| CLI.5910.PR.001.FORM.01 | Grief Snapshot Form | ARCHIVE NOTICE | | Jan 19, 2026 | Document Search Search | | palliative-care | clinical forms |
| CLI.5910.PR.001 | Grief Snapshot Procedure | ARCHIVE NOTICE | | Jan 19, 2026 | | | palliative-care | clinical |
| CLI.6310.SG.013.SD.02 | Information on Swallowing Difficulty with Stroke like Symptoms For Patients and their Families ARCHIVE NOTICE | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.013.FORM.02 | TOR BSST Swallowing Monitoring Record ARCHIVE NOTICE | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical forms |
| CLI.6310.SG.013.FORM.01 | TOR BSST The Toronto Bedside Swallowing Screening Test ARCHIVE NOTICE | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical forms |
| CLI.6310.SG.013 | Toronto Bedside Swallowing Screening Test TOR-BSST ARCHIVE NOTICE | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.013.SD.04 | Toronto Bedside Swallowing Screening Test TOR-BSST for Acute Stroke Patients Rehabilitation Services ARCHIVE NOTICE | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.PL.006.FORM.02 | TOR BSST Swallowing Monitoring Record | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical forms |
| CLI.6310.PL.006.SD.07 | TOR BSST Task Sheet for Education Facilitator | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.PL.006.SD.06 | TOR BSST Task Sheet for SLP Assist Rehab Assist | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.PL.006.SD.04 | TOR BSST Task Sheet for Speech Language Pathologist | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.PL.006.SD.05 | TOR BSST Task Sheet for Staff Development Clerk | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.PL.006.FORM.01 | TOR BSST The Toronto Bedside Swallowing Screening Test | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical forms |
| CLI.6310.PL.006.SD.03 | Toronto Bedside Swallowing Test Screening Algorithm | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.PL.006.SD.02 | Information on Swallowing Difficulty with Stroke like Symptoms For Patients and their Families | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.5910.PR.001.SD.01 | Bereavement Support to Caregivers Bilingual | ARCHIVE NOTICE | | Jan 19, 2026 | | | palliative-care | clinical |
| CLI.6310.PL.006.SD.01 | No Food Drink Or Medication By Mouth | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.PL.006 | The Toronto Bedside Swallowing Screening Test Use for Acute Stroke Patients | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.013.SD.01 | No Food Drink Or Medication By Mouth ARCHIVE NOTICE | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.013.SD.03 | Quick Reference Guide for TOR BSST Swallowing Screeners ARCHIVE NOTICE | | Jan 19, 2026 | | | rehabilitation-therapy-services | clinical |
| CLI.4110.PL.003 | Safe Patient Handling Program | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.6310.PL.005.FORM.01 | Violence Prevention Plan Screening Tool and Individualized Care Plan | | Jan 12, 2026 | | | rehabilitation-therapy-services | clinical forms |
| CLI.4110.PL.003.SD.26 | Swift Ultra Slide Sheet Set How to Poster | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.03 | Theory SPHP | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.FORM.07 | Transfer and Mobility Assessment Form SPHP | | Jan 12, 2026 | | | across-care-areas | clinical forms safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.15 | Transfer and Mobility Assessment | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.14 | Transfer and Mobility Logos SPHP | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.27 | Transfer Belt How To Poster | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.09 | Transfer Belt Use | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.11 | Transfer Sling Use | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.16 | Transfers and Lifts Algorithm | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.30 | Turning Disc Two Minimum Assist Transfer | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.37 | Two Assist Mechanical Lift Using Hygiene Sling | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.38 | Two Assist Mechanical Lift using Pannus Sling | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.31 | Walking One or Two Minimum Assist | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.FORM.02 | Agreement with Participant SPHP | | Jan 12, 2026 | | | across-care-areas | clinical forms safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.25 | Are You Ready 8 Principles of Good Body Mechanics Poster | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.20 | Bariatric Bed Mobility Algorithm | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.21 | Bariatric Chair Repositioning Algorithm | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.FORM.08 | Bariatric Risk Assessment Tool | | Jan 12, 2026 | | | across-care-areas | clinical forms safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.19 | Bariatric Transfers and Lifts Algorithm | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.17 | Bed Mobility Algorithm | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.SG.014 | Provider Responsiveness | | Jan 12, 2026 | | | across-care-areas | clinical |
| CLI.4510.PL.015.SD.03 | Seclusion Observation Record Directions for Use | | Jan 12, 2026 | | | across-hospital-units | clinical |
| CLI.4510.PL.015.SD.01 | Seclusion Room Checklist Quick Reference Guide | | Jan 12, 2026 | | | across-hospital-units | clinical |
| CLI.4510.PL.015.SD.02 | How to Conduct a Search Patient Entering a Seclusion Room | | Jan 12, 2026 | | | across-hospital-units | clinical |
| CLI.4510.PL.015.FORM.01 | Seclusion Observation Record | | Jan 12, 2026 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.015 | Use of a Seclusion Room | | Jan 12, 2026 | | | across-hospital-units | clinical |
| CLI.4110.PL.003.SD.22 | Equipment Ordering Resource | | Jan 12, 2026 | | | across-care-areas | client-teaching-handouts safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.07 | Fixed Bed Use Community | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.02 | Introduction SPHP | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.36 | Lift with a Limb Sling | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.13 | Logos SPHP | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.34 | One Way Chair Slider | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.FORM.03 | Participant Record SPHP | | Jan 12, 2026 | | | across-care-areas | clinical forms safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.12 | Performance Auditing SPHP | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| LI.4110.PL.003.FORM.05 | Performance Audit SPHP | | Jan 12, 2026 | | | across-care-areas | clinical forms safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.04 | Poster SPHP | | Jan 12, 2026 | | | across-care-areas | client-teaching-handouts safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.06 | Preparation for Patient Handling Tasks | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.35 | Repositioning in Bed with a Turning Sling Two Minimum Assist | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.33 | Repostioning in Bed One Minimum Assist | | Jan 12, 2026 | | | across-care-areas | client-teaching-handouts safe-patient-handling-sphp |
| CLI.4110.PL.003.FORM.06 | Room Spot Check | | Jan 12, 2026 | | | across-care-areas | clinical forms safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.05 | Safe Work Area Layout | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.32 | Seated Transfer Sit to Stand and Gait Training Device One Minimum Assist | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.FORM.01 | Sign in Form SPHP | | Jan 12, 2026 | | | across-care-areas | clinical forms safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.10 | Slider Use | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.29 | Sliding Board Transfer One Minimum Assist | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.24 | Stretches SPHP | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.5415.PL.004.SD.01 | After Hours Check In Check Out | | Jan 12, 2026 | | | home-care | clinical |
| CLI.4110.PL.003.SD.01 | SPHP Document and Link Index | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.6410.SG.001.SD.01 | Congregate Meal Program Guidelines ARCHIVED | | Jan 12, 2026 | | | personal-care-home | clinical |
| CLI 6410 SG 001 | Congregate Meal Program ARCHIVED | | Jan 12, 2026 | | | personal-care-home | clinical |
| CLI.4110.PL.003.SD.18 | Chair Repositioning Algorithm | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.23 | Consult for Sling Fitting and Sizing | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.08 | Electric Bed Use | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.41 | Emergency Descent Down the Stairs with EVAC CHAIR | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.39 | Emergency Descent Downstairs with Evacuation Slyde | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.SD.40 | Emergency Lift Downstairs Using a Blanket or Canvas Evacuation Scoop | | Jan 12, 2026 | | | across-care-areas | clinical safe-patient-handling-sphp |
| CLI.4110.PL.003.FORM.04 | Employee Performance Outcome Measurement SPHP | | Jan 12, 2026 | | | across-care-areas | clinical forms safe-patient-handling-sphp |
| CLI.5415.PL.004 | Working in Isolation | | Jan 12, 2026 | | | home-care | clinical |
| CLI.5910.SG.006.SD.03 | Promoting High Quality Palliative Care | To outline the process for Palliative Care access for patients to Acute Care/Transitional care beds; either through ED or by prioritized admission. | Jan 5, 2026 | | | palliative-care | clinical |
| CLI.5910.SG.006.SD.02 | Palliative Care Process Map Admissions to Transitional Care or Acute Care | To outline the process for Palliative Care access for patients to Acute Care/Transitional care beds; either through ED or by prioritized admission. | Jan 5, 2026 | | | palliative-care | clinical |
| CLI.5910.SG.006.SD.01 | Palliative Care Patient Flowchart ED | To outline the process for Palliative Care access for patients to Acute Care/Transitional care beds; either through ED or by prioritized admission. | Jan 5, 2026 | | | palliative-care | clinical |
| CLI.4110.PL.025.FORM.01 | Conservative Sharp Wound Debridement Tracking Record | | Jan 5, 2026 | | | across-care-areas | clinical forms |
| CLI.6310.FORM.004 | Inpatient Referral – Fillable | made form fillable
added under the Occupational Therapy column - High falls risk as indicated by "Falls Risk Assessment and Interventions for Inpatients" tool | Jan 5, 2026 | | | rehabilitation-therapy-services | clinical forms |
| CLI.4110.PL.022.FORM.04 | Ankle Brachial Pressure Index and Toe Brachial Pressure Index Tracking Record | | Jan 5, 2026 | | | across-care-areas | clinical forms |
| CLI.4110.SG.003 | Skin Tear Treatment Guideline | | Jan 5, 2026 | | | across-care-areas | clinical |
| CLI.4110.PL.025 | Conservative Sharp Wound Debridement | | Jan 5, 2026 | | | across-care-areas | clinical |
| CLI.5910.SG.006 | Palliative Care Patient Flow Regional Admission Process | To outline the process for Palliative Care access for patients to Acute Care/Transitional care beds; either through ED or by prioritized admission. | Jan 5, 2026 | | | palliative-care | clinical |
| ORG.1411.PL.502.SD.02 | Access Disclosure Release of Personal Health Information Fee Schedule | To revise for new WCB rate effective January 1, 2025. | Dec 29, 2025 | | | health-information-services | organizational privacy-and-access |
| CLI.8011.PL.011.FORM.01 | Post Exposure Protocol Follow Up Checklist | Providing clarification to Regional Centre ICPs in management of occupational exposures to blood and body fluids: including template letter to Exposed's Health Care Provider, expanded PEP Needlestick Injuries BBF Exposure Line List with information required to be source of truth and identifying a secure drive to store all post-exposure related documents as recommended by Regional Officer - Privacy and Access. | Dec 22, 2025 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.4110.SG.004 | Take Home Naloxone Kit Distribution in Community | Developed to standardize education and distribution processes of naloxone. | Dec 22, 2025 | | | across-care-areas | clinical |
| Provincial Nursing Agency Service Complaint Form | | Dec 22, 2025 | | | human-resources | forms |
| CLI.8011.PL.011 | Post Exposure to Blood and Body Fluids | Providing clarification to Regional Centre ICPs in management of occupational exposures to blood and body fluids: including template letter to Exposed's Health Care Provider, expanded PEP Needlestick Injuries BBF Exposure Line List with information required to be source of truth and identifying a secure drive to store all post-exposure related documents as recommended by Regional Officer - Privacy and Access. | Dec 22, 2025 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.4110.SG.004.SD.01 | Take Home Naloxone Kit Distribution in Community Training Acknowledgement | Developed to standardize education and distribution processes of naloxone. | Dec 22, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.004.FORM.01 | Take Home Naloxone Kit Distribution Tracking Form | Developed to standardize education and distribution processes of naloxone. | Dec 22, 2025 | | | across-care-areas | clinical forms |
| CLI.8011.PL.011.FORM.02 | PEP Needlestick injuries BBF Exposure Line List | Providing clarification to Regional Centre ICPs in management of occupational exposures to blood and body fluids: including template letter to Exposed's Health Care Provider, expanded PEP Needlestick Injuries BBF Exposure Line List with information required to be source of truth and identifying a secure drive to store all post-exposure related documents as recommended by Regional Officer - Privacy and Access. | Dec 22, 2025 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.011.SD.01 | Post Exposure Protocol Quick Reference Guide | Providing clarification to Regional Centre ICPs in management of occupational exposures to blood and body fluids: including template letter to Exposed's Health Care Provider, expanded PEP Needlestick Injuries BBF Exposure Line List with information required to be source of truth and identifying a secure drive to store all post-exposure related documents as recommended by Regional Officer - Privacy and Access. | Dec 22, 2025 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.011.SD.02 | Template Letter to Exposed Healthcare Provider | Providing clarification to Regional Centre ICPs in management of occupational exposures to blood and body fluids: including template letter to Exposed's Health Care Provider, expanded PEP Needlestick Injuries BBF Exposure Line List with information required to be source of truth and identifying a secure drive to store all post-exposure related documents as recommended by Regional Officer - Privacy and Access. | Dec 22, 2025 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.011.FORM.02 | PEP Needlestick injuries BBF Exposure Line List | Providing clarification to Regional Centre ICPs in management of occupational exposures to blood and body fluids: including template letter to Exposed's Health Care Provider, expanded PEP Needlestick Injuries BBF Exposure Line List with information required to be source of truth and identifying a secure drive to store all post-exposure related documents as recommended by Regional Officer - Privacy and Access. | Dec 22, 2025 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| ORG.1010.PL.015 | Leader and Senior Leader Team On Call | updated regarding split week | Dec 15, 2025 | | | administration | organizational |
| TD1 Federal Worksheet | | Dec 15, 2025 | | | human-resources | forms payroll |
| TD1 MB Worksheet | | Dec 15, 2025 | | | human-resources | forms payroll |
| TD1 MB | | Dec 15, 2025 | | | human-resources | forms payroll |
| CLI.6611.PL.006 | Endoscopy Slating Elective and Emergency | | Dec 15, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| TD1 Federal | | Dec 15, 2025 | | | human-resources | forms payroll |
| ORG.1110.FORM.008 | Poster Templates I | | Dec 8, 2025 | | | communications | forms organizational |
| ORG.1110.PL.013.FORM.01 | Request for Speech Writing ARCHIVE NOTICE | | Dec 4, 2025 | | | communications | forms organizational |
| CLI.5110.PL.010.SD.01 | Shared Health Provincial SCU Levels | | Dec 1, 2025 | | | critical-care-er-observation-scu | clinical |
| CLI.5110.PL.010.SD.03 | Special Care Unit Admission Criteria Boundary Trails Health Centre | | Dec 1, 2025 | | | critical-care-er-observation-scu | clinical |
| CLI.5110.PL.010.SD.02 | Special Care Unit Admission Criteria Portage Regional Health Centre | | Dec 1, 2025 | | | critical-care-er-observation-scu | clinical |
| CLI.5110.PL.010 | Special Care Unit Admission | To support effective utilization of the Special Care Units within Southern Health-Santé Sud (SH-SS). To define the level of care provided at each SCU within SH-SS. To describe and define the criteria and processes for patients who require admission. | Dec 1, 2025 | | | critical-care-er-observation-scu | clinical |
| CLI.6010.FORM.005 | Acute Adult PRN Medications Admission Standard Orders | minor wording changes to Nutrition & Food Services portion | Dec 1, 2025 | | | pharmacy | clinical forms standard-order |
| ESP QHR Access Request Form | | Nov 28, 2025 | | | human-resources | forms payroll |
| Overtime Form | | Nov 28, 2025 | | | human-resources | forms payroll |
| ORG.1110.FORM.006 | Interior Door Signage Template for Bilingual Staff | | Nov 24, 2025 | | | communications | forms organizational |
| CLI.6310.PL.004.FORM.01 | Working Alone Safety Assessment Form | replaced CLI.6310.SG.015.FORM.01 | Nov 24, 2025 | | | rehabilitation-therapy-services | clinical forms |
| CLI.6310.PL.005 | Violence Prevention Plan Screening and Individualized Care Plan | | Nov 24, 2025 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.PL.004 | Working Alone Safety Assessment Rehab | Replaced CLI.6310.SG.015 | Nov 24, 2025 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.014.FORM.01 | Violence Prevention Plan Screening and Individualized Care Plan Rehab Services | ARCHIVE NOTICE | Replaced with CLI.6310.PL.003.FORM.01 | Nov 24, 2025 | | | rehabilitation-therapy-services | clinical forms |
| CLI.6310.SG.015.FORM.01 | Working Alone Safety Assessment Rehab Services | ARCHIVE NOTICE | | Nov 24, 2025 | | | rehabilitation-therapy-services | clinical forms |
| CLI.6310.SG.014 | Rehab Services Violence Prevention Plan Screening and Individualized Care Plan | ARCHIVE NOTICE | Replaced with CLI.6310.PL.003 | Nov 24, 2025 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.015 | Rehab Services Working Alone Safety Assessment | ARCHIVE NOTICE | | Nov 24, 2025 | | | rehabilitation-therapy-services | clinical |
| Employee Data Change Request | | Nov 19, 2025 | | | human-resources | forms payroll |
| Bank Payout Correction Special Pay Request | | Nov 19, 2025 | | | human-resources | forms payroll |
| ORG.1314.FORM.001 | Payroll Advice Form ARCHIVE NOTICE | | Nov 19, 2025 | | | finance human-resources | forms |
| CLI.6611.FORM.001 | PreOperative Assessment Patient Questionnaire | | Nov 18, 2025 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| Nurses Recruitment and Retention Fund Application | | Nov 17, 2025 | | | | forms |
| CLI.6611.PL.004 | Surgical Count and Prevention of Retained Surgical Items | Preventing patient from risks associated with Retained Surgical Items such as sponges, needles, miscellaneous items and instruments. Preventing harm to staff due to items lost in garbage and linen. Preventing items from being lost from inventory. | Nov 17, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| ORG.1510.PL.017 | Bereavement Leave | | Nov 17, 2025 | | | human-resources | organizational |
| Employee Status Change Form | | Nov 10, 2025 | | | human-resources | forms payroll |
| ORG.1110.PL.007 | Use of Southern Health-Santé Sud Branding | | Nov 4, 2025 | | | communications | organizational |
| ORG.1110.PL.012 | Social Media Public | | Nov 4, 2025 | | | communications | organizational |
| ORG.1110.PL.006 | Public Consultation and Communication | | Nov 4, 2025 | | | communications | organizational |
| ORG.1110.PL.004 | Photography and Videography of Clients and Employees for any Purposes | | Nov 4, 2025 | | | communications | organizational |
| ORG.1110.PL.002 | Graphic Standards and Corporate Branding | | Nov 4, 2025 | | | communications | organizational |
| ORG.1110.PL.013 | Events Planning Campaigns | | Nov 4, 2025 | | | communications | organizational |
| ORG.1110.PL.001 | Elections and Political Access to Southern Health Santé Sud Sites | | Nov 4, 2025 | | | communications | organizational |
| ORG.1110.PL.005 | Advertising Print and Digital | | Nov 4, 2025 | | | communications | organizational |
| CLI.6410.PL.002.FORM.11 | Integrated Care Plan Suicide Risk Assessment Audit Form | | Nov 3, 2025 | | | personal-care-home | clinical forms |
| Sleep Disorder Centre Inpatient Referral Form Fillable | | Nov 3, 2025 | | | | forms |
| Sleep Disorder Centre Inpatient Referral Form | | Nov 3, 2025 | | | | forms |
| CLI.4110.PL.005.FORM.01 | Supplemental Staffing Equipment and Supplies Transitional Care and PCH Request Form | | Oct 27, 2025 | | | across-care-areas | clinical forms |
| ORG.1310.FORM.001 | Employee Expense Claim Effective October 1 2025 | | Oct 27, 2025 | | | finance | forms organizational |
| CLI.4110.PL.005 | Supplemental Staffing Equipment and Supplies Transitional Care and Personal Care Home | | Oct 27, 2025 | | | across-care-areas | clinical |
| CLI.4110.FORM.05 | Waiver of Responsibility and Liability Bilingual | | Oct 20, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.013.SD.03 | Stroke Algorithm for Suspected Intracerebral Hemorrhage During and Post TNK | | Oct 20, 2025 | | | across-care-areas | clinical |
| CLI.5410.PL.007.SD.01.F | Client Guidelines for Workplace Safety and Health-FR | | Oct 20, 2025 | | | home-care | clinical |
| CLI.4110.PL.008 | Interim Placement of Alternate Level of Care Patients | Acute Care facilities in SH-SS will facilitate placement of ALC patients to optimize capacity. Facilitate the timely and most appropriate placement for person who no longer require Acute Care environments or who are paneled. | Oct 20, 2025 | | | across-care-areas | clinical |
| CLI.4110.PL.008.FORM.01 | Interim Placement for Patients Waiting For PCH Tracking Tool | ARCHIVE NOTICE | Replaced with CLI.4110.PL.008.FORM.02 | Oct 20, 2025 | | | across-care-areas | clinical forms |
| ORG.1810.PL.004 | Research Application and Approval Process | To establish the process for conducting an operational impact assessment on research applications submitted to Southern Health-Santé Sud, and to ensure research adheres to regulatory standards within our organizational framework. | Oct 20, 2025 | | | quality-planning-and-performance | organizational |
| CLI.5410.PL.007.FORM.01 | Working Alone Safety Assessment Safe Visit Plan | | Oct 20, 2025 | | | home-care | clinical forms |
| CLI.4110.PL.008.FORM.02 | Patient Transfer Tracking Tool | Acute Care facilities in SH-SS will facilitate placement of ALC patients to optimize capacity. Facilitate the timely and most appropriate placement for person who no longer require Acute Care environments or who are paneled. | Oct 20, 2025 | | | across-care-areas | clinical forms |
| ORG.1810.PL.004.FORM.01.F | Application to Conduct Research French | ARCHIVE NOTICE | | Oct 20, 2025 | | | quality-planning-and-performance | forms organizational |
| CLI.5410.PL.007.SD.03 | Working Alone Safety Assessment and Safe Visit Plan Nurse Scheduler | | Oct 20, 2025 | | | home-care | clinical job-aid |
| Handout Instructions Cast Care | | Oct 20, 2025 | | | | client-teaching-handouts |
| CLI.6410.PL.037.FORM.01 | Medical History and Physical Exam Form Personal Care Home | | Oct 20, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.037.SD.01 | Lab Investigations in Personal Care Home | | Oct 20, 2025 | | | personal-care-home | clinical |
| CLI.5410.PL.007.FORM.02 | Safe Visit Plan | | Oct 20, 2025 | | | home-care | clinical forms |
| CLI.6410.PL.037 | Medical Services in Personal Care Homes and Transitional Care | | Oct 20, 2025 | | | personal-care-home | clinical |
| CLI.4110.PL.001.FORM.03 | Waiver of Responsibility (procedure, treatment or investigation) Bilingual | To provide a standardized SH-SS form that combines all waivers of responsibility and liability relevant to inpatients. | Oct 20, 2025 | | | across-care-areas | clinical forms |
| Handout Instructions COPD | | Oct 20, 2025 | | | | client-teaching-handouts |
| CLI.4110.PL.008.FORM.01.F | Information for Patients Potential Transfer FR | Acute Care facilities in SH-SS will facilitate placement of ALC patients to optimize capacity. Facilitate the timely and most appropriate placement for person who no longer require Acute Care environments or who are paneled. | Oct 20, 2025 | | | across-care-areas | clinical forms |
| ORG.1810.PL.004.FORM.01 | Application to Conduct Research | ARCHIVE NOTICE | | Oct 20, 2025 | | | quality-planning-and-performance | forms organizational |
| CLI.4110.PL.008.FORM.03 | Alternate Level of Care Patient Profile | Acute Care facilities in SH-SS will facilitate placement of ALC patients to optimize capacity. Facilitate the timely and most appropriate placement for person who no longer require Acute Care environments or who are paneled. | Oct 20, 2025 | | | across-care-areas | clinical forms |
| ORG.1810.PL.004.FORM.0l | Research Agreement | To establish the process for conducting an operational impact assessment on research applications submitted to Southern Health-Santé Sud, and to ensure research adheres to regulatory standards within our organizational framework. | Oct 20, 2025 | | | quality-planning-and-performance | forms organizational |
| CLI.4110.PL.001 | Consent for Procedures Treatment and Investigations | | Oct 20, 2025 | | | across-care-areas | clinical |
| CLI.5410.PL.007 | Working Alone Safety Assessment | | Oct 20, 2025 | | | home-care | clinical |
| CLI.5410.PL.007.SD.02 | Working Alone Safety Assessment and Safe Visit Plan Resource Coordinator and Scheduling Clerk | | Oct 20, 2025 | | | home-care | clinical job-aid |
| CLI.4110.PL.008.FORM.01 | Information for Patients Potential Transfer | Acute Care facilities in SH-SS will facilitate placement of ALC patients to optimize capacity. Facilitate the timely and most appropriate placement for person who no longer require Acute Care environments or who are paneled. | Oct 20, 2025 | | | across-care-areas | clinical forms |
| CLI.6410.SG.002.SD.01 | Lab Investigations in Personal Care Home ARCHIVE NOTICE | | Oct 20, 2025 | | | personal-care-home | clinical |
| CLI.5410.PL.007.SD.01 | Client Guidelines for Workplace Safety and Health | | Oct 20, 2025 | | | home-care | clinical |
| CLI.6410.SG.002.FORM.01 | Medical History and Physical Exam Form Personal Care Home ARCHIVE NOTICE | | Oct 20, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.SG.002 | Medical Services in Personal Care Home ARCHIVE NOTICE | | Oct 20, 2025 | | | personal-care-home | clinical |
| Home Care Treatment Clinic Billing Form | | Oct 20, 2025 | | | finance home-care | forms |
| ORG.1510.PL.013.FORM.01 | Performance and What Matters to You Conversation Form | | Oct 15, 2025 | | | human-resources | forms organizational |
| CLI.4110.PL.013.FORM.04 | Registration Clerk Notification Bethesda Regional Health Centre | | Oct 13, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.013.FORM.05 | Registration Clerk Notification Boundary Trails Health Centre | | Oct 13, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.013.FORM.06 | Registration Clerk Notification Portage Regional Health Centre | | Oct 13, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.013.SD.04 | Management of Angioedema Caused by TNK use in Acute Ischemic Stroke | | Oct 13, 2025 | | | across-care-areas | clinical |
| CLI.6611.PL.004.FORM.01 | Operating Room Surgical Count All Sites | Preventing patient from risks associated with Retained Surgical Items such as sponges, needles, miscellaneous items and instruments. Preventing harm to staff due to items lost in garbage and linen. Preventing items from being lost from inventory. | Oct 13, 2025 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.4510.FORM.007 | Ambulatory Care Clinic Diabetic Foot Risk Assessment Triage Referral | Trialing the Referral Form used at BTHC and made electronically fillable. | Oct 13, 2025 | | | across-hospital-units | clinical forms |
| CLI.4110.PL.013.FORM.09 | National Institute of Health Stroke Scale | | Oct 13, 2025 | | | across-care-areas | clinical forms |
| CLI.6310.FORM.005.F | Southern Childrens Therapy Network of Manitoba Referral Form French | | Oct 13, 2025 | | | rehabilitation-therapy-services | clinical forms |
| CLI.4110.PL.013.FORM.11 | New Onset of Suspected Stroke Symptoms on Inpatient Units within a Stroke Centre | | Oct 13, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.013.FORM.03 | Minor Stroke Transient Ischemic Attack TIA Risk Assessment and Standard Orders | | Oct 13, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.013.FORM.02 | Stroke Standard Orders No TNK 24 hours Post TNK | | Oct 13, 2025 | | | across-care-areas | clinical forms standard-order |
| CLI.4110.PL.013.SD.05 | Stroke care audit criteria stroke centres Emergency Departments | | Oct 13, 2025 | | | across-care-areas | clinical |
| CLI.6611.PL.004.SD.01 | Management of Throat Packs During Surgical Procedure Algorithm | Preventing patient from risks associated with Retained Surgical Items such as sponges, needles, miscellaneous items and instruments. Preventing harm to staff due to items lost in garbage and linen. Preventing items from being lost from inventory. | Oct 13, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| SC-INTRA005 | Sponge Needle and Instrument Count | ARCHIVE NOTICE | | Oct 13, 2025 | | | across-hospital-units | clinical |
| NS-1704.000 | Surgical Count Policy | ARCHIVE NOTICE | | Oct 13, 2025 | | | across-hospital-units | clinical |
| NS-E00.305 | Surgical Count Procedure List | ARCHIVE NOTICE | | Oct 13, 2025 | | | across-hospital-units | clinical |
| CLI.4110.PL.013.FORM.08 | Stroke Centres Emergency Standard Orders Transcribed | | Oct 13, 2025 | | | across-care-areas | clinical forms |
| CLI.6310.FORM.005 | Southern Childrens Therapy Network of Manitoba Referral | | Oct 13, 2025 | | | rehabilitation-therapy-services | clinical forms |
| CLI.4510.FORM.005 | BTHC Orthopedic Referral Form | | Oct 13, 2025 | | | across-hospital-units | clinical forms |
| CLI.5110.PL.002.FORM.03 | Nurse Initiated X Ray Order Tool | | Oct 13, 2025 | | | critical-care-er-observation-scu | clinical forms |
| CLI.4110.PL.013.SD.06 | Stroke care audit non stroke centres Emergency Departments | | Oct 13, 2025 | | | across-care-areas | clinical |
| CLI.4510.FORM.006 | Ambulatory Care Clinic Referral Form | | Oct 13, 2025 | | | across-hospital-units | clinical forms |
| CLI.6611.PL.004.SD.03 | Surgical Count Observational Audit Criteria | Preventing patient from risks associated with Retained Surgical Items such as sponges, needles, miscellaneous items and instruments. Preventing harm to staff due to items lost in garbage and linen. Preventing items from being lost from inventory. | Oct 13, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.4110.PL.013 | Stroke Care | Best Practice for stroke changes include changing the fibrinolytic to TNK instead of alteplase. Provincial direction to change the fibrinolytic. Stroke neurologists already ordering. | Oct 13, 2025 | | | across-care-areas | clinical |
| CLI.4110.PL.013.FORM.10 | Stroke Centres TNK Standard Orders First 24 hours | | Oct 13, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.013.FORM.07 | Stroke Centres Emergency Standard Orders | | Oct 13, 2025 | | | across-care-areas | clinical forms |
| CLI.6611.PL.004.SD.02 | Perioperative Count Reference | Preventing patient from risks associated with Retained Surgical Items such as sponges, needles, miscellaneous items and instruments. Preventing harm to staff due to items lost in garbage and linen. Preventing items from being lost from inventory. | Oct 13, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.4110.PL.013.FORM.01 | Acute Stroke Care Map for Emergency Departments at Non Stroke Centres | | Oct 13, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.013.SD.02 | Hyperacute Stroke Algorithm for Stroke Centres | | Oct 13, 2025 | | | across-care-areas | clinical |
| CLI.4110.PL.013.SD.03 | Role of Alteplase tPA in Stroke Care Information for Patients and Families Bilingual ARCHIVE NOTICE | | Oct 13, 2025 | | | across-care-areas | clinical |
| CLI.4110.PL.013.SD.01 | STROKE Transient Ischemic Attack TIA Algorithm for Responses in Community | | Oct 13, 2025 | | | across-care-areas | clinical |
| Functional Abilities Form | | Oct 8, 2025 | | | human-resources | ability-management forms workplace-safety-and-health |
