Accept appropriate CHN-MCH nursing referrals through CradleMe (Appendix I, Related Materials, Document 1). Any CHN-MCH referral received outside of CradleMe or from another source, must be sent to the CradleMe team for assignment. Provide a unique clinical record for each Client receiving a Home Visit. Ensure each individual is considered a unique Client. For Dyads (birth parent or caregiver and child) in the same home: One Client will serve as the primary Client and travel costs, calculated per Maine Reimbursement Rates, may be included for reimbursement; and The second Client will service as the secondary Client and travel cost may not be included for reimbursement. Utilize the Nursing Process to ensure each Client record includes at minimum the physical assessment, Nursing Diagnosis, plan of care, and documentation of nursing interventions. Provide each Client with a physical nursing assessment and at least one (1) additional applicable assessment, based on Client needs, specifically: Perinatal mood and anxiety disorders, utilizing the Edinburgh Postnatal Depression Scale and the Columbia Suicide Severity Rating Scale, as appropriate. Perform perinatal mental health assessment with every perinatal Client. Ensure nurses make every effort to screen according to Postpartum Support International (PSI) recommendations: First prenatal visit; At least once in the second trimester; At least once in the third trimester; Six-week postpartum visit; Repeated screening at six (6) and/or twelve (12) months for in-home settings; Three (3), six (6), and twelve (12) month pediatric visits; and As needed, based on the Client’s assessment and nurse discretion...
