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Discharge Summary: General Format

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Discharge Summary: General Format

Discharge Date: Attending Physician: ... Hospital Course (by PROBLEM LIST ... Discharge Summary: General Format Author: UNC

http://www.med.unc.edu/ai/files/DischargeSummary.doc

Date added: May 8, 2012 - Views: 132

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NEW BABY FORM - Craven County, North Carolina

WIC New Baby Form. Please call the WIC ... Blank Check. Check cashing, credit, ... Hospital crib card or discharge papers (infants only) Hospital ID Card or Bracelet.

http://www.cravencountync.gov/departments/hth/wic/forms/2013/WIC%20New%20Baby%20Form%20Updated%2011-2010.doc

Date added: July 25, 2015 - Views: 1

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Sample Termination Template - MaRS Discovery...

The Releasor does hereby release and forever discharge the Company, its successors, administrators, ... Sample Termination Template Author: Kathy Marino Last modified by:

http://www.marsdd.com/wp-content/uploads/2011/12/Sample_Termination_Agreement.doc

Date added: August 20, 2014 - Views: 103

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Massachusetts

Commonwealth of Massachusetts Regulations. ... the hospital discharge planner, ... makes 2 copies of the original "Local Certification" papers, ...

http://www.mass.gov/eohhs/docs/dph/cdc/tb/nursing-case-protocols.doc

Date added: May 28, 2012 - Views: 94

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History and Physical Exam Form - jimbergmd.com

History and Physical Exam Form. ... Pain on intercourse Burning on urination Abnormal vaginal/penile discharge Difficulty starting urine stream Unusual ...

http://www.jimbergmd.com/History%20and%20Physical%20Exam%20Form%209-03.doc

Date added: October 21, 2011 - Views: 748

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INTERDISCIPLINARY CARE PLANNING PROCESS

In hospital practice, “unit ... diet, teaching; discharge planning ... be documented in the database as part of the interdisciplinary care planning process.

http://www.carepartnersconsulting.com/files/Infusion%20Ambulatory%20Care%20Policy%20and%20Procedure%20Manual%20Sample.doc

Date added: November 24, 2011 - Views: 177

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www.courts.ca.gov

The decedent was transferred within the hospital the following day and later that day signed discharge papers ... (Blank v . Kirwan (1985) 39 ... discharge papers and ...

http://www.courts.ca.gov/opinions/nonpub/B234051M.DOC

Date added: April 23, 2015 - Views: 2

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Unit E Master Outline - Mitchell High School

Have students exchange papers and grade ... What type of infection would be reduced by early discharge? Fill in the blank with the most ... Unit E Master Outline

http://mhs.mcsnc.org/UserFiles/Servers/Server_2082346/File/F%20Infection%20Control.doc

Date added: January 29, 2012 - Views: 84

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CRITICAL THINKING RUBRIC TO ANALYZE THE...

This critical thinking rubric is designed to analyze the application of nursing process in student nursing care plans and can be ... Blank spaces in the form are not ...

http://department.sunysuffolk.edu/DeptDocs/Nursing_Docs/RUBRIC_for_NCP.doc

Date added: October 24, 2011 - Views: 223

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Managing Hospital Records - The International...

Managing Hospital Records addresses the specific ... Minutes and papers of major ... An appropriate quantity of the blank forms described above should be ...

http://www.irmt.org/documents/educ_training/public_sector_rec/IRMT_hospital_recs.doc

Date added: October 25, 2011 - Views: 178

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Universal Credential Application - wfhplan.org

UNIVERSAL APPLICATION. ... Yes No Have your clinical privileges or employment at any hospital or healthcare ... attach a copy of your discharge papers ...

http://wfhplan.org/documents/WFHN_Universal_Application_unprotected_6_05_BLANK.doc

Date added: November 4, 2014 - Views: 6

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www.avoidreadmissions.com

discharge folder. CMH Acute care ... A patient label is placed in the blank space of the CMH sticker. The 1st items in the folder are the papers the HUC / Admissions ...

http://www.avoidreadmissions.com/wwwroot/userfiles/documents/189/purple-discharge-folder-1.doc

Date added: October 9, 2013 - Views: 1

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blank format for new facult cv - University of...

