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DAVITS SULLIVAN, IN DIALYSIS FACILITY #11418PROJ NO: 17006ADDENDUM NO. 1DATE: March 17, 2017Project:DAVITS SULLIVAN, IN DIALYSISArchitect:Studio architecture + interiors 223 W. Jackson Blvd. Suite
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Here is a step-by-step guide on how to fill out sullivan in a dialysis facility:
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Gather all the necessary information and documents required to fill out the sullivan form. This may include patient information, medical history, current medication details, and any other relevant information.
03
Start by filling out the patient's personal information such as name, age, gender, contact details, and address.
04
Provide the patient's medical history including any underlying conditions, previous surgeries, allergies, and current medications. Make sure to include the dates and details of these medical events.
05
Fill out the section related to the dialysis facility. Include the name and address of the facility, contact details, and any specific instructions or preferences for the facility staff.
06
Document the patient's current dialysis treatment plan, including the type of dialysis, frequency, duration, and any additional medications or treatments involved.
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If there are any specific dietary restrictions or guidelines for the patient, ensure to mention them in the appropriate section.
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Double-check all the provided information for accuracy and completeness before submitting the sullivan form.
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Make a copy of the filled-out sullivan form for your own records and submit the original form to the dialysis facility.
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Remember to consult with the healthcare professionals or staff at the dialysis facility if you have any doubts or questions while filling out the sullivan form.

Who needs sullivan in dialysis facility?

01
Sullivan in a dialysis facility is needed by patients who require regular dialysis treatment. This can include individuals with kidney failure or other kidney-related conditions that necessitate the use of dialysis to filter and remove waste products from their blood. The sullivan form helps in documenting vital information about the patient's medical history, current treatment plan, and any specific needs or preferences related to their dialysis treatment. It ensures that the dialysis facility staff has access to all the necessary information and can provide appropriate care to the patient during their dialysis sessions.
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Sullivan is a form used to report data on dialysis facility patients.
Dialysis facility staff are required to file sullivan.
Sullivan can be filled out electronically or by hand, following the instructions provided by the CMS.
The purpose of sullivan is to collect data on dialysis facility patients for quality reporting and improvement purposes.
Information such as patient demographics, treatment modalities, laboratory values, and outcomes must be reported on sullivan.
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