| CLI.5810.FORM.042 | Perinatal Triage Assessment ARCHIVE NOTICE | | Oct 8, 2025 | | | obstetrics | clinical forms |
| Employee Responsibilities While On Leave | | Oct 7, 2025 | | | human-resources | ability-management forms |
| Staff Safety Event Report SSER | | Oct 7, 2025 | | | | ability-management forms |
| CLI.5810.FORM.042 | Triage Fetal Health Surveillance Extension Record | This document has now been combined with the Maternal Database, and the CLI number has been assigned to the Extension Record of the Combined Perinatal Triage Maternal Database form | Oct 6, 2025 | | | obstetrics | clinical forms |
| MNU Additional Available Part Time and Casual Nursing Shifts | | Oct 6, 2025 | | | human-resources | forms labour-relations |
| ORG.1411.PL.101.FORM.01.F | Request to Access Personal Health Information Form French PRINT ONLY | | Oct 6, 2025 | | | health-information-services | forms privacy-and-access |
| ORG.1411.PL.101.FORM.01 | Request to Access Personal Health Information Form PRINT ONLY | | Oct 6, 2025 | | | health-information-services | forms privacy-and-access |
| ORG.1411.PL.502.FORM.01.F | Consent to Disclose French PRINT ONLY | | Oct 6, 2025 | | | health-information-services | forms privacy-and-access |
| ORG.1411.PL.502.FORM.01 | Consent to Disclose PRINT ONLY | | Oct 6, 2025 | | | health-information-services | forms privacy-and-access |
| Medical Action Plan | | Oct 6, 2025 | | | human-resources | ability-management forms |
| CLI.5810.FORM.033 | Perinatal Triage Assessment – Maternal Database | | Oct 6, 2025 | | | obstetrics | clinical forms |
| CLI.5910.SG.005.FORM.01 | Palliative Care Week On Call Log | Form was revised to decrease the manual calculations and errors required by scheduling/payroll when nurses are on call | Oct 6, 2025 | | | palliative-care | clinical forms |
| CLI.5110.PL.002 | Nurse Initiated Care in the Emergency Department | updated to reference RL Online Safety Event Reporting as well as X-Ray requirements for requesting order | Oct 6, 2025 | | | critical-care-er-observation-scu | clinical |
| CLI.6410.PL.014.FORM.03 | Fall Prevention and Management in PCH Environmental Fall Risk Audit | | Oct 1, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.014.FORM.04 | Fall Prevention and Management in PCH Falls Audit | Harmonization. Accreditation Canada Required Organizational Practice. | Oct 1, 2025 | | | personal-care-home | clinical forms |
| Job Posting Request Restructures | | Sep 29, 2025 | | | human-resources | forms |
| Handout Instructions Wound Care | | Sep 17, 2025 | | | | client-teaching-handouts |
| ORG.1510.PL.002.FORM.01 | Photo ID Request Form | | Sep 15, 2025 | | | human-resources | forms organizational |
| Advanced Glucose Monitors in the Home Care Setting | | Sep 15, 2025 | | | home-care | service-delivery |
| New Employee Policies Sign Off Info Sheets Checklist | | Sep 13, 2025 | | | human-resources | forms |
| Handout Instructions Fever | | Sep 10, 2025 | | | | client-teaching-handouts |
| Handout Instructions Viral Rx | | Sep 10, 2025 | | | | client-teaching-handouts |
| CLI.6410.PL.038.SD.01 | Disaster Management Quick Reference Guide for Therapeutic Recreation Outings | | Sep 8, 2025 | | | personal-care-home | clinical |
| CLI.6410.PL.038.FORM.01 | Recreation Outing Department Notification | | Sep 8, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.038 | Therapeutic Recreation Outing | | Sep 8, 2025 | | | personal-care-home | clinical |
| CLI.5110.PL.002.SD.01 | Accessing Health Care Services Emergency Department Poster | | Sep 8, 2025 | | | critical-care-er-observation-scu | clinical |
| CLI.5110.PL.002.FORM.02 | Emergency Department Pediatric Clinical Decision Tool | | Sep 8, 2025 | | | critical-care-er-observation-scu | clinical forms |
| CLI.5110.PL.002.FORM.01 | Emergency Department Adult Clinical Decision Tool | | Sep 8, 2025 | | | critical-care-er-observation-scu | clinical forms |
| CLI.5110.PL.002.FORM.04 | Emergency Department Adult Clinical Decision Tool MAR PRN | | Sep 8, 2025 | | | critical-care-er-observation-scu | clinical forms |
| CLI.5110.PL.002.FORM.05 | Emergency Department Pediatric Clinical Decision Tool MAR PRN | | Sep 8, 2025 | | | critical-care-er-observation-scu | clinical forms |
| CLI.6710.FORM.001.F | Senior Social Prescribing Community Referral Form FRENCH | | Sep 8, 2025 | | | seniors-services-community | clinical forms |
| CLI.6410.PL.027.FORM.03 | Regional Bathing Log Form Option 3 | | Sep 2, 2025 | | | personal-care-home | clinical forms |
| Transfer And Mobility Assessment | | Sep 2, 2025 | | | human-resources | forms |
| CLI.6410.PL.027 | Resident Choice and Safety During Baths or Alternative Bathing Techniques | Developed as a guide for PCHs on alternative bathing techniques and to provide bathing options. | Sep 2, 2025 | | | personal-care-home | clinical |
| MNU FTSE Exception Application Form | | Aug 29, 2025 | | | human-resources | forms organizational |
| ORG.1912.PL.013 | Overtime Meal Claims Vouchers | The overtime meal voucher needs to be updated from $10.00 to $12.00 for the MGEU staff due to ratification of MGEU contract. Added in a comment under the policy under important points to consider "as stated on the OT meal voucher form that is issued". | Aug 18, 2025 | | | support-services | food-services organizational |
| ORG.1912.PL.013.FORM.01 | Overtime Meal Voucher | The overtime meal voucher needs to be updated from $10.00 to $12.00 for the MGEU staff due to ratification of MGEU contract. Added in a comment under the policy under important points to consider "as stated on the OT meal voucher form that is issued". | Aug 18, 2025 | | | support-services | food-services forms organizational |
| CLI.8011.PL.024.SD.01.F | Message to Accompany Annual Resident Consent French | | Aug 18, 2025 | | | infection-prevention-and-control | clinical |
| CLI.8011.PL.024.SD.01 | Message to Accompany Annual Resident Consent | | Aug 18, 2025 | | | infection-prevention-and-control | clinical |
| CLI.4510.FORM.004 | Facility Home Care Communication | | Aug 18, 2025 | | | across-hospital-units | clinical forms |
| CLI.5510.SG.001.SD.01 | Contingency Plan Transportation of Equipment Algorithm | | Aug 18, 2025 | | | medical-device-reprocessing | clinical |
| Adult Abuse Registry Check | | Aug 18, 2025 | | | | forms |
| CLI.5510.SG.001 | Contingency Plan Transportation of Equipment | | Aug 18, 2025 | | | medical-device-reprocessing | clinical |
| NS221-Appendix A | Facility Home Care Communication Tool ARCHIVE NOTICE | | Aug 18, 2025 | | | across-hospital-units | clinical |
| CLI.4110.PL.033.SD.01 | Family Presence Policy Poster | | Aug 18, 2025 | | | across-care-areas | clinical |
| Child Abuse Registry Check | | Aug 18, 2025 | | | | forms |
| Child Abuse Registry Check -French | | Aug 18, 2025 | | | | forms |
| CLI.4110.PL.033 | Family Presence | | Aug 18, 2025 | | | across-care-areas | clinical |
| CLI.6410.PL.013.FORM.01 | Resident Escort Information Sheet | Updated to reflect the change to the PCH now contacting Virtual Emergency Care & Transfer Resource Service (VECTRS) instead of Medical Transportation Coordinator Centre (MTCC) when setting up an Inter Facility transfer. Additionally a spot has been added at the bottom of the form to track that the form has been forwarded to payroll and then on to finance for billing resident’s trust account. | Aug 11, 2025 | | | personal-care-home | clinical forms |
| CLI.5610.PL.001.FORM.01.F | Referral Form Adult French | | Aug 8, 2025 | | | mental-health-and-addictions | clinical forms |
| CLI.5610.PL.001.FORM.01 | Referral Form Adult | | Aug 4, 2025 | | | mental-health-and-addictions | clinical forms |
| CLI.5610.PL.001.FORM.02 | Referral Form Child and Adolescent | | Aug 4, 2025 | | | mental-health-and-addictions | clinical forms |
| CLI.5610.PL.001.FORM.02.F | Referral Form Child and Adolescent French | | Aug 4, 2025 | | | mental-health-and-addictions | clinical forms |
| CLI.5610.PL.001.FORM.03 | Referral Form Crisis Services | | Aug 4, 2025 | | | mental-health-and-addictions | clinical forms |
| CLI.5610.PL.001.FORM.03.F | Referral Form Crisis Services French | | Aug 4, 2025 | | | mental-health-and-addictions | clinical forms |
| CLI.5610.PL.001.FORM.04 | Referral Form Seniors Consultation Team | | Aug 4, 2025 | | | mental-health-and-addictions | clinical forms |
| CLI.5610.PL.001.FORM.04.F | Referral Form Seniors Consultation Team French | | Aug 4, 2025 | | | mental-health-and-addictions | clinical forms |
| ORG.1010.PL.005.FORM.01 | Document Development Worksheet | Converted file to fillable PDF | Jul 28, 2025 | | | administration | forms organizational |
| ORG.1810.PL.006 | Recalls and Alerts ARCHIVE NOTICE | | Jul 21, 2025 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.006.SD.01 | Management of a Recall Alert Checklist for Equipment and or Product ARCHIVE NOTICE | | Jul 21, 2025 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.006.SD.03 | Management of a Recall Alert Checklist for Medication ARCHIVE NOTICE | | Jul 21, 2025 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.006.SD.02 | Management of a Recall Alert Checklist for Food ARCHIVE NOTICE | | Jul 21, 2025 | | | quality-planning-and-performance | organizational |
| CLI.6611.PL.003 | Surgical Slating Elective and Emergency | | Jul 14, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.6611.PL.003.FORM.01 | Surgical Slating Elective | | Jul 14, 2025 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.6611.PL.003.FORM.02 | Surgical Slating Emergency | | Jul 14, 2025 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.6611.PL.003.SD.01 | Emergency Surgical Classification Procedure List | | Jul 14, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.4110.PL.029.FORM.07 | New Patient Admission Diet Information Nutrition Care Plan Regional Centres | | Jul 14, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.029 | Diet Orders Diet Changes | | Jul 14, 2025 | | | across-care-areas | clinical |
| CLI.4110.PL.029.FORM.06 | Diet Change Form Portage Regional Health Centre | | Jul 14, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.029.FORM.05 | Diet Change Form Bethesda Regional Health Centre | | Jul 14, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.029.FORM.04 | Diet Change Form Boundary Trails Health Centre | | Jul 14, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.029.FORM.03 | Diet Change Form Acute Community Hospitals | | Jul 14, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.029.FORM.02 | New Patient Admission Diet Information Nutrition Care Plan Acute Community Hospitals | | Jul 14, 2025 | | | across-care-areas | clinical forms |
| CLI.8011.PL.008.FORM.02 | Occupational Health Immunization Intake Form | | Jul 7, 2025 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.008.SD.02 | Occupational Safety and Health Standard Orders | | Jul 7, 2025 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.008.FORM.01 | Confidential Employee Immunization Form | | Jul 7, 2025 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.008.FORM.07 | Staff Immunization Vaccine and Tuberculin Order | | Jul 7, 2025 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.008.FORM.03 | Occupational Health Immunization Review Summary Form | | Jul 7, 2025 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.008 | Occupational Health Immunizations for Health Care Workers | | Jul 7, 2025 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.008.FORM.04 | Occupational Safety and Health Employee Immunization Referral Form | | Jul 7, 2025 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.008.FORM.06 | Positive Tuberculin Skin Test TST Physician Referral Form | | Jul 7, 2025 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.4110.SG.002.FORM.01 | Braden Scale for Predicting Risk of Pressure Injuries | | Jul 7, 2025 | | | across-care-areas | clinical forms |
| CLI.6410.PL.005 | Safe Feeding and Swallowing Program in Personal Care Home and Transitional Care | | Jul 7, 2025 | | | personal-care-home | clinical |
| CLI.6410.PL.005.SD.02 | Obstructed Airway Abdominal Chest Thrust Training Guideline | | Jul 7, 2025 | | | personal-care-home | clinical |
| CLI.8011.PL.008.FORM.08 | Occupational Health Employee Intake Form | | Jul 7, 2025 | | | infection-prevention-and-control | clinical forms |
| ORG.1311.FORM.004 | Miscellaneous Payment Requisition | | Jun 30, 2025 | | | finance | accounts-payable forms organizational |
| CLI.6611.SG.003 | Admission Criteria Same Day Surgery | | Jun 23, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.6611.SG.003.FORM.01 | Pre Operative Record and Same Day Surgery Checklist | | Jun 23, 2025 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.6611. PL.005.SD.05 | Colonoscopy Discharge Instructions Directions | | Jun 23, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.6611.PL.005.SD.04 | Gastroscopy Discharge Instructions Directions | | Jun 23, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.6611.PL.005.SD.03 | Gastrointestinal Endoscopy Pre Procedure and Post Anesthesia Record Directions | | Jun 23, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.6611.PL.005.SD.02 | Gastrointestinal Endoscopy Procedure Record Directions | | Jun 23, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.6611.PL.005.SD.01 | Endoscopy Inadequate Prep Scheduling Algorithm | | Jun 23, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.6611 PL.005.FORM.04 | Colonoscopy Discharge Instructions French | | Jun 23, 2025 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.6611. PL.005.FORM.04 | Colonoscopy Discharge Instructions | | Jun 23, 2025 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.6611. PL.005.FORM.03 | Gastroscopy Discharge Instructions French | | Jun 23, 2025 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.6611.PL.005.SD.04 | Gastroscopy Discharge Instructions | | Jun 23, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.6611.PL.005.FORM.02 | Gastrointestinal Endoscopy Procedure Record | | Jun 23, 2025 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.6611.PL.005.FORM.01 | Gastrointestinal Endoscopy Pre Procedure and Post Anesthesia Record | | Jun 23, 2025 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.6611.PL.005 | Endoscopy | | Jun 23, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.5510.PL.008.FORM 04 | Sterilizer RESULTS Form | | Jun 23, 2025 | | | medical-device-reprocessing | clinical forms |
| CLI.6611.PL.007 | Surgical Site Verification and Marking | | Jun 23, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| ORG.1810.PL.005.FORM.01 | Ethical Decision Making Framework | | Jun 16, 2025 | | | quality-planning-and-performance | forms organizational |
| Provincial Account Request Form | | Jun 16, 2025 | | | information-and-communication-technology | forms |
| ORG.1510.PL.014.FORM.01 | Request for Leave Form | | Jun 16, 2025 | | | human-resources | forms organizational |
| CLI.4110.SG.012.SD.03.F | Compression Stockings FR | | Jun 9, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.012.SD.03 | Compression Stockings | | Jun 9, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.002.SD.05 | Taking the Pressure off Pressure Injury Prevention Pamphlet | | Jun 9, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.012.SD.02 | Managing Your Venous Disease | | Jun 9, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.012.SD.02.F | Managing Your Venous Disease FR | | Jun 9, 2025 | | | across-care-areas | clinical |
| ORG.1912.PL.001 | Purchasing and Receiving Food | Transferred existing documentation to the new template format without making any content revisions. | Jun 9, 2025 | | | support-services | food-services organizational |
| ORG.1111.PL.004.FORM.01 | Translation Form Bilingual | | Jun 9, 2025 | | | french-language-services | forms organizational |
| ORG.1912.PL.003 | Food Handling and Preparation | Transferred existing documentation to the new template format without making any content revisions. | Jun 9, 2025 | | | support-services | food-services organizational |
| CLI.5410.PL.003 | Home Care Referral and Intake Process for Home Care Services | | Jun 9, 2025 | | | home-care | access clinical |
| CLI.5410.PL.003.FORM.05 | Home Care Referral Intake Log | | Jun 9, 2025 | | | home-care | access clinical forms |
| CLI.5410.PL.003.FORM.04 | Home Care Referral and Intake Process Home Care Treatment Clinic Referral | | Jun 9, 2025 | | | home-care | access clinical forms |
| ORG.1912.PL.008 | Meals on Wheels Program | Transferred existing documentation to the new template format without making any content revisions. | Jun 9, 2025 | | | support-services | food-services organizational |
| ORG.1912.PL.005 | Nutrition and Food Services Audit Program | Transferred existing documentation to the new template format without making any content revisions. | Jun 9, 2025 | | | support-services | food-services organizational |
| ORG.1912.PR.001 | Routine Practices Handling Meal Trays | Transferred existing documentation to the new template format without making any content revisions. | Jun 9, 2025 | | | support-services | food-services organizational |
| ORG.1912.PL.002 | Storage of Food Dry Goods and Chemical Supplies | Transferred existing documentation to the new template format without making any content revisions. | Jun 9, 2025 | | | support-services | food-services organizational |
| CLI.4110.SG.012.SD.01 | Lower Leg Compression Options | | Jun 9, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.012.FORM.01 | Compression Treatment Standard Orders | | Jun 9, 2025 | | | across-care-areas | clinical standard-order |
| CLI.4110.SG.012 | Lower Leg Compression | | Jun 9, 2025 | | | across-care-areas | clinical |
| ORG.1912.PL.006.FORM.01 | Catering Requisition | Streamlined the catering requisition process by removing Option 1 – All-Day Meeting Expense – and enhancing overall workflow efficiency
PDF FILLABLE FORMS: due to browsers defaults, you may experience issues viewing or filling out a fillable pdf form. Please download the file on your device prior to using. | Jun 2, 2025 | | | support-services | food-services forms organizational |
| ORG.1511.PL.003.FORM.01 | Exit Interview Survey | | Jun 2, 2025 | | | human-resources | forms organizational recruitment-and-retention |
| CLI.6110.FORM.008 | Dietitian Referral Form Inpatient | The nutrition referral is used by health care providers to refer to the Clinical Dietitians when needed for acute care - inpatients. Typically it is used when another RD covers for them from another site. The form shall provide efficiencies for both the health care provider completing it and the RD when receiving it.
The Regional Centres have been trialing this form for a couple of years. The small acute sites have a blank form that is not specific with this kind of information. It would be helpful for both nursing and RD's to use this regionally and will improve client care. | Jun 2, 2025 | | | primary-health-care | clinical forms |
| CLI.4110.SG.002.SD.10 | Skin Health Help Us Protect Your Skin and Prevent Pressure Injuries Pamphlet | | Jun 2, 2025 | | | across-care-areas | clinical |
| ORG.1511.PL.011 | Relocation Assistance | | Jun 2, 2025 | | | human-resources | organizational recruitment-and-retention |
| CLI.5414.SG.001 | Home Care Attendant Timekeeping Balance Sheet | | Jun 2, 2025 | | | home-care | clinical forms resource-coordination |
| CLI.4510.PL.014.FORM.01 | Restraints Assessment Care Plan Tool Acute Care | | Jun 2, 2025 | | | across-hospital-units | clinical forms |
| CLI.5414.SG.001 | Storage of Home Care Attendant Timesheets Balance Sheets | | Jun 2, 2025 | | | home-care | clinical resource-coordination |
| Wildfire Support for Clinical Staff | | Jun 2, 2025 | | | | job-aid |
| ORG.1511.PL.009 | Employee Recognition | | Jun 2, 2025 | | | human-resources | organizational recruitment-and-retention |
| ORG.1510.SG.002 | Equivalecy of Nursing Students to work as a Health Care Aide Guideline | | Jun 2, 2025 | | | human-resources | organizational |
| ORG.1912.PL.006 | Catering Service and Prices | | May 26, 2025 | | | support-services | food-services organizational |
| Reporting a Schedule of Planned ED Reduction of Standard Hours of Operations | | May 26, 2025 | | | | job-aid |
| Measles Testing Recommendations Acute Care Sites | | May 26, 2025 | | | | job-aid |
| CLI.5810.FORM.072 | Standard Orders Fetal Stillbirth | corrected autopsy process according to Shared Health changes | May 26, 2025 | | | obstetrics | clinical forms standard-order |
| CLI.6710.FORM.001 | Senior Social Prescribing Community Referral Form | | May 19, 2025 | | | seniors-services-community | clinical forms |
| CLI.4110.SG.002.SD.04 | Reactive Support Surface Decision Tree | | May 19, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.002.SD.07 | How to Adjust Your ROHO Cushion | | May 19, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.002 | Pressure Injury Prevention and Treatment | | May 19, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.002.FORM.08 | InterdisciplinaryTeam Pressure Ulcer Safety Huddle Form | | May 19, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.SG.002.SD.02 | Support Surface Mattress Selection Tool | | May 19, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.002.FORM.09 | Turning and Positioning Flow Sheet | | May 19, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.SG.002.SD.06 | Equipment for Offloading Friction and Shear Prevention | | May 19, 2025 | | | across-care-areas | clinical |
| CLI.4510.PL.014 | Restraints in Acute Care Setting | | May 19, 2025 | | | across-hospital-units | clinical |
| CLI.4110.SG.002.FORM.03 | Pressure Injury Prevention and Management Individualized Care Plan Home Care | | May 19, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.SG.002.FORM.02 | Pressure Injury Prevention and Management Intervention Checklist | | May 19, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.SG.002.SD.08 | Pressure Injury Prevention Quick Reference Guide | | May 19, 2025 | | | across-care-areas | clinical |
| ORG.1513.PL.006 | Inclement Weather and Work | | May 19, 2025 | | | human-resources | organizational workplace-safety-and-health |
| CLI.4110.SG.002.SD.03 | Active Support Surface Decision Tree | | May 19, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.002.FORM.11 | Braden Scale Audit Tool | | May 19, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.SG.002.FORM.04 | Braden Scale Standard Care Plan | | May 19, 2025 | | | across-care-areas | clinical forms |
| ORG.1510.PL.013 | Performance Evaluation | | May 19, 2025 | | | human-resources | organizational |
| ORG.1510.PL.018 | Code of Conduct Policy | | May 19, 2025 | | | human-resources | organizational |
| ORG.1513.PL.001 | Violence Prevention Program | | May 19, 2025 | | | human-resources | organizational workplace-safety-and-health |
| ORG.1513.PL.003 | Workplace Safety Health Committees | | May 19, 2025 | | | human-resources | organizational workplace-safety-and-health |
| CLI.4110.SG.002.FORM.05 | Health Care Aide Skin Observation | | May 19, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.SG.002.FORM.06 | Home Care Attendant Skin Observation | | May 19, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.SG.002.FORM.10 | Wound and Skin Discharge Summary Form | | May 19, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.SG.002.FORM.12 | Soaker Pad Audit Tool | | May 19, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.SG.002.SD.01 | Stage 2 3 4 and Unchangeable Pressure Injury Reporting Process Algorithm | | May 19, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.002.FORM.07 | Braden Scale Standard Care Plan for PCH | | May 19, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.SG.002.SD.09 | Pressure Injury Prevention Audit Criteria | | May 19, 2025 | | | across-care-areas | clinical |
| ORG.1513.PL.001.SD.01 | Provincial Healthcare Violence Prevention Program Operational Procedure | | May 19, 2025 | | | human-resources | organizational workplace-safety-and-health |
| ORG.1513.PL.002 | Reasonable Accommodation | | May 19, 2025 | | | human-resources | ability-management organizational workplace-safety-and-health |
| ORG.1513.PL.005 | Reporting and Investigating Serious WSH Incidents | | May 19, 2025 | | | human-resources | organizational workplace-safety-and-health |
| ORG.1510.PL.005 | Respectful Workplace | | May 19, 2025 | | | human-resources | organizational |
| ORG.1513.PL.004 | Right to Refuse Dangerous Work | | May 19, 2025 | | | human-resources | organizational workplace-safety-and-health |
| ORG.1510.PL.010 | Conflict of Interest | | May 19, 2025 | | | human-resources | organizational |
| ORG.1513.PL.007 | Workplace Safety and Health | | May 19, 2025 | | | human-resources | organizational workplace-safety-and-health |
| CLI.4510.PL.014.SD.01 | Restraints Assessment and Care Plan Tool Acute Care Sample | | May 19, 2025 | | | across-hospital-units | clinical |
| CLI.4510.PL.014.FORM.04 | Behavior Mapping Tool Acute Care | | May 19, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.014.FORM.02 | Restraint Consent Form Acute Care | | May 19, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.014.FORM.03 | Restraint Monitoring Record Acute Care | | May 19, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.014.SD.06 | Restraint Audit Criteria Acute Care | | May 19, 2025 | | | across-hospital-units | clinical |
| CLI.4510.PL.014.SD.05.F | Restraints Teaching Handout FR | | May 19, 2025 | | | across-hospital-units | client-teaching-handouts clinical |
| CLI.4510.PL.014.SD.05 | Restraints Teaching Handout | | May 19, 2025 | | | across-hospital-units | client-teaching-handouts clinical |
| CLI.4510.PL.014.SD.04 | Behavior Mapping Tool Acute Care Sample | | May 19, 2025 | | | across-hospital-units | clinical |
| CLI.4510.PL.014.SD.03 | Restraint Monitoring Record Acute Care Sample | | May 19, 2025 | | | across-hospital-units | clinical |
| CLI.4510.PL.014.SD.02 | Restraints Consent Form Acute Care Sample | | May 19, 2025 | | | across-hospital-units | clinical |
| CLI.4110.PL.020.SD.01 | Notification of Letter of Delegation for the Public Guardian and Trustee of Manitoba Client | Adding language about next of kin as directed by MHSL (time sensitive). References updated. | May 12, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.020 | Public Guardian and Trustee of Manitoba Commiteeship | Adding language about next of kin as directed by MHSL (time sensitive). References updated. | May 12, 2025 | | | across-care-areas | clinical |
| CLI.4110.PL.014.SD.03 | Death in the Operating Room | updated links as documents have been developed | May 12, 2025 | | | across-care-areas | clinical |
| CLI.4110.PL.014.SD.02 | Tissue Bank Manitoba Sample Questions to Assess Donation Eligibility | updated links as documents have been developed | May 12, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.020.FORM.02 | Care Plan Annual Review for Clients of the Public Guardian and Trustee as Committee | Adding language about next of kin as directed by MHSL (time sensitive). References updated. | May 12, 2025 | | | across-care-areas | clinical forms |
| CLI.6410.PL.004.FORM.06 | Personal Care Home and Transitional Care Unit Restaint Audit Summary Report | | May 12, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.004.FORM.05 | Personal Care Home and Transitional Care Unit Restraint Audit | | May 12, 2025 | | | personal-care-home | clinical forms |
| After Hours Patient Flow | | May 12, 2025 | | | | job-aid |
| CLI.4110.PL.030 | Capacity Management Protocol | Goal is to facilitate cooperation between stakeholders within SH-SS to support a system approach to capacity management. | May 12, 2025 | | | across-care-areas | clinical |
| CLI.4110.PR.006 | Shrouding of Deceased | No current guideline or direction exists for how and when to shroud deceased | May 12, 2025 | | | across-care-areas | clinical |
| CLI.4110.PR.008.FORM.01 | EDUC Operational Status Notification Form | | May 12, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PR.008 | Reporting Real Time Emergency Department Closures | | May 12, 2025 | | | across-care-areas | clinical |
| CLI.4110.PL.014 | Death in Facility | | May 12, 2025 | | | across-care-areas | clinical |
| CLI.4110.PR.007 | Morgue Access and Release of Deceased | No current guideline or direction exists for how to access the morgue and release of deceased at sites with a morgue. Morgue Status Board – new electronic initiative from Shared Health for HIS program. | May 12, 2025 | | | across-care-areas | clinical |
| IEN Academic Allowance | | May 12, 2025 | | | | job-aid |
| CLI.4510.FORM.003 | Clinical Note Template | Changed number due to archiving existing policy and renamed | May 5, 2025 | | | across-hospital-units | clinical forms |
| CLI.6410.PL.005.FORM.03 | Safe Feeding and Swallowing Program in PCH and Transitional Care Audit Summary | | May 5, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.005.FORM.02 | Safe Feeding and Swallowing Program in PCH and Transitional Care Chart Audit | | May 5, 2025 | | | personal-care-home | clinical forms |
| ORG.1810.PL.005 | Ethical Decision Making | | May 5, 2025 | | | quality-planning-and-performance | organizational |
| Expense Claim MNU 2025-26 | | May 5, 2025 | | | | forms |
| ORG.1810.PL.005.SD.01 | Ethical Decision Making Poster | | May 5, 2025 | | | quality-planning-and-performance | organizational |
| ORG.1010.PL.005.SD.01 | Policy Procedure Standard Guideline Supporting Document and Forms Development and Approval Manual | | Apr 28, 2025 | | | administration | organizational |
| ORG.1010.PL.005 | Policy Procedure Standard Guideline Supporting Document and Forms Development and Approval Process | Templates changed to meet the Accessibility Standards. | Apr 28, 2025 | | | administration | organizational |
| ORG.1010.PL.005.FORM.03 | Procedure Template | Template changed to meet Accessibility Standards | Apr 28, 2025 | | | administration | forms organizational |
| ORG.1010.PL.005.FORM.04 | Standard Guideline Template | Templates changed to meet Accessibility Standards | Apr 28, 2025 | | | administration | forms organizational |
| ORG.1010.PL.005.FORM.02 | Policy Template | Templates changed to meet Accessibility Standards | Apr 28, 2025 | | | administration | forms organizational |
| Quality Service Award Nomination Form | | Apr 24, 2025 | | | human-resources | forms |
| Cultural Resource Toolkit Checklist | | Apr 22, 2025 | | | | forms |
| CLI.4510.PR.002 | Chart Forms Acute Care | | Apr 14, 2025 | | | across-hospital-units | clinical |
| CLI.4110.SG.009 | Take 5 | Updated format to meet accessibility standards, create and include poster and form for use in clinical areas. | Apr 14, 2025 | | | across-care-areas | clinical |
| CLI.4110.SG.009.FORM.01 | Take 5 Form | | Apr 14, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.SG.009.SD.01 | Take 5 Poster | | Apr 14, 2025 | | | across-care-areas | clinical |
| CLI.4510.PR.002.SD.15 | Adult Nursing Admission History Directions | | Apr 14, 2025 | | | across-hospital-units | clinical |
| CLI.5910.PL.008.FORM.01 | Advance Care Planning Goals Of Care Form | formatting changes to signature lines | Apr 14, 2025 | | | palliative-care | clinical forms |
| ORG.1810.PL.005.FORM.02 | Tracking Ethical Dilemma Discussion Form | | Apr 14, 2025 | | | quality-planning-and-performance | forms organizational |
| CLI.4510.PR.002.FORM.24 | Adult Nursing Admission History | | Apr 14, 2025 | | | across-hospital-units | clinical forms |
| ORG.1210.PL.003.FORM.01 | Disaster Management Exercise Debrief and Tracker | | Apr 7, 2025 | | | disaster-management | forms organizational |
| CLI.4110.PL.014.SD.05 | Spiritual, Religious and or Cultural Considerations | | Apr 7, 2025 | | | across-care-areas | clinical |
| CLI.4110.PL.014.FORM.01 | Notification of Death | | Apr 7, 2025 | | | across-care-areas | clinical forms |
| CLI.5510.PL.011.SD.01 | A Point of Use Cleaning at Ward Level | | Apr 7, 2025 | | | medical-device-reprocessing | clinical |
| CLI.5110.PL.011 | Point of Use Cleaning on Units | | Apr 7, 2025 | | | medical-device-reprocessing | clinical |
| Westman Lab Pathology Services Laboratory Requisition | | Apr 7, 2025 | | | across-care-areas | forms |
| CLI.4110.PL.014.FORM.02.F | Consent for Autopsy French | | Apr 7, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.014.FORM.04 | Manitoba Justice Office of the Chief Medical Examiner Personal Care Home Death Report Form | | Apr 7, 2025 | | | across-care-areas | clinical forms |
| St. Boniface Pathology Services Laboratory Requisition | | Apr 7, 2025 | | | across-care-areas | forms |
| ORG.1210.PL.003 | Emergency Preparedness Exercises Education Training | | Apr 7, 2025 | | | disaster-management | organizational |
| Authorization for Release Pathology Specimens | | Apr 7, 2025 | | | across-care-areas | forms |
| ORG.1410.PL.001.FORM.03 | Client Chart Health Record Order Audit Tool PCH and Transitional Care Centres | | Apr 7, 2025 | | | health-information-services | forms health-information organizational |
| Handling of Remains in Perinatal Loss | | Apr 7, 2025 | | | across-care-areas | forms |
| CLI.5910.PL.008 | Advance Care Planning Goals of Care Policy | Added language about next of kin | Apr 7, 2025 | | | palliative-care | clinical |
