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Pediatric Environmental Home Assessment Form
NURSING CARE PLAN
After completing the assessment, use this as a guide for patient education and recommending corrective action.
General Housing Characteristics
CONCERN
NURSE
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What is pediatric environmental home assessment?
Pediatric environmental home assessment is a process of evaluating the environmental factors in a child's home that may impact their health.
Who is required to file pediatric environmental home assessment?
Healthcare providers, social workers, or other professionals working with children may be required to file pediatric environmental home assessments.
How to fill out pediatric environmental home assessment?
Pediatric environmental home assessments can be filled out by collecting information on the child's living environment and any potential hazards.
What is the purpose of pediatric environmental home assessment?
The purpose of pediatric environmental home assessment is to identify and address any environmental factors in a child's home that may affect their health and well-being.
What information must be reported on pediatric environmental home assessment?
Information such as the child's living conditions, any potential hazards (such as lead paint or mold), and recommendations for addressing any issues found must be reported on pediatric environmental home assessment.
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