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Macerator Use Procedure - Great Southern
This procedure relates to all Great Southern hospital staff and volunteers who are disposing of human waste in macerators.
Major Haemorrhage Procedure for WACHS sites WITH Blood Products
This generic procedure, based on the Massive Transfusion Protocol (MTP) provided by the National Blood Authority of Australia (NBA), needs to be modified for each site according to local practice (e.g. notify the Laboratory or Nurse manager), local Laboratory and blood test availability, local blood product availability and Royal Flying Doctor Service (RFDS) resources.
Major Haemorrhage Procedure for WACHS Sites WITHOUT Blood Products
This generic template, based on the Massive Transfusion Protocol (MTP) provided by the National Blood Authority of Australia, needs to be modified for each site according to local practice, local blood test availability and local product availability.
Malignant Spinal Cord Compression Clinical Practice Standard
This CPS has been endorsed for use by WACHS and should be applied to the WACHS clinical practice context until it is transitioned completely to a WACHS CPS.
Management and Review of 'Did Not Wait' Patients that Present to Emergency Services Policy
To ensure the safety and treatment of all patients attending WACHS Emergency Services for treatment, this policy outlines the process of management and review for those patients who did not wait for treatment after triage and the WACHS duty of care for the presenting patient.
Management of a Complaint or Concern About the Performance of a Medical Practitioner Guideline
This guideline identifies the way in which a complaint or concern about a medical practitioner (MP) is to be handled in the WACHS. It grades a response according to the seriousness of the issues raised from a review at a local level to a formal investigation to referral to external agencies including the Medical Board.
Management of Consumers Who Decline Initial Mental Health Assessment Policy
This policy is for use in community mental health services where a consumer declines initial or follow-up assessment .
Management of Consumers Who Do Not Attend Community Mental Health Appointment Policy
This policy is for use in community mental health services where a consumer Does Not Attend (DNA) a planned appointment.
Management of Elective Surgical and Obstetric Patients with an Elevated Body Mass Index Procedure
This procedure covers all elective surgical and obstetric patients. It describes the process to ensure the safe management of obese and morbidly obese patients scheduled for elective surgery.
Management of Patients Awaiting Aged Care Services Procedure
This procedure has been developed to provide a standardised foundation for the management of inpatients in WA Country Health Service (WACHS) who no longer require acute or subacute care and are waiting in a public hospital bed for Aged Care Services. It is for all WACHS staff involved in the care and discharge planning of older patients. Aged Care Services includes Commonwealth funded permanent residential aged care, Home Care Packages (HCP) and the Transition Care Program (TCP). Young people with disabilities under the age of 65 years are also included if they require permanent or respite care in a residential aged care facility when there is no other appropriate option in the disability sector. Patients requiring residential respite care and patients of Multi-Purpose Services (MPS) are excluded.
Management of Potassium Ampoules - Albany Hospital
This procedure limits the availability of potassium ampoules and requires local guidance regarding access to these, especially outside of pharmacy hours.
Managing Risks of Hazardous Chemicals and Dangerous Goods Procedure
This procedure provides managers and staff with practical guidance on how to manage health and safety risks associated with hazardous chemicals and dangerous goods in their workplace.
Managing WorkSafe Notices Procedure
The WA Country Health Service aims to resolve all safety and health issues quickly and effectively in accordance with statutory obligations imposed by the Occupational Safety and Health Act 1984 and has developed this procedure to enable prompt effective action in the event a WorkSafe Notice (WIN) is issued by a WorkSafe inspector or a Provisional Improvement Notice (PIN) is issued by a qualified safety and health representative (SHR).
Managing WorkSafe Site Visits Procedure
The WA Country Health Service (WACHS) aims to resolve all safety and health issues promptly and effectively in accordance with statutory obligations imposed by the Occupational Safety and Health Act 1984. This procedure enables prompt effective action in the event of a site visit by a WorkSafe inspector and any issue of an Improvement Notice.
Maternal and Newborn Care Capability Framework Policy
The publication of the WACHS Maternal and Newborn Care Strategy has resulted in the WACHS maternity services policy no longer being relevant except for the maternal and newborn care capability section and relevant appendices.
Maternity and Neonatal Consultation and Referral Guideline for Clinical Service Levels
This document (formerly Appendix 4 of the WACHS Maternity and Newborn Services Policy) provides an indicative guide of the most appropriate clinical settings for women and babies with complications of pregnancy, birth, the postpartum and neonatal periods. The guide is neither an exhaustive list of possible clinical scenarios, nor is it meant to be prescriptive.
Maternity and Newborn Care Resources - EUCP Policy
This policy specifies the external maternity and newborn care policy documents that are endorsed for use in WACHS clinical practice.
Maternity Care Clinical Conflict Escalation Pathway Policy
Ths policy has been developed to ensure the appropriate channels are followed to achieve safe and timely resolution to any conflict of clinical opinion which may arise between health practitioners involved in the care of a maternity client.
Maternity High BMI and Bariatric Surgery Risk Management Policy
This policy deals specifically with the safe management of the obstetric and anaesthetic risks associated with the obese pregnant client or those with a history of bariatric surgery.
Maternity Security Procedure - Bunbury Hospital
This procedure is to look at the normal operating procedure of maternity, the increased protocols when there is an active Code Black and the protocols when patients need to be admitted outside the maternity unit.
Maternity Ward Discharge and Visiting Midwifery Service Procedure - Bunbury Hospital
The Visiting Midwifery Service (VMS) is a home visiting service for postnatal women and neonates requiring the ongoing care of a Registered Midwife. This procedure is to ensure that all women and neonates receive appropriate care and follow up postnatally for a minimum of five days postpartum upon leaving the hospital.
Maternity Ward Lift Contingency Procedure - Bunbury Hospital
This contingency plan is to be invoked in the event of both lifts being inoperative when a decision has been made that a women is required to be transported to theatre for a non-elective caesarean section.
Meal Service Procedure - Albany Acute Psychiatric Unit
This procedure aims to ensure that staff are aware that meal times can be a time of increased risk of incidents and that additional care is to be taken when preparing for and observing meal times.
Mechanical Restraint Procedure - Albany Hospital Acute Psychiatric Unit
The use of mechanical bodily restraint is governed by the Mental Health Act 1996 sections 121 - 124, however the GS Mental Health management team is adamantly opposed to the use of mechanical restraint within the authorised inpatient unit. There are always other methods to be used in the situation in which mechanical restraint might be considered. If a patient is difficult to contain, the nursing staff are to discuss with the treating psychiatrist, suitable and safe options available for containment.
Media and Communications Policy
WACHS Communications is the focal point for all contact with, and comment to the media, to ensure that we deliver a consistent and timely message to all sections of the media. This includes mainstream print, radio and television, as well as health-specific media. All media inquiries and calls from journalists must be referred to WACHS Communications.