| CLI.4110.PL.014.SD.04 | Vital Statistics Manitoba Forms Requisition – Fillable | | Apr 7, 2025 | | | across-care-areas | clinical forms |
| Pathology Specimen Release | | Apr 7, 2025 | | | across-care-areas | forms |
| CLI.4110.PL.014.FORM.03 | Necropsy Clinical Data | | Apr 7, 2025 | | | across-care-areas | clinical forms |
| Pathology Services Request for Placental Examination | | Apr 7, 2025 | | | across-care-areas | forms |
| Authorization for Release of Tissue or Remains for Perinatal Loss | | Apr 7, 2025 | | | across-care-areas | forms |
| CLI.5910.PL.008.SD.01 | Advance Care Planning Sharing Your Wishes | Added language about next of kin | Apr 7, 2025 | | | palliative-care | clinical |
| CLI.4110.PL.014.FORM.02 | Consent for Autopsy | | Apr 7, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.014.SD.01 | Death Documentation Package Checklist of Forms | | Apr 7, 2025 | | | across-care-areas | clinical |
| ORG.1210.PL.001.SD.01 | Site Leadership Disaster Management Responsibilities | | Apr 7, 2025 | | | disaster-management | organizational |
| ORG.1210.PL.001.FORM.01 | Disaster Management After Action Report | | Apr 7, 2025 | | | disaster-management | forms organizational |
| ORG.1210.PL.004.SD.01 | Instructions for Employee Opt In for Additional Alerts | RAVE | | Apr 7, 2025 | | | disaster-management | organizational |
| ORG.1210.PL.001 | Emergency Preparedness | | Apr 7, 2025 | | | disaster-management | organizational |
| ORG.1210.PL.004 | Emergency Preparedness Use of Mass Notification Alerts | | Apr 7, 2025 | | | disaster-management | organizational |
| CLI.6611.PL.001 | Humidity Management Perioperative | | Mar 31, 2025 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.6611.PL.001.FORM.01 | Humidity Record | | Mar 31, 2025 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.6611.PL.001.FORM.02 | Medical Device Reprocessing Humidity Record | | Mar 31, 2025 | | | perioperative | clinical forms |
| CLI.5410.PL.004 | Eligibility for Home Care | | Mar 31, 2025 | | | home-care | access clinical |
| Disaster Mock or Full Scale Exercises Debrief | DASHBOARD | | Mar 31, 2025 | | | disaster-management | |
| ORG.1310.FORM.001 | Employee Expense Claim Effective February 16 2025 | | Mar 24, 2025 | | | finance | forms organizational |
| CLI.4110.PL.031.SD.06 | Bed Rail Safety Risk Assessment Tool | minor formatting changes | Mar 24, 2025 | | | across-care-areas | clinical |
| CLI.4510.PR.002.FORM.10 | Medication Administration Record MAR PRN | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.SD.10 | Medication Administration Record MAR PRN Directions | | Mar 17, 2025 | | | across-hospital-units | clinical |
| CLI.4510.PR.002.SD.08 | Medication Administration Record MAR STAT and Non Recurring Medications Directions | To support implementation of new provincial high alert medication list | Mar 17, 2025 | | | across-hospital-units | clinical |
| CLI.4510.PR.002.FORM.08 | Medication Administration Record MAR STAT and Non Recurring Medications | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.6410.PL.002.FORM.01.F | Pre admission Admission History Form FR | | Mar 17, 2025 | | | personal-care-home | clinical forms |
| CLI.4110.PL.015.FORM.23 | Pharmacy Notification Form for cMAR Discrepancy or Change | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.SD..14 | Medication Administration Record Scheduled Patch Application and Removal Directions | | Mar 17, 2025 | | | across-hospital-units | clinical |
| CLI.4110.PL.015 | Safe Medication Administration | Adding content for computer-generated Medication Administration Record (cMAR) related to regional implementation as well as Pharmacy related accreditation updates. | Mar 17, 2025 | | | across-care-areas | clinical |
| CLI.6010.SG.004.FORM.03 | Heparin Infusion Flowsheet | | Mar 17, 2025 | | | pharmacy | clinical forms |
| CLI.4510.PR.002.FORM.21 | Medication Administration Record MAR STAT and Non Recurrent portrait cMAR | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.FORM.20 | Medication Administration Record MAR STAT and Non Recurrent landscape cMAR | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.FORM.14 | Medication Administration Record MAR PRN 7 Day cMAR | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.SD.09 | Medication Administration Record Scheduled Directions | To support implementation of the new provincial high alert medication list | Mar 17, 2025 | | | across-hospital-units | clinical |
| CLI.4510.PR.002.FORM.09 | Medication Administration Record Scheduled | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.FORM.18 | Medication Administration Record MAR PRN Monthly cMAR | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.FORM.17 | Medication Administration Record MAR Scheduled 24 hour cMAR | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.FORM.16 | Medication Administration Record MAR PRN 24 hour cMAR | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.FORM.15 | Medication Administration Record MAR Scheduled 7 Day cMAR | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.FORM.19 | Medication Administration Record MAR Scheduled Monthly cMAR | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.4110.PL.015.FORM.22 | Continuous Intravenous IV Infusion Flowsheet | | Mar 17, 2025 | | | across-hospital-units | clinical forms |
| CLI.6410.PL.002 | Integrated Care Plan for Personal Care Homes and Transitional Care | | Mar 17, 2025 | | | personal-care-home | clinical |
| CLI.5110.PL.009 | Use of Pediatric TREKK Guidelines | To outline the use of TREKK to provide standardized, evidence-based guidelines for pediatric patients that present to Emergency Departments throughout Southern Health-Santé Sud. | Mar 10, 2025 | | | critical-care-er-observation-scu | clinical |
| CLI.4510.SG.008 | Pulmonary Embolism Response Team | provide guidance, information and a standardized process for health care professionals in emergency departments (ED) and inpatient units to identify and manage patients with Intermediate Risk (sub-massive) or High Risk (massive) Pulmonary Embolism (PE) and consulting of Pulmonary Embolism Response Team (PERT). | Mar 10, 2025 | | | across-care-areas | clinical |
| CLI.6010.PL.011 | Medication Order Writing and Processing | | Mar 3, 2025 | | | pharmacy | clinical |
| CLI.8011.PL.024 | Respiratory Virus Season Planning and Response in Personal Care Homes | | Mar 3, 2025 | | | infection-prevention-and-control | clinical |
| CLI.6310.PL.002 | Rehabilitation Services Referral Process for Personal Care Homes | | Mar 3, 2025 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.PL.002.FORM.01 | Rehabilitation Services PCH Referral Form | | Mar 3, 2025 | | | rehabilitation-therapy-services | clinical forms |
| CLI.8011.PL.024.FORM.01 | COVID 19 Influenza Pneumococcal and RSV Immunization Consent Form | | Mar 3, 2025 | | | infection-prevention-and-control | clinical forms |
| CLI.8011.PL.024.FORM.01.F | COVID 19 Influenza Pneumococcal and RSV Immunization Consent Form French | | Mar 3, 2025 | | | infection-prevention-and-control | clinical forms |
| Medical Assessment for LTC Form | | Mar 3, 2025 | | | home-care | case-coordination clinical forms |
| CLI.6310.PL.002.FORM.06 | Rehabilitation Services SLP Assessment Information Script | | Mar 3, 2025 | | | rehabilitation-therapy-services | clinical forms |
| CLI.6310.PL.002.FORM.05 | Rehabilitation Services OT PT Assessment Information Script | | Mar 3, 2025 | | | rehabilitation-therapy-services | clinical forms |
| ORG.1410.PL.202.SD.01 | Retention Schedule for Non Client Records | to reflect changes in The Limitations Act | Feb 24, 2025 | | | health-information-services | health-information organizational |
| ORG.1410.PL.303.FORM.01 | Notice of Lost Destroyed Incomplete Information Form | | Feb 24, 2025 | | | health-information-services | health-information organizational |
| ORG.1410.PL.202 | Retention of Non Client Records | | Feb 24, 2025 | | | health-information-services | organizational |
| CLI.6410.PL.002.FORM.03 | Integrated Care Plan Form | | Feb 24, 2025 | | | personal-care-home | clinical forms |
| ORG.1410.PL.202.SD.02 | Change History Table Retention Schedule for Non Client Records | to track revisions and why | Feb 24, 2025 | | | health-information-services | organizational |
| MNU Full Time Hours Salary Enhancement Part Time Nurse Identification Form | | Feb 19, 2025 | | | human-resources | forms labour-relations |
| CLI.4110.PL.027 | Ultrasound Guided Peripheral Intravenous Insertion | updated list of references | Feb 17, 2025 | | | across-care-areas | clinical |
| CLI.6210.PL.003 | Immunization Management of School Class Lists | Document had minor changes and reflects the updated terms for the immunization program PHIMS which was previously Panorama and new template | Feb 17, 2025 | | | public-health-healthy-living | clinical |
| CLI.6210.PL.005 | Immunization Provision of Immunization Record | minor wording revisions and new template | Feb 17, 2025 | | | public-health-healthy-living | clinical |
| CLI.6010.SG.002 | Adult Gentamicin Tobramycin Monitoring and Dosing | | Feb 17, 2025 | | | pharmacy | clinical |
| CLI.8011.SG.004 | Occupational Health Infectious Disease and Upper Extremity Supportive Device Work Restrictions | | Feb 10, 2025 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.6410.SG.004.SD.01 | Oral Nutrition Supplement ONS Program Implementation Checklist Personal Care Home | | Feb 10, 2025 | | | personal-care-home | clinical |
| CLI.6410.SG.004.SD.02 | Oral Nutrition Supplement ONS Program Education Handout Personal Care Home | | Feb 10, 2025 | | | personal-care-home | clinical |
| CLI.6410.SG.004 | Oral Nutrition Supplement ONS Program Personal Care Home | To support implementation of a supplement program in PCH's and to reference the implementation checklist and education handout as needed. | Feb 10, 2025 | | | personal-care-home | clinical |
| CLI.5410.PL.005.SD.01 | Home Care Smoking Cannabis for Medical Purposes | | Feb 10, 2025 | | | home-care | access clinical forms |
| CLI.5410.PL.006.SD.01 | Home Care Smoking Vaping Cigarette Cigar and eCigarette – Bilingual | | Feb 10, 2025 | | | home-care | access clinical forms |
| CLI.6410.PL.034.FORM.01 | Informed Consent Form for Use of Non Child Resistant Medication Packaging | | Feb 10, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.034 | Resident Leave of Absences | | Feb 10, 2025 | | | personal-care-home | clinical |
| ORG.1810.PL.010.SD.10 | Mandatory Reporting Poster | | Feb 10, 2025 | | | quality-planning-and-performance | organizational |
| CLI.8011.SG.004.SD.01 | Illness Restrictions Precaution Table | | Feb 10, 2025 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.004.FORM.02 | Outbreak Report | | Feb 7, 2025 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.6410.PL.002.SD.02 | Goals of Care Resource Guide | | Feb 4, 2025 | | | personal-care-home | clinical |
| CLI.6410.PL.002.FORM.09 | Interdisciplinary Quarterly Care Plan and Restraints Review | | Feb 4, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.002.FORM.07 | Nutrition Assessment Form | | Feb 4, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.002.FORM.01 | Pre admission Admission History Form | | Feb 4, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.002.FORM.05 | Delivery of Care Record | | Feb 4, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.002.FORM.06 | Current System Assessment | | Feb 4, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.002.SD.01 | Completion of Integrated Care Plan Reference Guide | | Feb 4, 2025 | | | personal-care-home | clinical |
| CLI.6410.PL.002.FORM.04 | Clinical Record Form | | Feb 4, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.002.FORM.08 | Therapeutic Recreaton Activity Assessment | | Feb 4, 2025 | | | personal-care-home | clinical forms |
| CLI.4110.PL.009.FORM.01 | Subcut Line Identification Sticker | | Feb 4, 2025 | | | across-care-areas | clinical forms |
| CLI.4110.PL.009 | Subcutaneous Insertion Removal Medication Preparation Administration and Fluid Administration | Policy was due for updating and to conform to the accessibility standard. | Feb 4, 2025 | | | across-care-areas | clinical |
| CLI.6410.PL.002.FORM.10 | Integrated Care Plan Review Form | | Feb 4, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.002.FORM.02 | Resident Contact Information Form | | Feb 4, 2025 | | | personal-care-home | clinical forms |
| CLI.4110.PL.009.SD.02 | Giving medicines using a Subcutaneous Butterfly | | Feb 4, 2025 | | | across-care-areas | clinical |
| CLI.4110.PL.009.SD.01 | How to Insert a Subcutaneous Line | | Feb 4, 2025 | | | across-care-areas | clinical |
| CLI.6010.PL.048.FORM.01 | Total Parenteral Nutrition Standard Orders | Updated standard orders to reflect the following changes: updated form number for Subcutaneous Insulin Correction Standard Order form number; updated section on CVAD | Feb 4, 2025 | | | pharmacy | clinical forms standard-order |
| CLI.6010.PL.048 | Adult Total Parenteral Nutrition through a Central Venous Access Device: Administration and Maintenance | | Feb 4, 2025 | | | pharmacy | clinical |
| CLI.5413.SG.001.FORM.03 | Re Assessment Form for Long Term Care Applicants | | Jan 31, 2025 | | | home-care | case-coordination clinical forms |
| CLI.5413.SG.001 | Assessment and Application Process for Personal Care Home Supportive Housing and Chronic Care | | Jan 31, 2025 | | | home-care | case-coordination clinical |
| CLI.5810.PL.003 | Body Mass Index in Pregnancy | | Jan 31, 2025 | | | obstetrics | clinical |
| CLI.6410.PL.036 | Managing Spitting as a Behavioural and Psychological symptom of Dementia | | Jan 31, 2025 | | | personal-care-home | clinical |
| CLI.5810.SG.002.FORM.01 | Fetal Health Surveillance Audit – Hospitals | | Jan 31, 2025 | | | obstetrics | clinical forms |
| CLI.5510.PL.008.SD.01 | Sterilization Failure Algorithm | | Jan 31, 2025 | | | medical-device-reprocessing | clinical |
| CLI.5510.PL.008.FORM.08 | MDR Daily and Weekly Checklist | | Jan 31, 2025 | | | medical-device-reprocessing | clinical forms |
| CLI.5510.PL.008.FORM.07 | Regional MDR Recall of Goods and Tracking Form | | Jan 31, 2025 | | | medical-device-reprocessing | clinical forms |
| CLI.5510.PL.008.FORM.06 | Equipment Maintenance Report | | Jan 31, 2025 | | | medical-device-reprocessing | clinical forms |
| CLI.5510.PL.008.FORM.05 | Ultrasonic Daily Testing Form | | Jan 31, 2025 | | | medical-device-reprocessing | clinical forms |
| CLI.5510.PL.008.FORM.03 | Inventory of Reusable Medical Devices for Sterilizing | | Jan 31, 2025 | | | medical-device-reprocessing | clinical forms |
| CLI.5510.PL.008.FORM.02 | Manual Instrument Tracking System | | Jan 31, 2025 | | | medical-device-reprocessing | clinical forms |
| CLI.5510.PL.008.FORM.01 | BTHC Manual Instrument Tracking System | | Jan 31, 2025 | | | medical-device-reprocessing | clinical forms |
| CLI.5510.PL.005 | Sterilization Process Failures and Recalls | | Jan 31, 2025 | | | medical-device-reprocessing | clinical |
| CLI.5510.PL.008 | Reprocessing of Reusable Medical Devices | | Jan 31, 2025 | | | medical-device-reprocessing | clinical |
| CLI.5413.FORM.001.F | Guidelines for Private Seniors Living Residences FR | | Jan 24, 2025 | | | home-care | clinical forms |
| CLI.5413.FORM.002 | Private Seniors Living Residences FAQs | | Jan 24, 2025 | | | home-care | clinical forms |
| CLI.5413.FORM.002.F | Private Seniors Living Residences FAQs FR | | Jan 24, 2025 | | | home-care | clinical forms |
| CLI.5413.FORM.001 | Guidelines for Private Seniors Living Residences | | Jan 24, 2025 | | | home-care | clinical forms |
| CLI.6410.PL.004 | Restraints in Personal Care Homes and Transitional Care Units | | Jan 24, 2025 | | | personal-care-home | clinical |
| CLI.5810.FORM.017 | Birthing Wishes | | Jan 24, 2025 | | | obstetrics | clinical forms |
| CLI.6410.PL.004.FORM.07 | Personal Care Home and Transitional Care Unit Emergency Restraint Monitoring Record | | Jan 24, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.004.FORM.03 | Personal Care Home and Transitional Care Unit Emergency Restraint Tool | | Jan 24, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.004.FORM.02 | Personal Care Home and Transitional Care Unit Interim Restraint Assessment Tool | | Jan 24, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.004.FORM.01 | Personal Care Home and Transitional Care Unit Restraint Assessment Tool | | Jan 24, 2025 | | | personal-care-home | clinical forms |
| CLI.6410.PL.004.FORM.04 | Personal Care Home and Transitional Care Unit Restraint Care Plan | | Jan 24, 2025 | | | personal-care-home | clinical forms |
| CLI.5810.FORM.017.FR | Birthing Wishes French | | Jan 24, 2025 | | | obstetrics | clinical forms |
| CLI.5413.SG.001.Form.01 | Application Assessment for LTC Panel Presentation Form | | Jan 17, 2025 | | | home-care | case-coordination clinical forms |
| CLI.5413.SG.001.Form.02 | Application for Personal Care Home Checklist | | Jan 17, 2025 | | | home-care | case-coordination clinical forms |
| ORG.1110.PL.002.SD.01 | Graphic Standards Manual | Added additional information re. Alt Text to support accessibility standards | Jan 14, 2025 | | | communications | organizational |
| CLI.6410.PL.019.FORM.01 | Change of Circumstance Form | | Jan 10, 2025 | | | personal-care-home | clinical forms |
| Manitoba Guidelines for Perinatal Testing and Administration | | Jan 7, 2025 | | | obstetrics | clinical |
| Manitoba RH Program Obstetrics | | Jan 7, 2025 | | | obstetrics | clinical |
| CLI.5810.FORM.023 | Medication Administration Record MAR STAT and Non Recurrent Medications POSTPARTUM | Pharmacy collaboration to update Obstetrical MARS format/template in preparation for transition to CMAR. These updated MARS will be available in print form until CMAR program includes Obstetrical MARS | Jan 1, 2025 | | | obstetrics | clinical forms |
| CLI.5810.FORM.020 | Medication Administration Record MAR STAT and Non Recurrent Medications LABOUR and DELIVERY | Pharmacy collaboration to update Obstetrical MARS format/template in preparation for transition to CMAR. These updated MARS will be available in print form until CMAR program includes Obstetrical MARS | Jan 1, 2025 | | | obstetrics | clinical forms |
| CLI.4110.FORM.004 | Job Aid Template | A tool or guide that is used to provide instruction/direction on how to complete a task or outlines a workflow process at the program, facility or unit level. Sometimes these are also referred to as ‘Standard Operating Procedures’ or ‘SOPs’, terminology may vary from program to program or facility to facility | Jan 1, 2025 | | | across-care-areas | clinical forms |
| CLI.5810.FORM.018 | Medication Administration Record (MAR) STAT and Non-Recurrent Medications PRE-OPERATIVE CESAREAN SECTION | Pharmacy collaboration to update Obstetrical MARS format/template in preparation for transition to CMAR. These updated MARS will be available in print form until CMAR program includes Obstetrical MARS | Jan 1, 2025 | | | obstetrics | clinical forms |
| CLI.5810.FORM.021 | Medication Administration Record (MAR) SCHEDULED Medications and Infusions LABOUR and DELIVERY | Pharmacy collaboration to update Obstetrical MARS format/template in preparation for transition to CMAR. These updated MARS will be available in print form until CMAR program includes Obstetrical MARS | Jan 1, 2025 | | | obstetrics | clinical forms |
| CLI.4110.SG.006 | Blood Glucose Monitoring Skin Puncture Method | Update policy as greater than 3 years since last review. Reflects updated Accreditation requirements - keep QC records for 2 years, add regular education for nurses - SD to add in 2025. Streamlined from original to include Elsevier resources and links to existing SH-SS policies for action required for results. | Dec 30, 2024 | | | across-care-areas | clinical |
| CLI.4110.SG.006.FORM.01 | Nova Glucometers Quality Control Record | | Dec 30, 2024 | | | across-care-areas | clinical forms |
| NS-2202.000 | Reprocessing Of Flexible Endoscopes 180 Series | | Dec 30, 2024 | | | medical-device-reprocessing | clinical |
| CLI.5510.PL.004 | Reprocessing of Flexible Endoscope | Minimize patient risk and prevent healthcare associated transmission of micro-organisms.
Endoscopes are delicate, expensive equipment that require handling by knowledgeable staff. | Dec 30, 2024 | | | medical-device-reprocessing | clinical |
| CLI.5510.PL.004.FORM.01 | Scope Reprocessing and Cabinet Cleaning Form | Minimize patient risk and prevent healthcare associated transmission of micro-organisms.
Endoscopes are delicate,expensive equipment that require handling by knowledgeable staff. | Dec 30, 2024 | | | medical-device-reprocessing | clinical forms |
| CLI.5510.PL.004.SD.01 | Scope Reprocessing and Cabinet Cleaning Form Sample | Minimize patient risk and prevent healthcare associated transmission of micro-organisms.
Endoscopes are delicate,expensive equipment that require handling by knowledgeable staff. | Dec 30, 2024 | | | medical-device-reprocessing | clinical |
| CLI.4110.PL.032 | Secure Messaging for Patient Care | | Dec 30, 2024 | | | across-care-areas | clinical |
| CLI.6010.PL.016.SD.01 | Medication Automatic Substitution List Acute Care Adult | Added LMWH - dalteparin AND methotrexate sections (includes dose banding) | Dec 30, 2024 | | | pharmacy | clinical |
| ORG.1910.SG.002 | Kitchen Cleaning | New-keeping staff and clients safe by maintaining a clean and sanitary kitchen by following Public Health and Manitoba Health Standards | Dec 18, 2024 | | | support-services | housekeeping organizational |
| ORG.1912.PL.009 | Standardized Recipes | Added #5 in the guideline. New document is Added #5 in the guideline; Regional Portion Guidelines for preparing and serving meals to clients | Dec 18, 2024 | | | support-services | food-services organizational |
| ORG.1912.PL.009.SD.01 | Regional Portion Guidelines | New document is ORG.1912.PL.009.SD.01 Regional New portion guidelines for preparing and serving meals to clients. | Dec 18, 2024 | | | support-services | food-services organizational |
| CLI.4510.PL.013 | Transfer of Patients Requiring Trained Escorts Acute Care | New policy to meet inpatient accreditation standard 4.5 | Dec 17, 2024 | | | across-hospital-units | clinical |
| CLI.4410.PL.013.SD.01 | Patient Escort Information Sheet Form Sample | | Dec 17, 2024 | | | across-hospital-units | clinical |
| CLI.4510.PL.013.FORM.01 | Patient Escort Information Sheet Form | | Dec 17, 2024 | | | across-hospital-units | clinical forms |
| CLI.4510.SG.006.FORM.01 | Acute Coronary Syndrome ACS Suspected Standard Orders | New Clinical Tools have potential to improve Emergency Department patient services/patient safety, improve ED workflow efficiency and allow for greater nurse autonomy/job satisfaction | Dec 17, 2024 | | | across-hospital-units | clinical forms |
| ORG.1411.SG.003 | Secondary Use of Personal Health Information | | Dec 16, 2024 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.508 | Disclosure of Information to Affiliated Foundations | | Dec 16, 2024 | | | health-information-services | organizational privacy-and-access |
| ORG.1913.PR.001 | Tube Feed Pump Equipment Management | Removed the name of contracted Tube-Feed Pumps, and created a more efficient process for transferring and tracking TF pumps. The number and location of pump storage has changed, therefore procedure required updating.
Added a new Supporting Document - sign in sign out sheet to support process. | Dec 16, 2024 | | | support-services | organizational physical-plant |
| ORG.1410.PL.002.FORM.03 | Reinstatement of Privileges | changing VP Medical to Regional Lead-Medical Services & CMO | Dec 16, 2024 | | | health-information-services | forms health-information organizational |
| ORG.1410.PL.002.FORM.01 | Notice of Suspension To Physician | changing VP Medical to Regional Lead-Medical Services & CMO | Dec 16, 2024 | | | health-information-services | forms health-information organizational |
| ORG.1410.PL.002.FORM.02 | Notice of Suspension to Inform Health Information Services Nursing Units | changing VP Medical to Regional Lead-Medical Services & CMO | Dec 16, 2024 | | | health-information-services | forms health-information organizational |
| ORG.1410.PL.003 | Management of Incomplete Health Records | Renamed/revised policy to address alternatives and timelines to managing outstanding incomplete health record in prolonged situations not just for medical Staff departure but also noncompliance in accordance with ORG.1410.PL.003 Health Record Completion by Medical Staff | Dec 16, 2024 | | | health-information-services | health-information organizational |
| ORG.1410.PL.003.SD.01 | Incomplete Health Record Notice | | Dec 16, 2024 | | | health-information-services | health-information organizational |
| ORG.1410.PL.002 | Health Record Completion by Medical Staff | | Dec 16, 2024 | | | health-information-services | health-information organizational |
| ORG.1410.PL.002.SD.01 | Completion of Health Records Standards | Completion of Health Records Standards to align with Provincial Medical Council Leadership endorsement of no longer requiring face sheet completion when thorough discharge summaries and OR reports are completed | Dec 16, 2024 | | | health-information-services | health-information organizational |
| ORG.1913.PR.001.FORM.01 | Contracted Tube Feed Pump Sign In Sign Out Form | | Dec 16, 2024 | | | support-services | forms organizational |
| ORG.1110.FORM.015 | Email Signature Template | Updated Land acknowledgment link in signature block | Dec 12, 2024 | | | communications | forms organizational |
| CLI.5412.SG.003.FORM.01 | Vitamin B12 Injection Form | | Dec 11, 2024 | | | home-care | clinical forms nursing |
| CLI.5412.SG.003 | Vitamin B12 Injection | | Dec 11, 2024 | | | home-care | clinical nursing |
| CLI.6410.PL.030 | Complementary and Alternative Therapies in PCH and TCU | | Dec 9, 2024 | | | personal-care-home | organizational |
| CLI.6410.030.SD.01.F | Complementary and Alternative Therapies Information Sheet for Residents and Alternate Decision Makers FRENCH | | Dec 9, 2024 | | | personal-care-home | clinical |
| CLI.6410.030.SD.01 | Complementary and Alternative Therapies Information Sheet for Residents and Alternate Decision Makers | | Dec 9, 2024 | | | personal-care-home | clinical |
| CLI.6410.PL.030.FORM.03 | Indemnification and Hold Harmless Agreement | | Dec 9, 2024 | | | personal-care-home | clinical forms |
| CLI.6410.PL.030.FORM.01 | Consent to Perform a Complementary or Alternative Therapy by an Authorized SHSS Rep | | Dec 9, 2024 | | | personal-care-home | clinical forms |
| CLI.6410.PL.030.FORM.02 | External Healthcare Provider Treatment Notes and Plan of Care | | Dec 9, 2024 | | | personal-care-home | clinical forms |
| ORG.1110.PL.010.FORM.02 | Site content edit request | | Dec 6, 2024 | | | communications | forms organizational |
| ORG.1110.PL.010 | Public and Staff Websites | | Dec 6, 2024 | | | communications | organizational |
| CLI.6010.PL.042 | Acute Care Formulary Review | | Dec 5, 2024 | | | pharmacy | clinical |
| CLI.6010.PL.042.FORM.003 | Drug Review for Formulary Request | | Dec 5, 2024 | | | pharmacy | clinical forms |
| CLI.6010.PL.042.FORM.002 | Formulary Addition Deletion Request Form | | Dec 5, 2024 | | | pharmacy | clinical forms |
| CLI.6010.PL.042.FORM.001 | Non Formulary Drug Approval Request Form | | Dec 5, 2024 | | | pharmacy | clinical forms |
| CLI.6010.PL.042.SD.001 | Non Formulary Medication Orders Algorithm | | Dec 5, 2024 | | | pharmacy | clinical |
| CLI.6010.FORM.003 | Adult Intravenous Iron Administration | | Dec 5, 2024 | | | pharmacy | clinical forms |
| CLI.6010.FORM.014 | Acetaminophen Overdose Treatment Standard Orders | Changed units on page 2 10 mcg/mL to 10 mg/L, removed bicarbonate in the investigations and initial presentation test list as well as the repeat test. | Dec 1, 2024 | | | pharmacy | clinical forms standard-order |
| CLI.5810.PL.011 | Perinatal Loss | updated "remains of stillbirth or neonatal death" section to align with new SharedHealth changes in processes for Forms and Autopsy process. updated guideline onto new SH-SS Guideline template | Nov 29, 2024 | | | obstetrics | clinical |
| CLI.5810.SG.007 | Management of Hypoglycemia in the Neonate | | Nov 29, 2024 | | | obstetrics | clinical |
| CLI.4110.PL.023.SD.02 | Criteria and Checklist for Starting Tube Feeds in Small Acute Facilities | Revised to align with the Provincial Tube Feed Pump conversion | Nov 28, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.023 | Adult Enteral Nutrition Acute and Personal Care Home PCH Clients | Revised to align with the provincial tube feed pump conversion | Nov 28, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.023.SD.01 | Regional Order Guide Tube Feed Supplies for Enteral Nutrition | Revised to align with the Provincial Tube Feed Pump conversion | Nov 28, 2024 | | | across-care-areas | clinical |
| ORG.1410.PL.201.SD.01 | Retention Schedule of Personal Health Information | revision of retention period for paper index cards from permanent to 20 years after the implementation of an electronic ADT. the paper index cards will not serve a business purpose after the minimum retention period. | Nov 21, 2024 | | | health-information-services | organizational |
| Applicant Tracking Screening Tool | | Nov 19, 2024 | | | human-resources | forms |
| CLI.6410.PL.033 | Non forced Care in PCHs and TCUs | | Nov 14, 2024 | | | personal-care-home | clinical |
| CLI.6410.PL.029 | PCH Transportation Costs | | Nov 14, 2024 | | | personal-care-home | clinical |
| CLI.6410.PL.013 | Transfer of Residents Requiring Trained Escorts | | Nov 14, 2024 | | | personal-care-home | clinical |
| CLI.4110.PL.031 | Safe Bed Rail Use in Community | | Nov 13, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.031.SD.05.F | Safe Bed Rail Use Client Family French | | Nov 13, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.031.SD.05 | Safe Bed Rail Use Client Family | | Nov 13, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.031.SD.04 | Sleep Observation Study for Bed Rail Use | | Nov 13, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.031.SD.03 | Bed Rail alternative strategies chart | | Nov 13, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.031.SD.02 | Bed Rail Safety Algorithm | | Nov 13, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.031.SD.01 | Bed Rail and Alternative Equipment | | Nov 13, 2024 | | | across-care-areas | clinical |
| Job Posting Request | | Nov 13, 2024 | | | human-resources | forms |
| CLI.6010.PL.009.FORM.05 | Obstetrical Best Possible Medication History BPMH and Reconciliation Admission and Discharge | removed n/a for faxing to pharmacy | Nov 7, 2024 | | | pharmacy | clinical forms |
| CLI.5510.PL.010.FORM.01 | Sterilization Requalification Record | | Nov 3, 2024 | | | medical-device-reprocessing | clinical forms |
| CLI.5510.PL.010 | Operational Qualification and Requalification of Steam Sterilizer | | Nov 3, 2024 | | | medical-device-reprocessing | clinical |
| CLI.5510.PL.009 | Performance Qualification of Surgical Instrument Sets and Medical Devices | | Nov 3, 2024 | | | medical-device-reprocessing | clinical |
| CLI.6611.FORM.007 | Intraoperative Record | added section for ml under Local Anesthetic and Xylocaine Viscous | Nov 1, 2024 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.5810.PL.005.SD.05 | Intrauterine Resuscitation Techniques | Updated document according to SOGC Guideline and Best Practice. | Nov 1, 2024 | | | obstetrics | clinical |
| CLI.5810.PL.005.SD.04 | Algorithm for Cervical Ripening and Induction of Labour | Updated document according to SOGC Guideline and Best Practice | Nov 1, 2024 | | | obstetrics | clinical |
| CLI.8011.PL.023 | Respiratory Virus Season Planning and Response in Acute Care | IP&C has amalgamated 2 policies to provide clear direction for Acute Care. | Nov 1, 2024 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.5810.PL.002.SD.02 | Misoprostol Titration Protocol | | Nov 1, 2024 | | | obstetrics | clinical |
| CLI.8011.PL.004.FORM.01 | Outbreak Line List | Updated policy and documents to provide clear direction for Acute Care and Personal Care Homes. Community outbreaks no longer included in this policy | Nov 1, 2024 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.5510.PL.009.FORM.01 | Performance Qualification Record | | Nov 1, 2024 | | | medical-device-reprocessing | clinical forms |
