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AU NSW SMR130.025 2012-2025 free printable template

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MAN FAMILY NAME Attach ADR Sticker ALLERGIES & ADVERSE DRUG REACTIONS (ADR) THESE INSTRUCTIONS EXPLAIN WHEN TO MAKE A CLINICAL REVIEW OR RAPID RESPONSE CALL, YOUR LOCAL ESCALATION PROTOCOL WILL EXPLAIN
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How to fill out NSW Health Patient Controlled:

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Begin by gathering all necessary personal information, including your full name, date of birth, and contact details.
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Next, provide information about your healthcare provider, such as the hospital or clinic you are affiliated with, along with their contact details.
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Fill in the required sections regarding your current medical condition or reason for seeking healthcare.
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Provide details about any allergies or pre-existing medical conditions that may affect your treatment or medication.
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In the medication section, list all current medications you are taking, including the dosage and frequency.
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Indicate any specific preferences or instructions you have for your treatment, such as pain relief options or alternative therapies.
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Sign and date the form to confirm that the information provided is accurate and complete.

Who needs NSW Health Patient Controlled:

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Patients who desire to have more control over their healthcare decisions and treatment options.
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Patients with chronic or complex medical conditions who may require continual adjustments to their treatment plan.
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Despite a variety of medication options, morphine remains the gold standard medication for intravenous PCA. Local anesthetics are primarily used for epidural catheter and indwelling nerve catheter PCA. They include the sodium channel blockers (bupivacaine, levobupivacaine, and ropivacaine).
In most cases, PCA pumps supply opioid pain-controlling medicines such as morphine, fentanyl and hydromorphone. The pump is attached to a thin, flexible tube (intravenous or IV line) that is placed in your vein.
Indications The primary indication for PCA is the patient who requires parenteral analgesia (e.g. severe pain and/or oral/transdermal/rectal route not useable) and has incident pain or other pain patterns that are not predictable.
Morphine is the most studied and most commonly used intravenous drug for PCA.
A method of pain relief in which the patient controls the amount of pain medicine that is used. When pain relief is needed, the person can receive a preset dose of pain medicine by pressing a button on a computerized pump that is connected to a small tube in the body. Also called PCA.
What is patient-controlled analgesia (PCA)? PCA is a technique which allows you to administer a small amount of painkiller (usually morphine) using a machine attached to your arm; it is connected to your drip. When you press the button on the PCA machine, a small dose of the painkiller is delivered into your vein.

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NSW Health Patient Controlled is a system that allows patients to have control over their own health information and decision-making.
Healthcare providers and facilities are required to file NSW Health Patient Controlled for their patients.
To fill out NSW Health Patient Controlled, healthcare providers must enter the patient's information and preferences regarding their health care.
The purpose of NSW Health Patient Controlled is to empower patients to make informed decisions about their health care and treatment.
Information such as medical history, treatment preferences, and advance care directives must be reported on NSW Health Patient Controlled.
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