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Get Order Form - St Dominic Hospital
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How to fill out the Order Form - St Dominic Hospital online
Filling out the Order Form for at St Dominic Hospital is an essential step in ensuring proper patient care. This guide will walk you through the process of completing the form online with clarity and support.
Follow the steps to successfully complete the Order Form.
- Press the ‘Get Form’ button to obtain the Order Form and open it in your preferred editor.
- Enter the date and time in the provided fields to document when the order is being made.
- Review the pharmacy mnemonic, which is ENTRGORD, to ensure proper identification of the medication being ordered.
- Complete the screening questions by marking 'Yes' or 'No' for each inquiry related to the patient's medical history, such as liver disease and renal issues.
- If any of the screening questions are answered 'Yes', contact the physician for further guidance on the patient’s eligibility for therapy.
- If no questions are answered 'Yes', note the time for administering , which is 12mg 30 minutes to 5 hours prior to surgery.
- Provide the physician's signature in the designated area to validate the order.
- Once all fields are completed, ensure you save your changes, and then download, print, or share the filled-out form as required.
Complete your documents online with ease and confidence.
Visiting hours are daily from 9 a.m.-12 p.m. and 4 p.m.-6 p.m. Up to 4 visitors will be allowed per day. Only two visitors will be allowed into the critical care room at any one-time during visitation hours.
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