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MCN ToolBox Entries

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Diabetes Chart Audit Form

A sample diabetes chart audit form.
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Pediatric Asthma Chart Audit Form

A sample pediatric asthma chart audit form.

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Asthma Chart Audit

A sample asthma chart audit form.
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Employee Performance Review

An employee performance review form. Includes a rating system, evaluation & goals and verification of review.

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Dental Procedure Prophylaxis Protocol

To establish a procedure by which a patient may have antibiotics for prophylaxis ordered without a provider visit.

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Dental Appointment & Scheduling Definitions

A description of dental appointment and scheduling terms for dental receptionists.

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Delineation of Privileges in a Dental Center

Checklist of delineation of privileges for either dentists or dental hygenists for applicants or new hires.

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Oral Health Care during Pregnancy and Early Childhood Practice Guidelines

The New York State Department of Health convened an expert panel of health care professionals who are involved in promoting the health of pregnant women and children.  Since it is highly unlikely that a sufficient number of studies will be available in the near future to make evidence-based recommendations for all clinical situations, the group relied on expert consensus when controlled studies were not available to address specific issues and concerns. The panel developed separate recommendations for prenatal, oral health and child health professionals. While specific treatments require attention to individual clinical situations, these recommendations are intended to bring about changes in the health care delivery system and to improve the overall standard of care.

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Asthma Action plan

Asthma Action Plan for Adults and Children. An asthma action plan completion/instructions form is also included.

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Educational Brochures for Asthma, Lead and Pesticides

Three printable brochures on Asthma, Lead and Pesticides produced by Farmworker Justice. 

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