br />
Initial Contact<br />
The patient arrives within 1–5 working days after the receipt of a referral or a case<br />
find.<br />
Intensity of Visits<br />
The patient visits every 1–10 days until client changes to another level of intensity<br />
or meets the criteria for discharge.<br />
Active Communicable or Infectious Disease<br />
The patient needs treatment, case contact investigation and patient education.<br />
Newly Diagnosed Acute or Chronically Ill<br />
The patient or the family requires PHN assessment or intervention and patient<br />
education. Examples: hospital discharge, clinic, and other referral<br />
sources.<br />
High-Risk Maternity Patients<br />
• Multiple gestation<br />
• Single parent or patient without family support<br />
• Late entry or no prenatal care<br />
• Current or history of medical or obstetrical complication<br />
• Current or history of alcohol or substance abuse<br />
• Current or history of previous domestic violence<br />
• Current or history of depression or mental health disorder<br />
• Inappropriate weight gain or loss<br />
• Multipara with five or more pregnancies<br />
• Prenatal under 19 or over 35 years of age<br />
<strong>Indian</strong> <strong>Health</strong> Service Page 8-1
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