Medical Alert Cancer Treatment
Medical Alert Cancer Treatment Form
Medical Alert Procedure - South West
This procedure details the requirements for clinical staff (doctor/nurse/midwife/pharmacist) to ensure correct and complete reporting, notification and documentation of medical alerts (adverse drug reactions, anaesthetic alerts and medical alerts). It also details the integration between the clinical process and the Health Information Management (HIM) processes that are to occur within WA Country Health Service - South West (WACHS-SW), including the review of alerts by designated relevant responsible officers. The principles of this procedure are based on the Department of Health WA Clinical Alert (Med Alert) Policy Operational Directive OD 0511/14.
Medical and Risk Alert Process Flowchart - Wheatbelt
This process has been simplified to streamline the actioning of alerts and inputting them on the PAS. All alerts are to be sent to WACHS-WBPatientAlerts@health.wa.gov.au.
Medical Credentialing and Compliance Requirements Guideline
The purpose of this guideline is to provide guidance to regional health service executives, administrative staff and medical practitioners about the responsibilities and processes for credentialing and defining a scope of clinical practice for Medical Practitioners working at WACHS sites, and to ensure that the appropriate credentialing and compliance requirements are met.
Medical Equipment Procurement Policy
The purpose of this policy is to describe the actions required to minimise these risks specific to medical equipment procurement. This policy should be used in conjunction with the relevant procurement policies issued by the State Supply Commission and Director General.
Medical Equipment Replacement Committee - Terms of Reference
The purpose of this committee is to manage the WA Country Health Service Medical Equipment Replacement Program (MERP) in accordance with the Department of Health Medical Equipment Working Party (MEWP) guidelines.
Medical Governance for Post Operative Care of Surgical Patients Procedure
The model of medical care at the Albany Hospital is a shared care model. The purpose of this procedure is to outline the medical governance arrangements for post-operative surgical patients and their continual care for the Great Southern region.
Medical Imaging - Radiation Safety Plan
This document describes the management of radiation safety at WA Country Health Service (WACHS) sites. It lists the regulatory publications, guidelines and general policies that are applicable to radiation safety and is intended to be read by any person responsible for any aspect of radiation safety across WACHS.
Medical Imaging Request Form - Goldfields
Medical Imaging Request Form
Medical Imaging Request Form - Kimberley
Medical Imaging Request Form
Medical Imaging Request Form - Midwest
Medical Imaging Request Form
Medical Imaging Request Form - Pilbara
Medical Imaging Request form for use in the Pilbara
Medical Imaging Request Form - Wheatbelt
Medical Imaging Request form for use in the Wheatbelt
Medical Imaging WA Picture Archive and Communications System Downtime Procedure
This procedure outlines the impact of a disruption or failure of WAPACS PACS/RIS and the associated workaround (downtime) procedure for key personnel to undertake to facilitate the viewing of diagnostic images performed in WACHS sites without the ability to transmit images to WAPACS for viewing.
Medical Practitioners' Manual
This information applies to all medical practitioners holding appointments or clinical privileges at WACHS facilities however they are paid, and compliance with them is a condition of the grant of clinical access.
Medical Referral and Escalation - Telephone Communication Record Procedure - Denmark Hospital
The Telephone Communication Record (TCR) must be utilised by all nursing staff to document all telephone communication with a medical officer when there is a request made for clinical review of an acute inpatient or resident in the Residential Care Unit, Blue Wren Lodge (BWL).
Medical Treatment Liability Reporting Procedure - Kimberley
This document outlines how incidents in which there is a potential for compensation or medico-legal proceedings are to be referred within the WACHS Kimberley region.
Medication Administration Policy
This policy is for application across WACHS health sites (adult and paediatric), and including hospital in the home, community health and public health settings, sub acute care, mental health and aged care facilities, and remote area nursing posts.
Medication Guideline for Direct Care Unregulated Health Workers
This document provides an outline of the required minimum standards for the involvement of unregulated health workers (UHW) in the support and/or administration of client medication. The guideline has been developed to ensure a standardised approach, safety and quality for consumers and staff.
Medication Safety for Carers of Palliative Care Patients at Home Procedure
This document outlines the processes to be undertaken to ensure medication safety for palliative carers at home.
Medication Storage Procedure - Wheatbelt
Bedside storage of medications is to be the usual practice in Wheatbelt hospitals. This procedure provides further information about how bedside medication storage is to be implemented, and the likely exceptions.
Mental Health Care in Emergency Departments and General Wards Policy
This policy provides a framework for the timely, safe and accurate assessment and care of people seeking MH care by non-MH staff within WACHS EDs and on general hospital wards, and in obtaining specialist MH care. It provides specific guidance for the assessment and care of people who present at risk of suicide.
Mental Health Case Management Policy
New policy to detail the key principles of effective case management and describe the roles and responsibilities of performing case management within WACHS MH Services.
Mental Health Clinical Supervision Guideline
WACHS strongly recommends all clinical staff, involved in the delivery of direct care to Mental Health consumers, to be engaged in a process of clinical supervision for a minimum of one hour per month. The aim is to support the clinician in their professional environment with the goal of improving clinical practice and improving patient outcomes.
Mental Health Liaison Nurse Procedure - Albany Hospital
This procedure describes the Mental Health Consultation and Liaison service that is provided by the Great Southern Mental Health Service (GSMHS) to the Great Southern Region.
Mental Health Restraint Policy
In accordance with the WA Chief Psychiatrist's Standards for Clinical Care 2015, WA Country Health Service (WACHS) is committed to working with consumers and carers to prevent, reduce and eliminate the use of restrictive practices. Early intervention, assessment, crisis management, deescalation and other alternatives to restraint are preferred interventions of choice in managing patient care and safety. WACHS recognises however that there are circumstances where restraint may be necessary to minimise imminent risk to the patient, visitors and/or staff.
Mental Health Road Transfer Procedure
Road transfer of mental health clients carries potential risks for both clients and staff and deserves an appropriate level of consideration, planning and collaboration to make the situation as safe as possible for all involved. This document sets out the process around how this is achieved for staff and clients from within the catchment area of the Great Southern Mental Health Service.
Mental Health Road Transfer Procedure - Wheatbelt Mental Health Service
Mental health clients have the right to safe transport that minimises interference with their rights, dignity and self-respect and that reduces the likelihood that they will experience the transport as a traumatic event. These rights must be balanced with the need to protect the safety of all involved and the active management of risks identified.
Mental Health Seclusion Policy
In accordance with the WA Chief Psychiatrist's Standards for Clinical Care 2015, WA Country Health Service (WACHS) is committed to working with consumers and carers to prevent, reduce and eliminate the use of restrictive practices. Early intervention, assessment, crisis management, de-escalation and other alternatives to seclusion are preferred interventions of choice in managing patient care and safety. WACHS recognises however that there are circumstances where seclusion may be necessary to minimise imminent risk to the patient, visitors and/or staff.
