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OHSU Hospital Clinics Doernbecher Children s Hospital Laboratory Service Downtime Requisition Laboratory Phone No. 503 494-7383 Draft REQUIRED INFORMATION Ordering Physician No. Clinical Dx/Hx/Data Vacutainer Collection Key Red top Green top Lavender top Light blue top Isolator tube Special form req d. ACCOUNT NO. MED. REC. NO. NAME BIRTH DATE SEX Collection Date // Time Collection Location Phone Results Needed Routine Urgent Extreme Emergency ICD-9 Codes s //// For Outpatients Only th CORE...
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How to fill out hospital downtime forms:

01
Start by carefully reading the instructions provided with the form. Make sure you understand the purpose of the form and the information it requires.
02
Gather all the necessary information that is required to complete the form accurately. This may include personal details, dates, reasons for downtime, and any relevant documentation.
03
Fill out the form neatly and accurately, ensuring that all required fields are completed. Use legible handwriting or type the information if allowed.
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Double-check your entries for any errors or omissions before submitting the form. It's important to provide correct and complete information.
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If there are any specific guidelines or additional documents that need to be attached to the form, make sure to include them in the submission.
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Finally, review the completed form one last time and sign it if required. Follow the designated submission process, which could involve submitting it to your supervisor, department head, or a specific department for processing.

Who needs hospital downtime forms:

01
Hospital downtime forms are typically required by healthcare facilities and hospitals. They are used to document and track any periods of downtime in a hospital's operations, such as system failures, equipment breakdowns, or scheduled maintenance.
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Healthcare administrators, IT staff, and facility management teams are generally responsible for initiating and handling hospital downtime forms.
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In some cases, healthcare providers and staff may also be required to fill out downtime forms if they were directly affected by the downtime or have relevant information to provide. This helps in understanding the impact and potential repercussions of the downtime on patient care and hospital operations.

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Hospital downtime forms are documents that are used during periods of system downtime or unplanned outages in a hospital's information technology systems. These forms help healthcare professionals continue their work and maintain patient care during the downtime by providing a way to document and track vital information manually. Downtime forms typically include sections for recording patient demographics, medical history, medication orders, and other essential information that would usually be stored and accessed electronically. These forms serve as a temporary solution until the IT systems are restored, ensuring that patient care is not compromised during the downtime.
The hospital staff or administrators are typically responsible for filing hospital downtime forms. These forms are used to report any unplanned interruptions or system outages that impact the hospital's operations and delivery of patient care.
Filling out hospital downtime forms may vary depending on the specific hospital or form. However, here is a general step-by-step guide on filling out these forms: 1. Read the form: Carefully go through the downtime form to understand its purpose and the information it requires. 2. Provide patient information: Start by filling in the patient's information such as full name, date of birth, medical record number, and contact details. 3. Specify the downtime details: Enter the date and time when the hospital experienced downtime. In case of multiple downtimes, provide details for each individual incident. 4. Describe the impact: Explain the impact of the downtime, such as any delays in patient care, alterations to procedures, or any adverse outcomes experienced. 5. Document actions taken: Describe the actions taken by the hospital staff to mitigate the effects of the downtime, including alternative methods used or any contingency plans implemented. 6. Note any complications or incidents: If there were any complications or incidents related to the downtime, provide a brief description of them. 7. Sign and date: Ensure you date and sign the form to authenticate its completion. 8. Submit the form: Submit the completed downtime form to the appropriate department within your hospital, following any specific submission procedures that may exist. It's important to note that procedures for filling out downtime forms may differ among hospitals. Therefore, it's always advisable to consult the hospital's guidelines or contact the relevant department for any specific instructions or requirements.
The purpose of hospital downtime forms is to document any incidents of downtime or system failures in a hospital's electronic health record (EHR) or other computer systems. These forms are used to record details of the downtime event, including its duration, causes, and any impact on patient care or safety. The form typically captures information such as the date and time of the downtime, the affected systems or applications, actions taken to mitigate the impact, and any potential risks or issues encountered during the downtime. This documentation helps in analyzing and identifying areas for improvement in the hospital's technology infrastructure and ensuring continuity of patient care during such incidents. Additionally, hospitals may be required to maintain these forms as part of regulatory compliance and auditing purposes.
The specific information required on hospital downtime forms may vary slightly depending on the institution and its policies. However, the following information is typically included: 1. Date and time of the downtime: The exact date and time when the downtime started and, if applicable, when it ended. 2. Duration of the downtime: The total duration of the downtime in hours or minutes. 3. Reason for the downtime: The reason or cause of the downtime, such as a system failure, scheduled maintenance, technical issues, or power outage. 4. Description of the impact: A detailed description of the impact the downtime had on hospital operations, patient care, and other related services. This may include information on canceled or rescheduled procedures, delays in patient care, potential risks, and any contingency plans implemented during the downtime. 5. Actions taken: A summary of the actions taken by hospital staff and IT personnel to mitigate the impact of the downtime, restore services, or provide alternative solutions. 6. Communication: Details of the communication channels used to inform staff, patients, and other relevant stakeholders about the downtime, its duration, and any necessary instructions or updates. 7. Patient safety considerations: Any patient safety concerns identified during the downtime and the steps taken to address them. 8. Lessons learned: A section to note any lessons learned from the downtime experience and suggestions for improvements in future downtime situations. It is important to note that the actual content and format of hospital downtime forms may vary, and different hospitals may have additional specific reporting requirements based on their particular needs and regulatory obligations.
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