| CLI.4110.PL.030.SD.04.F | Interfacility Transfer Poster French | Goal is to facilitate cooperation between stakeholders within SH-SS to support a system approach to capacity management. | Nov 1, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.030.SD.04 | Interfacility Transfer Poster | Goal is to facilitate cooperation between stakeholders within SH-SS to support a system approach to capacity management. | Nov 1, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.030.SD.03 | Interfacility Transfer Communication Pathway Algorithm | Goal is to facilitate cooperation between stakeholders within SH-SS to support a system approach to capacity management. | Nov 1, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.030.SD.02 | Escalation Process Pathway Algorithm | Goal is to facilitate cooperation between stakeholders within SH-SS to support a system approach to capacity management. | Nov 1, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.030.SD.01 | Capacity Management Protocol Actions Specific to Respiratory Virus Season | Goal is to facilitate cooperation between stakeholders within SH-SS to support a system approach to capacity management. | Nov 1, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.030.FORM.02 | Capacity Management Protocol Site Plan Regional Centre | Goal is to facilitate cooperation between stakeholders within SH-SS to support a system approach to capacity management. | Nov 1, 2024 | | | across-care-areas | clinical forms |
| CLI.4110.PL.030.FORM.01 | Capacity Management Protocol Site Specific Plan Community Acute Site | Goal is to facilitate cooperation between stakeholders within SH-SS to support a system approach to capacity management. | Nov 1, 2024 | | | across-care-areas | clinical forms |
| Position Description Template | | Nov 1, 2024 | | | human-resources | forms |
| CLI.5810.PL.005 | Cervical Ripening | | Nov 1, 2024 | | | obstetrics | clinical |
| CLI.5810.Pl.005.SD.01 | Cervical Ripening Bilingual | | Nov 1, 2024 | | | obstetrics | clinical |
| CLI.5810.PL.005.SD.02 | Cervical Ripening handout – German | | Nov 1, 2024 | | | obstetrics | client-teaching-handouts clinical |
| CLI.5810.PL.005.SD.03 | Going Home after Cervical Ripening | | Nov 1, 2024 | | | obstetrics | clinical |
| CLI.5810.PL.002.FORM.01 | Induction Checklist | developed to guide staff and patients on use of oxytocin | Nov 1, 2024 | | | obstetrics | clinical forms |
| CLI.5810.PL.002 | Induction Augmentation of Labour | developed to guide staff and patients on use of Oxytocin | Nov 1, 2024 | | | obstetrics | clinical |
| CLI.5110.SG.009.FORM.01 | Anaphylaxis Standard Orders | removed MTCC contact info with VECTRS | Nov 1, 2024 | | | critical-care-er-observation-scu | clinical forms |
| CLI.5810.SG.007.SD.02 | Canadian Pediatric Society Management Hypoglycemia Algorithm | | Nov 1, 2024 | | | obstetrics | clinical |
| CLI.5810.SG.007.SD.01 | Measuring Insturctions for Glucose Gel for Newborns | | Nov 1, 2024 | | | obstetrics | clinical |
| CLI.8011.PL.004 | Outbreak Management Respiratory including Influenza and COVID 19 and Gastrointestinal | Updated policy and documents to provide clear direction for Acute Care and Personal Care Homes. Community outbreaks no longer included in this policy | Nov 1, 2024 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.5810.FORM.026 | Medication Administration Record MAR SCHEDULED 7 Day NEWBORN | | Nov 1, 2024 | | | obstetrics | clinical forms |
| CLI.5810.FORM.025 | Medication Administration Record MAR STAT and Non Recurrent Medications NEWBORN | | Nov 1, 2024 | | | obstetrics | clinical forms |
| CLI.5810.FORM.024 | Medication Administration Record MAR PRN 7 Day POSTPARTUM | | Nov 1, 2024 | | | obstetrics | clinical forms |
| CLI.5810.FORM.022 | Medication Administration Record MAR SCHEDULED 7 Day PERINATAL | | Nov 1, 2024 | | | obstetrics | clinical forms |
| CLI.5810.FORM.019 | Medication Administration Record MAR PRN 7 Day LABOUR and DELIVERY | | Nov 1, 2024 | | | obstetrics | clinical forms |
| CLI.6010.PL.008 | Patients Own Medications | Added section/process for PCH and changed the name | Oct 24, 2024 | | | pharmacy | clinical |
| CLI.6010.PL.016.SD.02 | PCH Automatic Substitution List | | Oct 24, 2024 | | | pharmacy | clinical |
| ORG.1410.PL.201.FORM.01 | Record of Destruction Log | | Oct 10, 2024 | | | health-information-services | forms organizational |
| ORG.1410.PL.201 | Retention and Destruction of Personal Health Information | Removed retention period for blood and blood products - to follow minimum retention period of discharges - therefore step to purge record for same was deleted. removed statement that records may be kept longer if space available. | Oct 10, 2024 | | | health-information-services | health-information organizational |
| ORG.1411.SG.002 | Disclosure of Personal Health Information for Review by Health Care Professionals and or a Professional Regulatory Body | To provide direction when a request is received by a Health Care Professional's legal counsel for the disclosure of personal health information. | Oct 10, 2024 | | | health-information-services | organizational privacy-and-access |
| CLI.8011.FORM.002 | Chickenpox Shingles Screening Checklist | tool was designed to provide explanation to staff and give the knowledge required to provide safe patient care and ensure safe practices to staff | Oct 9, 2024 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.4510.PR.002.FORM.13 | Prescriber Order Sheet | added DNUA table | Oct 1, 2024 | | | across-hospital-units | clinical forms |
| CLI.6010.FORM.020 | LTC Paxlovid Standard Order | | Oct 1, 2024 | | | pharmacy | clinical forms standard-order |
| CLI.5810.PL.002.SD.01.F | Oxytocin to Start or Advance Labour 5 Questions to Ask French | | Sep 23, 2024 | | | obstetrics | clinical |
| CLI.5810.PL.002.SD.01 | Oxytocin to Start or Advance Labour 5 Questions to Ask | | Sep 23, 2024 | | | obstetrics | clinical |
| CLI.5810.PL.002.FORM.04 | Misoprostol Safety Checklist | | Sep 23, 2024 | | | obstetrics | clinical forms |
| CLI.5810.PL.002.FORM.03 | Pre and In Use Oxytocin Safety Checklist | | Sep 23, 2024 | | | obstetrics | clinical forms |
| CLI.5510.PL.006 | Reprocessing of Flexible Endoscope in the event the Automatic Endoscope Reprocessor is not functioning | To ensure equipment is not functioning, proper manual cleaning and disinfecting prior to the storage of scope is required. | Sep 23, 2024 | | | medical-device-reprocessing | clinical |
| CLI.5510.PL.006.FORM.01 | Manual Endoscope Reprocessing Form | To ensure equipment is not functioning, proper manual cleaning and disinfecting prior to the storage of scope is required. | Sep 23, 2024 | | | medical-device-reprocessing | clinical forms |
| CLI.5510.PL.003 | Presoak of the Flexible Endoscopes Following Excessive Bleeding and or Delayed Reprocessing | To ensure proper cleaning and reprocessing of Endoscopes for patient safety | Sep 23, 2024 | | | medical-device-reprocessing | clinical |
| CLI.5510.PL.002.SD.01 | Inter MDR Transportation of Instrumentation Guide | Best Practices for transporting clean and sterile supplies to ensure safety staff and patients. | Sep 23, 2024 | | | medical-device-reprocessing | clinical |
| CLI.5510.PL.002.FORM.02 | MDR Interdepartmental Instrument Tracking | Best Practices for transporting clean and sterile supplies to ensure safety staff and patients. | Sep 23, 2024 | | | medical-device-reprocessing | clinical forms |
| CLI.5510.FORM. 01 | Endoscope Log | Tracking record required for reprocessing endoscopes | Sep 23, 2024 | | | medical-device-reprocessing | clinical forms |
| CLI.5510.PL.002 | Transportation of Clean and Sterile Supplies | Best Practices for transporting clean and sterile supplies to ensure safety staff and patients. | Sep 23, 2024 | | | medical-device-reprocessing | clinical |
| CLI.5510.PL.001 | Loaned Shared or Leased Critical Semi Critical Medical Devices | Best Practices for having surgical equipment available for patient safety | Sep 23, 2024 | | | medical-device-reprocessing | clinical |
| CLI.5510.PL.001.FORM.01 | Loaner Communication Record | Best Practices for having surgical equipment available for patient safety | Sep 23, 2024 | | | medical-device-reprocessing | clinical forms |
| CLI.5910.PL.007.FORM.01 | Palliative Care Standard Orders Form | | Sep 22, 2024 | | | palliative-care | clinical forms standard-order |
| CLI.6210.SG.008 | Public Health Response to Animal Exposures to Prevent Human Rabies Guideline | Document and process in need of review and update. | Aug 30, 2024 | | | public-health-healthy-living | clinical |
| ORG.1810.PL.001.FORM.01 | Safety Event Report | Update after hours information under Notifications section of report | Aug 28, 2024 | | | quality-planning-and-performance | forms organizational |
| CLI.4110.PL.029.FORM.01 | Diet Change Form Personal Care Home | Improve accuracy of diet information. Have diet information written and reduce risk of error. Streamlined/Regionalized the forms. | Aug 27, 2024 | | | across-care-areas | clinical forms |
| ORG.1110.PL.003 | Media Relations and Requests | | Aug 26, 2024 | | | communications | organizational |
| Template Activity Description | | Aug 14, 2024 | | | human-resources | forms |
| PCH Tracking Sheet for Narcotic Returns | | Aug 8, 2024 | | | pharmacy | forms |
| CLI.8011.PL.022.SD.02.F | Carbapenemase Producing Enterobacteriaceae CPE Fact Sheet French | Harmonizing policy. To provide direction from SH-SS staff in caring for ARO positive/suspect clients across all care areas. | Aug 1, 2024 | | | infection-prevention-and-control | clinical |
| CLI.8011.PL.022.SD.02 | Carbapenemase Producing Enterobacteriaceae CPE Fact Sheet | Harmonizing policy from other regions. To provide direction to SH-SS staff in caring for ARO positive/suspect clients across all care areas. | Aug 1, 2024 | | | infection-prevention-and-control | clinical |
| CLI.8011.PL.022.SD.01.F | Methicillin Resistent Staphylococcus aureus MRSA Fact Sheet French | Harmonizing policies to provide direction to SH-SS staff in caring for ARO positive/suspect clients across all care areas. | Aug 1, 2024 | | | infection-prevention-and-control | clinical |
| CLI.8011.PL.022.SD.01 | Methicillin Resistent Staphylococcus aureus MRSA Fact Sheet | Harmonizing policies to provide direction to SH-SS staff in caring for ARO positive/suspect clients across all care areas. | Aug 1, 2024 | | | infection-prevention-and-control | clinical |
| CLI.8011.PL.022 | Management of Antimicrobial Resistant Organisms AROs | Harmonizing policy. To provide direction for SH-SS staff in caring for ARO positive/suspect clients across all care areas. | Aug 1, 2024 | | | infection-prevention-and-control | clinical |
| ORG.1110.PL.002.FORM.01 | Communication Support Request | | Aug 1, 2024 | | | communications | forms organizational |
| CLI.6010.FORM.004 | Pharmacy Order Form Public Health Anaphylaxis Kits | | Aug 1, 2024 | | | pharmacy | clinical forms |
| CLI.5510.FORM.002 | High Level Disinfection Log | Tracking record for following current CSA Standards for High Level Disinfecting instrumentation. | Aug 1, 2024 | | | medical-device-reprocessing | clinical forms |
| CLI.6210.PL.004 | Immunization – Investigations – Public Health Information Management System PHIMS Access via Terms of Use Agreement | Update required and new language to be used in identifying new system in use for immunizations and investigations (Panorama is now referred to as PHIMS) | Jul 30, 2024 | | | public-health-healthy-living | clinical |
| CLI.6210.PL.004.SD.01 | Downtime and Recovery Procedures for PHIMS | Update required and new language to be used in identifying new system in use for immunizations and investigations (Panorama is now referred to as PHIMS) | Jul 30, 2024 | | | public-health-healthy-living | clinical |
| CLI.6310.FORM.002 | Inpatient Referral | Rehabilitation Services Inpatient Referral Form
revised to include under the Occupational Therapy column - high falls risk as indicated by "Falls Risk Assessment and Interventions for Inpatients" tool | Jul 30, 2024 | | | rehabilitation-therapy-services | clinical forms |
| CLI.4110.SG.013.FORM.01 | Wound Assessment and Treatment Form | | Jul 22, 2024 | | | across-care-areas | clinical forms |
| Wound Consult Form | | Jul 18, 2024 | | | infection-prevention-and-control | forms |
| Return to Work Schedule | | Jul 16, 2024 | | | human-resources | ability-management forms |
| ORG.1710.PL.010.FORM.04 | Driver Fitness Declaration | | Jul 15, 2024 | | | logistics-and-supply-chain-management | organizational |
| ORG.1411.PL.002.SD.01 | Request for Access Response Coordination Process Flow Chart | Policy revised to reflect amendments to FIPPA. Procedures included in ORG.1411.PR.001 & name changed to reflect same. Supporting document updated and name changed from FIPPA Process Overview April 2015 | Jul 8, 2024 | | | health-information-services | organizational privacy-and-access |
| ORG.1410.PL.008 | Control of Health Records | To define guidelines for the removal and return of health records to Health Information Services. Some sites face challenges with records returning in a timely manner. | Jul 8, 2024 | | | health-information-services | health-information organizational |
| ORG.1411.PL.002.FORM.01 | Application for Access Form | Policy revised to reflect amendments to FIPPA. Procedures included in ORG.1411.PR.001 & name changed to reflect same. Supporting document updated and name changed from FIPPA Process Overview April 2015. | Jul 8, 2024 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.002.SD.02 | Third Party Consult Flow Chart | Policy revised to reflect amendments to FIPPA. Procedures included in ORG.1411.PR.001 & name changed to reflect same. Supporting document updated and name changed from FIPPA Process Overview April 2015. | Jul 8, 2024 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PR.002 | Third Party Consultation Process under The Freedom of Information and Protection of Privacy Act | To further provide direction related to the Third Party consultative process under FIPPA. | Jul 8, 2024 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PR.001 | Request for Access Response Coordination Process under The Freedom of Information and Protection of Privacy Act | Created procedure that aligns with amendments to FIPPA. To provide a step by step process for responding to requests to access records under FIPPA. | Jul 8, 2024 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PR.001.FORM.01 | The Freedom Information and Protection of Privacy Act Communication Template | Created procedure that aligns with amendments to FIPPA. To provide a step by step process for responding to requests to access records under FIPPA. | Jul 8, 2024 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.004 | Correction of Personal Information Under The Freedom of Information and Protection of Privacy Act | Revised to reflect amendments to FIPPA and new SH-SS format. | Jul 8, 2024 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.003 | Administration Responsibilities Under The Freedom of Information and Protection of Privacy Act | Update to reflect amendments to FIPPA. New format. | Jul 8, 2024 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.002 | Access to Information and Processing of Requests under FIPPA | Policy revised to reflect amendments to FIPPA. Procedures included in ORG.1411.PR.001 & name changed to reflect same. Supporting document updated and name changed from FIPPA Process Overview April 2015. | Jul 8, 2024 | | | health-information-services | organizational privacy-and-access |
| CLI.4110.SG.013 | Wound Assessment and Treatment Flow Sheet | Guidance for nursing staff on how and when to document on wounds | Jul 3, 2024 | | | across-care-areas | clinical |
| CLI.8011.PL.018.FORM.02 | Healthcare Associated Infection Surveillance Forms – Personal Care Homes | Definitions for healthcare associated infection has been revised | Jul 3, 2024 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.018.FORM.01 | Healthcare Associated Infection Surveillance Form – Acute Care | Definition for healthcare associated infections have been revised. | Jul 3, 2024 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.018 | Surveillance of Healthcare Associated Infections in Acute Care and Personal Care Homes | Definitions for healthcare associated infections have been revised. Policy now reflects the inclusion and roles of the Regional LTC IP&C Nurse and Infection Control Support Associates. | Jul 3, 2024 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.6410.PL.021.FORM.05 | Suicide Risk Assessment in Personal Care Homes Policy Implementation Audit | Additional requirement added | Jul 3, 2024 | | | personal-care-home | clinical forms |
| CLI.6410.PL.021 | Suicide Risk Assessment in Personal Care Homes | Addition of the Policy Audit summary tool and change of audit date | Jul 3, 2024 | | | personal-care-home | clinical |
| CLI.6410.PL.021.FORM.06 | Suicide Risk Assessment in Personal Care Homes Policy Implementation Audit Summary | Created to assist PCHs to summarize audit data for entry into the reporting spreadsheet | Jul 3, 2024 | | | personal-care-home | clinical forms |
| Quality Improvement Plan Template | | Jul 2, 2024 | | | quality-planning-and-performance | forms |
| CLI.4510.PL.008.SD.03 | What You and Your Family Need to Know bilingual handout | One pager was revised to reflect insert QR code here | Jul 2, 2024 | | | across-hospital-units | clinical |
| CLI.5910.PL.001.FORM.01 | Palliative Care Referral Form | | Jun 1, 2024 | | | palliative-care | clinical forms |
| CLI.5910.PL.001.FORM.01.F | Palliative Care Referral Form French | | Jun 1, 2024 | | | palliative-care | clinical forms |
| CLI.6410.PL.001.FORM.02 | Resident Experience Survey Poster | | May 31, 2024 | | | personal-care-home | clinical forms |
| CLI.6410.PL.001.FORM.01 | Resident Experience Survey | | May 30, 2024 | | | personal-care-home | clinical forms |
| CLI.6410.PL.001 | Resident Experience Survey in Personal Care Homes | | May 30, 2024 | | | personal-care-home | clinical |
| CLI.6410.PL.031 | Resident Rights | A guide for PCHs to use regarding residents rights | May 28, 2024 | | | personal-care-home | clinical |
| CLI.6410.PL.031.FORM.01 | Observational Audit Tool Resident Bill of Rights | | May 28, 2024 | | | personal-care-home | clinical forms |
| CLI.6410.PL.001.FORM.01.F | Resident Experience Survey – French | | May 25, 2024 | | | personal-care-home | clinical forms |
| Indigenous Self Declaration 2024 | | May 18, 2024 | | | | forms |
| CLI.6210.PL.002 | Immunization Obtaining and Documenting Informed Consent | | May 15, 2024 | | | public-health-healthy-living | clinical |
| CLI.6110.FORM.003 | Nutrition Assessment Acute Care | | May 3, 2024 | | | primary-health-care | clinical forms |
| Volunteer Reference Check Form | | May 1, 2024 | | | human-resources | forms |
| Template Letter to accompany RCMP | | May 1, 2024 | | | human-resources | forms |
| Template Letter to accompany RCMP – French | | May 1, 2024 | | | human-resources | forms |
| Template Letter to RCMP | | May 1, 2024 | | | human-resources | forms |
| Template Hours of Service Record | | May 1, 2024 | | | human-resources | forms |
| CLI.5810.FORM.051 | Standard Orders Labour and Delivery | Changes to reflect best practice updates. | Apr 29, 2024 | | | obstetrics | clinical forms standard-order |
| CLI.5810.FORM.024 | Perinatal Scheduled Medications and Infusions Medication Administration Record | | Apr 29, 2024 | | | obstetrics | clinical forms |
| CLI.6410.PL.032.FORM.01 | Elopement Risk Scale | | Apr 25, 2024 | | | personal-care-home | clinical forms |
| CLI.6410.PL.032 | Wandering Elopement in Personal Care Homes and Transitional Care Units | Provide direction for PCH/TCU on how to deal with Wandering/Elopement issues | Apr 25, 2024 | | | personal-care-home | clinical |
| New Inventory Item New SKU | | Apr 19, 2024 | | | logistics-and-supply-chain-management | forms |
| Medication Card | | Apr 12, 2024 | | | palliative-care | forms |
| Medication PRN Charting | | Apr 12, 2024 | | | palliative-care | forms |
| SWP Training Sign in Sheet | | Apr 11, 2024 | | | human-resources | forms |
| CLI.4110.PR.003 | Permanent Bed Map Changes | SH-SS is responsible for the planning and coordination of health care services within region. One aspect of this coordination is the development & maintenance of a current bed map to promote an adequate bed base. | Apr 9, 2024 | | | across-care-areas | clinical |
| CLI.4110.PR.004 | Temporary Bed Map Changes | SH-SS is responsible for planning and coordinating the current med map to promote an adequate bed case and to trend bed changes over time. | Apr 9, 2024 | | | across-care-areas | clinical |
| CEO Career Achievement Award Nomination | | Apr 5, 2024 | | | human-resources | forms |
| Service Excellence Team Award Nomination | | Apr 5, 2024 | | | human-resources | forms |
| ORG.1511.PL.012 | Out of Scope Mobility with Employer Organizations | | Apr 2, 2024 | | | human-resources | organizational recruitment-and-retention |
| ORG.1910.PR.062 | Carbolizing of a Maternity Bed | Direction for staff to follow and incorporate methods necessary to sustain the facility’s environment at a level of sanitation and visual appearance,
consistent with the Accreditation Standards, Infection Control and Manitoba Health Standards. | Mar 26, 2024 | | | support-services | housekeeping organizational |
| CLI.6410.PL.009.FORM.02 | Medication Delivery Practice Audit Summary | | Mar 25, 2024 | | | personal-care-home | clinical forms |
| CLI.6410.PL.009.FORM.01 | Medication Delivery Practice Audit Tool | | Mar 25, 2024 | | | personal-care-home | clinical forms |
| CLI.6410.PL.009 | Medication Delivery Practice Audit | | Mar 25, 2024 | | | personal-care-home | clinical |
| CLI.6410.PL.027.FORM.01 | Regional Bathing Log Form Option 1 | | Mar 25, 2024 | | | personal-care-home | clinical forms |
| CLI.6410.PL.027.FORM.02 | Regional Bathing Log Form Option 2 | | Mar 25, 2024 | | | personal-care-home | clinical forms |
| CLI.6410.PL.004.SD.01 | Restaint in Personal Care Home and Transitinal Care Unit Client Teaching Handout | Revised to update current restraints standards and to clearly identified restraints | Mar 25, 2024 | | | personal-care-home | client-teaching-handouts clinical |
| CLI.6410.PL.027.SD.01 | Bathing Flowsheet for Resident in PCH | | Mar 25, 2024 | | | personal-care-home | clinical |
| CLI.6410.PL.027.SD.02 | Alternate Bathing Tech Poster | | Mar 25, 2024 | | | personal-care-home | clinical forms |
| CLI.4110.PL.028 | Overhead Lifts for Community Clients | to define the assessment, eligibility criteria and approval/purchase process | Mar 19, 2024 | | | across-care-areas | clinical |
| CLI.8011.PL.002 | Admission Screening for Antibiotic Resistent Organisms AROs | | Mar 13, 2024 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.002.SD.01 | Antibiotic Resistant Organism Flagging Codes and Required Actions | | Mar 13, 2024 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.002.FORM.01 | Antibiotic Resistent Organisms Admission Screening | | Mar 13, 2024 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.4110.PL.028.FORM.04 | Overhead Lift Tracking Tool | tracking tool for clients and equipment | Mar 8, 2024 | | | across-care-areas | clinical forms |
| CLI.4110.PL.028.FORM.06 | Overhead Lift Afterhours Home Care Rehab Services Troubleshooting Process | afterhours troubleshooting document for overhead lifts | Mar 8, 2024 | | | across-care-areas | clinical forms |
| CLI.4110.PL.028.FORM.05.F | Overhead-Lift-Client-and-Family-Information – French | | Mar 8, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.028.FORM.05 | Overhead Lift Client and Family Information | | Mar 8, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.028.FORM.02 | Overhead lift consent for installation | | Mar 8, 2024 | | | across-care-areas | clinical forms |
| CLI.4110.PL.028.FORM.03 | Overhead Lifts Prioritization Criteria Level of Risk | | Mar 8, 2024 | | | across-care-areas | clinical forms |
| ORG.1810.PL.003.FORM.01 | Compliment and Concern Form | | Mar 1, 2024 | | | quality-planning-and-performance | forms organizational |
| ORG.1810.PL.003 | Compliments and Concerns Management | To simplify the complaint process as there were 19 documents attached to the previous policy. The revised P&P title was modified as Compliments and Concerns Management to improve staff morale, productivity and retention. It has a total of 3 documents. | Mar 1, 2024 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.003.SD.01 | Compliments and Concerns Management Checklist | To simplify the complaint process as there were 19 documents attached to the previous policy. The revised P&P title was modified as Compliments and Concerns Management to improve staff morale, productivity and retention. It has a total of 3 documents. | Mar 1, 2024 | | | quality-planning-and-performance | organizational |
| CLI.4110.PL.028.FORM.07 | Overhead Lift Performance Indicator Tracking | audit process for overhead lifts | Mar 1, 2024 | | | across-care-areas | clinical forms |
| CLI.6110.FORM.007 | Out of Hospital Neonatal Resuscitation Record | Old RHA forms standardized into one form | Mar 1, 2024 | | | primary-health-care | clinical forms |
| CLI.4510.FORM.001 | Central Registration Request Form | Form revised to include the capability to communicate reopening and closing of beds to update EPR, when HIS at sites are not available.
The electronic process was implemented in 2018 to improve efficiency and legibility. The form has been designed to capture required data elements for patient registration received by Central Registration. | Mar 1, 2024 | | | across-hospital-units | clinical forms |
| Manitoba Personal Tax Credit Form Federal | | Feb 28, 2024 | | | human-resources | forms |
| 2024 Manitoba Personal Tax Credit Form | | Feb 28, 2024 | | | human-resources | forms |
| CLI.4110.FORM.001 | BRHC HSAH Adult General Surgery Post Operative Standard Orders | Updated with metroNIDAZOLE dose | Feb 23, 2024 | | | across-care-areas | clinical forms |
| CLI.4110.FORM.003 | Post Operative Adult Urology Standard Orders revised | Updated with metroNIDAZOLE dose | Feb 23, 2024 | | | across-care-areas | clinical forms |
| CLI.6410.PL.017.FORM.02 | Regional Long Term Care Panel Acceptance Letter | | Feb 21, 2024 | | | personal-care-home | clinical forms |
| CLI.4110.PL.028.FORM.01 | Overhead Lift Request Approval | approval form for overhead lifts for community clients | Feb 14, 2024 | | | across-care-areas | clinical forms |
| Mentorship Evaluation | | Feb 12, 2024 | | | | forms |
| CLI.4110.FORM.002 | Hopital Ste.Anne Hospital Urology Surgery Program Thulium Laser Log | Standardizing documentation for staff to use | Feb 1, 2024 | | | across-care-areas | clinical forms |
| ORG.1410.PR.001 | Securing Health Records | | Feb 1, 2024 | | | health-information-services | health-information organizational |
| ORG.1410.PR.001.FORM.02 | Secured Health Records Log | | Feb 1, 2024 | | | health-information-services | forms health-information organizational |
| ORG.1410.PR.001.FORM.01 | Health Record Safekeeping Control Report | | Feb 1, 2024 | | | health-information-services | forms health-information organizational |
| FLS Underfill Request | | Feb 1, 2024 | | | french-language-services | forms |
| ORG.1410.PL.101.SD.01 | Standard Operating Procedure for Recording and Reporting Alternate Level of Care ALC | Added as a supporting document within the ALC Policy- Alternate Level of Care (ALC) to provide support to the health care team in implementing a process change - using the completed ALC designation form to also report ALC in the ADT EPR | Jan 29, 2024 | | | health-information-services | health-information organizational |
| ORG.1410.PL.101.FORM.01 | Alternate Level of Care Designation Record | Standard Operating Procedure Org.1410.PL.101.FORM.02 has been added as a supporting document within the ALC Policy- Alternate Level of Care (ALC) to provide support to the health care team in implementing a process change - using the completed ALC designation form to also report ALC in the ADT EPR | Jan 29, 2024 | | | health-information-services | forms health-information organizational |
| ORG.1410.PL.101 | Alternate Level of Care | Updated provincial ALC designation form ORG.1410.PL.101.FORM.01, which is a supporting document within the policy. Standard Operating Procedure Org.1410.PL.101.FORM.02 has been added as a supporting document to provide support to the health care team in implementing a process change - using the completed ALC designation form to also report ALC in the ADT EPR | Jan 29, 2024 | | | health-information-services | health-information organizational |
| CLI.6010.PL.005 | Automatic Reassessment of Medication Orders | | Jan 25, 2024 | | | pharmacy | clinical |
| CLI.6010.PL.003 | Regional Parenteral Drug Monograph Manual and Use of Infusion SMART Pumps | Revised name to reflect with Use of Infusion SMART Pumps | Jan 25, 2024 | | | pharmacy | clinical |
| CLI.6010.PR.002 | Use of Single and Multi Dose Vials in Patient Care Areas | Slight revisions to existing practice requiring Independent Double Check. | Jan 25, 2024 | | | pharmacy | clinical |
| CLI.6010.PL.015.SD.02 | MAR Example LTC Patch Application and Removal | Impact to clinical practices. slight revisions to existing requiring independent double check. | Jan 25, 2024 | | | pharmacy | clinical |
| CLI.6010.PL.005.SD.01 | MAR Example LTC Warfarin Monitoring | Slight revisions to existing practice requiring independent double check. | Jan 25, 2024 | | | pharmacy | clinical |
| CLI.6010.PL.015 | Narcotics and Controlled Drugs | Impact to clinical practice - slight revisions to existing practice requiring independent double check | Jan 25, 2024 | | | pharmacy | clinical |
| ORG.1912.PL.003.SD.01 | Bringing in Food from Home | | Jan 23, 2024 | | | support-services | food-services organizational |
| CLI.4110.PL.004.SD.01 | Central Venous Access Devices Locking Solutions Guideline | Minor wording correction to policy on page 14, bullet point 8.2.5 for clarity. Adjustment to supporting document to match policy. Updated based on best practice evidence, the most current guidelines and policies from the Canadian Vascular Access Association (CVAA) and Infusion Nurses Society (INS) as well as input from vascular access subject matter experts (SMEs).CLI.4110.PL.004.FORM.01 - Alteplase (Cathflo®) Standard Order- to be discontinued and archived. | Jan 22, 2024 | | | across-care-areas | clinical |
| CLI.4510.PL.008.SD.01 | Patient Handbook English template | Patient Info handbook template as the current version did not meet accessibility standards | Jan 22, 2024 | | | across-hospital-units | clinical |
| CLI.4510.PL.008.SD.02 | Patient Handbook French Template | Patient Info handbook template as the current version did not meet accessibility standards | Jan 22, 2024 | | | across-hospital-units | clinical |
| CLI.4110.PL.004.FORM.01 | Central Venous Access Device Flow Sheet | Updated based on best practice evidence, the most current guidelines and policies from the Canadian Vascular Access Association (CVAA) and Infusion Nurses Society (INS) as well as input from vascular access subject matter experts (SMEs). Alteplase (Cathflo®) Standard Order- to be discontinued and archived. | Jan 19, 2024 | | | across-care-areas | clinical forms |
| CLI.4110.PL.004 | Central Venous Access Device Care and Maintenance | | Jan 19, 2024 | | | across-care-areas | clinical |
| CLI.4110.PL.022.FORM.03 | Ankle Brachial Pressure Index ABPI and Toe Brachial Pressure Index TBPI Assessment | New information on waveforms available with references added; removal of brand names of stockings and replaced with categories. | Jan 19, 2024 | | | across-care-areas | clinical forms |
| CLI.4110.PL.022 | Ankle Brachial Pressure Index and Toe Brachial Pressure Index Testing | New information on waveforms available with references added; removal of brand names of stockings and replaced with categories. | Jan 19, 2024 | | | across-care-areas | clinical |
| CLI.4510.SG.006.FORM.03 | NSTEMI Unstable Angina Standard Orders | Best practice has changed in ACS. worked with Pharmacy and provincial Acute Coronary Syndrome Network to review and provide updated protocols for ACS.
We had CI's related to the NSTEMI/Unstable Angina caremap and were due to make edits. so per the CI recommendation, we made the appropriate updates. | Jan 19, 2024 | | | across-hospital-units | clinical forms |
| CLI.4510.SG.006.FORM.06 | NSTEMI Unstable Angina Standard Orders Chart Audit | | Jan 19, 2024 | | | across-hospital-units | clinical forms |
| CLI.5110.SG.013.SD.01 | Alcohol Withdrawal Assessment Flowsheet CIWA Ar Directions for Use | | Jan 19, 2024 | | | critical-care-er-observation-scu | clinical |
| CLI.5110.SG.013.FORM.02 | Alcohol Withdrawal Assessment Flowsheet CIWA Ar | | Jan 19, 2024 | | | critical-care-er-observation-scu | clinical forms |
| CLI.5110.SG.013.FORM.01 | Adult Alcohol Withdrawal Treatment Standard Orders | | Jan 19, 2024 | | | critical-care-er-observation-scu | clinical forms standard-order |
| CLI.5110.SG.013 | Management of a Patient with Alcohol Withdrawal in Emergency Departments | | Jan 19, 2024 | | | critical-care-er-observation-scu | clinical |
| CLI.4510.SG.006.FORM.07 | Cardiac Care Patient Teaching Record | Updated standard orders and guideline to reflect current best practices and minimize delays in access to Cath Lab. | Jan 19, 2024 | | | across-hospital-units | clinical forms |
| CLI.4510.SG.006.FORM.05 | Acute STEMI Reperfusion Standard Orders Chart Audit | Best practice has changed in ACS. worked with Pharmacy and provincial Acute Coronary Syndrome Network to review and provide updated protocols for ACS.
