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COPD & Heart Failure Telehomecare Referral Form – English
[…] Patient has an established diagnosis of Heart Failure or COPD (with or without co-morbid conditions). Health care provider feels the patient will be capable of using simple in-home monitoring equipment. Patient lives in a residential setting with an active land line (internet or analog phone line). Patient or family caregiver is able to provide […]
Urinary Continence Supply Order Form – English
Page 1 of 2 Version 24 -001 Update: October 15, 2024 (DO NOT FILE IN DMS) Urinary Continence Supply Order Form Date: BRN: Patient Name: Ordered By : Name: Agency: Contact (Phone and Ext): Delivery Priority: â Next Day (Delivery by 9:00pm next day. Order must be processed by 5:00pm) â Non -Urgent (Delivery […]
Urinary Continence Supply Order Form – English
Mississauga Halton Urinary Continence Supply Order Form
Urinary Continence Supply Order Form – English
Mississauga Halton Urinary Continence Supply Order Form
Urinary Continence Supply Order Form – English
North East Urinary Continence Supply Order Form
Urinary Continence Supply Order Form – English
Erie St. Clair Urinary Continence Supply Order Form
Urinary Continence Supply Order Form – English
Page 1 of 2 Version 24 -001 Update: October 15, 2024 (DO NOT FILE IN DMS) Urinary Continence Supply Order Form Date: BRN: Patient Name: Ordered By : Name: Agency: Contact (Phone and Ext): Delivery Priority: â Next Day (Delivery by 9:00pm next day. Order must be processed by 5:00pm) â Non -Urgent (Delivery […]
Regional Palliative Consultation Team (RPCT) Referral Form – English
[…] around-the-clock nursing care through their facility or other home-care program. 3) Hav e a primary care provider who will continue as the most responsible provider and remain in regular contact. The provider needs to be available by phone to RPCT consultants for after -hours emergencies only and will be responsible for completing the medical […]
Negative Pressure Wound Therapy (NPWT) Referral Form – English
[…] Location: Length: cm x Width: cm x Depth: cm ☐ Undermini ng Details if applicable: ☐ Tunneling Details if applicable: Note: NPWT will continue to be assessed in the community, and settings may be reviewed based on exudate and patient tolerance . Continuation of NPWT is dependent on wound healing goals being met. Maximum […]
Community Engagement Framework – English
[…] Framework | 7 Connecting with Partners Work with health system partners to develop shared training, tackle comm on engagement challenges and share best practices. Going forward This vision, outlined by the Framework creates a tangible way forwar d for our engagement practices across the organization. To work towards this goal, we have ide ntifed four areas of focus across in the short term, including: Building Structure We will: Build a provincial engagement team, network, and program to work col laboratively across the province, including supporting Ontario Health atHome Establish a provincial community of patients, families, caregivers t o support engagement opportunities that will inform the work of the organiza tion Develop an online platform for patients, families, caregivers that enables navigation and participation in engagement opportunities and supports staf matching , tracking, and reporting Create a provincial council of patients, families, caregivers to adv ise on strategic issues and priorities Building Awareness We will: Broadly share information about our provincial engagement program to share how we listen to, and partner with, people with lived experience and how they can be invo lved Promote our engagement program broadly (externally and internally) to improve understanding of what engagement is and how it adds value to our programs and services Building Relationships We will: Reconnect with existing Advisors to better understand their skills, exper iences, interests and future involvement Recruit patients, families, caregivers from across the Province, w […]
CEN-NPWT-Referral-From-EN
[…] chemotherapy WOUND DESCRIPTION Location: Length: cm x Width: cm x Depth: cm Undermining Details if applicable: Tunneling Details if applicable: Note: NPWT will continue to be assessed in the comm unity, and settings may be reviewed based on exudate and patient tolerance. Co ntinu atio n o f N PW T i s d […]
Negative Pressure Wound Therapy (NPWT) Referral Form – English
[…] Medium (14.7 cm x 17.4 cm x 1.75 cm) CONVENTIONALbDRESSINGbORDERS Patients will be started on conventional dressings until NPWT can be initiated. Conventional orders a lso required in the case ob service interruption. Negative Pressure Wound Therapy (NPWT) Referral Form NPWT Referral Form 10 June 2024 Page 2 of 2 (Patient Last Name, First […]