Care Skillsbase: Skills Check 9 Care plans
|
|
|
- Sheena Fleming
- 6 years ago
- Views:
Transcription
1 Care Skillsbase: Skills Check 9 Care plans Interviewer s pack Contents Skills Check activity for general use Skills Check activity for domiciliary use Feedback form Personal development form Summary Suitable for Skill checked Covers Learning for interviewer Learning for member of staff Approx time needed How it works Notes Before you start Care/support worker, administrator/office worker Reading Language and concepts associated with care plans Can the member of staff understand written information on care plans? Making entries on a care plan Total: 30 minutes (15 minutes for Skills Check and 15 minutes for feedback) Offers information about care plans and asks the person to fill in a partly completed care plan. Discuss the person s answers to check understanding. Small amount of writing required. Show the person your organisation s care plan afterwards. Read the general guidance in the Skills Check area of the Care Skillsbase website. We welcome suggestions to improve this Skills Check. Please use the contact form on our website at Care Plans v1.0 Copyright SCIE
2 Understand the Job: Care Plans For general use Effective communication is vital in health and social care. Use this activity to learn more about the communication skills you will be using in your job. First, write your name and today s date on the line below. (First name) (Last name) (Date: Day-Month-Year) Did you know? All service users have a personal care plan. The plan contains personal information about their history, needs, preferences and what care they have agreed to. Look at the care plan below. Marden Homes RESIDENT S PROFILE Admission date Title Mr Address 12 Willow Place Contact name & address Mrs Ivy Lewis 14 Willow Place Medical history Diagnosis Post stroke Reason for admission Unable to cope at home 23/12/12 First Name Last Name DoB Tel. Marital status G.P. Sister Tel Allergies Mobility Very weak left side; wheelchair dependent Next of kin name & address David Kerr Hill House Iverdown OP3 4TH Medication comments Thyroxine, aspirin Anxieties Worried he won t be understood Dietary requirements Equipment Interests Plays bridge, likes to watch TV sport esp. rugby Religion CoE 2. Now fill in the gaps Tel Tel Glaucoma Hypertension Mental awareness Aware but unable to communicate well speech slow and slurred Past occupation Other comments Mr Kerr was very active before his stroke. He swam every week, read the paper, enjoyed the church socials and visited his sister most days. Daughter and grandchildren in Australia. Use the information in the table below to fill in the gaps in the care plan. Write the number of each piece of information in its correct place in the care plan. (1) vegetarian; low salt (2) wheelchair, spectacles (3) Ian (4) son (5) Dr Mary Cornwall (6) Kerr (7) peanuts (8) widower (9) 14/06/39 (10) (11) teacher SC 9 v1.0 Copyright SCIE 2012
3 Understand the Job: Care Plans For domiciliary use Effective communication is vital in health and social care. Use this activity to learn more about the communication skills you will be using in your job. First, write your name and today s date on the line below. (First name) (Last name) (Date: Day-Month-Year) Did you know? All service users have a personal care plan. The plan contains personal information and also information about what needs to be done on each visit. Look at the care plan below. Marden CARE Service user details Title Mr Address 12 Willow Place Contact name & address Mrs Ivy Lewis 14 Willow Place Marden Care contact Linda Foreman Medical history Diagnosis Post stroke Date of 1st visit 23/12/12 First Name Last Name DoB Tel. Marital status G.P. Sister Tel Marden Care tel Allergies Mobility Very weak left side; Next of kin name & address David Kerr Hill House Iverdown OP3 4TH Access details Medication comments Thyroxine, aspirin Anxieties Worried he won t be understood Tel Tel Glaucoma Hypertension Mental awareness Aware but unable to communicate well speech slow and slurred Dietary requirements Equipment Interests Past occupation Plays bridge, watches TV sport esp. rugby Religion Other comments Mr Kerr was very active before his stroke. He swam every week, CoE read the paper, enjoyed the church socials and visited his sister most days. Daughter and grandchildren in Australia. 2. Now fill in the gaps Use the information in the table below to fill in the gaps in the care plan. Write the number of each piece of information in its correct place in the care plan. (1) vegetarian, low salt (2) spectacles, zimmer frame (3) Ian (4) son (5) Dr Mary Cornwall (6) Kerr (7) peanuts (8) widower (9) 14/06/39 (10) (11) teacher (12) Through side door in extension SC 9 (domiciliary) v1.0 Copyright SCIE 2012