We had CI's related to the NSTEMI/Unstable Angina caremap and were due to make edits. so per the CI recommendation, we made the appropriate updates. | Jan 19, 2024 | | | across-hospital-units | clinical forms |
| CLI.4510.SG.006.FORM.02 | Acute STEMI Reperfusion Standard Orders | Best practice has changed in ACS. worked with Pharmacy and provincial Acute Coronary Syndrome Network to review and provide updated protocols for ACS.
We had CI's related to the NSTEMI/Unstable Angina caremap and were due to make edits. so per the CI recommendation, we made the appropriate updates. | Jan 19, 2024 | | | across-hospital-units | clinical |
| CLI.4510.SG.006.FORM.04 | Acute Coronary Syndrome Suspected Standard Orders Chart Audit | Best practice has changed in ACS. worked with Pharmacy and provincial Acute Coronary Syndrome Network to review and provide updated protocols for ACS.
We had CI's related to the NSTEMI/Unstable Angina caremap and were due to make edits. so per the CI recommendation, we made the appropriate updates. | Jan 19, 2024 | | | across-hospital-units | clinical forms |
| CLI.4510.SG.006 | Acute Coronary Syndrome | Best practice has changed in ACS. worked with Pharmacy and provincial Acute Coronary Syndrome Network to review and provide updated protocols for ACS.
We had CI's related to the NSTEMI/Unstable Angina caremap and were due to make edits. so per the CI recommendation, we made the appropriate updates. | Jan 19, 2024 | | | across-hospital-units | clinical |
| CLI.4510.SG.006.FORM.08 | Heparin Infusion Standard Orders Acute Coronary Syndrome | Best practice has changed in ACS. worked with Pharmacy and provincial Acute Coronary Syndrome Network to review and provide updated protocols for ACS.
We had CI's related to the NSTEMI/Unstable Angina caremap and were due to make edits. so per the CI recommendation, we made the appropriate updates. | Jan 19, 2024 | | | across-hospital-units | clinical forms |
| Provincial High Alert Medications List | | Jan 19, 2024 | | | pharmacy | clinical |
| Provincial Clinical Standard, Safety Controls for High Alert Medications | | Jan 19, 2024 | | | pharmacy | clinical |
| ORG.2110.PR.003.FORM.01.F | Withdrawal of Application Refusal of Unit Form French | | Jan 18, 2024 | | | elderly-persons-housing | forms organizational |
| ORG.2110.PR.003.FORM.01 | Withdrawal of Application Refusal of Unit Form | | Jan 18, 2024 | | | elderly-persons-housing | forms organizational |
| ORG.2110.PR.001.FORM.01 | Application for Elderly Persons Housing | | Jan 18, 2024 | | | elderly-persons-housing | forms organizational |
| ORG.2110.PR.001.FORM.01.F | Application for Elderly Persons Housing French | | Jan 18, 2024 | | | elderly-persons-housing | forms organizational |
| ORG.1411.PL.507 | Texting with Clients Natural Supports and other Staff | Provide direction to SH-SS staff when using texting as a method of communicating with clients, natural supports and other staff. | Jan 15, 2024 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.507.SD.01 | Texting on Smart Phones in the Workplace Frequently Asked Questions FAQ | Provide direction to SH-SS staff when using texting as a method of communicating with clients, natural supports and other staff. | Jan 15, 2024 | | | health-information-services | organizational privacy-and-access |
| ORG.1410.SG.001 | Encrypting Records using 7 Zip File Manager | | Jan 15, 2024 | | | health-information-services | health-information organizational |
| ORG.1411.SG.002.SD.01 | Disclosure of PHI for Review by HCP andor a Professional Regulatory Body Letter Template | | Jan 15, 2024 | | | health-information-services | organizational privacy-and-access |
| CLI.6410.PL.015 | Personal Electrical Appliances in Personal Care Homes | | Jan 4, 2024 | | | personal-care-home | clinical |
| ORG.1810.PL.010 | Mandatory Reporting | Mandatory Reporting for Manitoba Advocate for Children and Youth added as new.
Any reference to an occurrence report was updated to reflect a Safety Event Report. | Jan 1, 2024 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.010.FORM.01 | Gunshot and Stab Wound Mandatory Reporting Form | Mandatory Reporting for Manitoba Advocate for Children and Youth added as new.
Any reference to an occurrence report was updated to reflect a Safety Event Report. | Jan 1, 2024 | | | quality-planning-and-performance | forms organizational |
| ORG.1810.PL.010.SD.09 | Management of Manitoba Advocate for Children and Youth Checklist | Mandatory Reporting for Manitoba Advocate for Children and Youth added as new.
Any reference to an occurrence report was updated to reflect a Safety Event Report. | Jan 1, 2024 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.010.SD.08 | Management of Reportable Diseases and Conditions Checklist | Mandatory Reporting for Manitoba Advocate for Children and Youth added as new.
Any reference to an occurrence report was updated to reflect a Safety Event Report. | Jan 1, 2024 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.010.FORM.02 | Serious Injury Report Form | | Jan 1, 2024 | | | quality-planning-and-performance | forms organizational |
| ORG.1810.PL.010.SD.07 | Management of a Reportable Medical Condition Posing a Danger to Operate a Motor Vehicle Checklist | | Jan 1, 2024 | | | quality-planning-and-performance | forms organizational |
| ORG.1910.PR.039 | Carbolizing of Beds and Stretchers | Revised to follow the cleaning of a bed / stretcher video | Dec 29, 2023 | | | support-services | housekeeping organizational |
| ORG.1910.PR.026 | Terminal Cleaning of the Operating Room End of Day | Revised to include cleaning of bed in the Operating Room and to give direction on cleaning specific OR items. | Dec 29, 2023 | | | support-services | housekeeping organizational |
| ORG.1910.PR.061 | Removal and Replacement of On The Right Track Curtains | To provide direction for all Southern Health - Santé Sud staff to follow and incorporate methods necessary to sustain the facility’s environment at a level of safety, sanitation and visual appearance, consistent with the Accreditation Standards, Infection Control and Manitoba Health Standards. | Dec 29, 2023 | | | support-services | housekeeping organizational |
| ORG.1411.PL.404 | Security and Storage of Confidential Information including Transportation | To align with Digital Shared Services around the use of USB storage devices, specifically restricting the use of network connected devices to only accept encrypted USB storage devices. | Dec 29, 2023 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.502.SD.01 | Personal Health Information Act PHIA Definitions | Included definitions for alternate decision maker and health | Dec 29, 2023 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.001.SD.01 | FIPPA Definitions | | Dec 29, 2023 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.001 | Annual Reporting Under The Freedom of Information and Protection of Privacy Act FIPPA | | Dec 29, 2023 | | | health-information-services | organizational privacy-and-access |
| CLI.6410.PL.028 | Resident Safety Check | Residents living in Personal Care Homes (PCH) are to have checks individualized to the resident's circumstances and needs.
This policy was developed to assist care providers in using critical thinking when providing 24-hour care. | Dec 13, 2023 | | | personal-care-home | clinical |
| CLI.6210.SG.005.FORM.04 | Harm Reduction Supply Distribution Partner Site Agreement Registration | | Dec 7, 2023 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.005 | Harm Reduction Supply Distribution | Reviewed and updated by the Lead Communicable Disease Coordinator (CDC) for Harm Reduction (HR) alongside the entire Communicable Disease Coordinator Team which includes our 2 Southern Health Medical Officers of Health.
Information and feedback has been obtained from cleints within the PHHL program who take part on our HR programming as well as staff who support cleints who request services as well as other partners within the community (iincluding peers) | Dec 7, 2023 | | | public-health-healthy-living | clinical |
| CLI.6210.SG.005.FORM.05 | Disposal of Found Drugs or Substances | Reviewed and updated by the Lead Communicable Disease Coordinator (CDC) for Harm Reduction (HR) alongside the entire Communicable Disease Coordinator Team which includes our 2 Southern Health Medical Officers of Health.
Information and feedback has been obtained from clients within the PHHL program who take part on our HR programming as well as staff who support clients who request services as well as other partners within the community (including peers) | Dec 7, 2023 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.005.FORM.02 | Harm Reduction Supply Distribution Inventory Tracking Form | Reviewed and updated by the Lead Communicable Disease Coordinator (CDC) for Harm Reduction (HR) alongside the entire Communicable Disease Coordinator Team which includes our 2 Southern Health Medical Officers of Health.
Information and feedback has been obtained from cleints within the PHHL program who take part on our HR programming as well as staff who support cleints who request services as well as other partners within the community (iincluding peers) | Dec 7, 2023 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.005.FORM.03 | Harm Reduction Supply Distribution Order | Reviewed and updated by the Lead Communicable Disease Coordinator (CDC) for Harm Reduction (HR) alongside the entire Communicable Disease Coordinator Team which includes our 2 Southern Health Medical Officers of Health.
Information and feedback has been obtained from cleints within the PHHL program who take part on our HR programming as well as staff who support cleints who request services as well as other partners within the community (iincluding peers) | Dec 7, 2023 | | | public-health-healthy-living | clinical forms |
| ORG.1110.PL.004.FORM.01 | Photo Video Audio Consent Form | Revised form to comply with accessibility. | Dec 4, 2023 | | | communications | forms organizational |
| Leave of Absence | | Nov 27, 2023 | | | human-resources | forms |
| CLI.6110.FORM.004 | Out of Hospital Immediate Postpartum | Standardization of out of hospital birth forms for the midwifery program. | Nov 27, 2023 | | | primary-health-care | clinical forms |
| CLI.6110.FORM.006 | Out of Hospital Labour Record | Standardization of out of hospital birth forms for the midwifery program. | Nov 27, 2023 | | | primary-health-care | clinical forms |
| CLI.6110.FORM.005 | Out of Hospital Newborn Care Map | Standardization of out of hospital birth forms for the midwifery program. | Nov 27, 2023 | | | primary-health-care | clinical forms |
| CLI.4110.PL.012.FORM.01 | Facility Abuse Reporting Form | Revised to reflect reporting questions
Form was created to provide site staff with a pay to capture event information when PPCO on line reporting is not available. | Nov 24, 2023 | | | across-care-areas | clinical forms |
| CLI.6410.PL.005.FORM.04 | Requisition Form for Dysphagia Swallowing TEST TRAY | Update to Screening form and new practices being implemented | Nov 8, 2023 | | | personal-care-home | clinical forms |
| CLI.6410.PL.005.FORM.05 | Requisition Form for Dysphagia Swallowing – Staff Education | Update to Screening form and new practices being implemented | Nov 8, 2023 | | | personal-care-home | clinical forms |
| CLI.6410.PL.005.FORM.01 | TTMD R Test of Texture Modified Diets | Update to Screening form and new practices being implemented | Nov 8, 2023 | | | personal-care-home | clinical forms |
| ORG.1010.SG.005.SD.01 | Regional Education and Required Courses Guidelines | To provide all staff with clear and consistent information and guidelines related to required education and courses. | Nov 7, 2023 | | | administration | organizational |
| ORG.1010.SG.005 | Regional Education and Required Courses | To provide all staff with clear and consistent information and guidelines related to required education and courses. | Nov 7, 2023 | | | administration | organizational |
| CLI.6310.SG.016 | Referral Prioritization for Personal Care Home Rehabilitation Services OT PT and SLP | New guideline to prioritize referrals to the PCH's | Oct 27, 2023 | | | rehabilitation-therapy-services | clinical |
| CLI.5110.SG.013.SD.02 | CIWA Ar Screening Tool for Assessment of Patient with Alcohol Withdrawal | | Oct 17, 2023 | | | critical-care-er-observation-scu | clinical |
| CLI.4510.PL.009.SD.01 | Communication Whiteboard in Acute Care | Update to the Communication Whiteboards in Acute Care policy to include What Matters to You section and to integrate Obstetrics; removal of whiteboard pictures from policy (converted into SDs) and introduction of "mock-up" SDs as teaching tools. | Oct 17, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.009.SD.03 | Communication Whiteboard for Obstetrics | Update to the Communication Whiteboards in Acute Care policy to include What Matters to You section and to integrate Obstetrics; removal of whiteboard pictures from policy (converted into SDs) and introduction of "mock-up" SDs as teaching tools. | Oct 17, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.009.FORM.01 | Communication Whiteboard in Acute Care Audit | Update to the Communication Whiteboards in Acute Care policy to include What Matters to You section and to integrate Obstetrics; removal of whiteboard pictures from policy (converted into SDs) and introduction of "mock-up" SDs as teaching tools. | Oct 17, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.009 | Communication Whiteboard in Acute Care | Update to the Communication Whiteboards in Acute Care policy to include What Matters to You section and to integrate Obstetrics; removal of whiteboard pictures from policy (converted into SDs) and introduction of "mock-up" SDs as teaching tools. | Oct 17, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.009.FORM.02 | Communication Whiteboard for Obstetrics Audit | Update to the Communication Whiteboards in Acute Care policy to include What Matters to You section and to integrate Obstetrics; removal of whiteboard pictures from policy (converted into SDs) and introduction of "mock-up" SDs as teaching tools. | Oct 17, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.009.SD.04 | Communication Whiteboard for Obstetrics Mockup | Update to the Communication Whiteboards in Acute Care policy to include What Matters to You section and to integrate Obstetrics; removal of whiteboard pictures from policy (converted into SDs) and introduction of "mock-up" SDs as teaching tools. | Oct 17, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.009.SD.02 | Communication Whiteboard in Acute Care Mockup | Update to the Communication Whiteboards in Acute Care policy to include What Matters to You section and to integrate Obstetrics; removal of whiteboard pictures from policy (converted into SDs) and introduction of "mock-up" SDs as teaching tools. | Oct 17, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.001.FORM.05 | Falls Precautions Acute Care Kardex Insert | Updated format and content; provide clarity for completion based on feedback received from Nurses, sites and Staff Educators. Updated to reflect Accreditation Standards and HIROC recommendations. | Oct 17, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.001 | Falls Prevention Acute Care | Updated format and content; provide clarity for completion based on feedback received from Nurses, sites and Staff Educators. Updated to reflect Accreditation Standards and HIROC recommendations. | Oct 17, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.001.FORM.03 | Falls Prevention Audit Emergency Observation Ambulatory Dialysis Same Day Surgery CancerCare | Updated format and content; provide clarity for completion based on feedback received from Nurses, sites and Staff Educators. Updated to reflect Accreditation Standards and HIROC recommendations. | Oct 17, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.001.FORM.04 | Falls Prevention Audit Inpatients | Updated format and content; provide clarity for completion based on feedback received from Nurses, sites and Staff Educators. Updated to reflect Accreditation Standards and HIROC recommendations. | Oct 17, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.001.FORM.02 | Falls Risk Assessment and Interventions for Inpatients | Updated format and content; provide clarity for completion based on feedback received from Nurses, sites and Staff Educators. Updated to reflect Accreditation Standards and HIROC recommendations. | Oct 17, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.001.FORM.01 | Falls Risk Assessment for Ambulatory Care Dialysis Same Day Surgery CancerCare | Updated format and content; provide clarity for completion based on feedback received from Nurses, sites and Staff Educators. Updated to reflect Accreditation Standards and HIROC recommendations. | Oct 17, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.005.FORM.05 | Information Transfer Acute Care Audit for Handover of Care | To incorporate/standardize the hospital discharge plan as all sites had their own. | Oct 13, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.005.FORM.02 | SBAR Clinical Acute Care | | Oct 13, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.005.FORM.01 | Hospital Discharge Instruction Plan | Revision to the policy to incorporate/standardize the hospital discharge plan - sites used to have their on. | Oct 13, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.005.FORM.06 | Information Transfer Acute Care Audit for Discharges | To incorporate/standardize the hospital discharge plan as all sites had their own. | Oct 13, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.005.FORM.04 | Information Transfer Acute Care Audit for Interfacility Transfers | To incorporate/standardize the hospital discharge plan as all site had their own. | Oct 13, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.005.FORM.03 | Information Transfer Acute Care Audit for Internal Transfers | To incorporate/standardize the hospital discharge instruction plan as each site had their own. | Oct 13, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.005 | Information Transfer at Care Transition Acute Care | | Oct 13, 2023 | | | across-hospital-units | clinical |
| ORG.1810.PL.009.FORM.01 | Prospective Analysis Invitation | FMEA P&P revised to Prospective Analysis utilizing the Canadian Incident Analysis Framework(CIAF). The CIAF can be used either retrospectively reviewing past events or prospectively (looking forward) to prevent/mitigate harm. To standardize the analysis process of reviews utilizing one methodology. | Oct 12, 2023 | | | quality-planning-and-performance | forms organizational |
| ORG.1810.PL.009.FORM.03 | Prospective Analysis Executive Summary | FMEA P&P revised to Prospective Analysis utilizing the Canadian Incident Analysis Framework(CIAF). The CIAF can be used either retrospectively reviewing past events or prospectively (looking forward) to prevent/mitigate harm. To standardize the analysis process of reviews utilizing one methodology. | Oct 12, 2023 | | | quality-planning-and-performance | forms organizational |
| ORG.1810.PL.009 | Prospective Analysis | FMEA P&P revised to Prospective Analysis utilizing the Canadian Incident Analysis Framework(CIAF). The CIAF can be used either retrospectively reviewing past events or prospectively (looking forward) to prevent/mitigate harm. To standardize the analysis process of reviews utilizing one methodology. | Oct 12, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.009.SD.01 | Prospective Analysis Checklist | revised to Prospective Analysis utilizing the Canadian Incident Analysis Framework(CIAF). The CIAF can be used either retrospectively reviewing past events or prospectively (looking forward) to prevent/mitigate harm. To standardize the analysis process of reviews utilizing one methodology. | Oct 12, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1313.PL.001.FORM.01 | Equipment Authorization Form | Change of submission name | Oct 10, 2023 | | | finance | capital forms organizational |
| ORG.1110.PL.012.FORM.01 | Social Media submission form | | Oct 5, 2023 | | | communications | forms organizational |
| ORG.1912.PL.006.SD.01 | Catering Price List | | Oct 3, 2023 | | | support-services | food-services organizational |
| CLI.4510.PL.008 | Patient Handbooks in Acute Care | Patient Info handbook template as the current version did not meet accessibility standards | Sep 28, 2023 | | | across-hospital-units | clinical |
| CLI.6010.PL.020.SD.01 | Opioid Agonist Therapy Policy Highlights | Change titles from Antagonist to Agonist on all documents. | Sep 25, 2023 | | | pharmacy | clinical |
| CLI.6010.PL.020 | Opioid Agonist Therapy | Change titles from Antagonist to Agonist on all documents. | Sep 25, 2023 | | | pharmacy | clinical |
| CLI.6210.PL.001.SD.02 | Contraceptive Coverage | The supporting documents (Contraceptive guideline, reproductive supplies request form, and contraceptive coverage) were updated to removed products that have been discontinued by the manufacturers, update acquisition costs, and add a new product, Nexplanon. | Sep 19, 2023 | | | public-health-healthy-living | clinical |
| CLI.6210.PL.001.SD.01 | Contraceptive Guideline and Formulary | The supporting documents (Contraceptive guideline, reproductive supplies request form, and contraceptive coverage) were updated to removed products that have been discontinued by the manufacturers, update acquisition costs, and add a new product, Nexplanon. | Sep 19, 2023 | | | public-health-healthy-living | clinical |
| CLI.6210.PL.001.FORM.04 | Reproductive Supplies Stock Request Form | Reflects drug contract change | Sep 19, 2023 | | | public-health-healthy-living | clinical forms |
| CLI.6210.PL.001.FORM.05 | Reproductive Supplies Prescription Request | Removed products that have been discontinued by the manufacturers, update acquisition costs and add a new product, Nexplanon. | Sep 19, 2023 | | | public-health-healthy-living | clinical forms |
| CLI.6010.SG.004.FORM.01 | Heparin Infusion Standard Orders VTE PE | Current standard guideline limits heparin infusions to regional sites with 24/7 lab access on site
Community sites may want to start a heparin infusion prior to sending the patient out to higher level of care in order to prevent delays in treatment | Sep 11, 2023 | | | pharmacy | clinical forms standard-order |
| CLI.6010.SG.011.SD.01 | Discharge Information After Methotrexate for Ectopic Pregnancy | | Sep 5, 2023 | | | pharmacy | clinical |
| CLI.6010.SG.011 | Ectopic Pregnancy Medical and Expectant Management Guideline | | Sep 5, 2023 | | | pharmacy | clinical |
| CLI.6010.SG.011.FORM.01 | Ectopic Pregnancy Methotrexate Standard Orders | | Sep 5, 2023 | | | pharmacy | clinical forms standard-order |
| CLI.6010.SG.011.SD.02 | Methotrexate Treatment for Ectopic Pregnancy Patient Information | | Sep 5, 2023 | | | pharmacy | clinical |
| CLI.6010.FORM.001 | PCH Medication Standing Orders | | Sep 4, 2023 | | | pharmacy | clinical forms standard-order |
| ORG.1010.PL.002.FORM.01 | Language Access Interpreter Services Request Confirmation Cancellation | | Sep 1, 2023 | | | administration | forms organizational |
| CLI.6010.PL.009.FORM.04 | Home Care Best Possible Medication History and Physician Confirmation | Changed the SD to a FORM - new policy guidelines | Aug 31, 2023 | | | pharmacy | clinical forms |
| CLI.6010.FORM.006 | Adult Bowel Movement Standard Orders for Acute Care | Addition of MAR examples | Aug 31, 2023 | | | pharmacy | clinical forms standard-order |
| CLI.6010.PL.009.FORM.01 | Best Possible Medication History BPMH and Admission Reconciliation and Order Form | | Aug 31, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.009 | Medication Reconciliation | | Aug 31, 2023 | | | pharmacy | clinical |
| CLI.6010.PL.009.SD.01 | Medication Reconciliation Quick Reference Guide | | Aug 31, 2023 | | | pharmacy | clinical |
| CLI.4510.SG.007.SD.02 | Telemetry Flowsheet Record Directions for Use | Created to support practices at regional sites. All 3 sites participated in a trial to test the guidelines/forms. | Aug 28, 2023 | | | across-hospital-units | clinical |
| CLI.4510.SG.007.FORM.02 | Telemetry Flowsheet | to support practices at regional sites. All 3 sites participated in a trial to test the guideline/forms | Aug 28, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.SG.007.SD.03 | Telemetry Kardex Directions for Use | Created to support practices at regional sites. All 3 sites participated in a trial to test the guidelines/forms. | Aug 28, 2023 | | | across-hospital-units | clinical |
| CLI.4510.SG.007.FORM.03 | Telemetry Kardex | Created to support practices at regional sites. All 3 sites participated in a trial to test the guideline/forms | Aug 28, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.SG.007.SD.01 | Electrode Placement for Inpatient Telemetry | Created to support practices at regional sites. All 3 sites participated in a trial to test guidelines/forms. | Aug 28, 2023 | | | across-hospital-units | clinical |
| CLI.4510.SG.007.FORM.01 | Inpatient Telemetry Standard Orders | Created to support practices at regional sites. All 3 sites participated in a trial to test the guideline/forms | Aug 28, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.SG.007 | Inpatient Telemetry | Created to support practices at regional sites. All 3 sites participated in a trial to test the guideline/forms. | Aug 28, 2023 | | | across-hospital-units | clinical |
| CLI.6010.FORM.012 | Medication Room Audit Acute Care | | Aug 25, 2023 | | | pharmacy | clinical forms |
| CLI.6010.FORM.013 | Medication Room Audit Personal Care Home | 1. Fridge temperature is maintained between 2-8ï‚°C.
2. Medication fridge temperature is recorded at least once daily.
3. added "pareneral items" route for questions #37 & #38 | Aug 25, 2023 | | | pharmacy | clinical forms |
| CLI.5810.FORM.004 | Cesarean Section Perinatal Loss Care Map | Updated list of forms and language to be inclusive | Aug 21, 2023 | | | obstetrics | clinical forms |
| CLI.5810.FORM.081 | Cesarean Section Perinatal Loss Record of Postpartum Patient Learning | Updated language to be inclusive | Aug 21, 2023 | | | obstetrics | clinical forms |
| CLI.5810.FORM.075 | Standard Orders Maternal Neonatal Death | Updated - Standard Orders, investigations to reflect the changes in Shared Health Lab requisitions and forms, Sexually transmitted and bloodborne infections panel are clearly separately identified to decrease the chance of overlooking a test. | Aug 21, 2023 | | | obstetrics | clinical forms standard-order |
| CLI.5810.FORM.069 | Standard Orders Maternal Stillbirth | Updated Standard Orders, identified updated investigations and included Sexually transmitted and bloodborne infections -written individually, not in a panel to avoid missing a test | Aug 21, 2023 | | | obstetrics | clinical forms standard-order |
| CLI.5810.FORM.070 | Standard Orders Spontaneous Abortion | | Aug 21, 2023 | | | obstetrics | clinical forms standard-order |
| CLI.5810.FORM.082 | Loss of Your Baby Release Form Bilingual | Removed section "C" from previous form as regional funeral homes have now incorporated cremation and burial ceremonies within the region. If families choose to have the infant cremated in Winnipeg, the regional funeral homes will arrange this.
Added "C" that the family will contact a funeral home to review all options available for cremation or burial.
Wording changed to be inclusive from "I" and "me" to "We" and "Our" | Aug 21, 2023 | | | obstetrics | clinical forms |
| CLI.5810.FORM.083 | Perinatal Loss Communication Checklist | Document is used as a "worksheet" for staff while completing documentation and is meant to be shredded after completed and is not part of the patient record. This checklist has been updated to include the SharedHealth forms and processes | Aug 21, 2023 | | | obstetrics | clinical forms |
| CLI.5810.FORM.011 | Postpartum Perinatal Loss Care Map | Updated list of forms and language to be inclusive | Aug 21, 2023 | | | obstetrics | clinical forms |
| CLI.5810.FORM.078 | Standard Orders Fetal Neonatal Death | Updated - Standard Orders, investigations to reflect the changes in Shared Health Lab requisitions and forms. Forms are clearly stated on general orders. General orders are clear and precise for staff to understand easily. | Aug 21, 2023 | | | obstetrics | clinical forms standard-order |
| CLI.6010.PL.009.FORM.06 | Addendum Therapeutic Substitution Order from Pharmacy | | Aug 21, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.046.FORM.02 | Postpartum Medication Self Medication Record | The current policy does not have specific instructions for obstetrics. Need to add post partum specific pain medications to the policy list. Added post partum medication self-administration record. Updated corresponding standard orders and MARs. | Aug 17, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.046 | Medication Self Administration | Current policy does not have specific instructions for obstetrics. Need to add post partum self-administration pain medications to the policy list. Also need a post partum medication self-administration record. To provide guidance to staff regarding self-administration of medications by patients. | Aug 17, 2023 | | | pharmacy | clinical |
| CLI.6010.PL.046.FORM.01 | Medication Self Administration Record | To provide guidance to staff regarding self-administration of medications by patients. Changed from an SD to a Form | Aug 17, 2023 | | | pharmacy | clinical forms |
| CLI.6210.SG.008.FORM.03 | Administration of Rabies Immune Globulin and Rabies Vaccine Fax Template | | Aug 16, 2023 | | | public-health-healthy-living | clinical forms |
| CLI.6010.PL.010 | Telephone or Verbal Orders | Updated policy to include community programs i.e. home care, palliative care, mental health & My Health Team. Also, reinforce thal ALL medication orders MUST be signed by prescriber. | Aug 16, 2023 | | | pharmacy | clinical |
| ORG.1810.PL.009.FORM.02 | Prospective Analysis Template | FMEA P&P revised to Prospective Analysis utilizing the Canadian Incident Analysis Framework(CIAF). The CIAF can be used either retrospectively reviewing past events or prospectively (looking forward) to prevent/mitigate harm. To standardize the analysis process of reviews utilizing one methodology. | Aug 11, 2023 | | | quality-planning-and-performance | forms organizational |
| CLI.4110.PL.027.SD.01 | Catheter to Vessel Ratio for Peripherally Inserted | | Aug 10, 2023 | | | across-care-areas | clinical |
| CLI.4110.PL.015.FORM.01 | Safe Medication Administration Audit Acute Care | Reflect current practices with Elsevier; to incorporate the changes related to the B. Braun IV pumps, Accreditation Standards, auditing process | Aug 10, 2023 | | | across-care-areas | clinical forms |
| CLI.4110.PL.015.FORM.02 | Safe Medication Administration Audit Summary Acute Care | Revisions to reflect current practices with Elsevier, incorporate changes related to B. Braun IV pumps and Accreditation Standards and to provide clarity on the auditing process and number of audits required per unit/service area. | Aug 10, 2023 | | | across-care-areas | clinical forms |
| CLI.4110.PL.027.SD.02.F | Ultrasound Guided Intravenous Insertion – Teaching Sheet- French | New clinical procedure implemented in region. Formal documentation developed to support clinical staff performing procedure. | Aug 10, 2023 | | | across-care-areas | clinical |
| CLI.4110.PL.027.SD.02 | Ultrasound Guided Intravenous Insertion Teaching Sheet | New clinical procedure implemented in region. Formal documentation developed to support clinical staff performing procedure. | Aug 10, 2023 | | | across-care-areas | clinical |
| CLI.4110.PL.027.FORM.01 | Ultrasound Guided Peripheral Intravenous Insertion Log | New clinical procedure implemented in region. Formal documentation developed to support clinical staff performing procedure. | Aug 10, 2023 | | | across-care-areas | clinical forms |
| CLI.4110.PL.027.FORM.02 | Ultrasound Guided Peripheral Intravenous Procedure Checklist | New clinical procedure implemented in region. Formal documentation developed to support clinical staff performing procedure. | Aug 10, 2023 | | | across-care-areas | clinical forms |
| CLI.6010.PL.073.FORM.01 | Investigated Information for Transport Medications Involved in a Temperature Excursion | Currently communication when transporting medications from pharmacy or for monitoring temperature of refrigerated medications is fragmented. A Regional process will minimize errors and temperature excursions. | Aug 10, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.004.FORM.01 | Antimicrobial Stewardship Feedback Form | To be used as a communication tool for pharmacists/prescribers | Aug 10, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.004 | Antibiotic Stewardship Program | | Aug 10, 2023 | | | pharmacy | clinical |
| CLI.6010.PL.073.SD.01 | Cold Temperature 8 Degrees Temperature Reading Guideline | | Aug 10, 2023 | | | pharmacy | clinical |
| CLI.6010.PL.073.SD.02 | Pharmacy Process for Transport Temperature Excursion | Currently communication when transporting medications from pharmacy or for monitoring temperature of refrigerated medications is fragmented. A Regional process will minimize errors and temperature excursions. | Aug 10, 2023 | | | pharmacy | clinical |
| CLI.6010.PL.073.SD.03 | Transport of Hazardous Medication by Deliver Services Driver Safety Pamphlet | Currently communication when transporting medications from pharmacy or for monitoring temperature of refrigerated medications is fragmented. A Regional process will minimize errors and temperature excursions. | Aug 10, 2023 | | | pharmacy | clinical |
| CLI.6010.PL.073 | Packaging and Transport of Pharamceuticals Facility to Facility | Currently communication when transporting medications from pharmacy or for monitoring temperature of refrigerated medications is fragmented. A Regional process will minimize errors and temperature excursions. | Aug 10, 2023 | | | pharmacy | clinical |
| CLI.6010.FORM.016 | Patient Controlled Analgesic PCA and Assessment Flow Sheet | Currently the PCA pump process is different at each site, the process has been regionalized to include preparation of medication, administration, prescribing, assessment flowsheet, updated parenteral monographs for HYDROmorphone PCA & morphine PCA. | Aug 10, 2023 | | | pharmacy | clinical forms |
| CLI.6310.SG.005 | Referral Prioritization Waitlist Management for Outpatient OT PT and SLP Children and Youth Services pdf | Standardize OT, PT and SLP referral prioritization and waitlist management for children and youth services | Aug 9, 2023 | | | rehabilitation-therapy-services | clinical |
| CLI.6010.PL.074 | Receipt Storage and Internal Transport of Pharmaceuticals | Complements the Packaging and Transport of Pharmaceuticals Facility to Facility policy | Aug 9, 2023 | | | pharmacy | clinical |
| CLI.6010.PL.074.FORM.01 | Medication Transportation Cover Letter | | Aug 9, 2023 | | | pharmacy | clinical forms |
| CLI.6310.SG.003 | Referral Prioritization for Audiology Services | CLI.6310.SG.001.FORM.01 name change from Rehab Services Children and Youth Referral Form to Southern Children's Therapy Network of Manitoba Referral Form and CLI.6310.SG.003.SD.01 has name change from Children's Therapy Initiative (CTI) to Children's Therapy Network of Manitoba (CTNM) | Aug 4, 2023 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.003.SD.01 | Childrens Therapy Network of Manitoba Priority Rating Scale Audiology | Name changed from Children's Therapy Initiative (CTI) to Children's Therapy Network of Manitoba (CTNM) | Aug 4, 2023 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.005.SD.01 | Childrens Therapy Initiative CTI Network Priority Ratings Occupational Therapy | Name changed from Children's Therapy Initiative (CTI) to Children's Therapy Network of Manitoba (CTNM) | Aug 4, 2023 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.005.SD.02 | Childrens Therapy Network of Manitoba Priority Ratings Physiotherapy | Name changed from Children's Therapy Initiative (CTI) to Children's Therapy Network of Manitoba (CTNM) | Aug 4, 2023 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.005.SD.03 | Childrens Therapy Network of Manitoba Priority Ratings Speech Language Pathology | Name changed from Children's Therapy Initiative (CTI) to Children's Therapy Network of Manitoba (CTNM) | Aug 4, 2023 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.012 | School Division Referral Prioritization for OT and PT | Name change from Rehab Services Children and Youth Referral Form to Southern Children's Therapy Network of Manitoba | Aug 4, 2023 | | | rehabilitation-therapy-services | clinical |
| File Summary Form | | Aug 3, 2023 | | | human-resources | forms workplace-safety-and-health |
| CLI.4510.PR.002.FORM.11 | Fluid Balance Record 8 Hours | Harmonized chart documentation forms improves the quality of the forms within the Acute Care health records and consistency in documentation practices that promotes safer patient care. | Jul 31, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.FORM.12 | Fluid Balance Record 12 Hour | Harmonized chart documentation forms improves the quality of the forms within the Acute Care health records and consistency in documentation practices that promotes safer patient care. | Jul 31, 2023 | | | across-hospital-units | clinical forms |
| CLI.6010.PR.002.SD.01 | Handling of Multi Dose Vial Exceptions | Removed acetylcysteine from the exception list. The product monograph states that opened vials for IV use are single use only. | Jul 26, 2023 | | | pharmacy | clinical |
| CLI.6010.FORM.015 | Adult Diabetic Ketoacidosis DKA Hyperosmolar Hyperglycemia State HHS Standard Orders | To regionalize the DKA/HHS process and orders for ALL sites | Jul 26, 2023 | | | pharmacy | clinical forms standard-order |
| CLI.6010.SG.008 | Dissolve and Dose | Adding a supporting document to the Dissolve and Dose guideline including instructions for Misoprostol utilized in labour induction | Jul 26, 2023 | | | pharmacy | clinical |
| CLI.6010.FORM.017 | Smoking Cessation Standard Orders | Replacement therapy for tobacco smokers. | Jul 26, 2023 | | | pharmacy | clinical forms standard-order |
| CLI.6010.FORM.002 | Subcutaneous Insulin Correction Standard Orders | Updating confusing wording regarding on how to assess patient. | Jul 26, 2023 | | | pharmacy | clinical forms standard-order |
| CLI.6010.PL.019 | Take Home Naloxone Program | Added Answer Key to Post Training Questionnaire. | Jul 26, 2023 | | | pharmacy | clinical |
| CLI.6010.PL.019.SD.04 | THN Program Post Training Questionnaire Answer Key | Added Answer Key to Post Training Questionnaire. | Jul 26, 2023 | | | pharmacy | clinical |
| CLI.6010.SG.008.SD.04 | Misoprostol Dissolve and Dose Instructions | Adding a supporting document to the Dissolve and Dose guideline including instructions for Misoprostol utilized in labour induction. | Jul 26, 2023 | | | pharmacy | clinical forms |
| CLI.6010.SG.004 | Anticoagulation for Venous Thromboembolism | | Jul 25, 2023 | | | pharmacy | clinical |
| CLI.6010.SG.004.FORM.02 | Dalteparin Standard Orders VTE | Current standard guideline limits heparin infusions to regional sites with 24/7 lab access on site. Community sites may want to start a heparin infusion prior to sending the patient out to higher level of care in order to prevent delays in treatment. | Jul 25, 2023 | | | pharmacy | clinical forms |
| CLI.4510.PL.001.SD.01 | Falls and You Most Falls are Preventable | | Jul 14, 2023 | | | across-hospital-units | clinical |
| CLI.5810.FORM.054 | Standard Orders Newborn Care | Best Practice update including: Phytonadione (vitamin K) 2mg orally; Erythromycin 0.5% ophthalmic ointment and Best Practice updates. | Jul 10, 2023 | | | obstetrics | clinical forms standard-order |
| CLI.4110.PL.012 | Freedom from Abuse or Neglect of Patients and Residents in a Health Care Facility | Revisions made to policy because of change to on line reporting | Jul 6, 2023 | | | across-care-areas | clinical |
| ORG.1710.PL.003 | Tenders and Quotations | | Jul 5, 2023 | | | logistics-and-supply-chain-management | organizational |
| QHR_SignIn_Electronic Submission Template Reserved Acts | | Jul 1, 2023 | | | human-resources | forms |
| CLI.4510.SG.001.SD.01 | Risk Assessment and Venous Thromboemolism VTE Prophylaxis Recommendations | | Jun 21, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.006.FORM.01 | Safe Blood and Blood Products Administration Audit | | Jun 21, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.004.FORM.01 | Screening and Alert for Violence and Aggression Acute Care | | Jun 21, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.006.SD.01 | Transfusion of Blood and Blood Products Algorithm | Updated due to changes to Transfusion Medicine and the shift from binders at the sites to accessing the documents electronically. | Jun 21, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.006 | Transfusion of Blood and Blood Products | Replacing with the updated Best Blood Manitoba Transfusion Best Practice Resource Manual to identify best practices for safe administration of blood and blood products.