Mental Health Shift Coordinator Procedure - Albany Hospital Acute Psychiatric Unit
The shift coordinator is responsible for supervising, monitoring, delegating, and communicating all operational processes involving the provision of safe and effective nursing care. The shift coordinator would generally not be directly allocated patients.
Mental Health Triage and Short Term Treatment Procedure - Goldfields Mental Health Service
The Goldfields Mental Health Service is a specialist service that provides inpatient and community care to mental health patients in the Goldfields region. Triage Officers are based at the Community Mental Health Clinics in Kalgoorlie and Esperance with a regional CAMHS Triage Officer based in Kalgoorlie. This procedure outlines the role of Triage Officers within the GMHS to prioritise care based on clinical urgency/risk, and to assist consumers to access effective and appropriate support (from either GMHS or another service provider). This procedure does not apply to Emergency Triage or Disaster Triage.
Mental Health Triage Service Procedure
This document promotes easy and timely access to appropriate health services for patients experiencing mental health problems.
Microbiological Alert Process Flowchart - Wheatbelt
This process has been simplified to streamline the actioning of alerts and inputting them on the PAS. All alerts are to be sent to WACHS-WBPatientAlerts@health.wa.gov.au.
Midwife Initiated Medication Policy
A Structured Administration and Supply Arrangement (SASA) is a written direction of the WA Country Health Service (WACHS) that authorises a midwife, under Part 6 of the Medicines and Poisons Regulations 2016, to administer or supply a medicine to any patient in specified circumstances. A SASA enables midwives to administer certain medications, for specified clinical indications in accordance with endorsed clinical guidelines, without a medical prescription or order. A SASA cannot be used for Schedule 8 medicines.
Midwife Mentoring Policy
This document is aimed to define the role of mentoring and address mentoring needs of midwives within the WACHS.
Missing Aged Care Resident Procedure
A resident is considered missing when they are absent and the facility is unaware of any reasons for the absence. A missing resident may also include a resident who has not returned from leave at the specified time. This procedure outlines the processes to be followed and is to be read in conjunction with the WACHS Consumer Identification Policy for Community Health Settings and Residential Aged Care.
Missing or Suspected Missing Inpatient Procedure
The WA Country Health Service (WACHS) is committed to providing for the safety and wellbeing of patients and to minimise potential harm to the public. WACHS owes a duty of care to all patients admitted to any of its facilities. This duty includes the responsibility to protect and care for people who because of illness, may come to harm by leaving a health site and potentially wander off into unfamiliar surroundings. For guidance on missing or suspected missing mental health inpatients refer to the MP 0012/16 Missing Person Policy - WA Public Mental Health Services.
Missing or Suspected Missing Patient Procedure
This procedure outlines the actions necessary should a patient be missing from an inpatient area.
Mobile Device Policy
The purpose of this policy is to ensure WA Country Health Service mobile device assets are uniformly and appropriately procured, provisioned and managed, to implement a uniform and consistent approach to device security and to ensure that all users of WA Country Health Service mobile devices are aware of their responsibilities.
Monthly Index for Medical Specialities (MIMS) - EUCP Policy
WACHS has endorsed MIMS for use in clinical practice.
Mortuary Release Document
This document ensures the Funeral Director (or their employee) requesting the deceased holds a current Funeral Directors Licence (FDL) prior to the release of the deceased.
Motor Vehicle Fleet - Driver and Management Policy
The objective of this policy is to provide the foundation for improved management of the WACHS passenger and light commercial fleet, ensuring optimal and effective fleet management practices are in place.
Motor Vehicle Fleet Senior Officer Vehicle Scheme Procedure
This procedure identifies the minimum requirements for participation in the Senior Officer Vehicle Scheme (SOVS), in compliance with the WA Government Fleet Policy and Guidelines (WAGPFG)
MR 170.8 WA Agitation and Arousal PRN Chart
MR 170.8 WA Agitation and Arousal PRN Chart
MR 170.9 WA Intramuscular Long-Acting Injection Chart (Depot Antipsychotic)
MR 170.9 WA Intramuscular Long-Acting Injection Chart (Depot Antipsychotic)
MR CC Alert 1 WACHS Chronic Condition Alert Notification Form
Chronic Condition Alert form for use by clinical staff as a prompt to identify eligible patients with a chronic condition, and to activate appropriate care pathways, inform discharge planning and referral to primary health services for self-management and support.
MR CH66A WACHS Child Health Fluoride Varnish Oral Health Assessment and Consent Form
This form supports the WACHS Administration of Fluoride Varnish by Non-Dental Practitioners Policy by providing both the checklist for oral health assessment and the consent and administration sign off requirements.
MR Child at Risk Alert 1 - WACHS Child at Risk Alert Notification Form
WACHS Child at Risk Alert Notification Form
MR0.0 WACHS Risk Assessment for Provision of Unplanned Solo Services
Risk assessment for the provision of unplanned solo services.
MR00H.1 State Goals of Patient Care
MR00H.1 State Goals of Patient Care
MR1 WACHS Emergency Department Notes
Emergency Department MR1 form. Strictly orderable - iProc 134232T
MR101 Laboratory Reports
Laboratory Reports - iProc Order Number 91665C
MR111 WACHS Nursing Admission, Screening and Assessment Tool - Adults
Nursing Admission, Screening and Assessment Tool - Adults Strictly Iproc order only - number 188021A
MR111P WACHS Paediatric Nursing Admission - Discharge Assessment Form
Paediatric Nursing Admission / Discharge Assessment Form. iProc Order No. 186874M
MR115 WACHS Paediatric Short Stay Medical Admission
Paediatric Short Stay Medical Admission
MR12 WACHS Emergency Department Procedural Sedation Record
MR12 WACHS Emergency Department Procedural Sedation Record
MR120 WACHS Adult Nursing Care Plan
Adult Nursing Care Plan - 'My Care Plan' Strictly Iproc order only - number 188022B
MR120P WACHS Paediatric Nursing Care Plan
Paediatric Nursing Care Plan. iProc Order No. 186875N
MR122 WACHS Wound Assessment and Management Plan
MR122 WACHS Wound Assessment and Management Plan - IProc order number: 186611B
MR123A Flinders - My Health My View
MR 123A Flinders - My Health My View
MR123B Flinders - Cue and Response Interview
MR 123B Flinders - Cue and Response Interview
MR123C Flinders - Problems and Goals Assessment
MR 123C Flinders - Problems and Goals Assessment
MR123D Flinders - Care Plan
MR 123D Flinders - Care Plan
MR124 WACHS Braden Scale and Pressure Injury Risk Assessment
Braden Scale and Pressure Injury Risk Assessment
MR124A WACHS Glamorgan Paediatric and Neonatal Pressure Injury Risk Assessment
This is a paediatric and neonatal pressure injury Risk assessment form. iProc Order No. 105274E
MR124B WACHS Comprehensive Skin Assessment
Comprehensive Skin Assessment
MR129 WACHS Chest Drain Assessment and Observation Chart
Chest drain assessment and observation chart.
