M-O

ZNHSL Clinical records (In Development)

Immunisation Consent Form (Neonatal) - SAMPLE

Major Vascular Surgery Checklist - NHSL - SAMPLE

Malnutrition Universal Screening Tool (MUST)* with Nutrition Profile - SAMPLE

Management of Ankle and Foot Injury - NHSL - SAMPLE

Management of Male Uncomplicated Acute Urinary Retention - NHSL - SAMPLE

Management of Minor Bites and Stings - NHSL - SAMPLE

Management of Minor Burns - NHSL - SAMPLE

Management of Minor Elbow Injury - NHSL - SAMPLE

Management of Minor Eye Injury - NHSL - SAMPLE

Management of Minor Hand/ Finger Injury - NHSL - SAMPLE

Management of Minor Head Injury - NHSL - SAMPLE

Management of Minor Head Injury Child (1-16 years old) - NHSL - SAMPLE

Management of Minor Knee Injury - NHSL - SAMPLE

Management of Minor Shoulder Injury - NHSL - SAMPLE

Management of Minor Wounds - NHSL - Sample

Management of Minor Wrist Injury - NHSL - SAMPLE

Management of Nicotine Addiction Assessment Tool (MNAAT) - SAMPLE

Management of Retained Products of Conception UHW SAMPLE

Manufacturer’s Statement Patient Receipt - SAMPLE

Maternity Early Warning Score (MEWS) - SAMPLE

Maternity Theatres Patient Safety Checklists - SAMPLE

Maternity Theatres Patient Safety Checklists UHW sample

Maternity Triage Assessment SAMPLE

Maternity Triage UHW SAMPLE

Maternity/Gynaecology Ultrasound Scan Card SAMPLE

Medical High Dependency Multidisciplinary Care Record - NHSL - SAMPLE

Medical High Dependency Unit/Emergency Care Unit Admission & Progress Record - UHH - SAMPLE

Medical Retina Clinic - SAMPLE

Medication Administration Record - HMPS - SAMPLE

Medication Request to General Practice

Medicine for the older adult frailty scale NHSL 2029

Mental Health Assessment and Initial Treatment Plan - HMPS - SAMPLE

Mental Health Discharge Summary - HMPS - SAMPLE

Mepolizumab Treatment of Asthma - NHSL - SAMPLE

Metastatic Trastuzumab (Herceptin) Initial Treatment (Loading dose) - NHSL - SAMPLE

Metastatic Trastuzumab (Herceptin) Subsequent Treatment - NHSL - SAMPLE

Methadone Prescription - HMPS - SAMPLE

Miami J Collar Transfer Care Plan - NHSL - SAMPLE

Midazolam Checklist UHW SAMPLE

Midline Care Plan

Midline Insertion Referral - SAMPLE

Midwife Clinic Record UHW SAMPLE

Minimal access ventral mesh Rectopexy for external rectal or symptomatic internal rectal prolapse - SAMPLE

Minor Operation Outpatient Department

Mortuary Admission Record - SAMPLE

Mortuary Out of Hours Release - SAMPLE

Moving and Handling Discharge Liaison Service

MRSA and PVL S. aureus Management Guidance and Swab Record

Multidisciplinary clinical continuation notes

Multidisciplinary Contact Record - SAMPLE

Multiple Sclerosis (MS) Nurse Screening Clinic - Disease Modifying Treatment (DMT) Cladribine - SAMPLE

Multiple Sclerosis (MS) Nurse Clinic, Disease Modifying Therapy (DMT) - SAMPLE

Multiple Sclerosis (MS) Nurse Screening Clinic - Disease Modifying Treatment (DMT) - Aubagio - SAMPLE

Multiple Sclerosis (MS) Nurse Screening Clinic Disease Modifying Treatment (DMT) Vumerity/Tecfidera - SAMPLE

Multiple Sclerosis Nurse Monitoring Clinic Avonex, Plegridy, Brabio/Copaxone - SAMPLE

National early warning score (NEWS) 2 chart

National Transfusion Record (NTR) - Main Form - SAMPLE

National Transfusion Record (NTR) - Short Form - SAMPLE

Navigator/clinical nurse specialist pro forma - SAMPLE

Neonatal Biochemistry/ Haematology Results - SAMPLE

Neonatal Blood Gases - SAMPLE

Neonatal Central Line Maintenance - SAMPLE

Neonatal Community Liaison - SAMPLE

Neonatal Community liaison - SAMPLE (1)

Neonatal Community Liaison Continuation - SAMPLE

Neonatal Cranial Ultrasound Report - SAMPLE

Neonatal Discharge Checklist (Medical Staff) - SAMPLE

Neonatal Drug Withdrawal Scoring System (Lipsitz Scoring Tool1) - SAMPLE

Neonatal Health Visitor Communication Record - SAMPLE

Neonatal Incident Chart - SAMPLE

Neonatal Infusion Prescription Chart - SAMPLE

Neonatal Intensive Care Record -SAMPLE

Neonatal Intravenous (IV) Cannula insertion bundles - SAMPLE

Neonatal medication chart - SAMPLE

Neonatal Microbiology Results - SAMPLE

Neonatal Nursing Chart - SAMPLE

Neonatal nursing notes - SAMPLE

Neonatal Observation Chart - SAMPLE

Neonatal Peripheral Vascular Catheter (PVC) Maintenance Bundle - SAMPLE

Neonatal Pressure Ulcer Risk Assessment (PURA) and SSKINS Intervention Plan SAMPLE