4 SC 9 Feedback form Date: Staff member s name Staff member s job title Interviewer s name Interviewer s job title 1. Interviewer s view The member of staff... No Partly Yes a. Used reading skills effectively. b. Understood what key words and ideas mean for their work. 2. Interviewer s reasons The member of staff... No Partly Yes a. Read the activity sheet unaided, with understanding. b. Completed the activity accurately (showing good reading comprehension). c. Completed the activity within the allocated time (showing ability to use written information quickly). d. Demonstrated understanding of all key words and concepts. 3. Next steps to help develop skills and knowledge for the job Yes No a. Interviewer will arrange monitoring, feedback and support from a supervisor. b. Interviewer and member of staff will plan personal development to improve member of staff s understanding of key social care words and ideas. c. Interviewer and member of staff will plan personal development to improve member of staff s reading skills. 4. Interviewer s signature Staff member s signature Use the other side of this sheet for notes. Care Plans v1.0 Feedback and personal development forms Copyright SCIE 2012
5 SC 9 Personal development form Date: Staff member s name Staff member s job title Interviewer s name Interviewer s job title 1. Learning aim: to work safely and meet quality standards, the member of staff should develop the following reading skills Tick ( ) if yes a. General reading skills (to understand written information quickly and accurately). b. Care work reading skills (to deal effectively with work-related written information). c. Care vocabulary (to understand key words and ideas and how they relate to the job). 2. How will the learning happen? 3. What support and resources will be needed to make the learning successful? 4. When will the learning happen? 5. How will we know the learning has been successful? 6. Progress review date 7. Interviewer s signature Staff member s signature Care Plans v1.0 Feedback and personal development forms Copyright SCIE 2012
Care Skillsbase Skills Check topic list (note: excludes Personal Assistant Skills Checks)
Care Skillsbase Skills Check topic list (note: excludes Personal Assistant Skills Checks) A Abuse and neglect (types of) SC6 SC36 Abuse and neglect (what to do about) SC6 SC36 Accepting gifts and money
Single Assessment Process (SAP) Single Assessment Process (SAP) Contact Form. NHS No Agency No
Appendix 1 Single Assessment Process (SAP) Single Assessment Process (SAP) Contact Form Date Title Family Name First Name Preferred Name Gender M F NHS No Agency No DOB Religion Marital status S M W Practising
Patient s Full Name DOB Age. Patient s SSN Sex: Male Female Preferred Language. Place of Birth: City State Country
Hoover Hearing Clinic A division of Hoover ENT Hoover, Alabama 35244 205-733-9694 Tel PATIENT INFORMATION ACCOUNT # DATE MD NEW UPDATE Patient s Full Name DOB Age Patient s SSN Sex: Male Female Preferred
New Patients Are Always Welcome
Page 1 of 5 New Patients Are Always Welcome Thank you for registering at Church Street Medical Centre For compliance with current governance regulations and to ensure we have all the necessary information
PLEASE WRITE YOUR DETAILS IN CLEAR BLOCK CAPITALS / / Address: Partnership status: Single Separated Divorced Married Co-habiting Widowed
Welcome to The Old Dairy Health Centre As it can take several weeks before we receive your medical records please respond to the following questionnaire. PLEASE WRITE YOUR DETAILS IN CLEAR BLOCK CAPITALS
This is me This hospital passport will help you support me in an unfamiliar place. I have memory problems.
U.C.I USER & CARER INVOLVEMENT This is me This hospital passport will help you support me in an unfamiliar place. I have memory problems. This passport belongs to me. Please return it when I am discharged.
Sage Medical Center New Patient Forms
Sage Medical Center New Patient Forms Patient Name: DOB: Providers and Suppliers of Your Medical Care: Please list all providers and suppliers of your medical care such as primary care physicians, specialty
Individual Support Grant Application Form
Individual Support Grant Application Form The MS Society provides grants to people with MS for items needed as a direct result of their MS, for which there is no health or social services funding available.