MR12A WACHS Sedation Assessment Tool
MR12A WACHS Sedation Assessment Tool (reviewed 02/08/2019 - no changes required)
MR137 WACHS Portable Ventilation Order and Observation Chart
WACHS MR137 Portable Ventilation Order and Observation Chart
MR140 WACHS Medical Emergency Response - Code Blue Record
WACHS Medical Emergency Response (MER) / Code Blue Medical Record form.
MR140A Adult Observation and Response Chart (A-ORC)
MR140A Adult Observation and Response Chart (A-ORC). IProc Order Number: 151847C
MR140B Maternal Observation and Response Chart (M-ORC)
MR140B Maternal Observation and Response Chart (M-ORC). IProc Order Number: 161837T
MR140C Additional Maternal Observation Chart
MR140C Additional Maternal Observation Chart IProc Order Number: 164481G
MR140D Newborn Observation and Response Chart (N-ORC)
MR140D Newborn Observation and Response Chart (N-ORC). IProc Order Number: 164666E
MR140E Paediatric Observation and Response Chart (P-ORC - under 3 months)
MR140E Paediatric Observation and Response Chart (P-ORC - under 3 months). IProc Order Number: 164667F
MR140F Paediatric Observation and Response Chart (P-ORC - 3-12 months)
MR140F Paediatric Observation and Response Chart (P-ORC - 3-12 months). IProc Order Number: 164668G
MR140G Paediatric Observation and Response Chart (P-ORC - 1-4 years)
MR140G Paediatric Observation and Response Chart (P-ORC - 1-4 years). IProc Order Number: 164669H
MR140H Paediatric Observation and Response Chart (P-ORC - 5-11 years)
MR140H Paediatric Observation and Response Chart (P-ORC - 5-11 years). IProc Order Number: 164670J
MR140I Paediatric Observation and Response Chart (P-ORC - 12+ years)
MR140I Paediatric Observation and Response Chart (P-ORC - 12+ years). IProc Order Number: 164671K
MR140S WACHS Snakebite Observation Chart
MR140S WACHS Snakebite Observation Chart
MR141 WACHS CARE Call Clinical Review Record
The CARE Call Clinical Review Record is to be completed and placed in the patient's medical record as soon as practical following a CARE Call. Forward a completed copy to the appropriate Regional Safety and Quality Team and to WACHS Area Office Safety and Quality at wachs.safetyqualityperformance@health.wa.gov.au
MR142 WACHS Neonatal - Paediatric Respiratory Observation Chart
Neonatal / Paediatric Respiratory Observation Chart. iProc Order No. 186876P
MR144 WACHS Fluid Balance Work Sheet
Fluid Balance Work Sheet - iProc Order Number 91689E
MR144C WACHS Dietetics - Food Intake Chart
Standardised food intake chart for WACHS health facilities.
MR144D WACHS Neonatal - Paediatric Enteral Feeding Prescription
Neonatal / Paediatric Enteral Feeding Prescription
MR144E WACHS Bowel Chart
iProc order number is 191966C
MR144P WACHS Neonatal - Paediatric Fluid Balance Worksheet
Neonatal / Paediatric Fluid Balance Worksheet. iProc Order No. 186877R
MR147 WACHS Adult Neurological Observation Chart
MR147 Adult Neurological Observation Chart
MR147A WACHS Paediatric Neurological Observations Chart
Paediatric Neurological Observations Chart. iProc Order No. 186878T
MR149 WACHS Neurovascular Observation Chart
The MR149 WACHS Neurovascular Observation Chart is to be utilised for all patients (adults and paediatrics) requiring neurovascular observations and assessment in WACHS.
MR156A WACHS Insulin Subcutaneous Order and Blood Glucose Record - Adult Form
WACHS Insulin Subcutaneous Order and Blood Glucose Record for Adults. Order from iproc on 189143Am
MR156B WACHS Obstetric Subcutaneous Insulin Order and Blood Glucose Record
Track and trigger blood glucose monitoring, ranges within this chart are in accordance with obstetric ranges rather than general population ranges allowing for appropriate identification of hyperglycaemia in pregnancy and management.
MR157A WACHS Insulin Infusion Order Chart
This form is for ordering and administration of intravenous Insulin Infusions. These infusions are required to have a concurrent glucose infusion.
MR169A WACHS Community Aged Care Medication Order
Community Aged Care Medication Order form (only to be used with Community clients receiving home services)
MR169C WACHS Community Aged Care Medication Record
Community Aged Care Medication Record (only to be used with Community clients receiving home services)
MR170.1 Medication History and Management Plan
Medication History and Management Plan - iProc Order Number 168563J
MR170.1.1 WACHS Medication History and Reconciliation Record
Medication History and Reconciliation Record - iProc Order Number 190301C
MR170.2 WACHS Epidural-Spinal Prescription and Additional Observations Chart
Epidural/Spinal Prescription and Additional Observations Chart
MR170.3 WACHS Epidural-Spinal Morphine Record
MR170.3 Intrathecal Morphine Record
MR170.4 WA Adult Clozapine Initiation and Titration Chart
This chart is mandated for restricted use in mental health units as this is the only setting where clozapine will be commenced and monitored under the direct supervision of a psychiatrist.
MR170.4.1 WACHS Clozapine Monitoring Form
This form supports the effective monitoring of clozapine patients in the maintenance phase of clozapine (beyond 18 weeks) ensuring clinical consistency, optimal patient safety outcomes and reduced risk of harm.
