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Quick Links

UConn Health Center Policies

 Hospital Administrative Manual
 Infection Control
 Diabetes Management
 Dietary /Nutrition Care Manual
 Patient Safety Net
 CPR Training and Certification
 Educational Services for John Dempsey Hospital
 Lab Specimen Collection Manual
 Lippincott Manual of Nursing Practice
 Micromedex Drug Information System
 HealthStream Online Education System
 Blackboard Online Education System
 Material Safety Data Sheets (MSDS)

Forms

These nursing and nursing-related forms can be viewed or printed using Adobe Acrobat.

Accident Review Report: Form A (Patient Handling Injuries)
Accident Review Report: Form B (All Other Injuries)
Educational Activities Record
Pyxis Access Request Form
Report of Educational Offering
Tuition Conference Reimbursement Form
 
Master List of HCH Forms Currently Barcoded and in Use
 
Forms Committee Documents for Creation or Modification of Forms

Forms Committee Approval Form                                                                     The above form must be completed whenever changes are made to forms which are placed in the patient chart (forms having an HCH number).  The hospital is currently converting to an electronic medical record (EMR), with associated forms being scanned for on-line access.   A copy of this approval form must be attached to a copy of the form being modified and submitted to Judy Buxton, Health Information Management Dept, MC2925.  Once the changes are approved, a barcode will be placed on the form so that it is able to be scanned into the EMR.

Template for Chart Forms - Landscape                                                          The above form is the approved standard template for forms in landscape orientation.  A copy of this template in MS Word format can be obtained from the Nursing Administration/Administrative Support Office X2983.
Template for Chart Forms - Portrait                                                                  The above form is the approved standard template for forms in portrait orientation.  A copy of this template in MS Word format can be obtained from the Nursing Administration/Administrative Support Office X2983.
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