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Date: | Wed, 5 Jul 2006 23:05:27 -0400 |
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I have to add something to what Nikki has said in her post. I have never
been "sicced" on anyone to investigate a claim called in, because I am NOT
an employee of DCF/CPS. If a claim is called in, that's up to DCF to check
out. I am only sent out where there is medical need (whether I am sent my
DCF or the medical doctor, or on a referral from the particular hospital).
I would never be sent to assess a home situation (and obviously the safety
of the environment for the baby and mother)unless there was just cause for
someone medical to be involved. I follow babies whose mothers have been
substance abusers, babies who don't gain weight, babies who have been
removed from their parents and are in foster care, preemies, babies with
feeding problems (including lactation issues), babies at risk (medically)
because of domestic violence, babies of parents who are homeless (if they
get to take the baby at all)or in some other way unable to care properly
for the infant, and/or babies whose parents' insurance gives them a number
of well visits.Our medicaid patients have just as much access to home care
as do those with private medical insurance.
I think sometimes, the general feeling about DCF(or CPS) is that
they "take babies away." That is often NOT the case at all. Often these
agencies work very hard to keep families together and if my services can
help that to happen so much the better. The only paperwork my clients do
is the insurance form that the parent signs, stating the HIPPA laws that
bind my agency and the fact that we are charging their insurance X amout
of dollars per visit. I am in the home for a medical indication only and
when I see that all is well from my perspective I am out.
That's what I do as a public health nurse. That's all.
Betsy Riedel RNC, IBCLC
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