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Click ‘Get Form’ to open the Patient Transfer form in the editor.
Begin by entering the patient/client details, including their name, address, NHS number, and date of birth. Ensure accuracy for seamless transfer.
Indicate the current location of the patient and the receiving facility. This helps in coordinating the transfer effectively.
Answer the infection risk questions by selecting 'Yes' or 'No' for each relevant field. Be sure to provide details about any confirmed or suspected organisms.
Document any invasive devices present at the time of transfer by checking the appropriate boxes. This is crucial for infection control.
If applicable, fill in bowel history over the past three days using the Bristol stool form scale provided on the previous page.
Complete additional sections regarding treatment information and whether isolation is required before finalizing your entries.
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This form will be used by the United States (U.S.) Government in conducting background investigations, reinvestigations, and continuous evaluations of.
This transmittal introduces Chapter 40, Hospital and Hospital Health Care Complex Cost Report,. Form CMS-2552-10, which contains instructions for the completion
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