Name : Health Card Number: DOB : Address: CONTINUOUS AMBULATORY DELIVERYDEVICE PATIENT CONTROLLED ANALGESIA (CADD SOLIS –PCA) PRESCRIPTION / ORDER DIAGNOSIS: ALLERGIES: No Yes Please list: In the event of anaphylaxis, community nursingservice provider will followtheir specific agencypolicy. PRESCRIPTION/ORDERS CADD Solis PCA Prescription/Orders Route:(Check one) Subcutaneous (S.C) Port-a-cath (PAC) Drug: Intravenous(I.V) PICC Concentration*: mg/ml […]
Central Healthline – French
[…] our organization’s progress and make the public aware of our initiatives. To requ est an alternate format of this annual status report, please contact: HCCSSAccessibility@hccontario.ca Accessibility Accomplishments in 2022 General Accomplishments : A provincial project team specif ic to Equity, Inclusion, Diversity and Anti -Racism was formed and is currently active. As part of […]
[…] our organization’s progress and make the public aware of our initiatives. To requ est an alternate format of this annual status report, please contact: HCCSSAccessibility@hccontario.ca Accessibility Accomplishments in 2022 General Accomplishments : A provincial project team specif ic to Equity, Inclusion, Diversity and Anti -Racism was formed and is currently active. As part of […]
Palliative Pain Consult_FR
Palliative Pain Consult_FR
Palliative Nurse Practitioner Referral Form
[…] Home Address: CLINICAL INFORMATION Diagnosis: MAID PROGRESS ( please check all that apply) ☐ The patient has received high level information about MAID (what is MAID, steps in process etc.) ☐The patient has received a Form A Patient Request Form and instructions on how to fill it out ☐ The patient has completed a […]
[…] of data work and data sharing with the ministry, as appropriate. 6. Digital Delivery and Customer Service ⢠Exploring and implementing digitization or digital modernization strategies for online service delivery and continuing to meet and exceed customer service standards through transition; and ⢠Adopting digital approaches, such as user research, agile development, and product […]
[…] of data work and data sharing with the ministry, as appropriate. 6. Digital Delivery and Customer Service ⢠Exploring and implementing digitization or digital modernization strategies for online service delivery and continuing to meet and exceed customer service standards through transition; and ⢠Adopting digital approaches, such as user research, agile development, and product […]
[…] First Nations Status Yes No Home Address ___ City _____ Postal Code: ____ HCN ___________________________ VC ________ DOB ____________ Family Physician ________________ Psychiatrist ______ _____ Student is in the Care of Children’s Aid Society (Child’s Aid Society is student’s legal guardian) Languages Spoken in Home English French Other Specify Parent/Guardian Contact Information Mother Father […]
[…] 8569 Referral for: ☐ R emote Monitoring COPD ☐ Rem ote Monitoring Heart Failure ☐ Rem ote Monitoring COVID – 19 ☐ Remote Monitoring Diabetes ☐ Enhanced In – Home Remote Monitoring COPD Pilot with Hôpital Montfort ☐ Enhanced In – Home Remote Monitoring Heart Failure Pilot with Hôpital Montfort ☐ Enhanced In – […]
