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MCN ToolBox Entries

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Clinical Assistant Privileging Request Form for Lab Procedures

Clinical Assistant privileging request form for lab procedures related to In-House Lab Tests and Microscope Use.

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Clinical Assistant Privileging Request Form for General Care

Clinical Assistant privileging request form related to nursing abilities, patient well-being, and IVs.

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Appointment Process Flow Chart

This document outlines the process a health center goes through to appoint a new clinician to staff.
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Appeal and Hearing Process

Sample written policy for clinician appeals and hearings related to privileging and appointment.
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Medication Refills

Medication refills may be approved by an RN with co-signature of licensed provider, according to the following guidelines.
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Protocol for Dispensing Pre-Packaged and Sample Pharmaceuticals

Sample policy for dispensing pre-packaged and sample pharmaceuticals.
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Pharmaceutical Dispensation Policy

Sample policy describing the overall procedure for dispensing medication.
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Pharmaceutical Supply & Distribution

Sample policy describing the mechanisms to procure patient medications.
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Pharmaceutical Policy & Procedures Manual

Sample health center pharmaceutical policy and procedure manual (10 pages).
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