End of Event Report

Intervention End of Event Report

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CHURCH OF GOD IN CHRIST, INC.

BISHOP CHARLES L. BLAKE, SR., PRESIDING PRELATE

MOTHER WILLIE MAE RIVERS, GENERAL SUPERVISOR

INTERNATIONAL NURSES’ UNIT

 

Nurses’ Unit Intervention

End of Event Report

 

Date: ______________________                                    Location: _____________________
Start of Event: _______________                                   End of Event: __________________

Nurses’ On Duty                                                             Interventions

________# of Nurses’                                                      ________# of Non Emergencies       

________# of Physicians                                                 ________# of Blood pressures                                

________# of Healthcare Professionals                          ________# of Glucose monitoring

                                                                                         ________# of Emergencies

Referrals                                                                         Disposition   

________# of EMS referrals                                            ________ # Returned to service

  ________# of Physician referrals                                     ________# Transported to hospital

 

________# of Hospital referrals                                       ________# Transported to hotel/home

 

________# of Home/Hotel referrals                                 

Incident Reports                                                            Follow-up Care

________# of Incident reports                                         ________# of calls, cards

________# of Fatalities                                                   ________# of visits, etc

End of event report completed by: _________________________________________________

Original to Nurses’ Unit

Copy to International Women’s Department Office
Copy to Chief of Staff-Holy Convocation, Memphis

Formulated: 5/10/05; Revised 11/1/06

 

 
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