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SRK Prescription Order Form – English
[…] flushing supplies separately Prescriber Name: Signature: Address: Date: CPSO#/REG#: Primary Phone: After-hours: Fax: As of (Physician/NP Name) will be assuming 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 NOT TO B E […]
SE-Medical-Order-Form-EN
[…] 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 […]
Medical Order Form – English
[…] 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 […]
IV Therapy Venous Access Management Medical Order Form – English
[…] reverse side unless otherwise requested by referring MD/NP. Revised September 17, 2024 Section 1 ROUTE Diagnosis _______________________ (1)Peripheral IV PICC insertion pending – move to PICC directive below once insertion complete (2) Peripherally Inserted Central Catheter (PICC) Confirmed Catheter Tip Location: S.V.C. Other Catheter length: internal_____ external_____ PEDI ATRIC Power PI CC – Flush […]
SE-First-Dose-Parenteral-Med-EN
[…] 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 […]
First Dose Parenteral Medication Screener – English
[…] 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 […]
CE-Symptom-Response-Kit-SRK-for-End-of-Life-Order-Form-EN
[…] 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 […]
CE-Symptom-Response-Kit-SRK-for-End-of-Life-Order-Form-EN
[…] 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 […]
OHaH-Long-Term-Care-Placement-Guide-EN
[…] 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? […]
Long-Term Care Placement Guide – English
[…] 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? […]
North Simcoe Muskoka Adult Day Programs – English
06-2024 Adult Day Programs Adult Day Programs offer social, recreational and therapeutic opportunities for frail elderly as well as individuals experiencing memory loss. They are designed for seniors who need regular assistance and who are lonely and benefit from socializing with others. Participants currently live at home. Adult Day Programs are funded by the […]
South East Rapid Response Nurses
[…] as quickly as possible, so they hav e everything they need at home. Keeping track of your medications You may have heard your doctor say “Medication Reconciliation.” This means that you and your health care team work together to keep track of the medications you take. When Does this Happe n? This can happen […]