Ns Form 159 PDF Details

In the landscape of healthcare communication, the Inter-departmental Communication Form, known as NS Form #159, serves as a crucial conduit for patient information across different departments. This form covers a broad spectrum of patient details that are essential for providing comprehensive care, making it an indispensable tool for healthcare providers. These details include the patient’s name, room number, attending doctor, a list of allergies, code status (such as Full Code, DNR, or Limited Resuscitation), fall risk assessment, mental status, barriers to communication (such as Hard of Hearing, Deaf, Poor Vision, Blind, or Language Barrier), infection risks like MRSA or VRE, and even the logistics related to the patient’s movement between departments. Detailed sections about the test, department involved, mode of transportation, and timestamps for departure and return, further ensure that the communication loop is closed and nothing is left to chance. Grounded in the principle of patient safety and efficiency, NS Form #159 epitomizes how structured communication can enhance the coordination of care and facilitate a seamless healthcare experience.

QuestionAnswer
Form NameNs Form 159
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesVRE, DNR, departmental, Forgetful

Form Preview Example

Inter-departmental Communicaion form

Name: ________________________________________________ Room: _____________ Doctor: __________________________

Allergies: ___________________________________________________________________________________________________

Code Status: Full Code

DNR Limited Resuscitaion

Fall Risk: Up per Self

Up with 1 2 3 (circle)

Unable to stand

Mental Status: Alert & Oriented Forgeful Confused / Demenia

Barriers: HOH Deaf Poor vision Blind

Language Barrier

Infecion Risk: MRSA

VRE

 

Date

Department

Time Out (name)

Time Back (Name)

Mode of Transportaion

Test Complete and

Report Given

NS Form #159 - 04/09

Inter-departmental Communicaion form

Name: ________________________________________________ Room: _____________ Doctor: __________________________

Allergies: ___________________________________________________________________________________________________

Code Status: Full Code

DNR Limited Resuscitaion

Fall Risk: Up per Self

Up with 1 2 3 (circle)

Unable to stand

Mental Status: Alert & Oriented Forgeful Confused / Demenia

Barriers: HOH Deaf Poor vision Blind

Language Barrier

Infecion Risk: MRSA

VRE

 

Date

Department

Time Out (name)

Time Back (Name)

Mode of Transportaion

Test Complete and

Report Given

NS Form #159 - 04/09