MR170.5 WACHS PCIA-IV Opioid Infusion Prescription and Additional Observation Chart
PCIA-IV Opioid Infusion Prescription and Additional Observation Chart
MR170.6 WACHS PCIA-IV Opioid Infusion Continuation Sheet
PCIA-IV Opioid Infusion Continuation Sheet
MR170.7 WACHS Ophthalmic Surgery Medication Chart
Medication chart for use in opthalmic surgery (only). iProc order number 190430R
MR170A WA Hospital Medication Chart - Adult Short Stay
MR170A WA Hospital Medication Chart - Adult Short Stay - iProc Order Number 137558J
MR170C Anticoagulant Medication Chart
WACHS version - MR170C Anticoagulant Medication Chart - iProc Order Number 153725N
MR170D National Inpatient Medication Chart - Paediatric Short Stay
National Inpatient Medication Chart - Paediatric Short Stay. iProc Order Number 154621G
MR170E National Inpatient Medication Chart - Paediatric Long Stay
National Inpatient Medication Chart - Paediatric Long Stay. iProc Order Number 154620F
MR170H WACHS Continuous Subcutaneous Infusion Chart
Continuous Subcutaneous Infusion Chart - Medical Records Form MR170H
MR171 WA Hospital Medication Chart - Adult Long Stay
MR171 WA Hospital Medication Chart - Adult Long Stay - iProc Order Number 153749A
MR172 WACHS Tenecteplase Kit
Strictly orderable - iProc Order Number 188024E. MR172 Tenecteplase Kit which contains: Cardiac Thrombolysis - Tenecteplase Patient Information Sheet MR172A WACHS Tenecteplaxe Contraindication Checklist MR172B WACHS Tenecteplase Administration Checklist
MR173A WACHS Specialised Medication - Infliximab Pre-Infusion Checklist
Infliximab Pre-Infusion checklist
MR173B WACHS Specialised Medication - Natalizumab Pre-Infusion Checklist
Specialised Medication - Natalizumab Pre-Infusion Checklist
MR173c WACHS Specialised Medication - Iron Pre Infusion-Consent Checklist
Iron Pre Infusion-Consent Checklist
MR173D WACHS Specialised Medication - Rituximab Pre-Infusion Checklist
Rituximab Pre-Infusion Checklist
MR173E Specialised Medication - Abatacept Pre-Infusion Checklist
This checklist must be used in conjunction with the associated mandatory Specialised Medication - Abatacept for ADULT Patients Guideline
MR173F WACHS Specialised Medication - Tocilizumab Pre-Infusion Checklist
This checklist must be used in conjunction with the associated mandatory Specialised Medication - Tocilizumab Guideline
MR175A WACHS Intravenous Blood Transfusion and Blood Product Treatment Order Chart
This checklist is to be completed prior to blood transfusion, and is the responsibility of the registered nurse administering the blood transfusion.
MR176 Intravenous Fluid Treatment
Intravenous Fluid Treatment chart - iProc Order Number 91729A
MR176P WACHS Neonatal - Paediatric Intravenous Fluid Treatment Form
Neonatal / Paediatric Intravenous Fluid Treatment Form. iProc Order No. 186879W
MR179 WACHS Peripheral Intravenous Cannula Observation Record
MR179 WACHS Peripheral Intravenous Cannula Observation Record
MR179A WACHS Central Venous Access Device (CVAD) Insertion and Assessment Record
Central Venous Access Device (CVAD) Insertion and Assessment Record
MR179B WACHS Central Venous Access Device (CVAD) Insertion Site Assessment Continuation Sheet
Central Venous Access Device (CVAD) Insertion Site Assessment Continuation Sheet
MR179C WACHS CVAD Access-Dressings Continuation Sheet
CVAD Access/Dressings Continuation Sheet
MR184 WACHS Inter-hospital Clinical Handover Form
The intent of this form is to avoid duplication of information and possible transcribing errors and to remain predominantly free-text with guidance to minimum data set. This is not an exhaustive list of required information, and additional pages may be required, as well as the inclusion of supporting documentation and clinical forms i.e. MR170 NIMC Medication Charts, and Observation Charts.
MR184A WACHS Resident Handover
This Resident Handover form serves a dual hand-over function as it accompanies the resident when they are transferred to and from an acute area (ED or ward). This form is to be printed double sided with both pages completed.
MR184C WACHS Interhospital Transfer Maternal Form
MR184C WACHS Interhospital Transfer Maternity and Neonates Form
MR184P Interhospital Transfer Neonatal Paediatric
Effective handover is vital in protecting patient safety. Both neonates and paediatrics are specialist areas requiring additional considerations prior to transfer and in handover of care. This document is designed to ensure all relevant clinical information has been considered and handed over appropriately.
MR1A WACHS Emergency Department Continuation Notes
MR1 Emergency Department Notes - continuation pages. Strictly orderable form - iProcure order number 168320C
MR1B WACHS Emergency Chest Pain Kit
Strictly orderable - iProc Order number 149007B. MR172 Tenecteplase Kit which contains - MR1B Emergency Chest Pain Assessment and MR1B ACS Guide inserted in the middle.
MR1C WACHS Adult Sepsis Pathway
MR1C WACHS Adult Sepsis Pathway
MR1EL WACHS Electronic Emergency Department Notes (WebPAS only)
Electronic (WebPAS only) version of the MR1 WACHS Emergency Department Notes. Strictly orderable form - iProcure order number 167739Y
MR2 WACHS Emergency Department Trauma Notes
This is the complete WACHS Emergency Department Trauma Record. iProc Order Number: 187075H
MR20 Request for Admission-Inclusion on Waiting List
Request for Admission / Inclusion on Waiting List form - iProc Order Number 161838W
MR23 Mental Health Cultural Information Gathering Tool
Form to gather information and enable culturally safe practice for Aboriginal consumers and their carers in outpatient and inpatient settings.
MR25 Medical Discharge Summary
Medical Discharge Summary - iProc Order Number 89345D
MR29 WACHS Referral Record and Leaving Hospital Checklist - Adults
Referral Record and Leaving Hospital Checklist - Adults Strictly Iproc order only - number 188023C
MR3 SARC Emergency Care - History and Checklist
This formfacilitates the appropriate clinical care and management for sexual assault clients in our Emergency Departments and directly links in with the State SARC supports. In the event of alleged/suspected sexual assault, contact Sexual Assault Referral Centre (SARC) ASAP for advice on sample collection and storage. Phone (08) 6458 1828 (24 hours/7days)
MR30A Patient Consent to Treatment or Investigation
Patient Consent to Treatment or Investigation form - iProc Order Number 139750H
MR30AA WACHS Patient Consent to a Chaperone Form
This form is to be completed giving due consideration to the 'Consent to Treatment Policy for the Western Australian Health System'. iProc order number 190447R
MR30B Consent for a Minor Requiring Parenteral-Guardian Approval for Treatment or Investigation
Consent for a Minor Requiring Parenteral-Guardian Approval for Treatment or Investigation - iProc Order Number 139751J
MR30C Adults Unable to Consent to Treatment or Investigation
Adults Unable to Consent to Treatment or Investigation - Print as needed
MR30D Patient Consent to Anaesthesia - General or Regional
Patient Consent to Anaesthesia - General or Regional - Order from iProc on 161836R
MR30F Authorisation to Proceed with Surgery on a Patient Without a Valid Consent Form
Authorisation to Proceed with Surgery on a Patient Without a Valid Consent Form - Print as needed
MR30G WACHS Consent to Blood Products
This consent form is to be used for infusion of: Packed Red Blood Cells (PRBC), Platelets, Fresh Frozen Plasma (FFP), cryoprecipitate (cryo) and / or other.
MR30H WACHS Release of Liability - Refusal of Blood Products
This form is for the documentation of a patient's choice to refuse blood products, and/or certain products that are derived from blood and/or certain types of procedures involving the administration of blood.
MR30L WACHS Open Disclosure Discussion Record
MR30L WACHS Open Disclosure Discussion Record
MR30M WACHS Consent for Induction of Labour
MR30M WACHS Consent for Induction of Labour
MR35B WACHS Patient-Resident Identity Form
MR35B WACHS Patient/Resident Identity Form
MR36 WACHS Discharge Against Medical Advice Form
Any person who wishes to leave the hospital against medical advice is to be requested to sign a written declaration (MR36 WACHS Discharge Against Medical Advice form) that he or she is leaving the hospital against medical advice.
