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Place LTC Logo Here (or type name of LATCH) P.I.E.C.E.S.3Q Template used with permission from P.I.E.C.E.S. Canada Consult Group. This protocol, building on the P.I.E.C.E.S. framework, has been developed
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How to fill out hnhb bso protocol for
How to Fill Out HNHB BSO Protocol:
01
Gather all necessary information: Start by collecting all relevant details required to complete the HNHB BSO (Hamilton Niagara Haldimand Brant Behavioural Supports Ontario) protocol form. Make sure to have accurate and up-to-date information regarding the patient or individual who requires the BSO services.
02
Section 1: Patient Information: Begin filling out the form by entering the patient's personal information, including their full name, date of birth, gender, address, contact details, and any identification numbers or healthcare card information.
03
Section 2: Referral Source and Reason for Referral: Clearly state the source through which the referral was received, such as a healthcare provider, family member, or caregiver. Specify the reason behind the referral, explaining the medical or behavioral condition that necessitates the use of BSO services.
04
Section 3: Care Setting and Service Information: Indicate the primary care setting where the patient currently resides or receives care, such as a hospital, long-term care facility, or home. Fill in details about the healthcare provider, contact person, and their respective contact information. Mention any specific BSO service requested or required.
05
Section 4: Consent and Declaration: Ensure that the patient or their authorized substitute decision-maker has provided informed consent for BSO services. Sign and date the declaration confirming that all information provided is accurate and complete to the best of your knowledge.
Who Needs HNHB BSO Protocol:
01
Individuals with Complex Care Needs: The HNHB BSO protocol is designed for individuals who have complex care needs due to medical conditions, mental health issues, or behavioral challenges. This protocol provides specialized support and care strategies to manage and improve their quality of life.
02
Caregivers and Family Members: The BSO protocol is also important for caregivers and family members who are involved in the care of individuals with complex needs. By following the protocol, they can access BSO services, ensuring the best possible care and assistance for their loved ones.
03
Healthcare Providers and Referral Sources: Healthcare professionals, hospitals, long-term care facilities, and other referral sources play a crucial role in identifying individuals who can benefit from BSO services. By following the protocol, healthcare providers can refer patients accurately and efficiently, ensuring they receive appropriate support and care.
Remember, it is important to consult the specific guidelines and instructions provided by the HNHB BSO program or the relevant healthcare authority to ensure accurate completion of the protocol form and appropriate access to BSO services.
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