Policy was updated due to changes to Transfusion Medicine and the shift from binders at the sites to accessing the documents electronically. As part of the revision, we have added the teaching sheet as a supporting document. | Jun 21, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.012 | Vascular Access Assessment | New overarching policy to provide formal direction on vascular access treatment therapies. | Jun 21, 2023 | | | across-hospital-units | clinical |
| CLI.4510.SG.001 | Venous Thromboembolism VTE Prophylaxis Guideline | Moved from Critical Care Section to Across Hospital Units section - renumberd to reflect change, links to supporting documents/forms also updated to reflect change and HPS.
Changes to language to be consistent, updated the do not use abbreviation section and new additions based on Accreditation Standards. | Jun 21, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.004.FORM.02 | Violence Prevention Program Care Plan Guide Acute Care | As part of the violence prevention program (VPP) province-wide initiative and congruent with Southern Health-Santé Sud ‘s Violence Prevention Program for Health Care Workers (ORG.1513.PL.001), this policy provides a standardized approach to screening patients at risk for violent or aggressive behavior in all acute care sites in Southern Health-Santé Sud. | Jun 21, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.004.FORM.03 | Violence Prevention Program in Acute Care Audit | Language to have consistency with patient vs patient/client used interchangeably. | Jun 21, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.004.SD.03 | Violence Prevention Program Use CARE Environment Alert Door Hanger | | Jun 21, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.004.SD.02 | Violence Prevention Program Use CARE Environment Alert Acute Care | | Jun 21, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.004.SD.01 | Violence Prevention Program in Acute Care Screening for Violence or Aggression Algorithm | | Jun 21, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.004 | Violence Prevention Program in Acute Care | | Jun 21, 2023 | | | across-hospital-units | clinical |
| CLI.4510.SG.001.SD.02 | Clot Prevention Venous Thromboembolism Prophylaxis | | Jun 21, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PL.006.SD.02 | After Receiving a Blood Product Patient Teaching Handout | | Jun 21, 2023 | | | across-hospital-units | client-teaching-handouts clinical |
| ORG.1910.SG.001 | Cleaning after Construction Renovation and Maintenance | | Jun 20, 2023 | | | support-services | housekeeping organizational |
| CLI.4110.PL.004.SD.02.F | Peripherally Inserted Central Catheter Teaching Sheet – French | Updated based on best practice evidence, the most current guidelines and policies from the Canadian Vascular Access Association (CVAA) and Infusion Nurses Society (INS) as well as input from vascular access subject matter experts (SMEs).CLI.4110.PL.004.FORM.01 - Alteplase (Cathflo®) Standard Order- to be discontinued and archived. | Jun 9, 2023 | | | across-care-areas | clinical |
| CLI.4110.PL.004.SD.02 | Peripherally Inserted Central Catheter Teaching Sheet | Updated based on best practice evidence, the most current guidelines and policies from the Canadian Vascular Access Association (CVAA) and Infusion Nurses Society (INS) as well as input from vascular access subject matter experts (SMEs).CLI.4110.PL.004.FORM.01 - Alteplase (Cathflo®) Standard Order- to be discontinued and archived. | Jun 9, 2023 | | | across-care-areas | clinical |
| CLI.6310.PL.002.FORM.02 | Rehabilitation Services PCH OT Wait List | | Jun 2, 2023 | | | rehabilitation-therapy-services | clinical forms |
| CLI.6310.PL.002.FORM.03 | Rehabilitation Services PCH PT Wait List | | Jun 2, 2023 | | | rehabilitation-therapy-services | clinical forms |
| CLI.6310.PL.002.FORM.04 | Rehabilitation Services PCH SLP Wait List | | Jun 2, 2023 | | | rehabilitation-therapy-services | clinical forms |
| CLI.4511.PL.012 | Systemic Therapy Privileges for CancerCare Manitoba CCMB for Physicians in Southern Health-Santé Sud | | May 25, 2023 | | | across-hospital-units | cancer-care-hub clinical |
| CLI.5810.FORM.063 | Standard Orders Post Cesarean Section | | May 17, 2023 | | | obstetrics | clinical forms standard-order |
| CLI.5810.FORM.057 | Standard Orders Postpartum Vaginal Delivery | | May 17, 2023 | | | obstetrics | clinical forms standard-order |
| CLI.5810.FORM.060 | Standard Orders Pre Op Cesarean Section | | May 17, 2023 | | | obstetrics | clinical forms standard-order |
| CLI.4110.PL.001.SD.01 | Consent for Procedures Treatments or Investigations List | | May 16, 2023 | | | across-care-areas | clinical |
| CLI.4110.PL.001.FORM.01 | Consent to Procedure Treatment or Investigation Bilingual | | May 16, 2023 | | | across-care-areas | clinical forms |
| CLI.4110.PL.001.FORM.02 | Minors Rights to Demonstrate Capacity for Health Care Decision Making | | May 16, 2023 | | | across-care-areas | clinical forms |
| CLI.4110.PL.001.FORM.04 | Governing Law and Jurisdiction Agreement | | May 16, 2023 | | | across-care-areas | clinical forms |
| CLI.4110.PL.001.FORM.05 | Surgical Consent Documentation Audit template | | May 16, 2023 | | | across-care-areas | clinical forms |
| ORG.1810.PL.001.SD.01 | Safety Event Report Resource Guide | | May 10, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.001 | Safety Event Reporting | | May 10, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.001.SD.04 | Management of a Critical Occurrence Checklist | | May 10, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.001.SD.03 | Management of a Critical Incident Checklist | | May 10, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.001.SD.02 | Management of a Near Miss and Occurrence Checklist | | May 10, 2023 | | | quality-planning-and-performance | organizational |
| CLI.8011.PL.021 | Additional Precautions Policy | | May 5, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.021.SD.01 | Additional Precautions poster | | May 5, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.021.SD.01.F | Additional precautions poster – French | | May 5, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.6611.FORM.004 | Breast Surgery Pre Operative Checklist | | May 5, 2023 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.6611.SG.002 | Dress Code and General Conduct in the Perioperative Environment | | May 5, 2023 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.5810.SG.002 | Fetal Health Surveillance in Labour | Provincial Clinical Guideline provided by Shared Health | May 4, 2023 | | | obstetrics | clinical |
| CLI.6010.FORM.011 | Pertussis Whooping Cough Treatment Standard Orders | | May 4, 2023 | | | pharmacy | clinical forms standard-order |
| ORG.1010.PL.001.FORM.01 | Notification of Suspension of Services Form | | May 3, 2023 | | | administration | forms organizational |
| ORG.1110.PL.003.SD.02 | Media Calls Techniques Tips | | Apr 28, 2023 | | | communications | organizational |
| ORG.1010.PL.002 | Interpreter Services Language Access | | Apr 27, 2023 | | | administration | organizational |
| ORG.1010.PL.002.SD.02 | Tips for Working with Professional Interpreters | | Apr 27, 2023 | | | administration | organizational |
| CLI.8011.PL.017 | Clostridioides Difficile Infection CDI Management | | Apr 24, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.4510.PR.002.SD.11 | Fluid Balance Record 8 Hours Directions | | Apr 14, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PR.002.SD.12 | Fluid Balance Record 12 Hour Directions | | Apr 14, 2023 | | | across-hospital-units | clinical |
| ORG.1410.PL.551 | Staff Witness to Legal Documents | | Apr 13, 2023 | | | health-information-services | health-information organizational |
| ORG.1010.FORM.004 | Agenda Template | | Apr 4, 2023 | | | administration | forms organizational |
| ORG.1010.FORM.005 | Minutes Template | | Apr 4, 2023 | | | administration | forms organizational |
| CLI.6010.PL.019.FORM.08 | THN Program Post Training Questionnaire | | Apr 1, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.019.FORM.07 | THN Program Intake Form | | Apr 1, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.019.FORM.06 | Overdose Response Form | | Apr 1, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.019.FORM.05 | THN Kit Distribution Log | | Apr 1, 2023 | | | pharmacy | clinical |
| CLI.6010.PL.019.FORM.04 | THN Kit Tracking Form | | Apr 1, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.019.FORM.03 | New Provider Application Form | | Apr 1, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.019.FORM.02 | THN Kit Order Form | | Apr 1, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.019.FORM.01 | THN Distribution Site Agreement Form | | Apr 1, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.019.SD.03 | Patient Handout Naloxone Injection Training Checklist | | Apr 1, 2023 | | | pharmacy | clinical forms |
| CLI.6010.PL.019.SD.02 | Patient Handout What is naloxone and why do you need it | | Apr 1, 2023 | | | pharmacy | clinical |
| CLI.6010.PL.019.SD.01 | Training Manual Overdose Prevention Recognition and Response | | Apr 1, 2023 | | | pharmacy | clinical |
| CLI.6010.PL.019.FORM.09 | THN Program Overdose Recognition and Response Training Record | | Apr 1, 2023 | | | pharmacy | clinical forms |
| CLI.5610.PL.002.SD.01 | Triage Scale Community Mental Health | | Mar 30, 2023 | | | mental-health-and-addictions | clinical |
| ORG.1810.PL.010.SD.01 | Management of a Serious Adverse Drug Reactions and Medical Device Incidents Checklist | | Mar 27, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1810.SG.004.SD.01 | Duty to Warn Guideline Checklist | | Mar 27, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1810.SG.004 | Duty to Warn Guideline | | Mar 27, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1810.SG.004.FORM.01 | Duty to Warn Guideline Form | | Mar 27, 2023 | | | quality-planning-and-performance | forms organizational |
| ORG.1810.PL.010.SD.03 | Management of a Gunshot and Stab Wound Checklist | | Mar 27, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.010.SD.02 | Management of an Adverse Event Following Immunization Checklist | | Mar 27, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.010.SD.06 | Management of a Sexually Transmitted and Blood Borne Infection Checklist | | Mar 27, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.010.SD.04 | Management of Suspected Adult Abuse and Neglect Checklist | | Mar 27, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.010.SD.05 | Management of Suspected Child Abuse and Neglect Checklist | | Mar 27, 2023 | | | quality-planning-and-performance | organizational |
| CLI.6410.PL.017.SD.01 | PCH Client information Handbook Regional PCH FSP regionaux Info | | Mar 26, 2023 | | | personal-care-home | clinical |
| CLI.4510.PR.002.FORM.07 | Patient Assessment Flowsheet | | Mar 21, 2023 | | | across-hospital-units | clinical forms |
| CLI.6310.FORM.001 | Rehabilitation Services Physiotherapy Vestibular Assessment | | Mar 16, 2023 | | | rehabilitation-therapy-services | clinical forms |
| CLI.6410.PR.003.FORM.01 | Community Bathing Program Application | | Mar 15, 2023 | | | personal-care-home | clinical forms |
| CLI.6410.PR.003 | Community Bathing Program | | Mar 15, 2023 | | | personal-care-home | clinical |
| CLI.6410.PL.026 | Oxygen Therapy in Personal Care Homes | | Mar 15, 2023 | | | personal-care-home | clinical |
| CLI.6410.PL.025 | Discharge to Community from PCH Setting | | Mar 13, 2023 | | | personal-care-home | clinical |
| ORG.1110.FORM.012 | PowerPoint Presentation III | | Mar 8, 2023 | | | communications | forms organizational |
| ORG.1110.FORM.011 | PowerPoint Presentation II | | Mar 8, 2023 | | | communications | forms organizational |
| ORG.1110.FORM.002 | Letterhead Template | | Mar 8, 2023 | | | communications | forms organizational |
| ORG.1110.FORM.013 | With Compliments Slip Template | | Mar 3, 2023 | | | communications | forms organizational |
| ORG.1110.FORM.010 | PowerPoint Presentation I | | Mar 3, 2023 | | | communications | forms organizational |
| ORG.1110.FORM.009 | Poster Template II | | Mar 3, 2023 | | | communications | forms organizational |
| ORG.1110.FORM.005 | Interior Door Signage Template | | Mar 3, 2023 | | | communications | forms organizational |
| CLI.5411.PL.010 | Nursing Service Delivery | | Feb 27, 2023 | | | home-care | clinical |
| CLI.5411.PL.010.SD.01 | Nursing Service Delivery Info Sheet | | Feb 27, 2023 | | | home-care | clinical service-delivery |
| CLI.5412.PL.01.SD.01 | HC Wound Photography Flow Chart | | Feb 22, 2023 | | | home-care | clinical nursing |
| CLI.5412.PL.001 | Wound Care Management by Client Caregiver | | Feb 22, 2023 | | | home-care | clinical nursing |
| CLI.5411.PL.011.FORM.01 | Seating Cushions Covers Client Info | | Feb 21, 2023 | | | home-care | clinical forms service-delivery |
| CLI.5410.SG.001.SD.01 | Home Care Alternate Access to Home | | Feb 21, 2023 | | | home-care | access clinical forms |
| CLI.5410.SG.001 | Alternate Access to Home | | Feb 21, 2023 | | | home-care | access clinical |
| CLI.5411.PL.011 | Seating Cushions Covers | | Feb 21, 2023 | | | home-care | clinical service-delivery |
| ORG 1410.PL.001.SD.02 | Client Chart Health Record Order Home Care Nursing | | Feb 16, 2023 | | | health-information-services | forms health-information organizational |
| CLI.8011.PL.020.SD.03 | Doffing PPE poster | | Feb 14, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.020.SD.03.F | Doffing PPE poster – French | | Feb 14, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.020.SD.02 | Donning PPE poster | | Feb 14, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.020.SD.02.F | Donning PPE poster – French | | Feb 14, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.020 | Routine Practices | | Feb 14, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.020.SD.01 | Point of Care Risk Assessment PCRA | | Feb 14, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.007.FORM.01 | Oseltamivir Dosage Calculation Chart | | Feb 13, 2023 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| ORG.1912.PL.005.FORM.04 | Food Temperature Record | | Feb 13, 2023 | | | support-services | food-services forms organizational |
| CLI.6410.PL.023.SD.02 | Guideline for Charge Licensed Practical Nurse in Personal Care Home | | Jan 18, 2023 | | | personal-care-home | clinical |
| CLI.6410.PL.023.SD.01 | Nursing Services Under Leadership of the LPN_Decision Making Flow Chart | | Jan 18, 2023 | | | personal-care-home | clinical |
| CLI.6410.PL.023 | Nursing Services Under the Leadership of Licensed Practical Nurse in Personal Care Homes | | Jan 18, 2023 | | | personal-care-home | clinical |
| CLI.6410.PR.002 | Ointment Creams and Medicated Shampoo Application by HCA | | Jan 18, 2023 | | | personal-care-home | clinical |
| ORG.1010.PL.005.FORM.05 | Archive Notice Template | | Jan 18, 2023 | | | administration | forms organizational |
| CLI.8011.PL.019.FORM.04 | Memorandum for Surgeons | | Jan 16, 2023 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.019 | Surgical Site Infection SSI Surveillance | | Jan 16, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.019.FORM.02 | Surgical Site Infection Data Collection Form | | Jan 16, 2023 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.019.FORM.01 | Surgical Site Infection Report Form | | Jan 16, 2023 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.019.SD.01 | Surgical Wound Classification Table | | Jan 16, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.019.SD.02.F | Patient Fact Sheet Preventing Surgical Site Infections – French | | Jan 16, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.019.SD.02 | Patient Fact Sheet Preventing Surgical Site Infections | | Jan 16, 2023 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.019.FORM.03 | Postoperative SSI Surveillance Telephone Script | | Jan 16, 2023 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.4510.PR.002.SD.04 | Neurological Assessment Record Acute Care Directions | | Jan 16, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PR.002.FORM.04 | Neurological Assessment Record Acute Care | | Jan 16, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.SD.07 | Patient Assessment Flowsheet Directions | | Jan 16, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PR.002.SD.13 | Prescriber Order Sheet Directions | | Jan 16, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PR.002.SD.05 | Signature Record Directions | | Jan 16, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PR.002.FORM.05 | Signature Record | | Jan 16, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.SD.06 | Clinical Record Directions | Harmonized chart documentation forms improves the quality of the forms within the Acute Care health records and consistency in documentation practices that promotes safer patient care. | Jan 16, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PR.002.FORM.06 | Clinical Record | | Jan 16, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.SD.03 | Cardiac Rhythm Strip Record Directions | | Jan 16, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PR.002.FORM.03 | Cardiac Rhythm Strip Record | | Jan 16, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.SD.02 | Frequent Monitoring Record Directions | | Jan 16, 2023 | | | across-hospital-units | clinical |
| CLI.4510.PR.002.FORM.02 | Frequent Monitoring Record | | Jan 16, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.FORM.01 | Integrated Progress Notes | | Jan 16, 2023 | | | across-hospital-units | clinical forms |
| CLI.4510.PR.002.SD.01 | Integrated Progress Notes Directions | | Jan 16, 2023 | | | across-hospital-units | clinical |
| ORG.1410.PL.302 | Health Record Management in the Event of an Evacuation | | Jan 13, 2023 | | | health-information-services | health-information organizational |
| CLI.6611.FORM.003 | Operating Room Logging Record | | Jan 11, 2023 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| ORG.1710.PL.006 | Disposal of Capital Equipment | | Jan 11, 2023 | | | logistics-and-supply-chain-management | organizational |
| ORG.1910.PR.060 | Decanting Bulk Chemical Products | | Jan 11, 2023 | | | support-services | housekeeping organizational |
| ORG.1411.PL.404.FORM.02 | Tracking Transport Confidential Information Records for Appointments Form | | Jan 11, 2023 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.404.FORM.01 | Tracking of Confidential Information Worksheet | | Jan 11, 2023 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1810.PL.002.FORM.01 | Disclosure Record to Clients Patients and Families | | Jan 5, 2023 | | | quality-planning-and-performance | forms organizational |
| ORG.1810.PL.002 | Disclosure Process Critical Incidents | | Jan 5, 2023 | | | quality-planning-and-performance | organizational |
| ORG.1710.PL.004 | Exceptions to Purchasing Policies | | Jan 5, 2023 | | | logistics-and-supply-chain-management | organizational |
| ORG.1010.PL.002.SD.01 | Interpreter Services Language Access Flowchart | | Jan 4, 2023 | | | administration | organizational |
| Registration and License Expense Claim form SH-SS | | Dec 20, 2022 | | | finance | forms |
| CLI.6410.PL.024 | Hairstyling Services in Personal Care Homes | | Dec 16, 2022 | | | personal-care-home | clinical |
| CLI.6410.PL.024.FORM.01 | Regional Memorandum of Understanding for Hairstyling Services | | Dec 16, 2022 | | | personal-care-home | clinical forms |
| CLI.4110.PL.026.FORM.01 | Negative Pressure Wound Therapy NPWT Screening Tool and Standard Orders December 3 2022 | | Dec 12, 2022 | | | across-care-areas | clinical forms |
| CLI.4110.PL.026 | Negative Pressure Wound Therapy Policy | | Dec 12, 2022 | | | across-care-areas | clinical |
| ORG.1810.PL.011.FORM.01 | Tool for Guided Learning and Discussion | | Dec 1, 2022 | | | quality-planning-and-performance | forms organizational |
| ORG.1810.PL.011 | Patient Safety Learning Advisory | | Dec 1, 2022 | | | quality-planning-and-performance | organizational |
| CLI.6310.SG.004 | Referral Prioritization for Outpatient Hand Therapy Occupational Therapy and Physiotherapy | | Nov 14, 2022 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.002 | Referral Prioritization for Outpatient SLP Adults Service | | Nov 2, 2022 | | | rehabilitation-therapy-services | clinical |
| ORG.1410.PL.005.FORM.01 | Thinning of Documents From Client Charts Tracking | | Oct 19, 2022 | | | health-information-services | forms health-information organizational |
| ORG.1410.PL.005 | Thinning of Documents from Client Charts in Clinical Areas Programs | | Oct 19, 2022 | | | health-information-services | health-information organizational |
| ORG.1410.PL.005.SD.03 | Thinning of Documents from Client Charts in Clinical Area Program Guideline PCH and Transitional Care Centres | | Oct 19, 2022 | | | health-information-services | health-information organizational |
| ORG.1410.PL.005.SD.02 | Thinning of Documents from Client Charts in Clinical Area Program Guideline Home Care Nursing | | Oct 19, 2022 | | | health-information-services | health-information organizational |
| ORG.1410.PL.005.SD.01 | Thinning of Documents from Client Charts in Clinical Area Program Guideline Acute Care | | Oct 19, 2022 | | | health-information-services | health-information organizational |
| ORG.1410.PL.001 | Client Chart Health Record Order | | Oct 19, 2022 | | | health-information-services | health-information organizational |
| ORG 1410.PL.001.SD.04 | Client Chart Health Record Order PCH and Transitional Care Centres | | Oct 19, 2022 | | | health-information-services | health-information organizational |
| ORG.1410.PL.001.FORM.02 | Client Chart Health Record Order Audit Tool Home Care Nursing | | Oct 19, 2022 | | | health-information-services | forms health-information organizational |
| ORG.1410.PL.001.FORM.01 | Client Chart Health Record Order Audit Tool Acute Care | | Oct 19, 2022 | | | health-information-services | forms health-information organizational |
| ORG.1410.PL.001.SD.01 | Client Chart Health Record Order Acute Care | | Oct 19, 2022 | | | health-information-services | health-information organizational |
| ORG.1314.FORM.011 | Additional Service Log Rehab Services | | Oct 14, 2022 | | | human-resources | forms organizational payroll |
| ORG.1411.PL.101.FORM.01.F | Request to Access Personal Health Information – French | | Oct 3, 2022 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.101.FORM.06.F | Request for Additional Information Template – French | | Oct 3, 2022 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.101.FORM.03.F | Refusing a Request For Access – French | | Oct 3, 2022 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.101.FORM.07.F | Notification of Abandoned Request Template – French | | Oct 3, 2022 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.101.FORM.05.F | Estimate of Fees for Access to Personal Health Information Template FR | | Oct 3, 2022 | | | health-information-services | forms organizational privacy-and-access |
| CLI.6310.PL.003.SD.01 | Clinical Decision Algorithm for Patients with Tracheostomy | | Oct 3, 2022 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.PL.003 | Tracheostomy Patient Care and Speech Language Pathology Services | | Oct 3, 2022 | | | rehabilitation-therapy-services | clinical |
| ORG.1411.PL.101 | Access to Personal Health Information | | Oct 3, 2022 | | | health-information-services | organizational privacy-and-access |
| ORG.1314.FORM.003 | Position Control Create Delete Modify Form | | Sep 29, 2022 | | | human-resources | forms organizational payroll |
| ORG.1411.PL.101.FORM.04 | Record Does Not Exist or Cannot Be Located Template | | Sep 29, 2022 | | | health-information-services | forms organizational privacy-and-access |
| CLI.6310.SG.006 | Referral Prioritization for Adult Outpatient Physiotherapy | | Sep 23, 2022 | | | rehabilitation-therapy-services | clinical |
| ORG.1912.PL.007.SD.01 | Food Choices For Balanced Meals | | Sep 15, 2022 | | | support-services | food-services organizational |
| ORG.1912.PL.007 | Food Choices for Client Menu Cafeteria Vending and Catering | | Sep 15, 2022 | | | support-services | food-services organizational |
| ORG.1912.PL.007.SD.02 | Food Choices For Vending and Fundraising | | Sep 15, 2022 | | | support-services | food-services organizational |
| ORG.1912.PL.007.SD.01 | Food Choices Examples | | Sep 15, 2022 | | | support-services | food-services organizational |
| CLI.4110.PL.024.SD.01 | Topical Antimicrobial Indicated in Wounds | | Sep 9, 2022 | | | across-care-areas | clinical |
| CLI.4110.PL.024 | Wound Care Prescriber Orders | | Sep 9, 2022 | | | across-care-areas | clinical |
| ORG.1311.PR.001.SD.01 | Accounts Payable Processing Guide | | Aug 23, 2022 | | | finance | accounts-payable organizational |
| CLI.6010.PL.047 | Medication Allergy Identification and Reaction Recording | | Aug 11, 2022 | | | pharmacy | clinical |
| CLI.6010.PL.047.SD.01 | Clinical Circumstances Sheet | | Aug 1, 2022 | | | pharmacy | clinical forms |
| ORG.1411.PL.203.FORM.02 | Reporting and Investigating Privacy Breaches and Complaints Fact finding Interview Guide | | Jul 13, 2022 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.203 | Reporting and Investigating Privacy Breaches and Complaints | | Jul 13, 2022 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.203.FORM.01 | Privacy Incident Report | | Jul 13, 2022 | | | health-information-services | forms organizational privacy-and-access |
| Shipping Labels | | Jul 7, 2022 | | | logistics-and-supply-chain-management | forms |
| Work from home safety checklist | | Jun 15, 2022 | | | human-resources | forms labour-relations |
| ORG.1010.PL.001.SD.02 | EMS Redirection Diversion Advisory | | Jun 15, 2022 | | | administration | organizational |
| ORG.1010.PL.001.FORM.02 | Notification of Suspension of Services Form Sample | | Jun 15, 2022 | | | administration | forms organizational |
| ORG.1010.PL.001 | Suspension of Services | | Jun 14, 2022 | | | administration | organizational |
| CLI.6310.SG.007 | CBR and Outpatient Occupational Therapy Prioritization Guidelines Adult Services | | Jun 13, 2022 | | | rehabilitation-therapy-services | clinical |
| Application and agreement to work from home | | Jun 12, 2022 | | | human-resources | forms labour-relations |
| CLI.5412.SG.001.FORM.01 | HC Collaborative Care Team Action Log | | Jun 12, 2022 | | | home-care | clinical forms nursing |
| CLI.5412.SG.001.SD.01 | HC Collaborative Care Team Meeting Ground Rules | | Jun 12, 2022 | | | home-care | clinical nursing |
| CLI.5412.SG.001 | Home Care Client Collaborative Care Model | | Jun 12, 2022 | | | home-care | clinical nursing |
| CLI.4110.PL.023.FORM.01 | Enteral Nutrition Standard Orders | | Jun 1, 2022 | | | across-care-areas | clinical forms standard-order |
| CLI.6010.PL.015.FORM.01 | Medication Transportation Form | | Jun 1, 2022 | | | pharmacy | clinical forms |
| CLI.8011.PL.001.SD.07 | Infection Prevention and Control Hand Hygiene Poster Placement Guidelines | | May 5, 2022 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.001.FORM.01 | 4 Moments for Hand Hygiene Audit and 4 Moments for Hand Hygiene Audit Form Instructions for Use – Community | | May 5, 2022 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.001.FORM.02 | 4 Moments for Hand Hygiene Audit and 4 Moments for Hand Hygiene Audit Form Instructions for Use – Facility | | May 5, 2022 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.017.SD.01.F | Client Fact Sheet – Clostridioides Difficile – French | | May 5, 2022 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.017.SD.01 | Client Fact Sheet – Clostridioides difficile | | May 5, 2022 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.001.SD.06 | General Hand Care Instructions Staff Handout | | May 5, 2022 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.001.SD.05 | Hand Hygiene Considerations in Facility Design | | May 5, 2022 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.001 | Hand Hygiene | | May 5, 2022 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.001.SD.02 | SH SS Hand Hygiene How To Hand Rub and How to Hand Wash – Bilingual Posters | | May 5, 2022 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.001.SD.08 | Visitors – Stop the Spread of Infections Poster | | May 5, 2022 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.5910.SG.004.FORM.01 | Discharge Planning Checklist for Patients Receiving Palliative Care | | May 3, 2022 | | | palliative-care | clinical forms |
| CLI.5910.SG.004 | Discharge Planning for Palliative Care Patients from Hospital to Community | | May 3, 2022 | | | palliative-care | clinical |
| CLI.5413.SG.003.SD.01 | Back Up Plan Client Info | | May 3, 2022 | | | home-care | case-coordination clinical forms |
| CLI.5413.SG.003 | Back Up Plan for Service Interruption | | May 3, 2022 | | | home-care | case-coordination clinical |
| ORG.2010.SG.001.FORM.02 | Telehealth Client Survey Summary | | Apr 28, 2022 | | | telehealth | forms organizational |
| ORG.2010.SG.001 | Telehealth Survey and Summary | | Apr 28, 2022 | | | telehealth | organizational |
| ORG.1511.PL.001 | Dress Code Attire and Grooming | | Apr 26, 2022 | | | human-resources | organizational recruitment-and-retention |
| CLI.5415.PL.002 | Animals Pets in the Home and Areas | | Mar 31, 2022 | | | home-care | clinical |
| CLI.5411.PL.009.SD.01 | Client Home Care Standard Agreement Template Example | | Mar 31, 2022 | | | home-care | clinical service-delivery |
| CLI.5411.PL.009.FORM.03 | Client Home Care Standard Agreement Template | | Mar 31, 2022 | | | home-care | clinical forms service-delivery |
| CLI.5411.PL.009.FORM.01.F | Suspension of Home Care Services Letter Template – French | | Mar 31, 2022 | | | home-care | clinical forms service-delivery |
| CLI.5411.PL.009.FORM.01 | Suspension of Home Care Services Letter Template | | Mar 31, 2022 | | | home-care | clinical forms service-delivery |
| CLI.5411.PL.009.FORM.02.F | Withdrawal of Home Care Services Letter Template – French | | Mar 31, 2022 | | | home-care | clinical forms service-delivery |
| CLI.5411.PL.009.FORM.02 | Withdrawal of Home Care Services Letter Template | | Mar 31, 2022 | | | home-care | clinical forms service-delivery |
| CLI.5411.PL.009 | Interruption of Home Care Services | | Mar 31, 2022 | | | home-care | clinical service-delivery |
| ORG.1110.PL.003.SD.01 | When Media Calls Quick Guide | | Mar 24, 2022 | | | communications | organizational |
| CLI.6410.PL.008 | Ear Cleaning Equipment | | Mar 22, 2022 | | | personal-care-home | clinical |