Neonatal Primary Immunisation Inpatient Prescription - SAMPLE

Neonatal Pulse Oximetry (Sleep Study) - SAMPLE

Neonatal Record of Medical Staff Communication with Parents - SAMPLE

Neonatal Resuscitation Scribe Sheet - SAMPLE

Neonatal Short Stay Admission (Up to 4 hours) - SAMPLE

Neonatal Social Work Communication - SAMPLE

Neonatal Transfer (Inter-hospital) - SAMPLE

Neonatal Unit Visiting Record - SAMPLE

Neonatal/Transitional Care Discharge Summary - SAMPLE

New Patient Inflammatory Bowel Disease (IBD) Clinic Pro-Forma SAMPLE

New Patient Thyroid Proforma - UHH - SAMPLE

Newborn Early Warning Trigger and Track Tool (NEWTT2) - SAMPLE

Newborn Hearing Screening Service Risk Factor - SAMPLE

NEWS2/Clinical Assessment - HMPS - SAMPLE

Non-Invasive Ventilation (NIV) Care Bundle

Nurse assessment Multiple Sclerosis (MS) - SAMPLE

Nurse led insertion of insertion loop recorder - UHH - SAMPLE

Nurse Led Lymphoma Follow-up Clinic - SAMPLE

Nurse led lymphoma follow-up clinic: Patient questionnaire - SAMPLE

Nurse led pessary clinic: Follow-up - SAMPLE

Nurse Led Post Myocardial infarction (MI) Clinic - UHM - UHH - SAMPLE

Nurse led venesection service initial assessment and treatment- UHH - UHM - SAMPLE

Nurse led venesection service subsequent treatment - UHH & UHM - SAMPLE

Nursing Discharge Summary - Wd 6 UHM - SAMPLE

Nursing Enteral Feeding Administration - SAMPLE

Nursing inpatient MRI checklist - NHSL - SAMPLE

Nursing inpatient MRI checklist SAMPLE

Observation chart for the administration of Subcutaneous and Intramuscular (SC/IM) Morphine - UHM- SAMPLE

Observation Chart for the recording of subcutaneous analgesia - Morphine & Oxycodone - UHW - SAMPLE

Obstetric Anaesthesia Record UHW SAMPLE

Obstetric Physiotherapy self-referral form SAMPLE

Obstetrics and Gynaecology Clinical Counselling Notes for Female Sterilisation SAMPLE

Occupational and Physiotherapy Goals - Continuation SAMPLE

Occupational Therapy and Physiotherapy Goals SAMPLE

Occupational Therapy and Physiotherapy Initial Interview SAMPLE

Occupational Therapy and Physiotherapy Objective Assessment SAMPLE

Ocrelizumab, Rituximab, Ublituximab (Briumvi) and Ofatumumab (Kesimpta) - First Dose Screening - SAMPLE

Ocrelizumab, Rituximab, Ublituximab (Briumvi) and Ofatumumab (Kesimpta) Monitoring - SAMPLE

Oesophageal Lab Patient History - SAMPLE

Oesophageal Lab Patient Nutrition Diary - SAMPLE

Oesophageal Lab Referral - SAMPLE

Older Adult Fracture Neck of Femur Proforma - SAMPLE

Omalizumab 16 week assessment of Asthma - NHSL - SAMPLE

Omalizumab maintenance treatment of Asthma - NHSL - SAMPLE

Operation Note: (Continuation) Plastic Surgery, Minor Operation - SAMPLE

Operation Note: Plastic Surgery, Minor Operation - SAMPLE

Operation record - NHSL - SAMPLE

Ophthalmic Imaging Request - SAMPLE

Ophthalmic Interventional Request - SAMPLE

Ophthalmic Laser Template - SAMPLE

Oral Health Assessment - SAMPLE

Orthodontic Complex Dento-Alveolar Clinic / Orthognathic Clinic - SAMPLE

Orthodontic New Patient Assessment - SAMPLE

Orthodontic Orthognathic Assessment - SAMPLE

Orthodontic Patient Medical History - SAMPLE

Orthodontic Treatment - SAMPLE

Orthodontic Treatment Planning - SAMPLE

Orthopaedic Inpatient: Proposed Surgery - UHH - SAMPLE

Orthotic Referral - SAMPLE

Orthotic Request - SAMPLE

Orthotic Spinal Referral - SAMPLE

Osteoporosis Compliance Review - SAMPLE

Osteoporosis Treatment Plan - SAMPLE

Outpatient Antibiotic Treatment (OPAT) - Blood results - SAMPLE

Outpatient Antibiotic Therapy (OPAT): Initial Assessment - SAMPLE

Outpatient Antibiotic Therapy (OPAT): Treatment - SAMPLE

Outpatient Antibiotic Treatment (OPAT) Referral - SAMPLE

Outpatient investigation / treatment notes - SAMPLE

Outpatient Prescription SAMPLE

Ozanimod Screening (Multiple Sclerosis) - SAMPLE

Permission to transfer (Neonatal) - SAMPLE