MR37A WACHS Death In Hospital Form
This form (along with the WACHS Review of Death Procedure) assist health practitioners to navigate the mandatory and statutory obligations that arise following the death of an inpatient.
MR39 WACHS Not for Cardiopulmonary Resuscitation Form Paediatric-Neonate
MR39 Not for Cardiopulmonary Resuscitation (NFR) for paediatric and neonatal use only.
MR3a WACHS-SW Security Surveillance Activation Form
Security Surveillance Activation form
MR3b WACHS-SW Security Surveillance Report
Security Surveillance Report
MR42 WACHS Older Patient Initiative Risk Screen
MR42 WACHS Older Patient Initiative Risk Screen
MR42A WACHS Older Patient Initiative Follow Up Assessment
Older Patient Initiative - Follow Up Assessment
MR42B WACHS TeleGeriatric PreClinic Assessment
MR42B WACHS TeleGeriatric PreClinic Assessment
MR42C WACHS Abuse of the Older Person Report
MR42C WACHS Abuse of the Older Person Report
MR46 WACHS Suicide Risk Assessment and Safety Plan
MR46 WACHS Suicide Risk Assessment and Safety Plan
MR5 Outpatient Notes
Outpatient Notes - iProc Order Number 89342A
MR521 WACHS Falls Risk Assessment and Management Plan (FRAMP)
The FRAMP is a tool to guide and document falls risk screening, risk assessment, minimum and individualised interventions for patients in compliance with Operational Directive OD 0579/14 Falls Risk Assessment and Management Plan (FRAMP). iProc Order Number 154600B
MR521P WACHS Paediatric Falls Risk Assessment Tool
Paediatric Falls Risk Assessment Tool. iProc Order No. 186880X
MR55A Integrated Progress Notes
Integrated Progress Notes - iProc Order Number 89368E
MR59 WACHS Cancer Coordination Admission Form
Cancer Coordination Admission Form
MR59A WACHS Consent to Cancer Treatment
Consent to Cancer Treatment Form
MR59B WACHS Cancer My Education Checklist
Cancer - My Education Checklist
MR59C WACHS Cancer Nursing Assessment and Care Plan
Cancer - Nursing Assessment and Care Plan
MR59D WACHS Cancer Treatment Infusion Observation Chart
Cancer - Treatment Infusion Observation Chart
MR59E WACHS Cancer Services Continuation Sheet
Cancer Services - Continuation Sheet
MR60.1.1 WACHS Dietetics - Inpatient Assessment
WACHS Dietetics - Inpatient Assessment form
MR60.1.10 WACHS Adult Enteral Feeding Form
Dietetics - Adult Enteral Feeding
MR60.1.11 WACHS Adult Parenteral Nutrition Form
Parenteral Nutrition (PN) support refers to the delivery of intravenous nutrition formula into the blood stream. PN is considered only when it is not possible to meet an individual's nutritional needs by enteral or oral route. Prescribing PN requires special considerations by Dietitians, Pharmacists and Medical Officers. Hence, this form is for completion by these health professionals only to ensure the appropriate formula, rates and additives are prescribed for the patient.
MR60.1.12 WACHS Oral Nutrition Support Chart
MR60.1.12 WACHS Oral Nutrition Support Chart
MR60.1.13 WACHS Dietetics Special Diet Form
Dietitians often need to provide special tailored meal plans for admitted patients to ensure the diet provided meets their nutritional needs. This form will allow Dietitians to document special diets/ meal plans on a medical record form to be filed with relevant documentation for the patient's admission. This form is to be used by catering services to provide the requested meal plan.
MR60.1.2 WACHS Dietetics - Outpatient Assessment
Dietetics - Outpatient Assessment form
MR60.1.3 WACHS Dietetics - Paediatric Nutrition Assessment
Dietetics - Paediatric Nutrition Assessment Form
MR60.1.4 WACHS Dietetics - Diet History
Dietetics - Diet History Form
MR60.1.5 WACHS Malnutrition Screening Tool
WACHS Malnutrition Screening Tool
MR60.1.6 WACHS Dietetics - Subjective Global Assessment
WACHS Dietetics - Subjective Global Assessment Form
MR60.1.7 WACHS Dietetics - Patient Generated Subjective Global Assessment (PG-SGA) Tool
This tool is for use by dietitians for assessing malnutrition in patients.
MR60.1.8 WACHS Mini Nutrition Assessment - Short Form (MNA-SF)
This is the evidence based recommenced screening tool for malnutrition in residential aged care.
MR60.1.9 WACHS Paediatric Nutrition Screening Tool
This tool is used for the nutritional screening of paediatric patients. iProc Order No. 186873K
MR61.1.1 WACHS OT - Initial Assessment Form
This form is used for initial OT assessment in both community (outpatient) and inpatient settings.
MR61.1.10 WACHS OT Showering and Dressing Assessment Form
This form is to enable standardisation of reporting when conducting Shower and Dressing Assessments.
MR61.1.2 WACHS OT - Home Assessment (Short) Form
OT Home Assessment (Short) Form
MR61.1.3 WACHS OT - Home Assessment (Long) Form
OT Home Assessment (Long) Form
MR61.1.4 WACHS OT - Hand Assessment (Short) Form
OT Hand Assessment (Short) Form
MR61.1.5 WACHS OT - Hand Assessment (Long) Form
OT Hand Assessment (Long) Form
MR61.1.7 WACHS OT - Initial Neurological Assessment
OT Initial Neurological Assessment
MR61.1.8 WACHS Activities of Daily Living Assessment Form
MR61.1.8 WACHS Activities of Daily Living Assessment Form
MR61.1.9 WACHS OT Kitchen Skills Assessment Form
MR61.1.9 WACHS OT Kitchen Skills Assessment Form
MR61.3 WACHS Modified Lawtons Instrumental ADL Assessment
Modified Lawtons Instumental ADL Assessment
MR62.16 WACHS Physiotherapy - Pelvic Pain and Continence Assessment
Physio - Pelvic Pain and Continence
MR62.17 WACHS Physiotherapy - Rectus Abdominus Diastasis Assessment
Physio - Rectus Abdominus Diastasis Assessment
MR62.18 WACHS Physiotherapy - Post-natal Breast Assessment
Physio - Post-natal Breast Assessment
MR62.18.1 WACHS Physiotherapy Post-natal Assessment
Physiotherapy Post-natal Assessment form
MR62.19 WACHS Physiotherapy - Male Continence Assessment
MR 62.19 WACHS - Male Continence assessment
MR62.20 WACHS Physiotherapy - Respiratory Assessment
MR62.20 WACHS - Respiratory Assessment
MR62.24 WACHS Physiotherapy - Vestibular Assessment
Physiotherapy - Vestibular Assessment Oculomotor Examination
MR62.25 WACHS Cardiac Rehabilitation Assessment
Cardiac Rehabilitation Assessment Form
MR62.26 WACHS Musculoskeletal Assessment
Musculoskeletal Assessment Form
MR62.3 WACHS Physiotherapy Berg Balance and Modified Balance Scale
Physio - Berg Balance and Modified Balance Scale
MR62.4 WACHS Physiotherapy De Morton Mobility Index
Physio - De Morton Mobility Index
MR62.5 WACHS Physiotherapy Torticollis and Plagiocephaly Assessment
WACHS Physiotherapy Torticollis and Plagiocephaly Assessment
MR62.6 WACHS Physiotherapy Toe Walker Assessment
Physiotherapy Toe Walker Assessment form
MR62.9 WACHS Physiotherapy - 6 Minute Walk Test
Physio - 6 Minute Walk Test
MR62C WACHS Physiotherapy Long Stroke Assessment
Physio - Long Stroke Assessment
MR62D WACHS Physiotherapy Short Stroke Assessment
Physio - Short Stroke Assessment
MR62F WACHS National Institutes of Health Stroke Score (NIHSS)
MR62F WACHS National Institues of Health Stroke Score (NIHSS)
MR63.1 WACHS Podiatric - New Patient History Form
This MR form is for recording new podiatry patient history
MR63.2 WACHS Podiatric - Neurovascular Foot Assessment
Neurovascular Foot Assessment form.
