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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISIONGASTROSTOMY TUBE CARE: PHYSICIANS CHECKLIST (CHILD CARE FACILITIES)
(CHILD
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How to fill out lic 701a gastrostomy
How to fill out lic 701a gastrostomy
01
Begin by thoroughly reading the instructions on the LIC 701A form.
02
Fill in the patient's personal information, including their name, date of birth, and any relevant medical history.
03
Specify the reason for the gastrostomy tube placement and any related diagnoses.
04
Provide details on the intended treatment plan, including the type of gastrostomy tube to be used and any necessary medications or feeding instructions.
05
Ensure all sections of the form are completed accurately, signed, and dated by the appropriate healthcare provider.
Who needs lic 701a gastrostomy?
01
Individuals who require enteral feeding due to conditions such as dysphagia, neurological disorders, or other medical issues that prevent them from consuming food orally may need a gastrostomy tube.
02
Patients who are unable to maintain adequate nutrition and hydration through oral intake alone may also benefit from a gastrostomy tube.
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What is lic 701a gastrostomy?
LIC 701A Gastrostomy is a form used to document and report the insertion of a gastrostomy tube for patients requiring long-term nutritional support.
Who is required to file lic 701a gastrostomy?
Healthcare providers, such as doctors and hospitals, are required to file LIC 701A Gastrostomy when they perform the procedure on patients.
How to fill out lic 701a gastrostomy?
To fill out LIC 701A Gastrostomy, healthcare providers must accurately complete patient identifying information, procedure details, and any necessary medical history or indications for the procedure.
What is the purpose of lic 701a gastrostomy?
The purpose of LIC 701A Gastrostomy is to ensure proper documentation for medical records, reimbursement, and compliance with healthcare regulations related to gastrostomy procedures.
What information must be reported on lic 701a gastrostomy?
The information that must be reported includes the patient's demographics, details of the procedure, indications for gastrostomy, and any complications experienced during the procedure.
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