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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>-1249 Patient <strong>and</strong> Family Teaching Record - Pneumonia Community Acquired Oct.-98 Dec.-00<br />

<strong>HCH</strong>-1154 Pneymocystis Carinii Pneumonia Care Path Dec.-1997<br />

<strong>HCH</strong>-1507 Post Amniocentesis Instructions & Precautions Oct-06 Nancy Maxwell/OB GYN<br />

<strong>HCH</strong>-977 Post Angioplasty Recovery Record Oct.-95<br />

<strong>HCH</strong>-899 Order Sheet -B1015Post Cardiac Catheterization Orders Jul-94 Nov.-09 Cardiology<br />

<strong>HCH</strong>-1506 Post Chorionic Villus Sampling (CVS) Instructions & Precautions Oct-06 Nancy Maxwell/OB GYN<br />

<strong>HCH</strong>-941 Post ICU Cardiac Surgery Orders Nov.-94 Aug-00<br />

<strong>HCH</strong>-2114 Post Op Back Database (PT)<br />

<strong>HCH</strong>-2115 Post Op Back Evaluation (PT)<br />

<strong>HCH</strong>-2113 Post Op Back Patient Education (PT)<br />

Georg'Ann Bona/Cathy<br />

<strong>HCH</strong>-2315 Post Peel Instructions Aug-11<br />

Sonnenberg<br />

<strong>HCH</strong>-876 Post PICC Line Insertion Orders Aug.-94 Oct.-06 Radiology<br />

<strong>HCH</strong>-2129 Post Procedure Follow Up Telephone Call (Derm)<br />

<strong>HCH</strong>-1103 Post-Operative Total Hip Arthroplasty Orders Oct.-97 Apr-06<br />

<strong>HCH</strong>-1104 Post-Operative Total Knee Arthroplasty Orders Oct.-97 Oct.-00<br />

<strong>HCH</strong>-626 Postpartum/GYN Flowsheet Mar-92 Nov.-07 Nursing<br />

<strong>HCH</strong>-1488 Postpartum Visit Note Jul-06 N.Maxwell/OB GYN<br />

<strong>HCH</strong>-1385 Postprocedural Abdominoplasty Orders Jun-04 Dec.-05 C.Schramm<br />

<strong>HCH</strong>-1387 Postprocedural Facelift Orders Jun-04 Nov.-05 C.Schramm<br />

<strong>HCH</strong>-1386 Postprocedural Mammaplasty Reduction Orders May-04 Nov.-05 C.Schramm<br />

<strong>HCH</strong>-2288 Post Visit Phone Call for Inpatients Dec-10 Jessie Riemer<br />

<strong>HCH</strong>-2294 Post Visit Phone Call for Inpatients (OB/GYN) Feb-11 G. Muscillo<br />

<strong>HCH</strong>-1451 Pre ECT History <strong>and</strong> Physical (Replaced by <strong>HCH</strong>-2250 Pre-Op History & Physical Exam) Apr-06 Psych-ECT<br />

<strong>HCH</strong>-1491 Pre-Allergy Testing Screening UMG Jul-06 E.Wagner<br />

<strong>HCH</strong>-2269 Pre-Anesthesia Assessment Form (Moore Form) Aug-10 C.Schramm<br />

<strong>HCH</strong>-1349 Pre-Cardiac Catheterization Angioplasty Orders (Cardiac Cath Lab) Mar-03 Jul-07 Jean Bodett-Cardiac Cath.<br />

<strong>HCH</strong>-2308 Pre-discharge Assessment for the Risk <strong>of</strong> Hyperbilirubinemia in Infants ≥ 35 Weeks Gestation Jun-11 Terese Donovan<br />

<strong>HCH</strong>-2384 Prednisone Jul-12 Jane Grant-Kels<br />

<strong>HCH</strong>-1878 Pre-Electroconvulsive Therapy Nursing Assessment (ECT) 00-00 Sep-10<br />

<strong>HCH</strong>-2250 Pre-Op History <strong>and</strong> Physical Exam-ECT May-10 J.Condon<br />

<strong>HCH</strong>-2277 Pre-Procedure Checklist for In-House Transport <strong>of</strong> Infants to Areas Other thatn the OR Oct-10 Terese Donovan<br />

<strong>HCH</strong>-1470 Pregnancy Diabetic Care Flowsheet Jun-06 N.Maxwell/OB GYN<br />

<strong>HCH</strong>-1955 Pregnancy Release (Diagnostic Imaging)<br />

<strong>HCH</strong>-1802 Prenatal Flow Sheet (UMG OB/GYN) Apr-07 Feb-11 Ute Schroeder<br />

<strong>HCH</strong>-2074 Preoperative Arthroplasty Orders Jul-08 Jun-12 Carol Schramm<br />

<strong>HCH</strong>-964 Pre-Op History <strong>and</strong> Physical Exam Sep-95 Mar-12 Carol Schramm<br />

<strong>HCH</strong>-995 Pre-Operative Total Joint Orders Feb.-96 Mar-06<br />

<strong>HCH</strong>-961 Pre-percutaneous Coronary Angioplasty Mar-95 Apr-06 Cardiology<br />

<strong>HCH</strong>-1871 Preoperative/Preprocedure Orders B1051 Jul-07 Jun-12 Carol Schramm<br />

<strong>HCH</strong>-1110 Prescription Telephone Refill Sheet Oct.-97 May-06<br />

<strong>HCH</strong>-1534 Pre-Travel Encounter Note UMG Oct-06<br />

<strong>HCH</strong>-1521 Prevention/Health Promotion Flow Sheet UMG Jan-02 UMG- Clinical Informatics<br />

<strong>HCH</strong>-1478 Problem <strong>List</strong> UMG Jun-00 Linda Clark/UMG<br />

<strong>HCH</strong>-1511 Procedure Note Colposcopy <strong>and</strong> LEEP 00-05 Oct-06 N. Maxwell OB/GYN<br />

<strong>HCH</strong>-2143 Procedure Note Stereoscopic X-Ray Guidance (Rad Onc)<br />

<strong>HCH</strong>-1474 Procedure Scheduling Checklist MFM OB GYN Jul-06 Nancy Maxwell/OB GYN<br />

<strong>HCH</strong>-1484 Progress Note OT Total Hip Arthroplasty Aug-06 B.Boucher-Rehab<br />

<strong>HCH</strong>-1974 NO LONGER A CHART FORM Progress Note/Treatment Plan Update - Nursing (Psych) Deactivated 9/09<br />

8/3/2012 - 9:53 AM 22/28

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