MR63.3 WACHS Podiatric - Foot Ulcer Assessment
Foot Ulcer Assessment form.
MR63.4 WACHS Podiatric - Minor Surgery Assessment
Podiatric Minor Surgery Assessment form.
MR64A WACHS Speech Pathology Adult Swallow Assessment
This form is used (primarily for and by speech pathologists) when carrying out adult swallow assessments.
MR64B Dysphagia Screening Tool (Royal Brisbane Women's Hospital (RBWH))
This MR form supports completion of the Dysphagia Screening in line with the WACHS Adult Dysphagia Screening and Assessment Clinical Practice Standard and is only to be completed by staff who have undertaken training.
MR64C WACHS Speech Pathology Voice Assessment
MR64C WACHS Speech Pathology Voice Assessment
MR64D WACHS Speech Pathology - Parkinson's Disease Assessment Form - Cranial Nerve Examination
Speech Pathology - Parkinson s Disease Assessment Form - Cranial Nerve Examination
MR64E WACHS Speech Pathology - Parkinson's Disease Assessment Form - Oral Motor Assessment
Speech Pathology - Parkinson's Disease Assessment Form - Oral Motor Assessment
MR65.1 WACHS Social Work Assessment Form
MR65.1 WACHS Social Work Assessment Form
MR659 WACHS Renal Services Referral Form
WACHS Renal Services Referral Form
MR659.1 WACHS Renal Education and Care Plan
WACHS Renal Education and Care Plan
MR66 WACHS Clinical Handover (Allied and Community Health) Form
This is a clinical handover tool for Allied and Community Health only.
MR66.1 WACHS Geriatric Depression Scale
WACHS Geriatric Depression Scale
MR66.10 WACHS Functional Independence Measure
WACHS Functional Independence Measure
MR66.10.1 WACHS Non-Acute Resource Utilisation Group - Activities of Daily Living (RUG-ADL) Assessment
All episodes of qualified non-acute care must have a formal assessment of functional ability using this Resource Utilisation Group - Activities of Daily Living (RUG-ADL) clinical assessment tool. The tool measures the level of functional dependence of a patient for four activities of daily living and provides an indication of what a person actually does, rather than what they are capable of doing.
MR66.10.2 WACHS Awaiting Aged Care Services Transition Plan
MR66.10.2 WACHS Awaiting Aged Care Services Transition Plan
MR66.11 WACHS Kimberley Indigenous Cognitive Assessment - Remote Living
WACHS Kimberley Indigenous Cognitive Assessment - Remote Living
MR66.12 WACHS Kimberley Indigenous Cognitive Assessment - Short Cognitive Screen
WACHS Kimberley Indigenous Cognitive Assessment - Short Cognitive Screen
MR66.13 WACHS Kimberley Indigenous Cognitive Assessment - Regional-Urban
WACHS Kimberley Indigenous Cognitive Assessment - Regional-Urban
MR66.14 WACHS Kimberley Indigenous Cognitive Assessment - Depression Scale
WACHS Kimberley Indigenous Cognitive Assessment - Depression Scale
MR66.15 WACHS Bladder Diary
Bladder Diary Form
MR66.16 WACHS Multidisciplinary Pre-Operative Assessment
Multidisciplinary Pre-Operative Assessment Form
MR66.17 WACHS 4A TEST Rapid Assessment Test for Delirium
Rapid Assessment Test for delirium.
MR66.18 WACHS Multidisciplinary Lymphoedema Assessment Form
MR66.18 WACHS Multidisciplinary Lymphoedema Assessment Form
MR66.2 WACHS Cornel Scale for Depression in Dementia
WACHS Cornel Scale for Depression in Dementia
MR66.3 WACHS Mini Mental State Examination
Mini Mental State Examination form.
MR66.4 WACHS Abbreviated Mental Test Score
WACHS Abbreviated Mental Test Score
MR66.5 WACHS Cognistat Summary Report
WACHS Cognistat Summary Report
MR66.6 WACHS Montreal Cognitive Assessment - Test 1
WACHS Montreal Cognitive Assessment - Test 1
MR66.6.1 WACHS Montreal Cognitive Assessment - Test 2
WACHS Montreal Cognitive Assessment - Test 2
MR66.6.2 WACHS Montreal Cognitive Assessment - Test 3
WACHS Montreal Cognitive Assessment - Test 3
MR66.6.3 WACHS Montreal Cognitive Assessment - Blind
The Montreal Cognitive Assessment (MoCA) is a cognitive screening test designed to assist Health Professionals in the detection of mild cognitive impairment. The standard format of is available MR format (MR 66.6, MR 66.6.1, MR 66.6.2). Two additional formats of the MoCA have now been added: (1) MoCA Test Blind - version of MoCA without the visual elements (2) MoCA Basic - version of the MoCA for people who are illiterate or with low education.
MR66.6.4 WACHS Montreal Cognitive Assessment - Basic
The Montreal Cognitive Assessment (MoCA) is a cognitive screening test designed to assist Health Professionals in the detection of mild cognitive impairment. The standard format of is available MR format (MR 66.6, MR 66.6.1, MR 66.6.2). Two additional formats of the MoCA have now been added: (1) MoCA Test Blind - version of MoCA without the visual elements (2) MoCA Basic - version of the MoCA for people who are illiterate or with low education
MR66.7 WACHS Cognitive Assessment of Minnesota - Summary
WACHS Cognitive Assessment of Minnesota - Summary
MR66.8 WACHS Rowlands Universal Dementia Assessment Scale
WACHS Rowlands Universal Dementia Assessment Scale
MR66.9 WACHS Modified Barthel Index
WACHS Modified Barthel Index
MR70 WACHS Antenatal Booking Form
Antenatal Booking Form. iProc Order Number 189004W
MR70a WACHS Antenatal Inpatient Care Plan
This document provides a standardised inpatient antenatal care plan that ensures midwifery care aligns with the KEMH clinical guidelines for antenatal inpatient admission. This is a low volume use form that is to be printed on hospital site as required.
