Get Oxygen Order Template

Filling out the Oxygen Order Template is an essential task for healthcare providers involved in prescribing oxygen therapy. This guide provides step-by-step instructions to help users accurately complete the template and ensure proper submission.

Follow the steps to accurately complete the Oxygen Order Template.

1. Press the ‘Get Form’ button to access the Oxygen Order Template and open it in your online editor.
2. Begin by filling out the patient details section, including the mandatory fields marked with an asterisk (*). Enter the patient’s H & C number, surname, first name, date of birth, permanent address, telephone number, mobile number, email, postcode, and any relevant details regarding their gender.
3. If applicable, include carer details, such as the carer's name and contact numbers in the designated fields.
4. Provide the patient’s registered GP information, including the GP name, practice name and address, and their postcode.
5. In the clinical details section, indicate the appropriate clinical code(s), specify if the patient is on NIV/CPAP, and determine if the order is paediatric.
6. Next, fill out the assessment service information, including the trust site and telephone number, if applicable.
7. Specify the total hours per day, equipment specifications including litres per minute, and any required consumables in the order section.
8. Provide additional equipment needs and specify delivery details, indicating if it is standard, urgent, or for hospital discharge.
9. Fill in any additional patient information and clinical contact details, including the contact name and number.
10. Complete the healthcare professional declaration, ensuring that all fields are filled out appropriately, including your signature, date, and professional registration number.
11. Once you have completed the form, save any changes, and proceed to download, print, or share the form as needed.

Start filling out the Oxygen Order Template online to ensure timely and efficient patient care.