TX HHS Form 3090. Nursing Health Screening Within 72 Hours of Community Placement
The TX HHS Form 3090, "Nursing Health Screening Within 72 Hours of Community Placement," is a crucial document for healthcare professionals to assess the health status of individuals placed in community settings. This form helps solve the problem of ensuring that essential medical information is gathered and documented within a short timeframe, typically within 72 hours of placement.
The form requires vital information about an individual's medical history, including allergies, chronic conditions, and medication administration needs. Key features include sections on medical history, medication administration, and special procedures or equipment requirements. This information helps healthcare professionals identify potential health concerns and develop personalized care plans to ensure the individual receives appropriate treatment and support.
This form is typically filled out by healthcare professionals, such as nurses or physicians, who are responsible for conducting the initial health screening within 72 hours of community placement. The form's key points include:
- Assessing an individual's medical history to identify potential health concerns
- Gathering information on medication administration needs and special procedures
- Documenting vital signs, such as pulse, respiration, blood pressure, temperature, weight, fluid intake or output, oxygen saturation, or glucose levels
- Identifying the need for assistance with sterile procedures, CPAP/BiPAP use, vagal nerve stimulator use, or PRN medication administration
