Airvo™ 2 Unit – Host Hospital Agreement
2021 | Formulaires
The Host Hospital is required to complete this form and submit as instructed before the release of an Airvo™ 2 Unit from the Provincial Stockpile
Ressources
Notre répertoire de rapports sur les soins aux malades en phase critiques, de conseils, de trousses d’outils, de formulaires et de matériel pédagogique.
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Host Hospital Checklist for Sending and Receiving Provincial Ventilators
2021 | Formulaires
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Host Hospital Checklist for Sending and Receiving Provincial Ventilators
2021 | Formulaires
Requesting Hospital Checklist for Sending and Receiving Provincial Ventilators
2021 | Formulaires
Requesting Hospital Checklist for Sending and Receiving Provincial Ventilators
2021 | Formulaires
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Service Inventory Change Request Form (2020)
2021 | Formulaires
This form is to be completed by critical care units that are reporting substantive changes to their hospital’s critical care capacity information.
Airvo™ 2 Unit – Requesting Hospital Agreement
2020 | Formulaires
The Requesting Hospital is required to complete this form and submit as instructed before the release of an Airvo™ 2 Unit from the Provincial Stockpile
CCIS Data Request Form (For Research)
2020 | Formulaires
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CCIS Data Request Form (Not for Research)
2020 | Formulaires
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Formulaire Hôpital partenaire
2020 | Formulaires
À remplir par les hôpitaux partenaires avant de se joindre à la téléconférence relative à une pointe modérée (organisée par CritiCall Ontario). Ce formulaire a été créé pour confirmer la disponibilité des ressources à l’hôpital partenaire en cas de pointe modérée.
Partner Hospital Reporting Form (Word)
2020 | Formulaires
To be completed by Partner Hospitals prior to joining the Moderate Surge teleconference (organized by CritiCall Ontario). This form has been developed to confirm resources available at the partner hospital in the event of a moderate surge.
Ventilator Stockpile Allocation Sign-Back Agreement for Requesting Hospitals
2020 | Formulaires
The Requesting Hospital is required to complete this form and submit as instructed before the release of a ventilator from the Provincial stockpile.