A. Papers Published or In Press. 1. ... “Hospital Admission / Discharge Decision for Patients with Community-Acquired Pneumonia: ... blank format for new facult cv

http://www.uky.edu/academy/sites/www.uky.edu.academy/files/CV%20Thomas%20Wallace.doc

Date added: November 15, 2014 - Views: 18

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M21-1, Part 3, Change Document 131

O27 RESERVED Blank ... Enlistment contracts, discharge papers, MABMC-11 (discharge order) ... M21-1, Part 3, Change Document 131 Author: CAPPLIVE

http://www.benefits.va.gov/warms/docs/admin21/m21_1/part3/chg131.doc

Date added: October 9, 2011 - Views: 146

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M21-1, PT V, Chapter 23, Change 9

separation papers (DD214 or other document) ... (blank for origi- ... the end of the month of your hospital discharge; ...

http://www.benefits.va.gov/warms/docs/admin21/m21_1/part5/ch23.doc

Date added: October 22, 2011 - Views: 68

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STATE OF CALIFORNIA

Leave of Absence and Discharge. 13 (1 ... Have a mandatory ALW guidelines in-service training program for staff and document staff ... Leave the other fields blank.

http://www.dhcs.ca.gov/services/ltc/Documents/2009%20ALW%20RCFE%20Manual.doc

Date added: October 16, 2011 - Views: 238

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wwwnew.towson.edu

Towson University. Department of Art + Design, Art History, Art Education. Art History108, Section 001. Syllabus: Introduction to Non-Western Art. Fall 2012

http://wwwnew.towson.edu/sociology/3%20-%20Faculty%20Information/faculty/documents/ARTH108syllabusFALL2012.doc

Date added: November 25, 2015 - Views: 1

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Organized Form The Start, Inc - Baby Briefcase

Organized From The Start, Inc. 70 Penfield St. Roslindale, ... discharge papers, immunizations and vaccinations, social-security ... 9 blank folders for parents to ...

http://www.babybriefcase.com/downloadable_files/BabyBriefcasePressRelease0704.doc

Date added: November 23, 2011 - Views: 27

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www.daltonwealth.com

Hospital (preferred): ... Adoption papers. Birth certificate. Driver’s license. ... Military discharge papers. Pre-paid funeral documentation. Other:

http://www.daltonwealth.com/new/daltonwealthmanagement/content.asp?contentid=2017685715

Date added: June 28, 2014 - Views: 5

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Exhibit 5-3: Acceptable Forms of Verification

Military Discharge papers. ... Verification by a doctor, hospital or clinic, dentist, ... Appendix 3: Acceptable Forms of Verification

http://portal.hud.gov/hudportal/documents/huddoc?id=DOC_35766.doc

Date added: October 15, 2011 - Views: 224

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Sample Settlement Agreement - junk fax

Release and Discharge. In consideration of Defendant's agreement to make the payments called for herein, ... Representation of Comprehension of Document.

http://www.junkfax.org/fax/reference/sampleSettlement.doc

Date added: October 13, 2011 - Views: 1003

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www.castonline.ilstu.edu

Physical Medicine and Rehabilitation Treatment/Rehabilitation Hospital Based ... Discharge planning ... Enclosure Checklist Blank copy of the ...

http://www.castonline.ilstu.edu/klitzing/internship%20papers/Therapeutic%20Recreation%20Internship%20Site%20Info%20Form%202011.doc

Date added: June 29, 2013 - Views: 8

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ENVIRONMENT OF CARE CLARIFICATIONS - Navy Medicine

... (go past) the level of discharge (ground floor) must ... The best practice may be to fill out the top part of a blank part ... ENVIRONMENT OF CARE CLARIFICATIONS.

http://www.med.navy.mil/sites/nmcp/EduTrain/Documents/FacMgmt/EnvironmentOfCareClarificationsSept2002.doc

Date added: April 14, 2012 - Views: 183

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ww2.nasbhc.org

If patient has more than one hospital admission/discharge, X-Ray, ... Any blank forms. CABIN CREEK AND RIVERSIDE HEALTH CENTERS. P.O. Box 70, Dawes, WV 25054

http://ww2.nasbhc.org/counter/download.aspx?file=Medical%20Records%20Format%20-%20Riverside%20SBHC%20WVA.doc&dir=CareManagement/Medical%20Records

Date added: January 28, 2012 - Views: 16

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Sample of Process Recording #2 - San Diego State...