| CLI.6010.PL.009.SD.03 | Medication Reconciliation and Discharge Order Form BDM – Example | | Mar 9, 2022 | | | pharmacy | clinical |
| CLI.6010.PL.009.SD.02 | Medication Reconciliation Transfer Profile BDM Form – Example | | Mar 9, 2022 | | | pharmacy | clinical |
| CLI.6010.SG.009 | Vancomycin Monitoring in the Home Care Treatment Clinic | | Mar 8, 2022 | | | pharmacy | clinical |
| ORG.1411.PL.101.FORM.01 | Request to Access Personal Health Information | | Mar 3, 2022 | | | health-information-services | forms organizational privacy-and-access |
| CLI.6410.PL.022.FORM.01 | Agreement to Share Personal Health Information in Personal Care Home – English | | Feb 16, 2022 | | | personal-care-home | clinical forms |
| CLI.6410.PL.022.FORM.01.F | Agreement to Share Personal Health Information in Personal Care Home – French | | Feb 16, 2022 | | | personal-care-home | clinical forms |
| CLI.6410.PL.022 | Agreement to Share Personal Health Information in Personal Care Home | | Feb 16, 2022 | | | personal-care-home | clinical |
| CLI.6410.PL.016.FORM.01.F | Personal Care Home Resident Agreement – French | | Feb 4, 2022 | | | personal-care-home | clinical forms |
| CLI.6410.PL.016.FORM.01 | Personal Care Home Resident Agreement | | Feb 4, 2022 | | | personal-care-home | clinical forms |
| CLI.6410.PL.016 | Resident Agreement | | Feb 4, 2022 | | | personal-care-home | clinical |
| CLI.5415.PL.002.FORM.01.F | Home Care Animals Pets Information Sheet – French | | Feb 3, 2022 | | | home-care | clinical forms |
| CLI.5415.PL.002.FORM.01 | Home Care Animals Pets Information Sheet | | Feb 3, 2022 | | | home-care | clinical forms |
| CLI.6310.PR.001.SD.01 | Choosing a Wheelchair for Use in a Personal Care Home | | Feb 3, 2022 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.PR.001 | Wheelchair Acquisition Process in Personal Care Homes | | Feb 3, 2022 | | | rehabilitation-therapy-services | clinical |
| ORG.1411.PL.101.FORM.06 | Request for Additional Infomation Template | | Jan 28, 2022 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.101.FORM.07 | Notification of Abandoned Request Template | | Jan 28, 2022 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.101.FORM.05 | Estimate of Fees for Access to Personal Health Information Template | | Jan 28, 2022 | | | health-information-services | forms organizational privacy-and-access |
| CLI.6310.SG.007.FORM.01 | Community Based Rehabilitation Referral | | Jan 28, 2022 | | | rehabilitation-therapy-services | clinical forms |
| ORG.1411.PL.104 | Correction of Personal Health Information | | Jan 28, 2022 | | | health-information-services | organizational privacy-and-access |
| CLI.5411.PL.008.FORM.03 | Home Care Assigned Task Monitoring Record | | Jan 24, 2022 | | | home-care | clinical forms service-delivery |
| CLI.5411.PL.008.FORM.01 | Home Care Assigned Task Training Request | | Jan 24, 2022 | | | home-care | clinical forms service-delivery |
| CLI.5411.PL.008 | Home Care Assignment of Tasks to Home Care Attendants | | Jan 24, 2022 | | | home-care | clinical service-delivery |
| CLI.5411.PL.008.FORM.02 | Home Care Attendant Ride Along Observation | | Jan 24, 2022 | | | home-care | clinical forms service-delivery |
| CLI.5411.PL.008.SD.01 | Southern Health Sante Sud Assigned Task List | | Jan 24, 2022 | | | home-care | clinical service-delivery |
| ORG.1410.PL.001.SD.03 | Client Chart Health Record Order Home Care Case Coordinator | | Jan 21, 2022 | | | health-information-services | health-information organizational |
| CLI.6010.PL.023 | Cannabis for Medical Purposes | | Jan 20, 2022 | | | pharmacy | clinical |
| CLI.4110.PR.002.SD.01 | Post Immunization Anaphylaxis Management Kits List of Items | | Jan 17, 2022 | | | across-care-areas | clinical |
| CLI.4110.PL.022.FORM.02 | Ankle Brachial Pressure Index and Toe Brachial Pressure Index Client Appointment Instructions and Information | | Jan 4, 2022 | | | across-care-areas | clinical forms |
| CLI.4110.PL.022.SD.01 | Ankle Brachial Pressure Index and Toe Brachial Pressure Index Education Module | | Jan 4, 2022 | | | across-care-areas | clinical |
| CLI.4110.PL.022.FORM.01 | Ankle Brachial Pressure Index and Toe Brachial Pressure Index Request | | Jan 4, 2022 | | | across-care-areas | clinical forms |
| ORG.1411.PL.502 | Use and Disclosure of Personal Health Information | | Dec 20, 2021 | | | health-information-services | organizational privacy-and-access |
| CLI.4510.PL.011 | Chest Tubes and Chest Drainage Systems | | Nov 29, 2021 | | | across-hospital-units | clinical |
| ORG.1312.FORM.002 | Miscellaneous Invoice | | Nov 23, 2021 | | | finance | accounts-receivable forms organizational |
| ORG.1411.PL.503.SD.03 | Video Surveillance Notification | | Nov 17, 2021 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.503.SD.01 | Respect Privacy Poster Long Term Care | | Nov 17, 2021 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.503.SD.02 | Respect Privacy Poster | | Nov 17, 2021 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.503 | Audio Video and Photographic Recording including Surveillance | | Nov 17, 2021 | | | health-information-services | organizational privacy-and-access |
| CLI.5910.PL.005.SD.001 | Anticipated Death at Home Information for Family Caregiver Bilingual | | Nov 8, 2021 | | | palliative-care | clinical |
| CLI.5410.SG.003.FORM.01 | Application for Community Urgent Status | | Nov 8, 2021 | | | home-care | access clinical forms |
| CLI.5410.SG.003.FORM.02 | Termination for Community Urgent Status | | Nov 8, 2021 | | | home-care | access clinical forms |
| CLI.5910.PL.005.FORM.01 | Notification of Anticipated Death at Home | | Nov 2, 2021 | | | palliative-care | clinical forms |
| CLI.5910.SG.005 | Palliative Care Telephone Consultation | | Nov 2, 2021 | | | palliative-care | clinical |
| CLI.5410.SG.003 | Home Care Services Community Urgent | | Nov 1, 2021 | | | home-care | access clinical |
| CLI.5910.PL.005 | Anticipated Death at Home | | Oct 31, 2021 | | | palliative-care | clinical |
| CLI.4110.PR.002 | Anaphylaxis Management Post Immunization in Community | | Oct 28, 2021 | | | across-care-areas | clinical |
| CLI.4110.PR.002.FORM.01 | Anaphylaxis Assessment Actions Record in Community | | Oct 28, 2021 | | | across-care-areas | clinical forms |
| CLI.4110.PR.002.SD.02 | Post Immunization Anaphylaxis Management Kit Insert | | Oct 28, 2021 | | | across-care-areas | clinical |
| CLI.8011.PL.008.SD.01 | Tuberculin Skin Test TST Referral Guideline | | Oct 27, 2021 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.FORM.001 | Tuberculin Skin Testing Fact Sheet | | Oct 27, 2021 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.008.FORM.05 | Occupational Safety and Health Employee TST Referral Form | | Oct 27, 2021 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.6310.SG.002.FORM.01 | Rehab Services Outpatient Referral | | Oct 27, 2021 | | | rehabilitation-therapy-services | clinical forms |
| ORG.1810.PL.008 | Audit Client Service | | Oct 4, 2021 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.008.FORM.01 | Regional Annual Audit Schedule TEMPLATE | | Oct 4, 2021 | | | quality-planning-and-performance | forms organizational |
| ORG.1810.PL.008.SD.01 | Regional Audit Guide | | Oct 4, 2021 | | | quality-planning-and-performance | organizational |
| ORG.1810.PL.008.FORM.02 | Regional Audit Report Template | | Oct 4, 2021 | | | quality-planning-and-performance | forms organizational |
| CLI.6010.PL.018 | Emergency Department Starter Packs | | Sep 23, 2021 | | | pharmacy | clinical |
| CLI.6010.PL.018.SD.01 | Starter Pack Dispensing List | | Sep 1, 2021 | | | pharmacy | clinical forms |
| ORG.1411.PL.101.FORM.03 | Refusing a Request For Access | | Aug 27, 2021 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1910.PR.044 | Operation of Carpet Extractor | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.046 | Cleaning of Floor Pads | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.053 | Cleaning Frequency Acute and Long Term Beds | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.058 | Cleaning Indoor Outdoor Visitation Shelters | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.055 | General Spill Biological Spill Clean Up | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.054 | General Waste Management | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.050 | Floor Burnishing Burnisher Floor Buffer Buffer Swing Machine | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.049 | Floor Finishing | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.047 | Floor Stripping with a Swing Machine | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.048 | Floor Stripping | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.056.FORM.01 | Mattress Inspection Replacement | | Aug 26, 2021 | | | support-services | forms housekeeping organizational |
| ORG.1910.PR.056 | Mattress Inspection Replacement | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.057 | Mattress Repair | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.043 | Operation of Auto Scrubber | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| Operation of Carpet Extractor | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.045 | Operation of Rotary Swing Floor Machine | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.052 | Spray Buffing | | Aug 26, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.058.SD.01 | Visitation Shelter Cleaning Checklist | | Aug 26, 2021 | | | support-services | forms housekeeping organizational |
| ORG.1710.PL.001.FORM.01 | Purchase Requisition | | Aug 16, 2021 | | | logistics-and-supply-chain-management | forms organizational |
| CLI.5410.PL.006 | Home Care Smoking Vaping Cigarette Cigar and eCigarette in the Home | | Jul 30, 2021 | | | home-care | access clinical forms |
| CLI.4110.PR.001.FORM.01 | Elsevier Clinical Skills Change Request | | Jul 7, 2021 | | | across-care-areas | clinical forms |
| CLI.4110.PR.001 | Use of Elsevier Clinical Skills | | Jul 7, 2021 | | | across-care-areas | clinical |
| CLI.5410.PL.005 | Policy Cannabis for Medical Purposes in the Home | | Jul 6, 2021 | | | home-care | access clinical |
| ORG.1910.PR.018 | Cleaning Routine Occupied Client Resident Room | | Jun 18, 2021 | | | support-services | housekeeping organizational |
| ORG.1912.PL.005.FORM.01 | Annual Audit Tracking | | Jun 15, 2021 | | | support-services | food-services forms organizational |
| ORG.1912.PL.005.FORM.14 | Regional Audit Report | | Jun 15, 2021 | | | support-services | food-services forms organizational |
| CLI.5110.SG.007 | Emergency Department Coordinated Care Plan | | Jun 14, 2021 | | | critical-care-er-observation-scu | clinical |
| CLI.5910.PL.010.FORM.01 | Palliative Care Social Work Referral Form | | Jun 6, 2021 | | | palliative-care | clinical forms |
| CLI.5910.PL.010 | Palliative Care Social Work Referral | | Jun 6, 2021 | | | palliative-care | clinical |
| ORG.1912.PL.005.FORM.02 | Fridge Freezer Temperature Record | | Jun 1, 2021 | | | support-services | food-services forms organizational |
| CLI.4110.SG.011 | Silver Nitrate agNo3 Sticks for Wound Care Guideline | | May 31, 2021 | | | across-care-areas | clinical |
| CLI.6010.SG.008.SD.02 | Finasteride Dissolve and Dose Instructions | | May 27, 2021 | | | pharmacy | clinical forms |
| CLI.6010.SG.008.SD.03 | Cotrimoxazole Dissolve and Dose Instructions | | May 27, 2021 | | | pharmacy | clinical |
| CLI.6410.SG.003 | Significant Weight Change Dietitian Referral | | May 20, 2021 | | | personal-care-home | clinical |
| CLI.8011.PR.001.SD.01 | Personal Protective Equipment PPE Donning and Doffing Observation Guide | | May 3, 2021 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PR.001.FORM.01 | Personal Protective Equipment PPE Observation Log | | May 3, 2021 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PR.001 | Personal Protective Equipment PPE Observer Procedure | | May 3, 2021 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.6310.SG.003.SD.02 | Priority Rating Scale Adult Audiology | | May 3, 2021 | | | rehabilitation-therapy-services | clinical |
| CLI.6010.SG.008.SD.01 | Dissolve and Dose Instructions Template | | May 1, 2021 | | | pharmacy | clinical forms |
| ORG.1513.PL.007.SD.01 | Workplace Safety and Health Program | | Apr 27, 2021 | | | human-resources | organizational workplace-safety-and-health |
| ORG.1513.PL.007.SD.02 | Workplace Safety and Health Statement of Commitment | | Apr 27, 2021 | | | human-resources | organizational workplace-safety-and-health |
| ORG.1910.PR.036 | Cleaning of Drinking Fountains | | Apr 27, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.035 | Cleaning of Hydrotherapy Jetted Tub | | Apr 27, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.037 | Cleaning of LCD Screens and Base | | Apr 27, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.042 | Clean Up and Disposal Clean Broken Glass | | Apr 27, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.038 | Stripping Bed Making | | Apr 27, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.041 | Window Washing using a Gasoline Powered Pressure Washer | | Apr 27, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.040 | Window Washing using an Electric Powered Pressure Washer | | Apr 27, 2021 | | | support-services | housekeeping organizational |
| CLI.4510.PL.012.SD.01 | UK Vessel Health and Preservation 2020 | New overarching policy to provide formal direction on vascular access treatment therapies. | Apr 21, 2021 | | | across-hospital-units | clinical |
| CLI.6010.SG.007.SD.01 | Adult Treatment for Hypoglycemia Standard Orders | | Apr 14, 2021 | | | pharmacy | clinical forms standard-order |
| CLI.6010.SG.007 | Emergency Management of Hypoglycemia Adult Pediatric | | Apr 14, 2021 | | | pharmacy | clinical |
| CLI.6010.SG.001.FORM.01 | Vancomycin Prescriber Standard Orders | | Apr 14, 2021 | | | pharmacy | clinical forms standard-order |
| CLI.6010.SG.007.SD.03 | Patient Handout Hypoglycemia Low Blood Sugar Adult | | Apr 14, 2021 | | | pharmacy | clinical |
| CLI.6010.SG.007.SD.02 | Pediatric Treatment for Hypoglycemia Standard Orders | | Apr 14, 2021 | | | pharmacy | clinical forms |
| CLI.5110.SG.009 | Anaphylaxis Diagnosis and Treatment | | Apr 13, 2021 | | | critical-care-er-observation-scu | clinical |
| ORG.1912.PL.008.FORM.01 | Meals On Wheels Dietary Requisition | | Mar 23, 2021 | | | support-services | food-services forms organizational |
| ORG.1912.PL.004 | Cleaning of Equipment | | Mar 8, 2021 | | | support-services | food-services organizational |
| ORG.1910.PR.028 | Cleaning of Chemo and Dialysis | | Mar 3, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.032 | Cleaning of Medical Device Reprocessing Department | | Mar 3, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.033 | Clean and Disinfecting of Public Washrooms | | Mar 3, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.030 | Cleaning of All Entrances | | Mar 3, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.034 | Cleaning of Urinals | | Mar 3, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.029 | Cleaning of Waiting Rooms | | Mar 3, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.031 | Cleaning Tubs Showers | | Mar 3, 2021 | | | support-services | housekeeping organizational |
| CLI.4110.SG.010 | Inpatient Rehabilitation Unit Criteria for Admission | | Feb 12, 2021 | | | across-care-areas | clinical |
| CLI.4110.SG.010.FORM.01 | Regional Centre Inpatient Rehabilitation Unit Referral | | Feb 12, 2021 | | | across-care-areas | clinical forms |
| ORG.1210.PL.002 | Memorandum of Understanding for Emergency Preparedness | | Feb 1, 2021 | | | disaster-management | organizational |
| ORG.1210.PL.002.FORM.01 | Memorandum of Understanding with Municipalities regarding Emergency Preparedness | | Feb 1, 2021 | | | disaster-management | forms organizational |
| ORG.1210.PL.002.FORM.01.F | Memorandum of Understanding with Municipalities regarding Emergency Preparedness – French | | Feb 1, 2021 | | | disaster-management | forms organizational |
| ORG. 1411.PL.006 | Preparing Fee Estimates under the Freedom of Information and Protection of Privacy Act FIPPA | | Jan 29, 2021 | | | health-information-services | organizational privacy-and-access |
| CLI.6010.PL.024.SD.02 | Handling of Suspected Illicit Substance FAQs | | Jan 28, 2021 | | | pharmacy | clinical |
| CLI.5110.SG.009.SD.01 | Anaphylaxis Algorithm | | Jan 25, 2021 | | | critical-care-er-observation-scu | clinical |
| CLI.5110.SG.009.FORM.02.F | Patient Action Plan for Anaphylaxis FRENCH | | Jan 25, 2021 | | | critical-care-er-observation-scu | clinical forms |
| CLI.5110.SG.009.FORM.02 | Patient Action Plan for Anaphylaxis | | Jan 25, 2021 | | | critical-care-er-observation-scu | clinical forms |
| ORG.1910.PR.016 | Cleaning of Curtains Blinds | | Jan 22, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.007 | Damp and Dry Dusting | | Jan 22, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.012 | Vacuuming | | Jan 22, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.013 | Wall Washing | | Jan 22, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.011 | Wet Scrubbing Floors with a Swing Floor Machine | | Jan 22, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.015 | Window Glass Door Washing Inside | | Jan 22, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.014 | Window Glass Door Washing Outside | | Jan 22, 2021 | | | support-services | housekeeping organizational |
| ORG.1410.PL.402.SD.05 | Iron Mountain Permanent Withdrawal and Destruction | | Jan 21, 2021 | | | health-information-services | health-information organizational |
| ORG.1910.PR.022 | Cleaning of an Office Reception Area Meeting Rooms Boardrooms | | Jan 18, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.023 | Cleaning of Laboratories XRay | | Jan 18, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.025 | Cleaning Elevators | | Jan 18, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.024 | Cleaning of Stairwells | | Jan 18, 2021 | | | support-services | housekeeping organizational |
| ORG.1910.PR.027 | Cleaning of the Morgue | | Jan 18, 2021 | | | support-services | housekeeping organizational |
| ORG.1410.PL.402 | Off Site Storage of Records | | Jan 18, 2021 | | | health-information-services | health-information organizational |
| ORG.1410.PL.402.SD.04 | Iron Mountain Searching in the Records Centre | | Jan 18, 2021 | | | health-information-services | health-information organizational |
| ORG.1410.PL.402.SD.01 | Iron Mountain Requesting Reports | | Jan 18, 2021 | | | health-information-services | health-information organizational |
| ORG.1410.PL.402.FORM.01 | Iron Mountain Request to Add New Division | | Jan 18, 2021 | | | health-information-services | forms health-information organizational |
| ORG.1410.PL.402.FORM.02 | Iron Mountain Request to Add New Department | | Jan 18, 2021 | | | health-information-services | forms health-information organizational |
| ORG.1410.PL.402.SD.03 | Iron Mountain Creating a Pickup Order | | Jan 18, 2021 | | | health-information-services | health-information organizational |
| ORG.1410.PL.402.SD.02 | Iron Mountain Adding Boxes and Files | | Jan 18, 2021 | | | health-information-services | health-information organizational |
| ORG.1410.PL.402.FORM.03 | Iron Mountain Access Form Request to Add or Delete User | | Jan 18, 2021 | | | health-information-services | forms health-information organizational |
| Volunteer Induction Worksheet | | Jan 15, 2021 | | | human-resources | forms |
| CLI.6010.SG.001.FORM.02 | Vancomycin Pharmacist Standard Orders | | Jan 14, 2021 | | | pharmacy | clinical forms |
| CLI.6310.SG.008 | Occupational Therapy Inpatient Referral Prioritization | | Nov 5, 2020 | | | rehabilitation-therapy-services | clinical |
| CLI.6310.SG.009 | Physiotherapy Inpatient Referral Prioritization | | Nov 5, 2020 | | | rehabilitation-therapy-services | clinical |
| ORG.1210.PL.001.FORM.02 | Employee Accessibility Plan for Emergencies | | Oct 29, 2020 | | | disaster-management | forms organizational |
| ORG.1910.PR.020 | Cleaning of an Occupied Isolation Room | | Oct 15, 2020 | | | support-services | housekeeping organizational |
| ORG.1910.PR.021 | Cleaning of a Discharged Client Resident Isolation Room | | Oct 15, 2020 | | | support-services | housekeeping organizational |
| ORG.1910.PR.019 | Cleaning of a Routine Discharged Client Resident Room | | Oct 15, 2020 | | | support-services | housekeeping organizational |
| ORG.1910.PR.017 | Project Cleaning Rooms | | Oct 15, 2020 | | | support-services | housekeeping organizational |
| CLI.4110.PL.018.FORM.01 | Oral Health Assessment and Care Plan Guide | | Oct 8, 2020 | | | across-care-areas | clinical forms |
| CLI.8011.PL.013 | Pneumococcal Vaccine Administration to Residents in Personal Care Homes | | Oct 5, 2020 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.4110.PL.017.FORM.04 | Post Exposure to Blood and Body Fluids Instruction Record Bilingual | | Sep 30, 2020 | | | across-care-areas | clinical forms |
| CLI.4110.PL.017 | Post Exposure Prophylaxis for Human Immunodeficiency Virus HIV Hepatitis B Virus HBV or Hepatitis C Virus HCV | | Sep 30, 2020 | | | across-care-areas | clinical |
| CLI.4110.PL.017.FORM.09 | Post Exposure to Blood and Body Fluids Referrals | | Sep 30, 2020 | | | across-care-areas | clinical forms |
| CLI.4110.PL.017.FORM.01 | Post Exposure to Blood and Body Fluids Risk Assessment and Management | | Sep 30, 2020 | | | across-care-areas | clinical forms |
| ORG.1110.PL.010.FORM.01 | Public Website Events Calendar Submission | | Sep 10, 2020 | | | communications | forms organizational |
| ORG.1710.PL.001.FORM.02 | Product Vendor Complaint | | Sep 8, 2020 | | | logistics-and-supply-chain-management | forms organizational |
| ORG.1411.SG.001 | Emailing Confidential Information | | Sep 4, 2020 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.SG.001.SD.01 | Email Acknowledgment and Agreement | | Sep 4, 2020 | | | health-information-services | organizational privacy-and-access |
| CLI.8011.SG.005 | Portable Fan Usage in Healthcare Facilities | | Jul 23, 2020 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.4510.PL.010.FORM.02 | Review of Contraband Items | | Jun 29, 2020 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.010 | Suicide Prevention Acute Care | | Jun 29, 2020 | | | across-hospital-units | clinical |
| CLI.4510.PL.010.FORM.03 | Suicide Prevention Chart Audit | | Jun 29, 2020 | | | across-hospital-units | clinical forms |
| CLI.4510.PL.010.SD.01 | Suicide Prevention Sample Interview Questions | | Jun 29, 2020 | | | across-hospital-units | clinical |
| CLI.4510.PL.010.FORM.01 | Suicide Screening Risk Assessment and Care Planning | | Jun 29, 2020 | | | across-hospital-units | clinical forms |
| CLI.5110.PL.008.SD.01 | Law Enforcement Peace Officer Involvement during MH Patient Transport Algorithm | | Jun 29, 2020 | | | critical-care-er-observation-scu | clinical |
| CLI.5110.PL.008.FORM.01 | Level of Supervision Mental Health | | Jun 29, 2020 | | | critical-care-er-observation-scu | clinical forms |
| CLI.5110.PL.008 | Transfer of Custody of an Involuntary Patient under the Mental Health Act | | Jun 29, 2020 | | | critical-care-er-observation-scu | clinical |
| Midwifery Billing Form | | Jun 1, 2020 | | | finance primary-health-care | forms |
| CLI.8011.PL.014 | Bed Bug Management in Acute Care and Personal Care Home | | May 19, 2020 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| ORG.1111.PL.001.SD.02 | Regional Health Authorities Act Bilingual | | Apr 24, 2020 | | | french-language-services | organizational |
| CLI.6210.PL.001.SD.03.F | Contraceptive Health Services Letter – French | | Apr 8, 2020 | | | public-health-healthy-living | clinical forms |
| CLI.6210.PL.001.SD.03 | Contraceptive Health Services Letter | | Apr 8, 2020 | | | public-health-healthy-living | clinical forms |
| CLI.6210.PL.001.FORM.01.F | Reproductive Health History – French | | Apr 8, 2020 | | | public-health-healthy-living | clinical forms |
| CLI.6210.PL.001.FORM.01 | Reproductive Health History | | Apr 8, 2020 | | | public-health-healthy-living | clinical forms |
| CLI.6210.PL.001.FORM.02 | Reproductive Health Record | | Apr 8, 2020 | | | public-health-healthy-living | clinical forms |
| ORG.1110.PL.004.SD.01 | Photo Video Audio General Poster | | Apr 7, 2020 | | | communications | organizational |
| CLI.6410.PL.003 | Information Transfer at Care Transition Personal Care Home | | Mar 24, 2020 | | | personal-care-home | clinical |
| CLI.4110.PL.010 | Information Transfer at Care Transition | | Mar 20, 2020 | | | across-care-areas | clinical |
| CLI.4110.PL.020.FORM.01 | Public Guardian and Trustee of Manitoba Client Transfer Notice | | Mar 20, 2020 | | | across-care-areas | clinical forms |
| CLI.4110.PL.019 | Power Mobility Device | | Mar 6, 2020 | | | across-care-areas | clinical |
| CLI.4110.PL.019.FORM.01 | Power Mobility Device User Judgment Guideline | | Mar 6, 2020 | | | across-care-areas | clinical forms |
| CLI.4110.PL.019.SD.02 | Process Map Power Mobility Device Assessment New User | | Mar 6, 2020 | | | across-care-areas | clinical |
| CLI.4110.PL.019.SD.01 | Process Map Power Mobility Device Assessment Existing User | | Mar 6, 2020 | | | across-care-areas | clinical |
| CLI.4110.PL.019.SD.03 | Power Mobility Device Frequently Asked Questions for Nursing | | Mar 6, 2020 | | | across-care-areas | clinical |
| CLI.4110.PL.019.FORM.02 | Power Mobility Device Safety and Care Information Sheet | | Mar 6, 2020 | | | across-care-areas | clinical forms |
| CLI.4110.PL.019.FORM.O3 | Power MobilityDevice User Agreement Form | | Mar 6, 2020 | | | across-care-areas | clinical forms |
| ORG.1310.PL.004 | Parking | | Mar 6, 2020 | | | finance | organizational |
| ORG.1510.PL.004.FORM.01 | Regional Orientation Registration Form | | Feb 7, 2020 | | | human-resources | forms organizational |
| ORG.1411.PL.505.FORM.01 | Disclosure of Personal Health Information to Police Without Consent Form | | Feb 4, 2020 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.505 | Disclosure of Personal Health Information to Police | | Feb 4, 2020 | | | health-information-services | organizational privacy-and-access |
| ORG.1910.PR.003 | Appearance Standards Client Resident Rooms | | Jan 29, 2020 | | | support-services | housekeeping organizational |
| ORG.1910.PR.004 | Appearance Standards Washrooms | | Jan 29, 2020 | | | support-services | housekeeping organizational |
| ORG.1910.PR.005 | Cleaning Appearance Standards General Room Area | | Jan 29, 2020 | | | support-services | housekeeping organizational |
| ORG.1910.PR.008 | Dry Mopping Floors | | Jan 29, 2020 | | | support-services | housekeeping organizational |
| ORG.1910.PR.006 | Preparation of a Housekeeping Cart | | Jan 29, 2020 | | | support-services | housekeeping organizational |
| ORG.1910.PR.010 | Wet Mopping Floors Microfiber Mopping System | | Jan 29, 2020 | | | support-services | housekeeping organizational |
| ORG.1910.PR.009 | Wet Mopping Floors Yacht Style Mop | | Jan 29, 2020 | | | support-services | housekeeping organizational |
| ORG.1314.FORM.002 | Payroll Discrepancy Form | | Jan 27, 2020 | | | finance human-resources | forms |
| ORG.1010.SG.003 | Postponement of Education Sessions | | Jan 13, 2020 | | | administration | organizational |
| CLI.8011.PL.015 | Reporting of Infectious Diseases and Conditions by HCPs in AC and PCH | | Jan 7, 2020 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.SG.001.SD.02 | Urine Trouble Bilingual | | Dec 17, 2019 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.4110.PL.006 | Medical Assistance In Dying MAID | | Dec 10, 2019 | | | across-care-areas | clinical |
| CLI.4110.PL.006.F | Medical-Assistance-in-Dying (MAID) – French | | Dec 10, 2019 | | | across-care-areas | clinical |
| ORG.1911.PR.030 | Cleaning Dryers | | Dec 2, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.027 | Cleaning Equipment Areas Clean Soiled Areas Laundry Department | | Dec 2, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.029 | Cleaning Weigh Scale Floor Model | | Dec 2, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.028 | Cleaning Weigh Scale Poly Basket Model | | Dec 2, 2019 | | | support-services | laundry organizational |
| CLI.5810.PL.010 | Amnioinfusion | | Nov 14, 2019 | | | obstetrics | clinical |
| CLI.5810.PL.008.SD.01 | Newborn Pulse Oximetry Flow Chart | | Nov 14, 2019 | | | obstetrics | clinical |
| CLI.5810.PL.008 | Newborn Pulse Oximetry Monitoring Upon Discharge | | Nov 14, 2019 | | | obstetrics | clinical |
| CLI.5810.PL.009 | Pain Management in Labour | | Nov 14, 2019 | | | obstetrics | clinical |
| CLI.6210.SG.010.SD.02 | Pregnancy Resources – Bilingual | | Oct 31, 2019 | | | public-health-healthy-living | clinical |
| CLI.6110.PL.002 | Falls Prevention Primary Health Care PHC | | Oct 30, 2019 | | | primary-health-care | clinical |
| CLI.6110.PL.002.FORM.01.F | Fall Prevention Environmental Audit PHC French | | Oct 30, 2019 | | | primary-health-care | clinical forms |
| CLI.6110.PL.002.FORM.01 | Fall Prevention Environmental Audit PHC | | Oct 30, 2019 | | | primary-health-care | clinical forms |
| CLI.6110.PL.002.FORM.03.F | Primary Health Care Client Falls Risk Screening Tool French | | Oct 30, 2019 | | | primary-health-care | clinical forms |
| CLI.6110.PL.002.FORM.03 | Primary Health Care Client Falls Risk Screening Tool | | Oct 30, 2019 | | | primary-health-care | clinical forms |
| CLI.6110.PL.002.FORM.02 | Staying on your Feet Checklist | | Oct 30, 2019 | | | primary-health-care | clinical forms |
| CLI.6110.PL.002.FORM.02.F | Staying on your Feet Checlist French | | Oct 30, 2019 | | | primary-health-care | clinical forms |
| CLI.6110.PL.002.FORM.04.F | Your Fall Risk Factors Form French | | Oct 30, 2019 | | | primary-health-care | clinical forms |
| CLI.6110.PL.002.FORM.04 | Your Fall Risk Factors Form | | Oct 30, 2019 | | | primary-health-care | clinical forms |
| CLI.6410.PL.017.FORM.01 | Personal Care Home Acceptance Letter | | Oct 29, 2019 | | | personal-care-home | clinical forms |
| ORG.1411.PL.502.FORM.03 | Record of Access Disclosure Release of Personal Health Information | | Oct 29, 2019 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.502.FORM.02.F | Consent to Use Personal Health Information Form – French | | Oct 29, 2019 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.502.FORM.02 | Consent to Use Personal Health Information Form | | Oct 29, 2019 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.502.FORM.01.F | Consent to Disclose Personal Health Information Form – French | | Oct 29, 2019 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.502.FORM.01 | Consent to Disclose Personal Health Information | | Oct 29, 2019 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1311.PR.001.FORM.01 | Accounts Payable Batch Header | | Oct 29, 2019 | | | finance | accounts-payable forms organizational |
