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Protected: Transfer of maternity services at Sandringham Hospital
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What happens next
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Resources
Resources
As we approach Day 1, we’ll be adding material to this page as it becomes available so please check back regularly to review the latest information.
On this page
Forms
Standing Orders Midwives
Workflow posters (coming soon)
Quick reference guides
Procedures
Other
Forms
Admission / Assessment
Midwifery Assessment Form (MRF05)
Pregnancy Assessment Triage (MRF19)
Admission Election Form (MRD27(i))
Blood administration
Blood components (MRM001)
Blood administration (MRL30)
Comprehensive care
Maternal Assessment Postnatal Discharge (MRF55)
Wound Assess Chart (MRK40)
Permission Form Shell (MRD40)
Maternal Observation and Response Chart (MRF13)
Patient Transfer Form (MRD13)
Maternal Epidural Analgesia (MRG31)
Inpatient Care Progress (MRJ01)
Discharge Summary (MRE09)
Consent Form (MRD27(ii))
Alert Sheet
Emergency
Maternity Emergency Record (MRF21)
Medical Emergency Code Blue (MRJ800)
EPC
Offsite Visit Risk Screening (MRA83)
Ambulatory and Community Care Consent Form (MRD37)
Neonatal care
Neonatal Abstinence Syndrome (MRK 180)
Newborn Assessment and Discharge Planner (MRJ45)
Newborn Examination (MRF68)
Neonatal Dischage Plan (MRF69)
Neonatal Care Plan
Parent Education and Baby Care (MRF58)
Newborn Growth Chart Boys (MRF62)
Newborn Growth Chart Girls (MRF63)
Neonatal Jaundice Graph 35 weeks (MRJ46)
Neonatal Jaundice Graph 36 weeks (MRJ46(i))
Neonatal Jaundice Graph 37 weeks (MRJ46(ii))
Neonatal Jaundice Graph 38 weeks (MRJ46(iii))
Neonatal Jaundice Graph 32 weeks (MRJ46(iv))
Neonatal Jaundice Graph 33 weeks (MRJ46(v))
Neonatal Jaundice Graph 34 weeks (MRJ46(vi))
Nutrition / Fluid administration and balance
Breastfeeding Plan (MRF34)
Baby Feeding Chart (MRK100)
Breast Milk Administration (MRK52)
Fluid Balance Chart (MRK45)
Intravenous Infusion Chart (MRL09)
Perinatal loss
Perinatal loss external exam (MrF39)
Post Mortem Referral (MRE16)
Perinatal Loss Checklist (MRF37)
Surgery / assisted birth / Pain
Operation Report (MRG17(i))
Assisted Operative Vaginal Birth (MRF22)
Consent Form (MRD27(ii))
Maternal Epidural Analgesia (MRG31)
Birth Pack Count & Operative Procedure (MRG33)
Interventional & Procedure Safety Checklist (MRG40)
Sterile Stock Tracking Form (MRG18(ii))
Maternal Epidural Analgesia (MRG31)
Interventional and Procedure Safety Checklist (MRG40)
Clerical iPM
iPM Form Newborn Rapid Admission
iPM Form Patient Admission
iPM Form Patient Discharge
iPM Form Patient Registration
iPM Patient Transfer-Leave
iPM Pregnancy Assessment Unit (ONLY) Admission/Transfer/Discharge Form
Authority to Release Health Information
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Standing Orders Midwives
Standing Order – Metoclopramide in Primary Postpartum Haemorrhage Tool (SO-MA02)
Standing Order – Syntometrine® in Third Stage of Labour and in Postpartum Haemorrhage Tool (SO-MA03)
Standing Order – Oxytocin I
nfusion in Postpartum Haemorrhage Tool (SO-MA04)
Standing Order – Oxytocin in Third Stage of Labour and in Postpartum Haemorrhage Tool (SO-MA07)
Standing Order – Urinary Alkaliniser Postpartum Tool (SO-MA08)
Standing Order – Anusol® for Uncomplicated Haemorrhoids Tool (SO-MA09)
Standing Order – Sodium Chloride 0.9% Sterile Intravenous (IV) Flush Tool (SO-MA10)
Standing Order – Rh (D) Immunoglobulin Tool (SO-MA11)
Standing Order – Metoclopramide Antiemetic in Labour Tool (SO-MA13)
Standing Order – Nitrous Oxide Inhalation Tool (SO-MA14)
Standing Order – Benzylpenicillin for Prophylaxis Against Group B Streptococcus Tool (SO-MA15)
Standing Order – Lidocaine for Episiotomy or Perineal Repair Tool (SO-MA18)
Standing Order – Measles Mumps Rubella Vaccine Postpartum Tool (SO-MA19)
Standing Order – Paracetamol for Mild Pain Postpartum and in Latent Phase Labour Tool (SO-MA20)
Standing Order – Diclofenac for Postpartum Pain Tool (SO-MA22)
Standing Order – Phytomenadione for the Newborn Tool (SO-MA24)
Standing Order – Hepatitis B Vaccine for Neonatal Immunisation Tool (SO-MA25)
Standing Order – Hepatitis B Immunoglobulin for Newborns of Hepatitis B Surface Antigen Positive Mothers Tool (SO-MA26)
Standing Order – Fybogel® for Postnatal Women Tool (SO-MA27)
Standing Order – Colecalciferol Mixture Neonatal Bolus Dose Tool (SO-MA28)
Standing Order – Ampicillin for Prophylaxis Against Group B Streptococcus Tool (SO-MA29)
Standing Order – Cefazolin for Prophylaxis Against Group B Streptococcus Tool (SO-MA30)
Standing Order – Diphtheria Tetanus Pertussis Vaccine in Pregnancy and Postpartum Tool (SO-MA31)
Standing Order – Clindamycin for Prophylaxis Group B Streptococcus Tool (SO-MA32)
Standing Order – Glucose Gel 40% Tool (SO-MA33)
Standing Order – Morphine for Pain Relief in Labour Tool (SO-MA34)
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Workflow posters
Coming soon
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Quick reference guides
Extra functions in BOS to be utilised at Sandringham
Setting up Microsoft Multi-Factor Authentication
K2 Quick Reference Access Guide – Android
K2 Quick Reference Access Guide – iOS – Chrome
K2 Quick Reference Access Guide – iOS – Safari
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Procedures
All procedures will be available on Prompt from 6 February 2023.
Capacity management and escalation
Benzylpenicillin Monash Newborn/NeoMed Medication Profile
Gentamicin Monash Newborn/NeoMed Medication Profile
Neonatal hypoglycaemia
Neonatal jaundice
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Other
Important information about Changes to your Payment Dates
Monash Health email signature
BD Alaris Smart Pump information
BOS at Sandringham
Getting started with UKG Dimensions
iMed Troubleshooting Guide
Dictation Instructions
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