NEW PATIENT QUESTIONNAIRE
NEW PATIENT QUESTIONNAIRE Plympton Medical Practice Ivybridge Medical Practice Chaddlewood Medical Practice Wotter Medical Practice The information that we are seeking on this form is to help us offer
Tacolneston & Morley CE VA Primary Schools Federation
Tacolneston & Morley CE VA Primary Schools Federation Educational Visits and School Trips Policy All policies at Tacolneston & Morley CE VA Primary Schools Federation should be taken as part of the overall
MULTI-AGENCY REFERRAL FORM
MULTI-AGENCY REFERRAL FORM For referral of patients who have difficulty managing their prescribed medication. Complete the form and forward it to the patient s community pharmacist Patient name: Telephone:
Access to Health Records Application (Subject Access Request)
L 1 Add Access to Health Records Application (Subject Access Request) _ Below is background information in relation to requesting access to your health records, along with a form to assist you to make
CHEMOTHERAPY TREATMENT RECORD
CHEMOTHERAPY TREATMENT RECORD Consultant.. Name DOB.. Hospital Number. PRIMARY DIAGNOSIS MDT discussion date.. Consent for treatment obtained Yes / No Consent Form signed Yes / No (If no do not give Chemotherapy
Centralized Intake and Referral Application to Specialty Hospitals
Centralized Intake and Referral Application to Specialty Hospitals CLIENT INFORMATION **** upon completion of referral please fax to 416-506-0439 **** Client Name: Gender: Male Female Other Client Preferred
(Please Print) PATIENT INFORMATION. Sex: Male Female Home phone no: ( ) City: State: Zip: Cell phone no: ( ) Occupation: Employer: Work phone no: ( )
(Please Print) Today s date: Primary Care Physician: PATIENT INFORMATION First name: Middle: Last: Former name: Marital Status: Single Married Divorced Widowed Street address: Birthdate: SSN: Email Address:
Ophthalmology Admission Form
Date... /... /... Surname... Dr... Ophthalmology Admission Form Doctors Instructions Please complete the information on page 5 & 6 Give admission form to the patient for delivery to the Ballarat Day Procedure
Patient Admission Form
Windsor Avenue Day Surgery 17 Windsor Avenue, Springvale (03) 9548 5555 Mornington Endoscopy 350 Main Street, Mornington (03) 5973 4444 Rosebud Endoscopy 20 Boneo Road, Rosebud (03) 5986 4444 GME Admitting
Equinox Care. Equinox Care. Overall rating for this service. Inspection report. Ratings. Inadequate
Equinox Care Equinox Care Inspection report Unit 1 Waterloo Gardens, Milner Square London N1 1TY Tel: 02036689270 Website: www.equinoxcare.org.uk Date of inspection visit: 16 June 2016 Date of publication:
We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. St Vincent's Nursing Home Wiltshire Lane, Eastcote, Pinner,
23 rd World Scout Jamboree Adult Application
SSA Jamboree Office Use Only Date Application Received Jamboree Contingent Number 2 3 W S J A Please use BLACK ink and PRINT in BLOCK CAPITALS & where necessary indicate choice with an Details of Applicant
Planning for your future care
Planning for your future care A GUIDE 81 2 Planning for your future care Planning for your future care A GUIDE There may be times in your life when you think about the consequences of becoming seriously
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services It is essential to follow the EQIA Guidance in completing this form Name of Current Service/Service Development/Service
The Royal Hospital Donnybrook Referral Form
The Royal Hospital Donnybrook Referral Form Admissions Office Ph: (01) 406 6742 E-mail: admissions@rhd.ie Fax: (01) 496 7571 Each section must be completed by the treating health professional and goals
APPLICATION FOR RESIDENCY Independent Living & Assisted Living
APPLICATION FOR RESIDENCY Independent Living & Assisted Living Please complete the following sections of the application: Section A: Section B: Section C: Section D: Personal Information (one for each
Extraordinary Care Fund Grant application
Extraordinary Care Fund Grant application If you are getting an Orphan s or Unsupported Child s Benefit for a child in your care, you can apply for a grant from the Extraordinary Care Fund. The fund helps
KENYLINK SERVICES LTD.