PROCESS RECORDING OUTLINE. Student’s Name: Minerva Garcia Client’s Name: ... doctor once recommended for pt to be taken to a psychiatric hospital; ...

http://socialwork.sdsu.edu/field/files/2011/11/process-recording-example.doc

Date added: May 8, 2012 - Views: 218

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FAMILY INFORMATION GUIDE - wells-financial

family information guide _____ vital statistics and historical data. full name ... location of discharge papers: ... hospital, rx, vision, dental, etc.) ...

http://www.wells-financial.com/uploads/4_FAMILY_INFORMATION_GUIDE_updated_062408.docx

Date added: August 18, 2013 - Views: 16

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CENTRAL- BOARD

CENTRAL BOARD OF SECONDARY ... conveyance for delivery of Question Papers. ... bill for not within one month from the date of his discharge from hospital.

http://cbse.nic.in/pr_rti/manuals/Financial_Manual/Financial_Manual.doc

Date added: January 17, 2014 - Views: 86

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Study Guide – Social Work 151 / Fall 2009 -...

A discharge report from the hospital. In the delivery of long-term care, customized interventions are carried out according to ... 7. Fill in the blank: ...

http://www.hhs.csus.edu/SW/document/Syllabus/Fall%202009/SW151StudyGuide.doc

Date added: October 20, 2011 - Views: 159

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1 - Employment and Training Administration

Work Opportunity and Employment & Training Administration. Welfare-to-Work Tax Credits. 1. CONTROL NO.

http://www.doleta.gov/Performance/guidance/docs/ETA%209061%20Fina%20Rev%20wInstrs%206-05-05Rev6-24.doc

Date added: December 5, 2013 - Views: 13

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RCFE Manual - California Department of Health Care...

... Temporary Relocation to a Hospital or Skilled Nursing Facility 21. ... Discharge planners in acute care hospitals; ... RCFE Manual Author: seisenberg

http://www.dhcs.ca.gov/services/ltc/Documents/RCFEManual.doc

Date added: August 24, 2011 - Views: 209

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C2005 Evidence Evaluation Template - Nov.11, 2003

Limiting to human and out-of-hospital cardiac arrest resulted in 29 papers ... C = Survival to hospital discharge E ... THE BLANK WORKSHEET TEMPLATE ...

http://circ.ahajournals.org/content/suppl/2005/11/09/CIRCULATIONAHA.105.170522.DC109/W69C_Koster.doc

Date added: February 28, 2015 - Views: 3

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INTRODUCTION - Oregon

This page intentionally left blank. ... the first state mental hospital, ... Discharge/transfer planning ...

http://www.oregon.gov/DOC/docs/managing_mental_illness_in_prison.doc

Date added: September 26, 2011 - Views: 84

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C2005 Evidence Evaluation Template - Nov.11, 2003

There were more survivors to hospital discharge in the units assigned ... of in-hospital AED papers. Level 7 evidence of ... REMEMBER TO SAVE THE BLANK WORKSHEET ...

http://circ.ahajournals.org/content/suppl/2005/11/09/CIRCULATIONAHA.105.170522.DC299/W174_Lurie_Koster.doc

Date added: September 16, 2014 - Views: 3

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COURSE DESCRIPTION - Council on Social Work...

Course Description. ... Papers should be typed in 12-point font in Times New Roman or comparable, ... Hospital discharge planning for frail older people and their family.

http://www.cswe.org/File.aspx?id=55792

Date added: May 6, 2013 - Views: 9

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SECTION 1 - The American Legion

Plan to visit fellow veterans in the hospital. ... for review of less than fully honorable discharge or dismissal ... to report in every blank on the ...

http://www.legion.org/documents/legion/word/pog_07.doc

Date added: June 14, 2013 - Views: 122

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INSTITUTE FOR THE ADVANCMENT OF SOCIAL WORK...

