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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>-1500 Vaccination Consent for FluMist Oct-06 Martha Hein-UMG<br />

<strong>HCH</strong>-1323 Vaccination Notice Form Jan.-01 Feb.-06<br />

<strong>HCH</strong>-1324 Vaccine Record Jan.-01 Sep-11 Newborn Nursery<br />

<strong>HCH</strong>-1031 Vaginal Delivery Care Path Jun-97 Jul-99<br />

<strong>HCH</strong>-873 Post Partum Vaginal Delivery Orders Feb.-94 Jan-10 MFICU<br />

<strong>HCH</strong>-2289 V60 Adult Patient Bipap System Check Record Dec-10 Janet Schoenewolff<br />

<strong>HCH</strong>-1304 Vaginal Delivery Orders After 2nd Trimester Termination Oct.-99 Feb.-06 Sue Goodrich<br />

<strong>HCH</strong>-2393 Valacyclovir - Oral Jul-12 Jane Grant-Kels<br />

<strong>HCH</strong>-580 Vascular Lab Consultation Request - Order from warehouse (Moore) Dec.-05 Jun-06<br />

Jeanette Mazzatto / Linda<br />

<strong>HCH</strong>-2090 Vascular Medicine Testing - Pat <strong>and</strong> Jim Calhoun Cardiology Center Mar-09 Jul-12 Manzelli<br />

Georg'Ann Bona/Cathy<br />

<strong>HCH</strong>-2316 Vbeam Laser Treatment Post Procedure Instructions Aug-11<br />

Sonnenberg<br />

<strong>HCH</strong>-1311 Venous Thrombosis Inpatient Day 1 Order Sheet Aug.-00 May-07<br />

<strong>HCH</strong>-1089 Ventriculoperitoneal (VP) Shunt1 Sept.-97 Dec.-00<br />

<strong>HCH</strong>-1364 Vertebroplasty Kyphoplasty Pre-printed orders Interventional radiology May-03<br />

<strong>HCH</strong>-1100 Violent Restraint/Self-Destructive Restraint/Seclusion Order Sheet Oct.-97 May-12 Nursing / Am<strong>and</strong>a Darcey<br />

<strong>HCH</strong>-1519 Voice H<strong>and</strong>icap Index Questionnaire - ENT 00-05 Feb-09 Otolaryngology<br />

<strong>HCH</strong>-2202 Volume Control Flowsheet A Nov.-09 Nov-10 J. Schoenewolff<br />

<strong>HCH</strong>-967 Voluntary Application Sept.-95 Mar-07<br />

<strong>HCH</strong>-2324 Voluntary Application for Admission Oct-11 Judith Lounsbury<br />

<strong>HCH</strong>-2348 Volunteer Immunization Documentation Form Mar-12 Janet Pinto<br />

<strong>HCH</strong>-1316 W-10 - Order from warehouse (Moore) Hospital Nursing<br />

<strong>HCH</strong>-1814 Warning/Termination Letter (UMG)<br />

<strong>HCH</strong>-1807 Wavefront Laser Vision Correction Consent (UMG)<br />

<strong>HCH</strong>-2206 Web Consent Form Nov.-09 Sheryl Rosen<br />

<strong>HCH</strong>-1828 Weight Chart (UMG/JDH)<br />

<strong>HCH</strong>-2164 Welcome to the Inpatient Behavioral Health Unit - Psychiatry 1<br />

<strong>HCH</strong>-2188 Welcome to the Inpatient Behavioral Health Unit - Psychiatry 3 Oct.-09 J. Lounsbury<br />

<strong>HCH</strong>-2193 Well Newborn Flowsheet Nov.-09 T. Donovan<br />

<strong>HCH</strong>-959 Wheelchair Assessment (Outpatient Rehab) 00-00 Aug.07 Rehab Services<br />

<strong>HCH</strong>-1524 Work Release / Job Restrictions - Orthopaedic Surgery 00-05 Jul-11 K. Clarke- Orthopaedic Surgery<br />

<strong>HCH</strong>-2122 Written Patient Disclosure: Orthopaedic Inventions <strong>and</strong> Know How<br />

<strong>HCH</strong>-2069 Zoledronic Acid (Reclast) After Care Instructions<br />

<strong>HCH</strong>-2034 Zoledronic Acid (Reclast) Aftercare Instructions (Rheum Infusion)<br />

<strong>HCH</strong>-2033 Zoledronic Acid (Reclast) Infusion Record (Rheum Infusion)<br />

<strong>HCH</strong>-2037 Zoledronic Acid (Reclast) Pre-Infusion Assessment Checklist (Rheum Infusion) Oct-99 Sep-09 Labor & Delivery<br />

<strong>HCH</strong>-2068 Zoledronic Acid (Zometa) Infusion Orders Sep-09<br />

<strong>HCH</strong>-2073 Zoledronic Acid (Zometa) Infusion Record Sep-09<br />

<strong>HCH</strong>-2067 Zoledronic Acid (Zometa) Pre-Infusion Assessment Checklist Sep-09<br />

<strong>HCH</strong>-1756 Zoledronic Acid Infusion Order Set Dec-06 Dec-10 Jessie Riemer<br />

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