APPLICATION FORM Post: Care-Assistant Please complete this form fully using black ink or type and return to the above address. THE INFORMATION YOU SUPPLY ON THIS FORM WILL BE TREATED IN CONFIDENCE. PERSONAL
Please take it with you if you have to go into hospital. Make sure that all the staff who need to know about the information read it
HOSPITAL PASSPORT When you come into hospital we want to make sure that we care for you really well. This passport gives hospital staff important information about YOU and a brief account of any additional
Faculty of Social and Health Sciences Department of Nursing Bachelor of Nursing HEAL6011 NURSING PRACTICE OLDER ADULT SEMESTER GROUP 3
Faculty of Social and Health Sciences Department of Nursing Bachelor of Nursing HEAL6011 NURSING PRACTICE OLDER ADULT SEMESTER 1 2016 GROUP 3 End of Course Summative Exam QUESTION BOOKLET Weighting: 60%
Child Care Information Pack
Autism Society of Larimer County Family/Community Support Meeting Child Care Information Pack Pre- Registration Required All children must be registered with Respite Care 1 week prior to meeting time.
Introduction. Consideration for residency is based in part on the following factors:
Introduction Consideration for residency is based in part on the following factors: 1. Ability of the prospective resident to live independently given the availability of supportive services 2. Need of
Procedure: Management of non-work related injury and illness
Procedure: Management of non-work related injury and illness Purpose To assist staff managing non-work related injury and illness. Definitions External Return to Work Coordinator - A person who assists
Case study: Using RCSLT s 5 Good Communication Standards to audit the communication environment and affect change 2015
Case study: Using RCSLT s 5 Good Communication Standards to audit the communication environment and affect change 2015 Katie Burgess, Highly Specialist Speech and Language Therapist, Nottinghamshire NHS
in association with Welcome to Ward 6 STROKE UNIT Your Personal Care Booklet Name:... Date Issued:.
in association with Welcome to Ward 6 STROKE UNIT Your Personal Care Booklet Name:.... Date Issued:. 1 About our booklet This booklet aims to provide you and your family/carer with as much information
6. The CSO may store personal information in the 'cloud', which may mean that it resides on servers which are situated outside Australia.
Employee Services Team P 4979 1230 F 4979 1369 E info@mn.catholic.edu.au EMPLOYMENT COLLECTION NOTICE 1. In applying for this position you will be providing the Diocese of Maitland-Newcastle Catholic Schools
Booklet which will provide you with all important information about our practice.
HARBOUR VIEW HEALTHCARE Shoreham Health Centre, Pond Road Shoreham-by-Sea, West Sussex.BN43 5US Telephone 01273 466044/01273 466052 3 Downsway Southwick, West Sussex. BN42 4WA Telephone 01273 592764 www.harbourviewhealthcare.com
ADMINISTRATION OF MEDICINES POLICY
ADMINISTRATION OF MEDICINES POLICY INTRODUCTION 1. This policy sets out the basis on which the school may agree to administer medicines to students. It is based on the March 2008 guidance document from
Secret Agent Society (SAS) Facilitator Training Course. SAS Small Group Program. Australia. Valid to 30 June 2018.
