| Policy |
Each child placed in an out-of-home setting shall, within
five (5) days of such placement, receive an initial health screening examination. |
| Exceptions |
A child who is placed directly from a hospital setting, from
a physician's office or who has had a medical examination immediately prior to placement
as part of a suspected child abuse evaluation does not require an initial health
screening. |
| Who May Conduct a Screening |
An initial health screening examination shall be performed by
a qualified physician or nurse practitioner. |
| Where a Screening May Be Conducted |
An initial health screening examination shall be performed in
a hospital, clinic or private office setting. |
| Purpose of the Screening |
The purpose of the screening shall be to identify immediate
medical, emotional and developmental needs, including, but not necessarily limited to:
•communicable or infectious diseases
•nutritional status
•signs of recent physical or sexual abuse or neglect
•indications of previous injuries or scars
•obvious physical handicapping conditions or the need for special equipment.
|
| Scope of the Screening |
The screening shall include:
•a review of the child's medical history
•a complete physical examination, specifically encompassing all skin surfaces and
external genitalia
•the child's diagnosis relative to "Well Child," or a list of any
problems or illnesses
•the proposed treatment, encompassing plans for further care, written
prescriptions or immunizations given
•completion of page 3 of the Medical Passport (CF-741) and a Report of Health Care
Visit (DCF-742).
|
| Acute Medical Condition |
If there is any indication of an acute medical condition, the
physician or nurse practitioner shall begin a diagnostic work-up and consider ambulatory
treatment, hospitalization or referral to a specialist. |
| Examination Documented in Writing |
The screening shall be documented in writing and a copy filed
in the medical section of the Uniform Case Record. |
