Nurse Visit Checklist
Every Visit
- Nursing Initial Assessment
- COVID Screening
- Chief Complaint
- Check Medications
- Check Allergies
- Confirm Social History
- For Well Check Visits, print growth charts (based on provider preference)
- For Newborns - 2 weeks well visits: when prepping charts, make sure birth history and Hep B(if given in the hospital) are charted in the system.
- For 3 years and up well visits: gown is given (based on provider preference)
- For ALL ages, send appropriate safety packets, referrals, instructions and/or forms
- Website: https//fpa-doc.com
- Login:fpa
- Flu to be given at 6 months and up. If patient is receiving first ever dose, follow up with a booster a month from first dose
- Gardasil: 3 doses series if given after 15 yrs old
| Visit Type | Immunizations | Vitals | Forms | Labs/Tests |
|---|---|---|---|---|
| Newborn NB records needed |
1st Hep B usually done in hospital | FULL Vitals: W, L, HR, HC, RR, T (rectal) | Check NBMS | Bilirubin (if needed) Hell stick, invert tube to prevent clotting and spin yellow top brown tube |
| 2 weeks | Full Vitals | EPDS Check NBMS |
Bilirubin (if needed) | |
| 1 months | Full Vitals | EPDS | H&H, reticulocyte (if needed) Hell stick, invert blue tube to prevent clotting Purple top clear tube VERY IMPORTANT NOT TO CLOT (cannot run test if it clots) |
|
| 2 months |
1st Pentacel (DTap-Hib-IPV) 1st Prevnar (Pneumococcal) 1st Rotavirus (oral) 2nd hep B |
Full Vitals | EPDS | |
| 4 months | 2nd Pentacel (DTap-Hib-IPV) 2nd Prevnar (Pneumococcal) 2nd Rotavirus (oral) |
Full Vitals | EPDS | |
| 6 months | 2nd Pentacel (DTap-Hib-IPV) 2nd Prevnar (Pneumococcal) 2nd Rotavirus (oral) Flu (has to be 6 months or older |
Full Vitals | EPDS | |
| 9 months | 3rd Hep B Flu |
Full Vitals: W, L, HC, HR, RR, T(tympanic or temporal) |
Food/Safety Question | |
| 12 months | VACCINES MUST BE GIVEN on or after 1st birthday 1st Hep A 1st MMR + sterile diluent(sub Q) 1st Varicella + sterile diluent(sub Q) If chosen to separate, then they must be given at LEAST 30 days apart) Flu |
Full Vitals | Food/Safety QUestion | Fluoride (cannot eat or drink for 30 mins) Hemoglobin DO NOT let it clot Purple top clear tube |
| 15 months |
4th Pentacel (DTap-Hib-IPV) Cannot give past 5 yrs old Flu |
Full Vitals | Food/Safety Questions | |
| 18 months | 2nd Hep A (at least 6 mo after first) flu |
Full Vitals | Food/Safety Questions MCHAT |
Fluoride |
| 24 months | Flu | Full Vitals | Food/Safety Questions | Hemoglobin Vision |
| 30 months | Flu | Full Vitals | Food/Safety Questions MCHAT |
|
| 3 years | Flu | Full Vitals: W, H, HR, RR, T, BP |
Food/Safety Question | Vision |
| 4 years | VACCINES MUST BE GIVEN ON OR AFTER 4th birthday Quadricel (DTap-IPV) Proquad (MMR-Varivax) |
Full Vitals | Food Safety Question | Vision Hearing |