Secret Agent Society (SAS) Facilitator Training Course SAS Small Group Program Australia Valid to 30 June 2018 Application Pack CONTENTS SECRET AGENT SOCIETY (SAS) FACILITATOR TRAINING COURSE... 3 THE
Fordingbridge. Hearts At Home Care Limited. Overall rating for this service. Inspection report. Ratings. Requires Improvement
Hearts At Home Care Limited Fordingbridge Inspection report 54 Avon Meade Fordingbridge Hampshire SP6 1QR Tel: 01425657329 Website: www.heartsathomecare.co.uk Date of inspection visit: 25 July 2017 26
Total Grace Achievers Academy Summer Camp Enrollment Application. Where kids can experience Life and Learn to Achieve
Total Grace Achievers Academy Summer Camp Enrollment Application Where kids can experience Life and Learn to Achieve Student Information Child s Name DOB Age Grade School: Street Address City State Zip
Hospital Grab Sheet Incorporating This Is Me Endorsed by the Royal College of Nursing and the Alzheimer s society
Patient Experience Patient Information Hospital Grab Sheet Incorporating This Is Me Endorsed by the Royal College of Nursing and the Alzheimer s society RED AMBER GREEN Information sharing How to communicate
ICMS PROFESSIONAL SCHOLARSHIP PROGRAM
INTERNATIONAL COLLEGE OF MANAGEMENT, SYDNEY ICMS PROFESSIONAL SCHOLARSHIP PROGRAM Courtney O Connor Scholarship Application Form February 2019 The International College of Management, Sydney 151 Darley
We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. The Hayes Culverhayes, Long Street, Sherborne, DT9 3ED Tel:
Perfect Team Maid Agency Pte Ltd
Name : BANIATUN Code: GMT 586 Age : 42 Country of experience: S PORE/MALAYSIA Marital Status : MARRIED Height/Weight: 150 CM/ 60KG.. MONTHLY SALARY: $550 + $85 (4 OFF DAY COMPENSATE) POCKET MONEY $130
Children s Services Schools and Clusters. Improving Safeguarding Practice. Supervision: Policy and Guidance Revised July 2013
Children s Services Schools and Clusters Improving Safeguarding Practice Supervision: Policy and Guidance Revised July 2013 Adopted by the Governing Body of Weetwood Primary School October 2013 To be reviewed
Monitoring visits guidance for local authorities
Ph KEY STAGE 1 National Curriculum assessments Monitoring visits guidance for local authorities Phonics screening check 2013 Please disregard and recycle the previous printed versions of this guidance.
Lincolnshire CCGs. Non-Emergency Patient Transport. Eligibility Criteria Policy
Lincolnshire CCGs Non-Emergency Patient Transport Eligibility Criteria Policy Reference No: Version: 1.0 Ratified by: ClG058 Date ratified: May 2018 Name of originator/author: Name of responsible committee/individual:
Choosing a care home
Choosing a care home Contents Introduction - Choosing a care home... 3 Decide what s important... 4 Is there any financial support?... 5 Who can help you?... 6 What to look for in a home... 7 & 8 Trial
Older people mental health services. Introducing... Oaktree Lodge Memorial Hospital. Information for service users and carers
Older people mental health services Introducing... Oaktree Lodge Memorial Hospital Information for service users and carers Revised January 2012 What is Oaktree Lodge? Oaktree Lodge is a continuing care
ADMINISTRATION OF MEDICATION POLICY G&F ALTERNATIVE PROVISION SCHOOL
Gloucester & Forest Alternative Provision School ADMINISTRATION OF MEDICATION POLICY G&F ALTERNATIVE PROVISION SCHOOL Date:September 2013 PURPOSE The guidance in this policy is to ensure that pupils with
Moti Willow. Maison Moti Limited. Overall rating for this service. Inspection report. Ratings. Good
Maison Moti Limited Moti Willow Inspection report 1 Watling Street Radlett Hertfordshire WD7 7NG Tel: 01923857460 Date of inspection visit: 03 April 2017 Date of publication: 03 May 2017 Ratings Overall
CHAPTER 21 : 1 ADMITTING, TRANSFERIRING, AND DISCHARGING PATIENTS
CHAPTER 21 : 1 ADMITTING, TRANSFERIRING, AND DISCHARGING PATIENTS ASSIGNMENT SHEET Grade Name INTRODUCTION: This assignment will help you review the main facts about admitting, transferring, and discharging
SCHOLARSHIP GUIDELINES
SCHOLARSHIP GUIDELINES 1. Applicant must be in good academic standing. 2. Applicant must be a resident of Berks County and planning to attend a 2 or 4 year college or graduate school. 3. Applicant must
Getting started.. questions to consider when revising or developing your plans
Getting started.. questions to consider when revising or developing your plans DEFINING SERVICE / BUSINESS CONTINUITY Ensure the right people have the right information at the right time. 1. Understand
School Health Profile
School Health Tower Hamlets School Health Service School Health Profile Academic Year 2017 / 2018 Improving quality of life through inspiring hope in our communities. School Information Name of School
KEY TO INITIALS OF ALL STAFF COMPLETING THIS ICP Print name Designation Initials Signature date
