Master List of HCH Forms Currently Barcoded and - Department of ...
Master List of HCH Forms Currently Barcoded and - Department of ...
Master List of HCH Forms Currently Barcoded and - Department of ...
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Bar Coded <strong>Forms</strong> by <strong>HCH</strong> Number for eHIMS website.xls Sorted by Form Name<br />
<strong>HCH</strong>-1527 Intradermal Titration Sheet Set #2 (Otolaryngology) May-07 E. Wagner<br />
<strong>HCH</strong>-1834 Intradermal Titration Sheet Set #3 (Otolaryngology)<br />
<strong>HCH</strong>-2373 Intralesional Immunotherapy - C<strong>and</strong>ida Albicans Antigen Jul-12 Jane Grant-Kels<br />
<strong>HCH</strong>-2374 Intralesional Steroid Injection Jul-12 Jane Grant-Kels<br />
<strong>HCH</strong>-1963 Intrauterine Device Questionnaire (UMG OB/GYN)<br />
<strong>HCH</strong>-2280 Intravenous Heparin Nomogram - Acute Ischemic Stroke Nov-10 Jan-11 Jessie Riemer<br />
<strong>HCH</strong>-2293 Intravenous Heparin Nomogram - Disseminated Intravascular Coagulation Feb-11 Tom Pizz<strong>of</strong>errato<br />
<strong>HCH</strong>-2282 Intravenous High Intensity Heparin Nomogram - Venous Thrombosis (DVT/PE) Nov-10 May-12 Jessie Riemer<br />
<strong>HCH</strong>-1747 Intravenous Immune Globulin Pre-Printed Order Set Dec-06 Oct-11 Jessie Riemer<br />
<strong>HCH</strong>-2281 Intravenous Low Intensity Heparin Nomogram Cardio Vasc Interven Proc & Ischemic Stroke Nov-10 Jul-11 Tom Pizz<strong>of</strong>errato/J. Riemer<br />
<strong>HCH</strong>-1006 Involuntary Commitment Proc Current Med <strong>List</strong>ing <strong>and</strong> Side Effects Mar-96 Apr-06<br />
<strong>HCH</strong>-1755 Iron Sucrose Pre-Printed Order Set Dec-06 Dec-10 Jessie Riemer<br />
<strong>HCH</strong>-2375 Itraconazole (Sporanox) Jul-12 Jane Grant-Kels<br />
<strong>HCH</strong>-1950 Joint <strong>and</strong> Extremity Questionnaire (Diagnostic Imaging) Oct-07 Aug-10<br />
<strong>HCH</strong>-2376 Ketoconazole Jul-12 Jane Grant-Kels<br />
<strong>HCH</strong>-1416 KNEE EVALUATION Oct-05 Rehab<br />
<strong>HCH</strong>-1556 Lab Result Letter - OCC Med Employee Health Dec-06 Jan-12 S.Barnosky - Occ Med (J. Pinto)<br />
<strong>HCH</strong>-2213 Labor <strong>and</strong> Delivery Flowsheet Dec.-09 Jul-10 Toni Leers<br />
<strong>HCH</strong>-1004 Labor <strong>and</strong> Delivery Summary Sheet Mar-96 Apr-06<br />
<strong>HCH</strong>-2397 Laboratory Medicine Requisition Jul-12 Anuja Durman<br />
<strong>HCH</strong>-1583 Laboratory Request Form for Molecular Study-Human Genetics Laboratories Jul-05 Dec-06 Lisa Ramsdell/UMG Genetics<br />
<strong>HCH</strong>-1584 Laboratory Request Form for Oncology Study-Human Genetics Laboratories Aug-05 Dec-06 Lisa Ramsdell/UMG Genetics<br />
<strong>HCH</strong>-1141 Laparotomy Care <strong>of</strong> the Patient Admitted to OBGYN (Patient & Family Teaching) Nov.-97 Sept.-00<br />
<strong>HCH</strong>-1540 Laryngeal Function Study UMG Nov-06 Elissa Wagner<br />
<strong>HCH</strong>-1566 Laser Eye Examination OCC Med Employee Health Nov-06 S.Barnosky - Occ Med<br />
<strong>HCH</strong>-2264 Laser Photocoagulation for Retinopathy <strong>of</strong> Prematurity- St<strong>and</strong>ard Order Sheet Aug-10 Therese Donovan<br />
Georg'Ann Bona/Cathy<br />
<strong>HCH</strong>-2332 Laser Phototherapy Patient Instructions Nov-11<br />
Sonnenberg<br />
<strong>HCH</strong>-1901 Laser Vision Correction Bilateral Consent (Ophthalmology)<br />
<strong>HCH</strong>-1903 Laser Vision Questionnaire (Ophthalmology)<br />
<strong>HCH</strong>-1565 Latex Allergy Screening Questionnaire OCC Med Nov-06 S.Barnosky - Occ Med<br />
<strong>HCH</strong>-1776 Letter - Labs Needed for Clearance (UMG OCC MED/Emp Health) Jan-07 S.Barnosky - Occ Med<br />
<strong>HCH</strong>-2377 Levaquin (Lev<strong>of</strong>loxacin) Jul-12 Jane Grant-Kels<br />
<strong>HCH</strong>-2154 Licensed Practitioner Communication Record (Psych)<br />
<strong>HCH</strong>-1417 LUMBAR EVALUATION Oct-05 Rehab<br />
<strong>HCH</strong>-1953 Lumbar Spine Questionnaire (Diagnostic Imaging) Oct-07 Aug-10 Radiology<br />
<strong>HCH</strong>-1287 Lyme Disease Vaccine-Immunization Consent Form Jun-99 Feb.-06<br />
<strong>HCH</strong>-1948 Magnetic Resonance Imaging Checklist-Inpatient Oct.-07 Dec.-09<br />
<strong>HCH</strong>-2207 Magnetic Resonance Imaging Checklist-Outpatient Dec.-09 Radiology<br />
<strong>HCH</strong>-1658 M<strong>and</strong>atory Annual Certification Enrollment (Employee Health)<br />
<strong>HCH</strong>-1250 Patient <strong>and</strong> Family Teaching Record -Mastectomy/Lumpectomy Oct.-98 Dec.-00<br />
<strong>HCH</strong>-1420 <strong>Master</strong> Nutrition Assessment Form Nov-05 Food & Nutrition<br />
<strong>HCH</strong>-1824 NO LONGER A CHART FORM <strong>Master</strong> Psychiatric Nursing Treatment Plan (Psych 1) DEACTIVATED 9/09<br />
<strong>HCH</strong>-1825 <strong>Master</strong> Psychiatric Nursing Treatment Plan (Psych 3)<br />
<strong>HCH</strong>-1582 Maternal Serum Screen for Birth Defects Jan-03 Dec-06 Lisa Ramsdell/UMG Genetiics<br />
<strong>HCH</strong>-2203 Mechanical Ventilation Flowsheet B Nov.-09 J. Schoenewolff<br />
<strong>HCH</strong>-2178 Med 4/ Med Stepdown Nursing Flow Sheet Jan-91 Oct-11 Jessie Riemer<br />
<strong>HCH</strong>-1252 Patient & Family Teaching Record - Medical Admission General Teaching Oct.-98 Dec-00<br />
8/3/2012 - 9:53 AM 14/28
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