Get the free Broselow Tape Ordering Form - dphhs mt

Complete this form to get a free Brownlow TM Pediatric Emergency Tape for your ambulances. Ambulance Services that have at least half of the EMS staff complete the online BroselowTM Tape Training

How to fill out broselow tape ordering form

How to fill out broselow tape ordering form:

1. Start by entering your personal information, including your name, address, and contact details.
2. Specify the quantity of broselow tapes you wish to order.
3. Indicate the desired size or length of the broselow tape. This is important as broselow tapes come in various sizes for different age groups.
4. Provide any additional notes or special instructions, if necessary.
5. Double-check all the information you have entered to ensure accuracy.
6. Finally, submit the form by following the designated submission process.

Who needs broselow tape ordering form:

1. Medical professionals: Broslow tapes are commonly used by doctors, nurses, and emergency medical technicians (EMTs) to quickly and accurately estimate a child's weight and administer appropriate medical treatments.
2. Hospitals and clinics: Healthcare facilities often stock broselow tapes to ensure they can provide optimal care for pediatric patients during emergencies or routine medical procedures.
3. Ambulance services: EMTs and paramedics in ambulances rely on broselow tapes to swiftly determine medication dosages and equipment sizes for pediatric patients in emergency situations.
4. Pediatricians and pediatric clinics: Broslow tapes are vital tools for healthcare providers who specialize in treating children, as they aid in accurate diagnoses and appropriate treatment plans.

In summary, the broselow tape ordering form is filled out by individuals or organizations requiring broselow tapes, such as medical professionals, hospitals, clinics, ambulance services, and pediatricians.

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What is broselow tape ordering form?

Broselow tape ordering form is a document used to request broselow tapes, which are color-coded length-based emergency tape measures used in pediatric emergencies.

Who is required to file broselow tape ordering form?

Healthcare facilities, such as hospitals and clinics, are required to file the broselow tape ordering form.

How to fill out broselow tape ordering form?

To fill out the broselow tape ordering form, provide information such as quantity of tapes needed, shipping address, contact information, and any special instructions.

What is the purpose of broselow tape ordering form?

The purpose of the broselow tape ordering form is to ensure healthcare facilities have an adequate supply of broselow tapes for pediatric emergency situations.

What information must be reported on broselow tape ordering form?

Information required on the broselow tape ordering form includes quantity of tapes needed, shipping address, contact information, and any special instructions.