FAMILY ADVOCACY NURSE
Family Advocacy Nurse ("FAN") shall perform duties to include, but not limited to those listed below:
- The FAN shall implement and manage the NPSP. At installations with more than one FAN, project management responsibilities will be shared.
- The FAN is a member of the multidisciplinary FAP team and is responsible for providing comprehensive home-based prevention services to families to prevent child and partner maltreatment.
- The FAN shall interface with the MTF Chief Nurse regarding standards of nursing practice and integration into the MTF. The FAN shall be responsible for remaining current in relevant areas of maternal, child, and family violence nursing practice.
- The FAN shall provide nursing home-based services that include education, support, and anticipatory guidance in such areas as growth and development across the life span, nutrition, parenting, attachment and bonding, individual and family health-related issues, family violence dynamics, problem solving, family communication skills, and bereavement.
- The FAN shall establish an effective process to locate and administer the Family Needs Screener to members of the base population who are eligible for NPSP services and offer home visitation services to families at risk for maltreatment (See FAP Standard P-1U, Attachment 6).
- The priority for the FAN is to provide NPSP prevention services to families in their homes. Teaching a class or facilitating groups is not a FAN priority, but may be considered if time allows. Work and case management priorities for the FAN are as follows:
- Priority 1: Home visits to NPSP high needs clients
- Priority 2: Home visits and other contacts with low needs NPSP client
- Priority 3: Support to FAP maltreatment clients
The FAN shall develop family service plans, which include a nursing diagnosis that incorporates secondary prevention services for NPSP families and maltreatment cases, when applicable.
The FAN participates in the OPMC, the CCS, and the NPSP Case Staffing.
The FAN shall provide nursing prevention services in conjunction with maltreatment intervention plans and attend the CCS. The FAN shall not take an investigative role or be a case manager or primary provider in a maltreatment case. The FAN shall provide nursing intervention services to families in the maltreatment program only when safety can be assured. The FAN shall document nursing interventions in the FAP maltreatment record using FAPNet. Documentation of nursing services in the maltreatment record does not require a co‑signature by the case manager. Further, nursing service documentation in the maltreatment record does not require a corresponding outpatient record note.
The FAN shall work in collaboration with the prevention team, led by the FAOM to provide:
- Prevention services focused on the prevention of family maltreatment via briefings, educational presentations, and providing input for FAP marketing.
- Supportive FAP services and guidance in parenting education, parent-child interaction, bonding and problem-solving skills.
- Supportive and educational services targeting fathers.
- Advocacy services with a community organization for military families to increase awareness of FAP services and promote the effectiveness of community response.
- The FAN shall provide services for all clients and administer "high‑needs" record review Checklist quarterly and document JAW FAP Standard P-14 (Attachment 9) to maintain a green NPSP grid light.
The FAN shall not provide the following:
- "Hands‑on" clinical nursing care for acute or chronic medical conditions such as apnea monitor oversight, or tube feedings
- Special needs identification and assignment coordination
- Psychotherapy
The FAN shall evaluate the effectiveness of the NPSP services he/she provide.
The FAN shall assume responsibility for the oversight and completion of the administrative duties that support NPSP processes to include:
- Entry of NPSP client information, assessment tools, and case information into the FAPNet automated record system.
- Entry of NPSP data into the FAPNet automated record system JAW AF FAP guidance.
EXHIBIT C
FAMILY ADVOCACY NURSE LOGISTICAL SUPPORT
The following forms of Logistical Support will be provided to healthcare providers on a space‑available basis. Not all support may be available at all locations.
- Commissary
- Air Force Air Force Exchange Service
- Armed Forces Recreation Facilities
- Military dining facilities
- Class VI (alcoholic beverages, including rationed items)
- Legal assistance (on a "space available" basis)
- Military Banking facilities
- Military postal services
- Officer and NCO Club memberships
- Mortuary services
- Privately Owned Vehicle (POV) authorization
- Petroleum, Oils, and Lubricants (POL) purchases
- Transient billets on space available basis
- Air Force Continuing Education Courses
- Credit union facilities
- Dependent schools, on a tuition paying basis
- Medical/Dental on a reimbursable basis. Dental on emergency basis only
- Pet and firearm registration and control
- Customs exemptions
- WJM assumes no liability for the unavailability of any form of logistic support at any particular time location.
Family Advocacy Nurse and their authorized dependents overseas qualify for Logistical Support, to the extent available at the service location. Authorized dependents include Family Advocacy Nurse's lawful spouse, if the spouse resides in the host country with the contract provider, or an unmarried child, including stepchild or lawfully adopted child of the contract provider who will reside in the host country with the health care provider. The child, to qualify as an authorized dependent, must have either: Not passed his/her 21st birthday, or, if past, be incapable of self‑support because of mental or physical incapacity that existed before that birthday and is dependent on a healthcare provider for over one‑half of his/her support. The existence of the facts must be demonstrated to the Government, and approval obtained for the person in question to qualify as an authorized dependent.