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MCN ToolBox Entries

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Depo-Provera Interval History Form

A sample Depo-Provera interval history form in English and Spanish.
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Adult Health History Questionnaire

Adult health history qustionnaire with a number of social and behavior related questions.
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Oral Anticoagulation Flow Sheet

A sample oral anticoagulation flow sheet.
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Diabetes Flow Sheet 9

A sample diabetes flow sheet.
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Diabetes Flow Sheet 5

A sample diabetes flow sheet.
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Outpatient Nursing Diabetes Encounter Form

A diabetes outpatient form for nursing encounters.
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Asthma Visit Flow Sheet

A sample asthma visit flow sheet.
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Storage and Backup of Information

To ensure all data is maintained and properly backed up to maximize recovery in the event of disaster and to make the file accessible to other staff.

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Accidents & Emergencies Guidelines

To implement a plan in case of any accidents or emergencies involving staff involved in official activities.

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Employee Classifications

To differentiate between different classifications of employees for purposes of determining benefits, eligibility for overtime pay, and other issues.

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