Field Hospitals Order Sets SHA-007 Admission Orders for Field Hospitals (December 28, 2020) (PDF 827.45 KB) Guidelines CV-19 G0056 Standards of Care for Field Hospitals During COVID-19 Pandemic (PDF 1.08 MB) Published October 9, 2020 CV-19 G0037 Clinical Documentation – The Basics – How to Document (June 19, 2020) (PDF 463.79 KB) CV-19 G0023 Clinical Documentation – Form Guidelines During COVID-19 Pandemic (June 23, 2020) (PDF 438.84 KB) Skills Lists SHA 0039 Field Hospital Essential Skills List for COVID Training (May 1, 2020) (DOC 188.5 KB) SHA 0043 Non-Clinical Staff Skills List for COVID Training (May 1, 2020) (DOC 139 KB) Clinical Forms SHA 0065 Field Hospital Admission Checklist (August 12, 2020) (PDF 234.31 KB) SHA 0062 Field Hospital or Surge Admission Documentation Bundle – COVID-19 Pandemic (July 17, 2020) (PDF 1.57 MB) SHA 0012 Admission Data Base – COVID-19 Pandemic (June 19, 2020) (PDF 302.81 KB) SHA 0013 Daily Clinical Documentation – COVID-19 Pandemic (June 19, 2020) (PDF 298.64 KB) SHA 0014 Master Signature Record – COVID-19 Pandemic (June 19, 2020) (PDF 203.47 KB) SHA 0015 Clinical Record Flow Sheet – COVID-19 Pandemic (June 20, 2020) (PDF 159.59 KB) SHA 0016 IV Flow and Record of Care – COVID-19 Pandemic (June 19, 2020) (PDF 227.34 KB) SHA 0017 Medication Administration Record (MAR) – 7 Day – COVID-19 Pandemic (June 19, 2020) (PDF 224.87 KB) SHA 0018 Medication Administration Record (MAR) Overlay – 7 Day – COVID-19 Pandemic (June 19, 2020) (PDF 221.42 KB) SHA 0019 Pain Management Record – COVID-19 Pandemic (June 19, 2020) (PDF 401.04 KB) SHA 0020 Adult Neurosciences Watch Record – COVID-19 Pandemic (June 19, 2020) (PDF 284.63 KB) SHA 0021 Clinical Notes – COVID-19 Pandemic (June 19, 2020) (PDF 213.64 KB) SHA 0023 COVID-19 Patient – Nursing Care Plan Supplement – COVID-19 Pandemic (June 19, 2020) (PDF 258.89 KB) SHA 0024 COVID-19 Patient – Nursing Care Plan – COVID-19 Pandemic (PDF 560.57 KB) Published July 17, 2020 SHA 0025 Discharge Instructions – COVID-19 Pandemic (PDF 302.06 KB) Published June 19, 2020 SHA 0031 Medication Administration Record (MAR) – Single Day – COVID-19 Pandemic (PDF 202.86 KB) Published June 19, 2020 SHA 0032 Medication Administration Record (MAR) Overlay – Single Day – COVID-19 Pandemic (PDF 199.66 KB) Published June 19, 2020 SHA 0033 Narcotic/Controlled/Targeted Drug Administration Sheet – COVID-19 Pandemic (PDF 211.35 KB) Published June 19, 2020 SHA 0034 Transfer Referral – Facility to Facility – COVID-19 Pandemic (PDF 226.95 KB) Published June 19, 2020 SHA 0049 Medication List on Admission – COVID-19 Pandemic (PDF 198.66 KB) Published June 19, 2020 SHA 0063 Allergy List Addendum on Admission – COVID-19 Pandemic (PDF 271.2 KB) Published June 19, 2020 SHA 0092 Code Blue Record - COVID-19 Pandemic (PDF 306.11 KB) Published December 21, 2020 SHA 0093 Code Blue Cart Checklist (PDF 86.15 KB) Published December 22, 2020 Clinical Forms - Practitioner SHA 0066 Practitioner Admission History (PDF 48.88 KB) Published July 16, 2020 SHA 0067 Practitioner Admission Physical Assessment (PDF 37.33 KB) Published July 16, 2020 SHA 0068 Practitioner Orders (PDF 27.66 KB) Published July 16, 2020 SHA 0069 Practitioner Progress Note – High Acuity (PDF 219.41 KB) Published July 16, 2020 SHA 0070 Practitioner Progress Note – Low Acuity (PDF 245.17 KB) Published July 16, 2020 SHA 0071 Practitioner Discharge Note (PDF 32.33 KB) Published July 16, 2020 Related Pages General Information PPE/Infection Prevention and Control COVID-19 Vaccine Information for Health Care Providers Screening Tools - Testing, Screening, Treatment and Medical Directives