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MCN ToolBox Entries

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Sample Emergency Preparedness Calendar

Sample year-long calendar outlining emergency preparedness activities.

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Emergency Management Plan

The goal of this Emergency Management plan is to describe the organization�s approach to responding to emergencies within the organization or in its community that would suddenly and significantly affect the need for the organization�s services, or its ability to provide those services, and to protect staff, patients, and visitors from harm and to ensure an effective response to disasters or emergencies affecting the environment of care.
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Medical Emergency

Sample policy stating the procedure for a medical emergency.
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Incident Report

Purpose and instructions along with the actual incident report form.

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Verbal/Telephone Orders and Test Results

To define a process for accepting verbal or telephone orders and test results directly from physicians, physician extenders (Physician Assistants, Nurse Midwives, Nurse Practitioners), labs and/or testing services.

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Patient Discharge From Practice

The purpose of the Patient Discharge from Practice Policy is to direct a mechanism for review of cases where there is a serious breech in the responsibility of a patient to Cherry Street Health Services. The reviewers consist of the Medical Director and/or Dental Director and the Provider involved and any other staff involved in the case. The group may recommend a remedy, which may include the termination of the patient from the health center practice.

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Telephone Triage Protocol

To provide for a consistent method of telephone medical management by the Registered Nurse.

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Change Management Guidelines

Manage changes in a rational and predictable manner so that staff and clients can plan accordingly.

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Informed Consent

Clinic policy detailing the informed consent process.
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Terminating Services to Patients

The purpose of this policy is to define the reasons for patients being terminated from the practice and to describe the termination process. This policy statement can be downloaded and modified for use in other health centers.

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