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Public Health-Healthy Living Policies & Forms

Policy #TitleRationaleDateSummaryLink
CLI.6210.PL.003Immunization Management of School Class ListsDocument had minor changes and reflects the updated terms for the immunization program PHIMS which was previously Panorama and new templateFeb 17, 2025
CLI.6210.PL.005Immunization Provision of Immunization Recordminor wording revisions and new templateFeb 17, 2025
CLI.6210.SG.008Public Health Response to Animal Exposures to Prevent Human Rabies GuidelineDocument and process in need of review and update.Aug 30, 2024
CLI.6210.PL.004Immunization – Investigations – Public Health Information Management System PHIMS Access via Terms of Use AgreementUpdate 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
CLI.6210.PL.004.SD.01Downtime and Recovery Procedures for PHIMSUpdate 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
CLI.6210.PL.002Immunization Obtaining and Documenting Informed ConsentMay 15, 2024
CLI.6210.SG.005.FORM.04Harm Reduction Supply Distribution Partner Site Agreement RegistrationDec 7, 2023
CLI.6210.SG.005Harm Reduction Supply DistributionReviewed 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
CLI.6210.SG.005.FORM.05Disposal of Found Drugs or SubstancesReviewed 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
CLI.6210.SG.005.FORM.02Harm Reduction Supply Distribution Inventory Tracking FormReviewed 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
CLI.6210.SG.005.FORM.03Harm Reduction Supply Distribution OrderReviewed 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
CLI.6210.PL.001.SD.01Contraceptive Guideline and FormularyThe 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
CLI.6210.PL.001.SD.02Contraceptive CoverageThe 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
CLI.6210.PL.001.FORM.04Reproductive Supplies Stock Request FormReflects drug contract changeSep 19, 2023
CLI.6210.PL.001.FORM.05Reproductive Supplies Prescription RequestRemoved products that have been discontinued by the manufacturers, update acquisition costs and add a new product, Nexplanon.Sep 19, 2023
CLI.6210.SG.008.FORM.03Administration of Rabies Immune Globulin and Rabies Vaccine Fax TemplateAug 16, 2023
CLI.6210.PL.001.SD.03Contraceptive Health Services LetterApr 8, 2020
CLI.6210.PL.001.SD.03.FContraceptive Health Services Letter – FrenchApr 8, 2020
CLI.6210.PL.001.FORM.02Reproductive Health RecordApr 8, 2020
CLI.6210.PL.001.FORM.01Reproductive Health HistoryApr 8, 2020
CLI.6210.PL.001.FORM.01.FReproductive Health History – FrenchApr 8, 2020
CLI.6210.SG.010.SD.02Pregnancy Resources – BilingualOct 31, 2019
Breastfeeding Welcome Here OrderSep 30, 2019
CLI.6210.SG.009.SD.01How to Keep Your Breast Pump CleanSep 9, 2019
CLI.6210.SG.004.SD.01Community Breastfeeding Resources ListAug 28, 2019
CLI.6210.SG.004.SD.05Thrush Client Teaching HandoutAug 28, 2019
CLI.6210.SG.010.SD.01Manitoba Public Health Nurse Prenatal ReferralAug 20, 2019
CLI.6210.SG.007Tuberculosis Public Health Management of Contacts GuidelineMay 1, 2019
CLI.6210.SG.006.FORM.02Tuberculosis Medication Side Effect Check ListMar 1, 2019
CLI.6210.SG.006Tuberculosis Public Health Management of DOT or DOPT GuidelineMar 1, 2019
