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[…] separately Prescriber Name: Signature: Address: Date: CPSO#/REG#: Primary Phone: After-hours: Fax: As of (Physician/NP Name) will b e a ssuming the role of most responsible provider for this patient. They are aware a Symptom Response Kit has been requested. Physician/NP Name : Primary Phone: After-hours: Cell: Fax: Note: This form is NO T TO […]

[…] resources /supports Notes Name of Referring Health Professional Date: Telephone #: COMMUNITY PROTOCOLS APPLICABLE TO ALL ORDERS INDICATED ON FRONT PAGE UNLESS OTHERWISE STATED The community protocols below are based on Best Practice. It is the responsibility of the referral source to specify if any other protocol is required. 4. PLEURX – Ontario Health […]

[…] 2. Anaphylaxis Anaphylaxis is rare, but is the most serious drug allergy reaction. Symptoms usually start within minutes after exposure to a drug. Signs and symptoms of this eme rgency drug reaction include: • Swelling or tightening of the airway and throat, causing trouble b reathing • Shock, with a sev ere drop in […]

[…] Response Kit for End-of-Life Order Form Please fax your completed form to the appropriate Ontario Health atHome branch: Central East: 1-855-352-2555 Champlain: 1-800-373-4945 South East: 1-866-839-7299 Timing and placement of the Symptom Response Kit (SRK) requires careful consideration (i.e. prognosis is less than six months; patient expected to deteriorate quickly) with goal of avoiding […]

[…] Care Homes 5 2. Visit the homes you would like to consider  Visiting homes or learning more  about your top    choices by visiting    Ontario.ca/LongTermCare   will help answer some of your  questions. By taking a tour,  you can get a better feel for the  surroundings and the people who work and live  in the home.   When you visit a long-term care home, you may  want to ask:    z for an information package on the home    z for copies of recent inspection reports – the  province conducts regular inspections, as  required under the Fixing Long-Term Care  Act, 2021. You can also fnd the reports  online  at  publicreporting.ltchomes.net     z to speak to a member of the home’s  Residents’ Council    z to speak to a member of the home’s Family  Council, if available  Before touring the long-term care homes you are  considering, list the features that are important  to you and pre-book the visit so that you will be  able to get an informative tour. Some things to  consider for your list:     z Location:  Is the home close enough for  family and friends to visit?    z Cultural/language/religious preferences:  Do these factors need to be considered?    […]

[…] Care Homes 5 2. Visit the homes you would like to consider  Visiting homes or learning more  about your top    choices by visiting    Ontario.ca/LongTermCare   will help answer some of your  questions. By taking a tour,  you can get a better feel for the  surroundings and the people who work and live  in the home.   When you visit a long-term care home, you may  want to ask:    z for an information package on the home    z for copies of recent inspection reports – the  province conducts regular inspections, as  required under the Fixing Long-Term Care  Act, 2021. You can also fnd the reports  online  at  publicreporting.ltchomes.net     z to speak to a member of the home’s  Residents’ Council    z to speak to a member of the home’s Family  Council, if available  Before touring the long-term care homes you are  considering, list the features that are important  to you and pre-book the visit so that you will be  able to get an informative tour. Some things to  consider for your list:     z Location:  Is the home close enough for  family and friends to visit?    z Cultural/language/religious preferences:  Do these factors need to be considered?    […]