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Home Health Nurse Visit Documents

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Nurse Admit Packet

This file contains the necessary admission paperwork for home health infusion visits. Includes the following: Nurse Admit Record, MAR and Plan of Treatment.

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Follow-Up Nurse Visit Note

This file contains the paperwork for follow-up nursing visits after admission.

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Lab Reference Guide

This handy guide will help you determine which tube color is required for each test according to each lab site.

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Scripps Lab Slip

This file contains a blank Scripps lab requisition slip needed for follow-up visits of Scripps patients.

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Discharge Summary

This file includes the Discharge Summary note for DC Visits. This paperwork is required in addition to the Follow-Up Nurse Visit Note.

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COVID Screening Tool

Use this tool for screening your patients for COVID when arranging home visits

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Home Visit Protocols
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