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TRAK CHILD HEALTH RECORD
2/24/ :19 PM TRAK MATERNITY TRAK CHILD HEALTH RECORD 1
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MATERNITY RECORD Started by MW by 10 weeks of pregnancy
2/24/ :19 PM MATERNITY RECORD Started by MW by 10 weeks of pregnancy Full medical / pregnancy and social history taken at Booking and any problems identified & documented All maternity care is documented within the Electronic record throughout the pregnancy episode of care In the next few weeks the revised version of the National Maternity Record will be uploaded into the EPR (electronic patient record ) of the Live system. Within that revision of the record - GIRFEC has been incorporated into the Maternity record keeping. This includes the GIRFEC lead professional, health plan indicator, Concerns / risks & significant factors and a chronology of significant events. (screen grabs that follow further demonstrate this function) Postnatally – the care of mother and baby is handed over to the Public health practitioners at 10Th day – an electronic link has been created from the EPR baby Discharge documentation to the Child health record – which is activated at transfer of care. The function was designed before multi-agency requirements. 2
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GIRFEC REFERENCE – This can be identified and documented antenatally
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Chronology of significant events
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2/24/ :19 PM CHILD HEALTH RECORD Continuing the pathway of care at handover from Community Midwife to Health Visitor at day ten Transition from Health Visitor to School Nursing Service An individual longitudinal Electronic Patient Record (EPR) for the children of Lothian through the Universal Service Enables a life stages approach to child patient care Comprising (not exhaustive): Birth details Managed Alerts: Child Protection and LAC Caseload management tools Chronology Interfacing with SIRS, CHSP and SNS Intervention recording Tools of assessment, i.e. Risk Assessment, Child Health Assessment The Life Stages: early years; school age; young people in transition; working age 6
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CHILD HEALTH RECORD – CHILD HEALTH ASSESSMENT Centred around the principles of GIRFEC Modelled on National Practice Model Facilitates completion of a Child’s Plan Request for Service options Enables caseload management via attributable icons
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