CLI.6210.SG.007.FORM.01Tuberculosis Contact AssessmentMar 1, 2019
CLI.6210.SG.007.FORM.03Tuberculosis Contact Screening Parameters ToolMar 1, 2019
CLI.6210.SG.006.FORM.01Procedures for Tuberculosis DOT or DOPTMar 1, 2019
CLI.6210.SG.006.FORM.03Checklist for Tuberculosis DOT DOPT Education SessionMar 1, 2019
CLI.6210.SG.007.FORM.02Tuberculosis Summary of ContactsMar 1, 2019
CLI.6210.PR.002Violence Prevention Program in Public Health Healthy Living Office SettingFeb 1, 2019
CLI.6210.PR.003Violence Prevention Program Provision of Care in the Home Public Health Healthy LivingFeb 1, 2019
CLI.6210.SG.009Breast Pump Loaning GuidelineJan 21, 2019
CLI.6210.SG.009.FORM.01.FBreast Pump Loaner Agreement – FrenchJan 21, 2019
CLI.6210.SG.009.FORM.01Breast Pump Loaner AgreementJan 21, 2019
CLI.6210.SG.009.FORM.02Breast Pump Loaner Tracking FormJan 21, 2019
CLI.6210.SG.008.FORM.02Manitoba Health Vaccine and Biologics OrderJan 21, 2019
CLI.6210.SG.008.FORM.04Rabies Unable to Contact Exposed Letter – BilingualJan 21, 2019
CLI.6210.SG.008.FORM.05Rabies Unable to Contact Animal Owner Letter – BilingualJan 21, 2019
CLI.6210.SG.008.FORM.06Rabies Post Exposure Protocol Client Did Not Show Letter – BilingualJan 21, 2019
CLI.6210.SG.008.FORM.01Report of Suspected Rabies ExposureJan 21, 2019
CLI.6210.SG.004.SD.010Breastfeeding and Returning to Work Client Teaching HandoutJan 17, 2018
CLI.6210.SG.004Breastfeeding ResourcesJan 17, 2018
CLI.6210.SG.004.SD.011Insufficient Milk Support and or Weight Gan Clinical Practice ToolJan 17, 2018
CLI.6210.SG.004.SD.012Suggestions for Making More Breast MilkJan 1, 2018
CLI.6210.SG.005.FORM.01Public Health Healthy Living InteractionDec 19, 2017
CLI.6210.PL.007Harm ReductionDec 11, 2017
CLI.6210.PR.001Public Health Nursing generalist CoverageDec 4, 2017
CLI.6210.PL.006Immunization By a Regulated Health Professional StudentNov 22, 2017
CLI.6210.SG.004.SD.02Community Breastfeeding PlanApr 10, 2017
CLI.6210.SG.004.SD.06Crying and Colic in the Breastfed Baby Clinical Practice ToolApr 10, 2017
CLI.6410.SG.004.SD.07Crying and Colic Teaching HandoutApr 10, 2017
CLI.6210.SG.004.SD.03Breast Compressions Client Teaching HandoutApr 10, 2017
CLI.6210.SG.004.SD.04Candidiasis Clinical Practice ToolApr 10, 2017
CLI.6210.SG.004.SD.09Overabundant Breast Milk Supply Forceful Letdown Client Teaching HandoutApr 10, 2017
CLI.6210.SG.004.SD.08Infant Reflux Client Teaching HandoutApr 10, 2017
CLI.6210.SG.003.FORM.01Emergency Contraceptive Pill Record FormOct 3, 2016
CLI.6210.PL.001.FORM.06Reproductive Supplies Purchase Requisition FormOct 1, 2016
CLI.6210.SG.003Emergency ContraceptionJun 7, 2016
CLI.6210.PL.001Reproductive Health ServicesJun 7, 2016
CLI.6210.SG.001.SD.04Communicable Disease Outreach Letter TemplateDec 1, 2015
CLI.6210.SG.002Pregnancy TestingSep 15, 2015
CLI.6210.SG.001Communicable Disease Follow Up Public HealthAug 26, 2015
CLI.6120.SG.001.SD.02Communicable Disease Control Investigation FormAug 26, 2015
CLI.6210.SG.001.SD.01Communicable Diseases Prioritization of Public Health Follow upMay 1, 2015
CLI.6210.SG.001.SD.03Integration Progress Note Public Health Healthy LivingMay 1, 2015

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