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Shared Care 4Kids Pilot: Pre-Pilot Survey for PNs
Practice Background, Current Blue Book Checks, Resources & Support
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1.
What is your practice name?
(Required.)
Pilot-related practice background
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2.
Does the practice have an effective partnership with their local Child and Family Health Centre/s?
(Required.)
Yes
No
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3.
Does the practice promote free Blue Book checks with immunisations?
(Required.)
Yes
No
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4.
Do immunisation encounters always include a Blue Book check with both a PN and GP?
(Required.)
Yes
No
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5.
Number of GPs in the practice
(Required.)
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6.
Number of PNs in the practice
(Required.)
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7.
Number of GPs who routinely do Blue Book checks with a PN
(Required.)
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8.
Numbers of PNs who routinely do Blue Book checks with a GP
(Required.)
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9.
What Blue Book data is routinely recorded in practice software fields?
(Required.)
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10.
What education has the lead GP completed in the last 5 years?
(Required.)
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11.
What education has the lead PN completed in the last 5 years?
(Required.)
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12.
How often are children with suspected developmental concerns needing referral referred to the NSLHD Child and Family Health Service?
(Required.)
1 (all the time)
2
3
4
5 (never)
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13.
How often are children with suspected developmental concerns needing referral referred to private providers?
(Required.)
1 (all the time)
2
3
4
5 (never)
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14.
How often are parents/carers with concerns needing referral (e.g. parenting/breast feeding/mental health issues) referred to the NSLHD Child and Family Health Service?
(Required.)
1 (all the time)
2
3
4
5 (never)
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15.
How often are parents/carers with concerns needing referral (e.g. parenting/breast feeding/mental health issues) referred to private providers?
(Required.)
1 (all the time)
2
3
4
5 (never)
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16.
Are there processes in place to ensure each child has a positive experience with immunisations and Blue Book checks? If so, identify these processes.
(Required.)
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17.
Are there processes in place to ensure each mother/carer has a positive experience? If so, identify these processes.
(Required.)
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18.
Are there systems in place to identify and report child at risk of harm concerns? If so, identify these systems.
(Required.)
Current Blue Book Checks
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19.
What is the booking process for immunisations/Blue Book checks? i.e. How long with PN and GP and in what order?
(Required.)
20.
Documenting findings in the Blue Book: What elements do PNs include in a Blue Book check? Select from the options below.
My development – Learn the signs. Act Early.
Additional questions for parents/carers
Child health check: weight
Child health check: length/height
Child health check: head circumference
Child health check: oral health (lift the lip check)
Child health check: health protective factor
Child health check: other (please specify below)
Other (please specify)
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21.
How is information shared between PNs and GPs during the Blue Book check?
(Required.)
Via practice software
Verbal
Other (please specify)
Resources and support
22.
What information/support needs do you have in relation to Blue Book checks? Select all that apply.
Performing Blue Book checks
Documenting findings in Blue Book
Monitoring growth: height (length)
Monitoring growth: weight
Monitoring growth: BMI
Monitoring growth: head circumference
Monitoring child development – ‘Learn the Signs. Act Early.’
Clinical software - Navigating/data entry
Scheduling Blue Book Checks with GP and PN
Providing the optimal experience for parents and children
My Health Record
Referring to the Child and Family Health service
Confidence in answering parent questions
Other (please list)