MR70B WACHS Rh D Immunoglobulin (Anti D) Record
A more robust patient consent section has been added. Written consent to be only completed for the first administration and verbal consent for following administrations if required. Initial instructions to remain at top of first page and repeated instructions prior to each administration removed. Tick boxes added to 'Indications' section and 'Comments' section with free text.
MR70C Pregnancy Instruction Sheet
This document is designed to ensure the midwife providing antenatal care identifies all risk factors and refers the woman to the appropriate services. t ensures that the risk assessment is completed on a umber of ocasions throughout her pregnancy. It will also aid in the development of a documented antenatal, intrapartum and postnatal plan of care based upon the identified risk factors.
MR71 WACHS Labour and Birth Summary
Labour and Birth Summary. iProc Order Number 189005X
MR71A WACHS Labour and Birth Summary - Addendum Multiple Births
Labour and Birth Summary - Addendum Multiple Births
MR72 WACHS Partogram Form
This form is for use at all WACHS Maternity sites. Order via iProc UCN 181391A
MR72A WACHS Primary Post Partum Haemorrhage Record
Primary Post -Partum Haemorrhage Record
MR72B WACHS Operative Vaginal Delivery Record
MR 72B WACHS Operative Vaginal Delivery Record
MR72C WACHS Shoulder Dystocia Record
Shoulder Dystocia Record form
MR72D WACHS Cord Prolapse Record
MR72D WACHS Cord Prolapse Record
MR73A WACHS Maternity High BMI-Bariatric Surgery Risk Management Tool
Maternity High BMI-Bariatric Surgery Risk Management Tool
MR75 WACHS Newborn Care Plan
This form is for use at all WACHS Maternity sites. Stictly orderable form only - via iProc UCN 177584B.
MR75A WACHS Newborn Care Pathway - Feeding Chart Addendum
This form is an addendum - page 5 of the MR75 WACHS Newborn Care Plan (to support the requirement for any additional single sheet feeding charts for longer stay babies).
MR75AA WACHS Newborn Care Plan Continuation Sheet
This is a continuation sheet for the MR75 Newborn Care Plan
MR75B WACHS Newborn Medical Emergency Response (MER) Record
This form is for use in Newborn Medical Emergency Responses
MR76 WACHS Breastfeeding Management Plan
This form is designed to support the staff to work with the woman to design a breastfeeding plan to ensure consistency in the advice provided when managing breastfeeding issues. It also ensures advice provided is in line with latest evidence based practice and KEMH guidelines.
MR8 WACHS Maternal Fetal Assessment Admission
Maternal Fetal Assessment Admission chart. iProc Order Number 89343B
MR80 WACHS Vaginal Birth Care Plan
Vaginal Birth Care Plan. iProc Order Number 143833M
MR80A WACHS Maternity Inpatient Risk Assessment
Order via Iproc UCN 182499E
MR81 WACHS Caesarean Postnatal Care Plan
WACHS Caesarean Postnatal Care Plan
MR82 WACHS Perinatal Loss Care Plan (Less than 20 weeks gestation)
MR82 WACHS Perinatal Loss Care Plan (Less than 20 weeks gestation)
MR82A WACHS Perinatal Loss Care Plan (More than 20 weeks gestation)
MR82A WACHS Perinatal Loss Care Plan (More than 20 weeks gestation)
MR85 WACHS Boys Fenton Preterm Growth Charts
Boys Fenton Preterm Growth Charts
MR85A WACHS Girls Fenton Preterm Growth Charts
Girls Fenton Preterm Growth Charts
MR86 WACHS Boys Growth Chart Birth to 2 years
Boys Growth Chart Birth to 2 years
MR86A WACHS Girls Growth Chart Birth to 2 years
Girls Growth Chart Birth to 2 years
MR87 WACHS Boys 2-18 years Growth Chart
Boys 2-18 years Growth Chart
MR87A WACHS Girls 2-18 years Growth Chart
Girls 2-18 years Growth Chart
MR8A WACHS Record of Telephone Contact-Advice - Obstetrics
Record of Telephone Contact / Advice - Obstetrics. iProc Order Number 167633R
MR8B National Woman-Held Pregnancy Record
This nationally consistent client-held pregnancy record, is for use by all Australian women to ensure reduction in local variations in service and practice. Women can move between different jurisdictions and professionals during their pregnancy; taking their records with them ensuring the history taking process is not repeated with each new health professional. This promotes improved communication and improved risk management in maternity care provision. iProc order number 100319K. The WACHS NWHPR antenatal sticker can be ordered separately via iProc UCN 186367R (one roll has 250 stickers).
MR8C WACHS Outpatient Maternal Postnatal Assessment
Outpatient Maternal Postnatal Assessment form. iProc Order Number 189006Y
MR8D WACHS Outpatient Newborn Postnatal Assessment
Outpatient Newborn Postnatal Assessment form. iProc Order Number 189007A
MR8E WACHS Postnatal Clinical Phone Advice Form
MR8E WACHS Postnatal Clinical Phone Advice Form. iProc Order Number 189008B
MR90.1 WACHS Caesarean Section Operation Report
MR90.1 WACHS Caesarean Section Operation Report
MRK7110 BMHU Boarders Information and Agreement Form
Information and Agreement Form for boarders at the unit.
MRK7124 BMHU Patient Injury Debriefing
MRK7124 Patient Injury Debriefing - Broome MentalHealth Unit
MRO Screening and Patient Placement - Screening Requirements Flowchart - Wheatbelt
This flowchart sets out the required process of MRO screening and placement of patients in the Wheatbelt.
Multiple Chemical Sensitivity and Chemical Hypersensitivity Guideline
The WA Country Health Service (WACHS) Multiple Chemical Sensitivity / Chemical Hypersensitivity Guideline has been provided to minimise the effects of common hospital and health care incitants on people who identify as having MCS and require treatment in a hospital setting or need to visit a person close to them, who is in the hospital.
My Health Record Manual
This manual applies to all WACHS staff who have been authorised to access the MHR system, clinicians that provide document content to upload to the MHR, system administrators and training/support staff that facilitate the Consent Management Protocol for MHR and those that interact or oversee staff that interact with patients that may have a MHR. This manual also applies to any contracted service provider of WACHS who has been authorised to access the MHR system or the HI Service on behalf of the WA health system and/or WACHS.

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