Harbor:Forms: Difference between revisions

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===Printable FORMS===
==Printable FORMS==
* Work Notes
===Work Notes===
# Work Excuse  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Work%20Excuse.pdf
# Work Excuse  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Work%20Excuse.pdf
# Family Work Excuse  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Family%20Work%20Excuse.pdf
# Family Work Excuse  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Family%20Work%20Excuse.pdf


*Clinics
===Clinics===
# CHC Clinics  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/CHC.pdf
# CHC Clinics  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/CHC.pdf
# Dental Clinics  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Dental%20Clinics.pdf
# Dental Clinics  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Dental%20Clinics.pdf
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# Substance Abuse Resources  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Substance%20Abuse%20Referral.pdf
# Substance Abuse Resources  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Substance%20Abuse%20Referral.pdf


*Clinical Forms
===Clinical Forms===
# Heparin Infusion  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Heparin%20Infusion%20Adult.pdf
# Heparin Infusion  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Heparin%20Infusion%20Adult.pdf
# Peripheral Pressor Extravasation (pages 5-6)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Extravasation%20Management.pdf
# Peripheral Pressor Extravasation (pages 5-6)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Extravasation%20Management.pdf
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# Pediatric Tylenol/Motrin Dosing  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Tylenol%20Motrin%20Peds%20Dosing.pdf
# Pediatric Tylenol/Motrin Dosing  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Tylenol%20Motrin%20Peds%20Dosing.pdf


*Legal Forms
===Legal Forms===
# General Consent (English)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/General%20Consent-English.pdf
# General Consent (English)  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/General%20Consent-English.pdf
# General Consent (Spanish)http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/General%20Consent-Spanish.pdf
# General Consent (Spanish)http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/General%20Consent-Spanish.pdf
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# Dog Bite Reporting ([http://publichealth.lacounty.gov/vet/docs/Forms/BiteFormVet.pdf PDF] | [https://admin.publichealth.lacounty.gov/phcommon/public/bite/biteaddform.cfm?ou=ph&unit=vet&prog=dcp Online Form])
# Dog Bite Reporting ([http://publichealth.lacounty.gov/vet/docs/Forms/BiteFormVet.pdf PDF] | [https://admin.publichealth.lacounty.gov/phcommon/public/bite/biteaddform.cfm?ou=ph&unit=vet&prog=dcp Online Form])


* Resident Procedures Direct Observation Forms
===Resident Procedures Direct Observation Forms===
# Central Line  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Central%20Line.pdf
# Central Line  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Central%20Line.pdf
# Chest Tube  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Chest%20Tube.pdf
# Chest Tube  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Chest%20Tube.pdf
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# Lumbar Puncture  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20LP.pdf
# Lumbar Puncture  http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20LP.pdf


==See Also==
*[[Harbor:Main]]


[[Category:Admin]]
[[Category:Admin]]

Revision as of 03:57, 1 February 2019

Printable FORMS

Work Notes

  1. Work Excuse http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Work%20Excuse.pdf
  2. Family Work Excuse http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Family%20Work%20Excuse.pdf

Clinics

  1. CHC Clinics http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/CHC.pdf
  2. Dental Clinics http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Dental%20Clinics.pdf
  3. Women's (Gyn) Clinics http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Womens%20Clinics.pdf
  4. Pediatric Same-Day Clinic http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Pediatric%20Same%20Day%20Clinic%20at%20Harbor.pdf
  5. Adult Mental Health Resources http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Psych%20Referrals.pdf
  6. Pediatric Mental Health Resources http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Peds%20Psych%20Referrals.pdf
  7. Shelter Resources for the Homeless http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Shelter%20Resources.pdf
  8. Substance Abuse Resources http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Substance%20Abuse%20Referral.pdf

Clinical Forms

  1. Heparin Infusion http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Heparin%20Infusion%20Adult.pdf
  2. Peripheral Pressor Extravasation (pages 5-6) http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Extravasation%20Management.pdf
  3. Pathology Tissue Report http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Path%20Form.pdf
  4. Pediatric Tylenol/Motrin Dosing http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Tylenol%20Motrin%20Peds%20Dosing.pdf

Legal Forms

  1. General Consent (English) http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/General%20Consent-English.pdf
  2. General Consent (Spanish)http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/General%20Consent-Spanish.pdf
  3. Telegram http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Telegram.pdf
  4. DMV Form http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/DMV%20LOC%20Form.pdf
  5. OK to Book http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/OK%20to%20Book.pdf
  6. AMA (English) http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/AMA%20English.pdf
  7. AMA (Spanish) http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/AMA%20Spanish.pdf
  8. PHI Release http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/PHI%20Release.pdf
  9. Imaging Request http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Imaging%20Request%20Form.pdf
  10. Photo Consent http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Photo%20Consent.pdf
  11. POLST (English) http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/POLST-English.pdf
  12. POLST (Spanish) http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/POLST-Spanish.pdf
  13. Dog Bite Reporting (PDF | Online Form)

Resident Procedures Direct Observation Forms

  1. Central Line http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Central%20Line.pdf
  2. Chest Tube http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Chest%20Tube.pdf
  3. I&D http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20I+D.pdf
  4. Intubation http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Intubation.pdf
  5. Laceration Repair http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20Lac%20Repair.pdf
  6. Lumbar Puncture http://www.emedharbor.edu/private/Contact%20Info/ED%20Documents/Direct%20Obs%20-%20LP.pdf

See Also

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