CALL FOR PAPERS: THE IMPACT OF ... HOSPITAL DISCHARGE SURVEY DATA SET. ... Institute for the Advancement of Social Work Research. 750 First Street, NE, ...

http://www.naswdc.org/research/call/041405.doc

Date added: May 6, 2013 - Views: 6

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Sample Lesson Plan – Mercer University

Sample Lesson Plan. Lesson Objectives: Upon completion of this lesson, the student will: 1. Identify factors that cause stress. 2. Describe the consequences of stress. 3.

http://faculty.mercer.edu/rowe_bs/Sample%20Lesson%20Plan.doc

Date added: June 26, 2012 - Views: 154

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A Cardiologist's View - hpisum.com

... and it is usually dictated just before or after the patient is discharged from the hospital. The Discharge ... gather your papers ... A Cardiologist's View ...

http://www.hpisum.com/Campbell,%20Introduction%20to%20Cardiology%20Transcription.doc

Date added: May 2, 2013 - Views: 41

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WEST COAST UNIVERSITY - PBworks

... all student papers and assignments ... Date not found please state so Discharge ... Use 2 patient identifiers in accordance to individual hospital policy per ...

http://wcunurs120and121.pbworks.com/f/NURS+121L+02.2011.doc

Date added: September 10, 2012 - Views: 127

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THE CITY OF SHAWNEE

Use a blank page if you need additional space for your ... _____ Please provide a copy of any discharge papers ... CITY OF SHAWNEE POLICE DEPARTMENT APPLICATION ...

http://shawneeok.org/dept/hr/cms/files/RESERVE_POLICE_OFFICER_APPLICATION.doc

Date added: July 6, 2015 - Views: 1

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Demo Hospital - Chugachmiut

Fax Number E-Mail Address Type of Discharge: ... and telephone number of a knowledgeable person at the hospital, ... (even if you attach additional papers) ...

http://www.chugachmiut.org/Forms/Application%20Form%20%20Medical%20Providers.doc

Date added: September 8, 2011 - Views: 7

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Evidenc - mass.gov

Use this page to make notes about your own workflows and processes, which may differ by facility and practice.

http://www.mass.gov/eohhs/docs/dph/vital-records/amendmentsevidencesuppliment.docx

Date added: January 2, 2015 - Views: 10

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APACHE GAMING COMMISSION - Delaware Nation

Copy of DD 214 (Military Discharge Papers) ... The Delaware Gaming Commission ... (no questions should be left blank).

http://delawarenation.com/Portals/0/PDF/gamingcommission/NewPDF1/INIITIAL%20VENDOR%20COMPANY_Prinicpal%20Application.docx

Date added: January 8, 2014 - Views: 14

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J - Independence Seaport Museum

... a blank checklist for official ship documents; ... discharge papers from the U.S. Coast Guard-Merchant ... a hospital ledger book and loose notes about medical ...

http://www.phillyseaport.org/images/Archives/ISM-WWII.doc

Date added: May 4, 2013 - Views: 72

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Improving Care Transitions - communitychoices.info

Improving Care Transitions: ... and the discharge summary from the hospital. ... medications lists and papers from the hospital?

http://communitychoices.info/adrc/docs/ADRC_CTI_Booklet_August_2010_added.doc

Date added: December 17, 2014 - Views: 19

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Birth3 - Texas Department of State Health Services...

... may be used in requesting completion of any item left blank on the ... The certification of a hospital or ... A copy of official discharge papers of ...

http://www.dshs.state.tx.us/vs/handbooks/birth/birth3.doc

Date added: September 15, 2011 - Views: 86

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I

Memorial Hospital discharge summary ... the rest of the form may be left blank and ... The ALJ also can require people to bring important papers to your hearing ...

http://www.ssa.gov/disability/Documents/Prototype_Operating_Instructions.doc

Date added: October 2, 2011 - Views: 138

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PUBLIC HEALTH CODE - Connecticut

Discharge Planning 864. ... document such determination in the patient's medical or clinical record; ... The hospital shall be structurally constituted, ...

http://www.dir.ct.gov/dph/PHC/phc.doc

Date added: September 23, 2011 - Views: 188

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Sample Substance Abuse Policy - Tool Box Topics

Prior to implementing any substance abuse policy, ... alone to justify an employee discharge, ... the company to have access to hospital reports or documents ...

http://www.toolboxtopics.com/Beyond%20Safety%20Meetings/Fleet%20Stuff/Sample%20Substance%20Abuse%20Policy.DOC

Date added: October 19, 2011 - Views: 157