PURPLE Implementation

Submitting Monthly Service Report to PCAF

It is crucial for partner organizations to report the number of families educated each month . This is done by filling out Attachment III - Monthly Service Report . The following fields are requested : Site name and location ? PURPLE Champion name ? Does your site need additional booklets ? Number of staff that completed implementation this month ? Number of patients / families that received PURPLE information and materials this month ? ( If agency is tracking doses , you may submit by dose ) Number of ER visits for excessive crying this month ( If applicable )? Number of ER visits for possible head trauma this month ( If applicable )? Technical assistance needs ? Community of Practice attended ? ( Y / N ) Monthly summary of activities related to Period of PURPLE Crying ( ex . community baby shower )? Success Story from this month ? ( Y / N - if Y , please share highlight ) Barriers or obstacles to implementation experienced this month ?

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