Forename Surname Unit number Address (including Postcode) NHS Lothian Arrived in.unit for procedure Date: & time: GP Address Religion Ethnic Origin Tel. number Next of Kin: /address Tel. number(s):home
Application and Self Assessment Form Princess Marina House Rustington, West Sussex BN16 2JG
Office Only Name G CASE # Application and Self Assessment Form Princess Marina House Rustington, West Sussex BN16 2JG Application Form, Self Assessment Form, Financial Assistance Request Application for
Potens Dorset Domicilary Care Agency
Potensial Limited Potens Dorset Domicilary Care Agency Inspection report Office 11H, Peartree Business Centre Cobham Road, Ferndown Industrial Estate Wimborne Dorset BH21 7PT Tel: 01202875404 Date of inspection
Older Person's Assessment Form. Name: Contact details: Provide detail: Detail: Detail: Detail: Detail:
BASELINE: COGNITION REVIEW: COGNITION Residents details Resident name: Gender: NHS No: Age: Religion, Spirituality: Older Person's Assessment Form Care Home details Phone number: Address: Date of admission:
British Hypertension Society
British Hypertension Society www.bhsoc.org 11 BHS Clinical Education Meeting for Primary Care A one-day educational meeting for general practitioners and oer primary care healcare professionals May be
We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Newhaven Care 20 Penkett Road, Wallasey, CH45 7QN Tel: 01516305584
FATIGUE CLINIC REFERRAL: IMPORTANT INFORMATION PATIENTS & GPs
FATIGUE CLINIC REFERRAL: IMPORTANT INFORMATION PATIENTS & GPs You must first discuss this treatment with your doctor to determine whether it is appropriate. Your GP will also confirm whether you are eligible
Domiciliary Care Agency East Area
The Regard Partnership Limited Domiciliary Care Agency East Area Inspection report Fenland View Alexandra Road Wisbech Cambridgeshire PE13 1HQ Date of inspection visit: 18 January 2017 Date of publication:
AMB-104. PROFILE OF FDW A1 PERSONAL INFORMATIONS 1. Name: CASINIH 2. Date of birth: 9 JUNI 1983 Age: 34 A2 MEDICAL HISTORY/DIETARY RESTRICTIONS
PROFILE OF FDW A1 PERSONAL INFORMATIONS 1. Name: CASINIH 2. Date of birth: 9 JUNI 1983 Age: 34 3. Place of birth: SUBANG 4. Height & weight: 152 CM & 65 KG 5. Nationality: INDONESIAN 6. Residential address
THE KNARES MEDICAL PRACTICE. STATEMENT OF PURPOSE Health and Social Care Act 2008
THE KNARES MEDICAL PRACTICE STATEMENT OF PURPOSE Health and Social Care Act 2008 Date of Review April 2017 Service Provider The Knares Medical Practice 93 The Knares Basildon Essex SS16 5SB Tel: 01268
APPLICATION PACK BURJ DAYCARE NURSERY
APPLICATION PACK BURJ DAYCARE NURSERY Child s Name: This application form must be fully completed and the necessary documents provided before a child can start at nursery. Child s Details Child s name:
BIO-DATA OF FOREIGN DOMESTIC WORKER (FDW)
BIO-DATA OF FOREIGN DOMESTIC WORKER (FDW) *Please ensure that you run through the information within the biodata as it is an important to help you select a suitable FDW (A) A1 PROFILE OF FDW Personal Information
LBR CPD funding 2013/ MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED)
Faculty of Health and Wellbeing Staff use only Student Number.. New / Continuing Si updated letter Spreadsheet CPD code LBR CPD funding 2013/2014 - MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED)
GENERAL OPHTHALMIC SERVICES GUIDELINES FOR MAKING CLAIMS
GENERAL OPHTHALMIC SERVICES GUIDELINES FOR MAKING CLAIMS GENERAL OPHTHALMIC SERVICES EXAMPLES OF SYSTEMS DOCUMENTATION AND STANDARD OPERATING PROCEDURES CONTENTS: A INTRODUCTION Page 3 B PRACTICE ADMINISTRATION
Medical Information Page 1
Photograph Number HQ Squadron Wing National Insurance Number Medical Information Blood Group (if known) Relevant Medical Information - Allergies, Asthma etc. Page 1 Instructions to Cadets This book is
NHS RightCare scenario: The variation between standard and optimal pathways
NHS RightCare scenario: The variation between standard and optimal pathways Sarah s story: Parkinson s Appendix 1: Summary slide pack January 2018 Sarah s story This is the story of Sarah s experience
PARADISE ARTHRITIS & RHEUMATOLOGY
PARADISE ARTHRITIS & RHEUMATOLOGY Rheumatologists Paradise Arthritis & Rheumatology Dr Jennifer NG Level 4, Suite 5 Dr Jacklyn Chay 123 Nerang St, Southport 4215 Dr Sateesh Shankaranarayana Ph: 0755 915
Application and Self Assessment Form Princess Marina House Rustington, West Sussex BN16 2JG
Office Only G CASE # Application and Self Assessment Form Princess Marina House Rustington, West Sussex BN16 2JG Print Name (First, Last, Middle Initial). Application Form, Self Assessment Form, Financial
Satellite Club Development Programme
Satellite Club Development Programme 2016-17 The Satellite Club Development Programme has been created to enable Satellite Clubs to have access to funding and resources in order to ensure the club is sustainable
We now have the disabled access to ensure that our service is open and accessible to new members with physical disabilities.
