Documents in this Sub-category Clinical Documentation: 34

Go to: Repository | Project Team Resources | SOPs

TitleAuthorDescriptionAction
PDF FileAccessing your InPatient Referrals in PowerChart V0.2Sapphire YoungHow to access and set up In Patient Refferrals in PowerChart  
PDF FileAcute Discharge Process - Allied Health Content V1.1Linda WoodDocumenting the Acute Discharge Process - Allied Health (Physiotherapists, Dietitians, Podiatry, Occupational Health etc)  
PDF FileAdding a Safeguarding Flag via ADL Assessment V1.1Linda WoodAdding a Safeguarding Flag via ADL Assessment  
PDF FileAdding an Isolation Status V2.0Linda WoodAdding and removing Isolation Status - Medical & Nursing  
PDF FileAddition of Cancer MDT Outcome to EPR Record V1.1Paul SouthernAddition of Cancer MDT Outcome to EPR Record  
PDF FileAdmission Clerking V1.1Linda WoodAdmission Clerking data entry  
PDF FileCognition Assessment Documentation V1.1Sapphire Young, Linda WoodCognition Assessment Documentation in EPR  
PDF FileCompleting & Modifying Resuscitation Status in Adults V1.1Linda WoodCompleting & Modifying Resuscitation Status in Adults   
PDF FileCompleting a Care Plan V1.1Linda WoodCompleting a Care Plan in EPR  
PDF FileCompleting a Social History V1.1Linda WoodCompleting a Social History  
PDF FileCompleting an Outpatient Clinic Letter V1.1Linda WoodCompleting an Outpatient Clinic Letter  
PDF FileCompleting Safeguarding Documentation 16-18 Year Olds V1.1Linda WoodCompleting Safeguarding Documentation 16-18 Year Olds   
PDF FileCompleting Safeguarding Documentation Adults V1.1Linda WoodCompleting Safeguarding Documentation Adults  
PDF FileCreating a Pre-Configured Template V0.2Linda WoodHow to create a Pre-Configured Template  
PDF FileDischarge Process-Nursing V1.1Linda WoodNurse Discharge Process  
PDF FileDocumenting an Allied Health Assessment V1.1Linda WoodDocumenting an AHP Assessment: (Allied Health (Physiotherapists, Dietitians, Podiatry, Occupational Health etc)  
PDF FileDocumenting an Allied Health Treatment SessionLinda WoodDocumenting an AHP Treatment Session: (Allied Health (Physiotherapists, Dietitians, Podiatry, Occupational Health etc)  
PDF FileDocumenting the Assessment of Lines, Drains & Tubes V1.1Sapphire Young, Linda WoodDocumenting the Assessment of Lines, Drains & Tubes  
PDF FileDocumenting the Nurses Round V1.1Chris Burton, Linda WoodDocumenting the Nurses Round   
PDF FileEnrolling a patient onto the Patient Portal V0.2Linda WoodEnrolling a patient onto the Patient Portal V0.2  
PDF FileFalls Assessment & Management V1.1Chris Burton, Linda WoodFalls Assessment & Management in EPR  
PDF FileGeneric Nursing AssessmentChris Burton, Lisa Fox, Linda WoodGeneric Nursing Assessment in EPR  
PDF FileHow to record bowel care for adult inpatients V1.0Back Office Clinical DocumentsHow to record bowel care for adult inpatients V1.0  
PDF FileInsertion Care & Removal of Peripheral IV Cannula V1.3Alix PillingHow to record the insertion, care and removal of peripheral IV cannula, version 1.3  
PDF FileMedical Discharge V1.1Dr Karadi, Linda WoodMedical Discharge  
PDF FileMedical Handover - Progress Note V1.1Dr Karadi, Linda WoodMedical Handover - Progress Note  
PDF FileNursing Admission Assessment V1.1Chris Burton, Lisa Fox, Linda WoodNursing Admission Assessment  
PDF FileNursing Handover V1.1Chris Burton, Lisa Fox, Linda WoodNursing Handover  
PDF FilePressure Ulcer Prevention & Management V1.1Chris Burton, Lisa Fox, Linda WoodPressure Ulcer Prevention & Management  
PDF FileRecording the Type of Equipment and Asset Number V1.0Catherine FosterThis is a generic SOP which describes how to document clinical equipment and asset numbers being used during the patients care.  
PDF FileReferral to Allied Health Professionals from an InPatient Setting V1.1Linda WoodReferral to AHP from an InPatient Setting: (Allied Health (Physiotherapists, Dietitians, Podiatry, Occupational Health etc)  
PDF FileSigning a Note in EPR V1.0Alix PillingThis SOP describes the essential process of signing a note in EPR which enables the note to be visible for other clinical and medical teams. There is also advice on how to check for saved rather than signed notes.   
PDF FileVital Signs Assessment - CHFT V1.1Chris Burton, Lisa Fox, Linda WoodVital Signs Assessment  
PDF FileVTE Assessment & Care Plan V1.1Dr Karadi, Penny Daynes, Linda WoodVTE Assessment & Care Plan