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Slam Tissue Viability Service Referral FormPATIENTPatient\'s Named. O.B:NHS:Address & Postcode:GP Name & AddressMedical & Psychological History E.g.: Diabetes, COPD, PVD, MS, Immobility, schizophrenia
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How to fill out tissue viability referral referral

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How to fill out tissue viability referral form

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Step 1: Start by gathering all necessary information about the patient, including their name, contact details, and medical history.
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Step 2: Identify the reason for the tissue viability referral, such as a wound, ulcer, or skin-related issue.
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Step 3: Fill out the patient's demographic details, including age, gender, and any relevant medical conditions or allergies.
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Step 4: Provide a detailed description of the tissue viability concern, including its location, size, color, and any associated symptoms.
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Step 5: Specify any previous treatments or interventions that have been tried and their outcomes, if applicable.
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Step 6: Include any relevant laboratory or diagnostic test results, such as swab cultures or biopsy reports.
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Step 7: Indicate the urgency of the referral, if necessary.
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Step 8: Sign and date the referral form.
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Step 9: Ensure that all provided information is accurate and complete before submitting the tissue viability referral form to the appropriate healthcare professional or department.

Who needs tissue viability referral form?

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Any patient with a tissue viability concern or issue may require a tissue viability referral form.
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This can include individuals with chronic wounds, pressure ulcers, diabetic foot ulcers, burns, or any other skin-related problem that requires specialized care.
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Healthcare providers, such as doctors, nurses, or wound care specialists, may initiate the referral process for the patient based on their assessment and treatment plan.
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It is important to consult with healthcare professionals to determine if a tissue viability referral form is necessary for a specific individual.

What is Tissue viability referral . Referral for the Guy's and St Thomas' tissue viability service. Form?

The Tissue viability referral . Referral for the Guy's and St Thomas' tissue viability service. is a document needed to be submitted to the specific address in order to provide specific information. It has to be completed and signed, which may be done manually in hard copy, or using a certain solution such as PDFfiller. This tool helps to complete any PDF or Word document right in the web, customize it depending on your needs and put a legally-binding e-signature. Once after completion, user can easily send the Tissue viability referral . Referral for the Guy's and St Thomas' tissue viability service. to the relevant person, or multiple recipients via email or fax. The template is printable too due to PDFfiller feature and options offered for printing out adjustment. In both digital and in hard copy, your form should have a organized and professional appearance. It's also possible to save it as the template for later, so you don't need to create a new blank form from the beginning. You need just to amend the ready template.

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The tissue viability referral form is a document used by healthcare professionals to refer patients with wounds or skin integrity issues to a tissue viability service for assessment and treatment.
Healthcare professionals such as nurses, doctors, and allied health practitioners who manage patients with tissue viability issues are required to file the tissue viability referral form.
To fill out the tissue viability referral form, the referrer should provide patient information, details regarding the wound or skin issue, relevant medical history, and any treatments that have already been attempted.
The purpose of the tissue viability referral form is to ensure that patients with wounds receive appropriate assessment and management by specialized tissue viability services.
The referral form must report patient demographic information, wound characteristics, duration of the wound, treatment provided, and any underlying health conditions affecting tissue viability.
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