Breakthrough Cyber Cafe Basement Dale House 35 Dale Street `Manchester M1 2HF Tel No 0161 228 1629 Date Hi from Breakthrough Please find enclosed a Breakthrough information and referral pack. We hope you
APPLICATION FORM CHURCHILL FELLOWSHIP 2017
EDUCATION/STUDY EMPLOYMENT PROJECT PERSONAL DETAILS APPLICATION FORM CHURCHILL FELLOWSHIP 2017 BEFORE COMPLETING THIS FORM: Please read the information overleaf Preferred Name: Residential Address: Suburb/Town:
ADMISSION APPLICATION FORM OF SHELTERED HOMES (Sections A, B and C are to be completed by Referral Agency.)
Date of Referral: Referral Staff Referral Agency Contact/Email/Fax ADMISSION APPLICATION FORM OF SHELTERED HOMES (Sections A, B and C are to be completed by Referral Agency.) GENERAL ADMISSION CRITERIA
- Age(s) of children (if any): ready passport
PROFILE OF FDW A1 PERSONAL INFORMATIONS 1. Name: DORLIN SUPA 2. Date of birth: 5 OKTOBER 1994 Age: 23 TAHUN 3. Place of birth: POSO 4. Height & weight: 157 CM & 64 KG 5. Nationality: INDONESIAN 6. Residential
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services
It is essential to follow the EQIA Guidance in completing this form NHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services Name of Current Service/Service Development/Service
Faculty of Health and Wellbeing LBR CPD funding 2012/ MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED)
Faculty of Health and Wellbeing LBR CPD funding 2012/2013 - MENTOR PREPARATION FOR THE HEALTH PROFESSIONS (NMC APPROVED) Please indicate the health authority you are applying from Yorkshire and Humber
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services
NHS Greater Glasgow and Clyde Equality Impact Assessment Tool For Frontline Patient Services It is essential to follow the EQIA Guidance in completing this form Name of Current Service/Service Development/Service
KONA ADULT DAY CENTER INITIAL ASSESSMENT AND CLIENT INFORMATION
KONA ADULT DAY CENTER P.O. BOX 1360, KEALAKEKUA, HI 96750 (808) 322-7977 FAX (808) 322-0614 INITIAL ASSESSMENT AND CLIENT INFORMATION (Please help us to plan the best care possible by filling out this
INTERNATIONAL COLLEGE OF MANAGEMENT, SYDNEY
INTERNATIONAL COLLEGE OF MANAGEMENT, SYDNEY Postgraduate Scholarship (Innovation) February 2017 Application Form for current students The International College of Management, Sydney 151 Darley Road, Manly
REACH for THE SKIES. Register now: Call: Visit:
REACH for THE SKIES Join the QAHH 95th birthday world record Skydive attempt to commemorate the WWI Centenary August 1st 3rd, 2014 Hinton Airfield, Northants I was approached by QAHH to be the ambassador
Angel Care Tamworth Limited
Angel Care Tamworth Limited Angel Care Tamworth Limited Inspection report Unit 4, Anker Court Bonehill Road Tamworth Staffordshire B78 3HP Date of inspection visit: 14 August 2017 Date of publication:
NHS RightCare scenario: The variation between standard and optimal pathways
NHS RightCare scenario: The variation between standard and optimal pathways Sarah s story: Parkinson s Appendix 2: Short summary slide pack January 2018 Sarah and the sub-optimal pathway Sarah, a 70-year-old
CARERS WELCOME PACK COMMUNITY MENTAL HEALTH DIVISION
CARERS WELCOME PACK COMMUNITY MENTAL HEALTH DIVISION Contents WELCOME CARE, TREATMENT AND SUPPORT FOR SERVICE USERS CARER S SUPPORT NATIONAL AND LOCAL CARERS SERVICES CARING IN A CRISIS INFORMATION SHARING