| ORG.1311.PR.001.FORM.02 | Accounts Payable Batch Log | | Oct 29, 2019 | | | finance | accounts-payable forms organizational |
| ORG.1311.PR.001.FORM.03 | Accounts Payable Coding Stamp | | Oct 29, 2019 | | | finance | accounts-payable forms organizational |
| CLI.4110.SG.008 | Nurse Practitioner Regional Practice Guideline | | Oct 28, 2019 | | | across-care-areas | clinical |
| ORG.1311.PR.001 | Accounts Payable Processes | | Oct 22, 2019 | | | finance | accounts-payable organizational |
| CLI.5810.PL.002.FORM.02 | Labour Partograph | | Oct 10, 2019 | | | obstetrics | clinical forms |
| CLI.4110.PL.017.FORM.03 | Post Exposure to Blood and Body Fluids Laboratory Testing of Source | | Sep 30, 2019 | | | across-care-areas | clinical forms |
| Breastfeeding Welcome Here Order | | Sep 30, 2019 | | | public-health-healthy-living | forms |
| CLI.5411.SG.007.SD.01 | Home Care Client Information Sheet Supplies | | Sep 29, 2019 | | | home-care | clinical forms service-delivery |
| CLI.5910.PL.009 | Thoracentesis Catheter Intermittent Drainage of Pleural Fluid and Care of Long Term | | Sep 27, 2019 | | | palliative-care | clinical |
| ORG.1510.PL.004 | Regional Orientation Program | | Sep 27, 2019 | | | human-resources | organizational |
| CLI.5810.FORM.048 | Standard Orders Hypertensive Disorders of Pregnancy final | | Sep 24, 2019 | | | obstetrics | clinical forms standard-order |
| ORG.1510.PL.005.SD.01 | Respectful Workplace Procedures Manual | | Sep 21, 2019 | | | human-resources | organizational |
| CPCP Consult Request | | Sep 20, 2019 | | | palliative-care | forms |
| CLI.6010.PR.001 | Operating Room Management of Narcotic Controlled Medications | | Sep 18, 2019 | | | pharmacy | clinical |
| CLI.6010.PR.001.FORM.01 | OR Anesthetist DCMR | | Sep 18, 2019 | | | pharmacy | clinical forms |
| CLI.6010.PR.001.FORM.02 | OR Nursing DCMR | | Sep 18, 2019 | | | pharmacy | clinical forms |
| CLI.6110.FORM.001 | Regional Chronic Disease Education Team and Community Dietitian Referral Form | | Sep 17, 2019 | | | primary-health-care | clinical forms |
| CLI.6110.FORM.002 | Regional Chronic Disease Education Team and Community Dietitian Self Referral Form | | Sep 17, 2019 | | | primary-health-care | clinical forms |
| CLI.6010.PL.015.SD.01 | MAR Example Acute Patch Application and Removal | | Sep 17, 2019 | | | pharmacy | clinical |
| CLI.4110.PL.018.SD.01 | Oral Hygiene Levels of Care Procedures | | Sep 16, 2019 | | | across-care-areas | clinical |
| CLI.4110.PL.018 | Oral Hygiene | | Sep 16, 2019 | | | across-care-areas | clinical |
| CLI.8011.SG.001 | Standard Guideline Diagnosis and Management of Urinary Tract Infections in Long Term Care | | Sep 9, 2019 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.SG.001.SD.01 | Urinary Tract Infection – Clinical Care Map | | Sep 9, 2019 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.6210.SG.009.SD.01 | How to Keep Your Breast Pump Clean | | Sep 9, 2019 | | | public-health-healthy-living | clinical |
| ORG.1511.PL.008.FORM.01 | Return of Service Agreement For Existing Employees | | Sep 5, 2019 | | | human-resources | forms organizational recruitment-and-retention |
| ORG.1911.PR.011 | Cleaning of Linen Clothing Delivery Carts | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.013 | Laundry Chemical Treatment Procedure | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.016 | Person in Charge | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.017 | Pick Up and Transportation of Laundry Linen Using a Van | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.024 | Pick Up and Transportation of Soiled Laundry with Possible Lice Bed Bug Infestation | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.012 | Laundry Equipment Identification List | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.010 | Linen Quotas | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.014 | Loading Clean Linen Clothing Carts | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.015 | Lost and Found | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.018 | Separation of Clean and Soiled Equipment Laundry Areas | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.019 | Sorting Soiled Laundry | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.025 | Stained Linen Clothing Treatment and Rewash | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.021 | Storage of Soiled Laundry in the Laundry Department | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.020 | Storage of Soiled Laundry on Client Service Areas | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.023 | Transporting Laundry and Linen with a Lift Vehicle | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.022 | Transporting Laundry In House | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.026 | Weighing Soiled Laundry | | Sep 3, 2019 | | | support-services | laundry organizational |
| ORG.1911.PR.012.FORM.01 | Laundry Equipment Identification List | | Sep 1, 2019 | | | support-services | forms laundry organizational |
| CLI.6210.SG.004.SD.01 | Community Breastfeeding Resources List | | Aug 28, 2019 | | | public-health-healthy-living | clinical |
| CLI.6210.SG.004.SD.05 | Thrush Client Teaching Handout | | Aug 28, 2019 | | | public-health-healthy-living | client-teaching-handouts clinical |
| CLI.6410.PL.014.FORM.02 | Fall Prevention and Management in PCH Falls Prevention Intervention Checklist | | Aug 23, 2019 | | | personal-care-home | clinical forms |
| CLI.4110.PL.017.SD.04 | Antiretroviral Medications Side Effects | | Aug 23, 2019 | | | across-care-areas | clinical |
| CLI.4110.PL.017.SD.02.F | Manitoba Health What You Should Know – French | | Aug 23, 2019 | | | across-care-areas | clinical |
| CLI.4110.PL.017.SD.02 | Manitoba Health What You Should Know | | Aug 23, 2019 | | | across-care-areas | clinical |
| CLI.4110.PL.017.SD.03.F | Medications to Reduce the Risk of HIV Infection – French | | Aug 23, 2019 | | | across-care-areas | clinical |
| CLI.4110.PL.017.SD.03 | Medications to Reduce the Risk of HIV Infection | | Aug 23, 2019 | | | across-care-areas | clinical |
| CLI.4110.PL.011.FORM.01 | Monthly Mobility Equipment Inspection Checklist | | Aug 23, 2019 | | | across-care-areas | clinical forms |
| CLI.4110.PL.017.SD.01 | Post Exposure to Blood and Body Fluids Algorithm | | Aug 23, 2019 | | | across-care-areas | clinical |
| CLI.6210.SG.010.SD.01 | Manitoba Public Health Nurse Prenatal Referral | | Aug 20, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.5810.PL.007 | Hepatitis B prophylaxis in Newborns Policy | | Aug 12, 2019 | | | obstetrics | clinical |
| CLI.5415.PL.001.FORM.01 | SBAR Clinical Home Care | | Jun 26, 2019 | | | home-care | case-coordination clinical forms |
| CLI.4110.PL.017.FORM.02 | Post Exposure to Blood and Body Fluids Source Consent Bilingual | | Jun 16, 2019 | | | across-care-areas | clinical forms |
| CLI.4110.PL.017.FORM.08 | Outpatient prescription HIV PEP Pediatric | | Jun 14, 2019 | | | across-care-areas | clinical forms |
| CLI.4110.PL.017.FORM.05 | Post Exposure Prophylaxis to Blood and Body Fluids Standard Orders Adult | | Jun 14, 2019 | | | across-care-areas | clinical forms |
| CLI.4110.PL.017.FORM.06 | Post Exposure Prophylaxis to Blood and Body Fluids Standard Orders Pediatric | | Jun 14, 2019 | | | across-care-areas | clinical forms |
| CLI.8011.PL.017.FORM.07 | Outpatient Prescription HIV PEP Adult | | Jun 14, 2019 | | | across-care-areas | clinical forms |
| ORG.1313.PL.001.FORM.02 | Equipment Needs Listing | | Jun 10, 2019 | | | finance | capital forms |
| ORG.1313.PL.001 | Equipment Authorization | | Jun 10, 2019 | | | finance | capital organizational |
| ORG.1311.FORM.002 | Direct Deposit Form Employee | | Jun 6, 2019 | | | finance | accounts-payable forms organizational |
| ORG.1311.FORM.003 | Direct Deposit Form Vendor | | Jun 6, 2019 | | | finance | accounts-payable forms organizational |
| CLI.4110.PL.016.SD.01 | Personal Health Information Disclosure Due to Risk of Serious Harm Algorithm | | Jun 4, 2019 | | | across-care-areas | clinical |
| CLI.4110.PL.016 | Personal Health Information Disclosure Due to Risk of Serious Harm | | Jun 4, 2019 | | | across-care-areas | clinical |
| CLI.5411.SG.002.SD.01 | Home Care Client Information Sheet Mobility Exercise Transfer Positioning | | May 23, 2019 | | | home-care | clinical service-delivery |
| CLI.5510.PL.002.FORM.01 | Transportation Inventory List | | May 8, 2019 | | | medical-device-reprocessing | clinical forms |
| ORG.1913.PL.001 | Preventative Maintenance on Equipment | | May 3, 2019 | | | support-services | organizational physical-plant |
| CLI.6210.SG.007 | Tuberculosis Public Health Management of Contacts Guideline | | May 1, 2019 | | | public-health-healthy-living | clinical |
| CLI.6110.PL.003.FORM.01 | Client Experience Survey Form | | May 1, 2019 | | | primary-health-care | clinical forms |
| CLI.6110.PL.003.FORM.01.F | Client Experience Survey Form French | | May 1, 2019 | | | primary-health-care | clinical forms |
| CLI.6110.PL.003 | Client Experience Survey | | May 1, 2019 | | | primary-health-care | clinical |
| ORG.1513.PL.006.FORM.01 | Person of Interest Safety Plan and Safe Workplace Notification Guide | | Apr 25, 2019 | | | human-resources | forms organizational workplace-safety-and-health |
| ORG.1513.SG.002 | Person of Interest Standard Guideline | | Apr 25, 2019 | | | human-resources | organizational workplace-safety-and-health |
| CLI.6410.PL.021.FORM.03 | Geriatric Depression Scale GDS Short Form | | Apr 17, 2019 | | | personal-care-home | clinical forms |
| CLI.6410.PL.021.SD.01 | Regional PCH Suicide Risk Assessment Resource Guide | | Apr 17, 2019 | | | personal-care-home | clinical |
| CLI.6410.PL.021.FORM.02 | Risk Assessment for Suicide Tool RAST | | Apr 17, 2019 | | | personal-care-home | clinical forms |
| CLI.6410.PL.021.FORM.04 | SIG E CAPS Screening for Depression | | Apr 17, 2019 | | | personal-care-home | clinical forms |
| CLI.6410.PL.021.FORM.01 | Suicide Risk Screening Tool | | Apr 17, 2019 | | | personal-care-home | clinical forms |
| ORG.1610.PL.003 | Allocation of Information Communication Technology Devices | | Apr 15, 2019 | | | information-and-communication-technology | organizational |
| ORG.1610.PL.002 | Appropriate Use of Information and Communication Technology | | Apr 15, 2019 | | | information-and-communication-technology | organizational |
| ORG.1610.PL.001 | Information and Communication Technology Security | | Apr 15, 2019 | | | information-and-communication-technology | organizational |
| ORG.1610.PL.004 | Remote Access to Corporate Network | | Apr 15, 2019 | | | information-and-communication-technology | organizational |
| ORG.1511.SG.001 | Student Incentive Grant and LPN to BN Education Bursary for Existing Employees | | Apr 12, 2019 | | | human-resources | organizational recruitment-and-retention |
| ORG.1511.SG.001.FORM.01 | Student Incentive Grant Application | | Apr 12, 2019 | | | human-resources | forms organizational recruitment-and-retention |
| ORG.1511.SG.001.FORM.02 | Student Incentive Grant Practical Nursing Application | | Apr 12, 2019 | | | human-resources | forms organizational recruitment-and-retention |
| ORG.1511.SG.001.FORM.03 | LPN to BN Education Bursary Application | | Apr 12, 2019 | | | human-resources | forms organizational recruitment-and-retention |
| CLI.6010.PL.023.SD.01 | Algorithm For Continued Use of Medical Cannabis | | Apr 2, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.023.SD.02 | Algorithm for Medical Cannabis New Starts and Authorization Renewals | | Apr 2, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.023.SD.03 | Cannabis Equivalency Chart and Active Ingredient Concentration | | Apr 2, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.023.FORM.01, CLI.6010.PL.023.FORM.01.F | Cannabis for Medical Purposes Agreement for Use and Release of Responsibility – Bilingual | | Apr 2, 2019 | | | pharmacy | clinical forms |
| CLI.6010.PL.023.SD.04 | Cannabis Product Monograph | | Apr 2, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.023.SD.05 | Consumer Information Cannabis – Bilingual | | Apr 2, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.024 | Handling of Suspected Illicit Substance | | Mar 28, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.024.SD.01 | Suspected Illicit Substance Algorithm | | Mar 28, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.024.FORM.01 | Suspected Illicit Substance Transfer | | Mar 28, 2019 | | | pharmacy | clinical forms |
| CLI.6010.PL.002.SD.01 | Look alike Sound alike Names with TALLman Lettering | | Mar 28, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.002 | Look alike Sound alike | | Mar 28, 2019 | | | pharmacy | clinical |
| ORG.1511.PL.008.FORM.02 | Interest Free Loan Promissory Note | | Mar 22, 2019 | | | human-resources | forms organizational recruitment-and-retention |
| ORG.1511.PL.008 | Professional Development Training Education Assistance | | Mar 22, 2019 | | | human-resources | organizational recruitment-and-retention |
| CLI.6310.FORM.003 | Rehab Services Integrated Progress Note | | Mar 22, 2019 | | | rehabilitation-therapy-services | clinical forms |
| CLI.5411.SG.002 | Home Care Services Mobility Exercise and Transfer Positioning | | Mar 15, 2019 | | | home-care | clinical service-delivery |
| CLI.5411.SG.001.SD.02 | Home Care Client Information Sheet Household Maintenance and Laundry | | Mar 15, 2019 | | | home-care | clinical service-delivery |
| CLI.5411.SG.008.SD.01 | Home Care Client Information Sheet Meal Preparation | | Mar 15, 2019 | | | home-care | clinical forms service-delivery |
| CLI.5411.SG.006.SD.01 | Home Care Client Information Sheet Equipment | | Mar 15, 2019 | | | home-care | clinical forms service-delivery |
| CLI.5411.SG.009.SD.02 | Home Care Client Information Sheet Personal Care and Hygiene | | Mar 15, 2019 | | | home-care | clinical forms service-delivery |
| CLI.5411.PL.007.SD.01.F | Home Care Information Pamphlet – French | | Mar 15, 2019 | | | home-care | clinical service-delivery |
| CLI.5411.PL.007 | Home Care Service | | Mar 15, 2019 | | | home-care | clinical service-delivery |
| CLI.6010.PL.006.SD.01 | IV to PO Step Down Criteria and Chart | | Mar 13, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.004.SD.01 | Adult ORAL and PARENTERAL Antibiotics Renal Dosing Chart 1 | | Mar 13, 2019 | | | pharmacy | clinical |
| CLI.6010.SG.001 | Adult Vancomycin Monitoring and Dosing | | Mar 13, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.006 | Antimicrobial Intravenous to Oral Therapeutic Conversion | | Mar 13, 2019 | | | pharmacy | clinical |
| CLI.6210.SG.006 | Tuberculosis Public Health Management of DOT or DOPT Guideline | | Mar 1, 2019 | | | public-health-healthy-living | clinical |
| CLI.6210.SG.007.FORM.01 | Tuberculosis Contact Assessment | | Mar 1, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.007.FORM.03 | Tuberculosis Contact Screening Parameters Tool | | Mar 1, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.006.FORM.02 | Tuberculosis Medication Side Effect Check List | | Mar 1, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.006.FORM.01 | Procedures for Tuberculosis DOT or DOPT | | Mar 1, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.006.FORM.03 | Checklist for Tuberculosis DOT DOPT Education Session | | Mar 1, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.007.FORM.02 | Tuberculosis Summary of Contacts | | Mar 1, 2019 | | | public-health-healthy-living | clinical forms |
| ORG.1511.PL.007 | Professional Credentialing | | Feb 26, 2019 | | | human-resources | organizational recruitment-and-retention |
| ORG.1110.FORM.001 | Client Teaching Handout Template | | Feb 24, 2019 | | | communications | forms organizational |
| CLI.5910.SG.001.FORM.02 | Edmonton Symptom Assessment System Revised Graph | | Feb 8, 2019 | | | palliative-care | clinical forms |
| CLI.6710.PL.002.SD.01 | Adult Day Program Procedures Manual | | Feb 6, 2019 | | | seniors-services-community | clinical |
| CLI.6710.PL.002 | Adult Day Program Procedures Manual | | Feb 6, 2019 | | | seniors-services-community | clinical |
| ORG.1411.PL.411.FORM.01 | The Protecting Children Information Sharing Act Information Request | | Feb 5, 2019 | | | health-information-services | forms organizational privacy-and-access |
| ORG.1411.PL.411.SD.01 | The Protecting Children Information Sharing Act Decision Making Tool | | Feb 5, 2019 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.411.SD.02 | Question and Answer Guide for The Protection of Children Information Sharing Act | | Feb 5, 2019 | | | health-information-services | organizational privacy-and-access |
| ORG.1411.PL.411 | Information and Sharing under The Protecting Children Information Sharing Act PCISA | | Feb 5, 2019 | | | health-information-services | organizational privacy-and-access |
| CLI.8011.PL.010.SD.03 | Infection Control Construction Barrier Sign English | | Feb 4, 2019 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.010.SD.03.F | Infection Control Construction Barrier Sign French | | Feb 4, 2019 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.010.FORM.03 | Infection Control Post Construction Checklist | | Feb 4, 2019 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.010.SD.02 | Infection Control Preventive Measures Plan | | Feb 4, 2019 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.010.FORM.01 | Infection Control Risk Assessment ICRA for Health Care Facility | | Feb 4, 2019 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.010.FORM.02 | Infection Control Site Monitoring Tool | | Feb 4, 2019 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.010 | Infection Prevention During Construction Renovation and Maintenance | | Feb 4, 2019 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.010.FORM.04 | Construction Air Handling Inspection Sheet | | Feb 4, 2019 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.010.FORM.05 | Pressure Differential Daily Checklist | | Feb 4, 2019 | | | infection-prevention-and-control | clinical forms infection-prevention-and-control-policies-and-guidelines |
| CLI.8011.PL.010.SD.01 | Preventive Measures Quick Reference List | | Feb 4, 2019 | | | infection-prevention-and-control | clinical infection-prevention-and-control-policies-and-guidelines |
| CLI.6210.PR.002 | Violence Prevention Program in Public Health Healthy Living Office Setting | | Feb 1, 2019 | | | public-health-healthy-living | clinical |
| CLI.6210.PR.003 | Violence Prevention Program Provision of Care in the Home Public Health Healthy Living | | Feb 1, 2019 | | | public-health-healthy-living | clinical |
| ORG.1710.PL.010 | Regional Fleet Safety and Regulatory Requirements Management | | Jan 28, 2019 | | | logistics-and-supply-chain-management | organizational |
| ORG.1710.PL.010.FORM.05 | Vehicle Maintenance Form | | Jan 28, 2019 | | | logistics-and-supply-chain-management | forms organizational |
| ORG.1710.PL.010.SD.01 | Vehicle Pre Trip Inspection Criteria | | Jan 28, 2019 | | | logistics-and-supply-chain-management | organizational |
| ORG.1710.PL.010.FORM.08 | Vehicle Recall Form | | Jan 28, 2019 | | | logistics-and-supply-chain-management | forms organizational |
| ORG.1710.PL010.FORM.03 | Driver Fitness Determination | | Jan 28, 2019 | | | logistics-and-supply-chain-management | forms organizational |
| ORG.1710.PL.010.FORM.01 | Driver Safety Data Worksheet | | Jan 28, 2019 | | | logistics-and-supply-chain-management | forms organizational |
| ORG.1710.PL.010.FORM.07 | Event Report | | Jan 28, 2019 | | | logistics-and-supply-chain-management | forms organizational |
| ORG.1710.PL.010.FORM.02 | Event Reporting and Tracking | | Jan 28, 2019 | | | logistics-and-supply-chain-management | forms organizational |
| ORG.1710.PL.010.FORM.09 | Fleet Vehicle Usage Report | | Jan 28, 2019 | | | logistics-and-supply-chain-management | forms organizational |
| ORG.1710.PL.010.FORM.06 | Pre Trip Inspection | | Jan 28, 2019 | | | logistics-and-supply-chain-management | forms organizational |
| CLI.4510.PL.007 | Observation Services Designation | | Jan 25, 2019 | | | across-hospital-units | clinical |
| CLI.6010.PL.021.SD.01 | Cytotoxic and Non Cytotoxic Hazardous Medication List | | Jan 24, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.021.SD.03 | Cytotoxic Spill Management Algorithm | | Jan 24, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.009.FORM.02 | Discharge Medication Plan | | Jan 24, 2019 | | | pharmacy | clinical forms |
| CLI.6010.PL.011.SD.01 | Do Not Use Dangerous Abbreviations Symbols Dose Designations | | Jan 24, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.021 | Safe Handling of Hazardous Medications Cytotoxic and Non Cytotoxic | | Jan 24, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.021.SD.02 | Safe Handling of Hazardous Medications Chart | | Jan 24, 2019 | | | pharmacy | clinical |
| CLI.6010.PL.009.FORM.03 | Transfer Reconciliation and Order | | Jan 24, 2019 | | | pharmacy | clinical forms |
| CLI.6010.PL.022.FORM.01 | Patient Resident Leave of Absence Medication Request | | Jan 24, 2019 | | | pharmacy | clinical forms |
| CLI.6010.PL.022 | PatientResident Leave of Absence Medications | | Jan 24, 2019 | | | pharmacy | clinical |
| CLI.5810.PL.006 | Twin Delivery | | Jan 22, 2019 | | | obstetrics | clinical |
| CLI.6210.SG.009 | Breast Pump Loaning Guideline | | Jan 21, 2019 | | | public-health-healthy-living | clinical |
| CLI.6210.SG.009.FORM.01.F | Breast Pump Loaner Agreement – French | | Jan 21, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.009.FORM.01 | Breast Pump Loaner Agreement | | Jan 21, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.009.FORM.02 | Breast Pump Loaner Tracking Form | | Jan 21, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.008.FORM.02 | Manitoba Health Vaccine and Biologics Order | | Jan 21, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.008.FORM.06 | Rabies Post Exposure Protocol Client Did Not Show Letter – Bilingual | | Jan 21, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.008.FORM.05 | Rabies Unable to Contact Animal Owner Letter – Bilingual | | Jan 21, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.008.FORM.04 | Rabies Unable to Contact Exposed Letter – Bilingual | | Jan 21, 2019 | | | public-health-healthy-living | clinical forms |
| CLI.6210.SG.008.FORM.01 | Report of Suspected Rabies Exposure | | Jan 21, 2019 | | | public-health-healthy-living | clinical forms |
| ORG.1511.PL.003 | Exit Interview | | Jan 15, 2019 | | | human-resources | organizational recruitment-and-retention |
| CLI.6410.PL.020 | Acceptance or Refusal of a Personal Care Home Bed | | Jan 11, 2019 | | | personal-care-home | clinical |
| CLI.6410.PL.019 | Transfer and Out of Region Personal Care Homes Requests | | Jan 11, 2019 | | | personal-care-home | clinical |
| CLI.6410.PL.017 | Personal Care Home Waitlist Management | | Dec 5, 2018 | | | personal-care-home | clinical |
| CLI.6611.PL.002.FORM.02 | Surgical Safety Checklist Observational Audit and Analysis | | Dec 5, 2018 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.6611.PL.002.FORM.01 | Surgical Safety Checklist | | Dec 5, 2018 | | | perioperative | clinical forms surgical-unit-same-day-surgery |
| CLI.4110.PL.011.SD.01 | Pre-use Mobility Equipment Inspection | | Dec 1, 2018 | | | across-care-areas | clinical |
| ORG.1313.PL.001.SD.02 | Basic Contingent Capital Equipment Request and Authorization Process | | Nov 30, 2018 | | | finance | capital organizational |
| ORG.1313.PL.001.SD.01 | Basic Planned Capital Equipment Request and Authorization Process | | Nov 30, 2018 | | | finance | capital organizational |
| ORG.1313.PL.001.SD.03 | Donated Capital Equipments Request and Authorization Process | | Nov 30, 2018 | | | finance | capital organizational |
| CLI.6410.PL.018 | Veterans Beds in Personal Care Homes | | Nov 28, 2018 | | | personal-care-home | clinical |
| ORG.1411.PL.201.SD.01 | PHIA Self Learning Package General | | Nov 8, 2018 | | | health-information-services | organizational privacy-and-access |
| ORG.1410.PL.550.SD.01 | Data Report Naming Convention | | Nov 5, 2018 | | | health-information-services | health-information organizational |
| ORG.1111.PL.002 | FLS Communication in Official Languages | | Nov 1, 2018 | | | french-language-services | organizational |
| ORG.1111.PL.003 | FLS Designation of Bilingual Sites and Positions | | Nov 1, 2018 | | | french-language-services | organizational |
| ORG.1111.PL.001 | FLS General Policy | | Nov 1, 2018 | | | french-language-services | organizational |
| ORG.1111.PL.004 | FLS Translation | | Nov 1, 2018 | | | french-language-services | organizational |
| ORG.1111.PL.001.SD.01 | Government of Manitoba French Language Services Policy Bilingual | | Nov 1, 2018 | | | french-language-services | organizational |
| ORG.1111.PL.002.F | SLF Communications dans les langues officielles | | Nov 1, 2018 | | | french-language-services | organizational |
| ORG.1111.PL.003.F | SLF Designation des etablissements et des postes bilingues | | Nov 1, 2018 | | | french-language-services | organizational |
| ORG.1111.PL.001.F | SLF Politique générale | | Nov 1, 2018 | | | french-language-services | organizational |
| ORG.1111.PL.004.F | SLF Traduction | | Nov 1, 2018 | | | french-language-services | organizational |
| ORG.1111.PL.001.SD.03 | Concentration of Francophone population in Southern Health Santé Sud Census 2016 | | Nov 1, 2018 | | | french-language-services | organizational |
| ORG.1111.PL.001.SD.04 | Development Approval Process FLS Plans Bilingual | | Nov 1, 2018 | | | french-language-services | organizational |
| ORG.1111.PL.002.SD.01 | FLS Greeting Tool | | Nov 1, 2018 | | | french-language-services | organizational |
| ORG.1410.PL.550 | Health Information Data Request Process | | Oct 29, 2018 | | | health-information-services | health-information organizational |
| ORG.1410.PL.550.FORM.01 | Health Information Data Request Form | | Oct 29, 2018 | | | health-information-services | forms health-information organizational |
| CLI.4110.PL.011 | Mobility Equipment Inspections | | Oct 17, 2018 | | | across-care-areas | clinical |
| CLI.5411.SG.001.SD.01 | Case Coordinator Considerations Household Maintenance and Laundry | | Sep 29, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.005.SD.02 | Case Coordinator Service Considerations Elimination | | Sep 29, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.001 | Home Care Services Household Maintenance and Laundry | | Sep 29, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.009 | Home Care Services Personal Care and Hygiene | | Sep 29, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.007 | Home Care Services Supplies | | Sep 29, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.005.SD.01 | Home Care Client Information Sheet Elimination | | Sep 29, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.006 | Home Care Service Equipment | | Sep 29, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.005 | Home Care Services Elimination | | Sep 29, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.006.SD.02 | Responsibility For Payment for Equipment and Supplies | | Sep 29, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.009.SD.01 | Case Coordination Service Considerations Personal Care | | Sep 28, 2018 | | | home-care | clinical service-delivery |
| ORG.1511.PL.006.FORM.01 | Take Our Kids To Work Agreement and Undertaking | | Sep 28, 2018 | | | human-resources | forms organizational recruitment-and-retention |
| ORG.1511.PL.006 | Take Our Kids To Work | | Sep 28, 2018 | | | human-resources | organizational recruitment-and-retention |
| ORG.1511.PL.005 | Job Shadowing | | Sep 28, 2018 | | | human-resources | organizational recruitment-and-retention |
| ORG.1511.PL.005.FORM.01 | Personal Health Information Act Information and Agreement for Persons Job Shadowing | | Sep 28, 2018 | | | human-resources | forms organizational recruitment-and-retention |
| CLI.5411.SG.010.SD.01 | Case Coordinator Considerations Oral Feeding without Swallowing Disorder | | Sep 28, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.003.SD.01 | Case Coordinator Service Consideration for Respite Care in the Home | | Sep 28, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.008 | Home Care Services Meal Preparation | | Sep 28, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.004 | Home Care Services Off Site Service | | Sep 28, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.003 | Home Care Services Respite Care In the Home | | Sep 28, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.008.SD.02 | Home Care Case Coordinator Service Considerations Meal Preparation | | Sep 28, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.PL.007.SD.01 | Home Care Information Booklet | | Sep 28, 2018 | | | home-care | clinical service-delivery |
| CLI.5411.SG.010 | Oral Feeding without Swallowing Disorder | | Sep 28, 2018 | | | home-care | clinical service-delivery |
| ORG.1010.PL.001.FORM.03 | Suspension of Services Internal Memo | | Sep 12, 2018 | | | administration | forms organizational |
| CLI.5110.PR.012.FORM.02 | Discharge Instructions Record Emergency Department Chart Audit | | Sep 7, 2018 | | | critical-care-er-observation-scu | clinical forms |
| CLI.4510.SG.005.FORM.02 | Adult Sepsis and Septic Shock Chart Audit | | Sep 5, 2018 | | | across-hospital-units | clinical forms |
| CLI.4510.SG.005.FORM.01 | Adult Sepsis and Septic Shock Standard Orders | | Sep 5, 2018 | | | across-hospital-units | clinical forms |
| CLI.4510.SG.005 | Adult Sepsis and Septic Shock | | Sep 5, 2018 | | | across-hospital-units | clinical |
| CLI.6611.PL.002 | Surgical Safety Checklist | | Aug 15, 2018 | | | perioperative | clinical surgical-unit-same-day-surgery |
| CLI.6410.PL.010.FORM.01 | Specialized Personal Care Home Environments Wait List Report | | Aug 14, 2018 | | | personal-care-home | clinical forms |
| CLI.6410.PL.010 | Specialized Personal Care Home Environments | | Aug 14, 2018 | | | personal-care-home | clinical |
| CLI.5110.PR.012 | Discharge Instructions Emergency Department | | Aug 13, 2018 | | | critical-care-er-observation-scu | clinical |
| CLI.5110.PR.012.FORM.01 | Discharge Instructions Record Emergency Department | | Aug 13, 2018 | | |