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Get the free Tissue Viability Service Referral Form - West Hampshire CCG - westhampshireccg nhs

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NURSING HOME Tissue Viability Service Referral Form MEDICAL SUMMARY INCLUDING PAST MEDICAL HISTORY, MEDICATION AND PHOTO ARE ESSENTIAL DATE: NHS No: (essential) Patient Details: (please print) Name:
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How to fill out tissue viability service referral

01
Obtain the tissue viability service referral form from the appropriate authority.
02
Carefully read the instructions and guidelines provided on the referral form.
03
Make sure you have all the necessary information and documentation required for the referral.
04
Fill out the referral form accurately and completely, providing all relevant details about the patient and their condition.
05
Include any specific concerns or requirements in the additional information section if applicable.
06
Ensure that the referral is signed and dated by the appropriate healthcare professional.
07
Submit the completed referral form to the designated tissue viability service provider through the specified channels.
08
Follow up with the service provider if necessary, to confirm receipt and update on the referral status.

Who needs tissue viability service referral?

01
Patients with complex or chronic wounds that require specialized tissue care.
02
Individuals with pressure ulcers or wounds that are not healing properly.
03
People with conditions such as diabetes, vascular diseases, or immobility that make them susceptible to tissue damage.
04
Patients in need of expert assessment, advice, and treatment regarding wound management.
05
Healthcare professionals seeking specialized support and consultation in tissue viability.
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Tissue viability service referral is a process where healthcare professionals refer patients to specialist services to help manage and treat complex wounds and ulcers.
Healthcare professionals such as doctors, nurses, and wound care specialists are required to file tissue viability service referrals.
To fill out a tissue viability service referral, healthcare professionals need to provide detailed information about the patient's wound, medical history, and current treatment plan.
The purpose of tissue viability service referral is to ensure that patients with complex wounds receive specialized care and treatment to improve healing outcomes.
Information such as wound size, location, duration, underlying conditions, current treatments, and any previous interventions must be reported on tissue viability service referrals.
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