We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. St John's Home St Mary's Road, Oxford, OX4 1QE Tel: 01865247725
TRUSTS / PRIVATE ORGANISATION - PLEASE COMPLETE:
STAFF USE ONLY Faculty of Health and Wellbeing Student Number New/Continuing SI updated letter Spreadsheet CPD code LBR CPD funding 2013/2014 - PRACTICE TEACHER PREPARATION Please indicate the Health Authority
Monitoring visits guidance for local authorities
KEY STAGE 1 YEARS 1 2 National curriculum assessments Monitoring visits guidance for local authorities Phonics screening check 2014 2 Monitoring visits guidance for local authorities Please disregard and
2803NRS ACUTE NURSING PRACTICE TRIMESTER 1, 2017
Written Assignment: Essay Word Count: 1500 Words Weighting: 30% Due Date: Tuesday, 2nd May, 2017 at 1700 hrs Aim: The aim of this essay is for you to demonstrate an ability to apply theoretical knowledge
My Advance Decision to Refuse Treatment (ADRT)
My Advance Decision to Refuse Treatment (ADRT) 1: My details My personal information Any distinguishing features if unconscious: Date of birth: National Health Service (NHS) number: What is this document
Room 29/30, Basepoint Winchester
The You Trust Room 29/30, Basepoint Winchester Inspection report 1 Winnall Valley Road Winchester SO23 0LD Tel: 01962832762 Website: www.lifeyouwant.org.uk Date of inspection visit: 22 December 2015 23
Grant Application Guidance Notes
Grant Application Guidance Notes Established In Edinburgh In 1902 The Grants Committee accepts applications for financial help from physically disabled people resident in Edinburgh and the Lothians. When
Student Surname: Student First Name: Hamilton Girls high school for 2018
Student Surname: Student First Name: OFFCE USE Enrolment No: Entry Date: SAPENS FORTUNAM FNGT Hamilton Girls high school Sonninghill Hostel Application for Admission 2017 for 2018 Please complete all pages
Carers Forums in Cornwall
Carers Forums in Cornwall Minutes of the meeting of the FALMOUTH CARERS FORUM held on 22 September 2015 at Emmanuel Baptist Church, Western Terrace, Falmouth TR11 4QJ In Attendance: 8 Carers (including
ELIGIBILITY CRITERIA INSTRUCTIONS TO APPLICANT
Assistive Devices Subsidy Application Form (Outreach) MND Complex Annex B 7 Maxwell Road #04-01 Singapore 069111 Email: smf.community@aic.sg Call: 1800-650-6060 Website: www.silverpages.sg ELIGIBILITY
We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Stapely Residential and Nursing Home North Mossley Hill Road,
Patient Participation Directed Enhanced Service NHS Kent & Medway
Description of the profile of the members of the PRG Profile of Members The Otford Medical Practice has been running a Patient Forum for several years now. At that time a poster was produced asking for
Interserve Healthcare Liverpool
Interserve Healthcare Limited Interserve Healthcare Liverpool Inspection report 2nd Floor, Cunard Building Water Street Liverpool Merseyside L3 1EL Date of inspection visit: 08 August 2017 Date of publication:
Spina Bifida Adult Resource Team
Spina Bifida Adult Resource Team Overview How the service is delivered Outcome data from a 12 month review Novel resources that have been developed Where to from here If I lived in a society where being