Guidelines for Nurse Home Visitoring Programs

The Nurse Home Visiting Guidelines have been developed for use by Babies First!, CaCoon, Nurse-Family Partnership and Family Connects Oregon programs. Nurse-Family Partnership and Family Connects Oregon programs should also use program-specific guidelines, where applicable.

Clinical Guidelines

Home visitors should use the assessment tools indicated in these guidelines or program models. If home visitors use assessment tools other than those delineated by the guidelines or program models, those tools should be evaluated for appropriateness (e.g., evidence-based, validated, equitable, etc.).

Local agencies are responsible for having appropriate local guidelines in place for any other clinical care expected by home visitors and not addressed by these guidelines (e.g., wound care, fluoride varnish).

Unless otherwise noted: Guidelines were last reviewed and updated February 2025

Program Implementation Guidelines

The remaining guildines are not clinical but support general program implementation.

Guidelines for Nurse Home Visitoring Programs

Table of Contents

Clinical Guidelines

Guideline 1: Prenatal History and Physical Assessment: Nursing

Guideline 2: Prenatal Weight Assessment

Guideline 3: Perinatal Blood Pressure Assessment

Guideline 4: Perinatal Breastfeeding* Promotion and Support

Guideline 5: Home Environment and Environmental Exposures Assessment

Guideline 6: Perinatal Gestational Diabetes Mellitus Assessment

Guideline 7: Social Drivers of Health Screening

Guideline 8: Reproductive Life Planning

Guideline 9:Mood Disorder Screening

Guideline 10: Intimate Partner Violence Screening

Guideline 11: Substance Use Screening

Guideline 12: Postpartum History and Physical Assessment

Guideline 13: Newborn, Infant, Toddler History and Physical Assessment

Guideline 14: Infant, Toddler Developmental Screening

Guideline 15: Oral Health Screening for Infants and Children

Guideline 16: Parent Child Interaction Assessment

Program Implementation Guidelines

Guideline 17: Infection Control for Home Visits

Guideline 18: Adverse Outcomes for Nurse Home Visiting

Guideline 19: Telemedicine/Telehealth Visit Guidance

Guideline 20: Sharing Concerns or Complaints About Health Care

Guideline 21: Parent Child Dyad Charting (PDF)

Guideline 22: Collaboration with Child Welfare FAQ (PDF)

Guideline 23: Collaboration among Public Health Home Visiting Programs (PDF)

Guideline 24: Early Hearing Detection and Intervention (EHDI) Nurse Home Visiting Referral Talking Points (PDF)

Feedback Form

Please let us know if you have suggestions, any links are broken, or if any information is outdated.

Feedback Form