• Medical Orders for Scope of Treatment
• Advance Care Planning Record
• Identification of Substitute Decision Makers
• ACP and MOST Fax Cover Sheet
• SPEAK conversation example
• Serious Illness COVID Documents
  • Serious Illness Guide
  • Substitute Decision Maker Serious Conversation Guide
  • Patient Letter
  • Reference Guide 

For more information on Advance Care Planning, please click here.

• Bone Densitometry Requisition
• Osteoporosis: Diagnosis, Treatment and Fracture Prevention - Summary of Guideline

Implantable Cardiac Electrical Devices

• ICED Referral Form
• ICED Pre-Procedure Pre-Printed Orders Step 1 of 2

Other forms

• BC Echocardiogram Requisition (DIXX105936B)
• Burnaby Health Heart Program (MSXX104940C)
• Cardiac Clinic Referral (AMXX105992A) 
• Cardiac Amyloidosis Clinic Referral Form 
• Chest Pain Clinic Referral (AMXX105993A)
• Chest Pain SSDTU PPO (DRDO105106A) 
• Chest Pain Clinic Referral Fax (CDXX105749A) 
• Cardiac Rehabilitation Program Referral (CDXX104703B) 
• Heart Function Clinic Referral Form
• Healthy Heart Program Referral (MSXX104032A) 
• Lipid Clinic Referral (PMXX104704A) 
• Outpatient Dietitian Counseling Referral Form
• Outpatient Cardiac Catheterization Referral (CDXX106451A)
• Outpatient Checklist
• Patient and Family Information Guide
• Patient Questionnaire Pre-Surgical Health History
• RCH Atrial Fibrillation Clinic (MSXX104070B)

• Physician/Nurse Practictioner Referral Form

Community Pain Program: Primary Care and Health Care Provider Referral and Brief Pain Inventory

Opioid Use Disorder & Chronic Pain Program Referral – Primary and Health Care Provider

Opioid Use Disorder & Chronic Pain Program Referral – Mental Health and Substance Use

Contact for these forms is Brenda Poulton

• Community Respiratory Services Referral
• Tracheostomy - Adult - Discharge Planning Checklist
• Tracheostomy - Adult - Supplies Funding Letter
• Tracheostomy - Adult - Outpatient Change Referral for Low Risk Tracheostomy Tube

Dietitian Referral - Pediatric Outpatient - Surrey Memorial Hospital

Outpatient Dietitian Referral

• Home IV Program vs Outpatient IV Therapy
• Infectious Disease – Rapid Access Clinic – Adult – Referral (ARH)
• Outpatient Transfusion Medicine Process
• Physician Referral

Ambulatory Procedures

• Colposcopy Booking Form

Breast Health

• Breast Health Clinic Referral Form

Cardiac Services & Heart Health

• Cardiac Rehabilitation Exercise Referral Form
• Cardiac Amyloidosis Clinic Referral Form
• Heart Function Clinic Referral Form
• Lipid Clinic Referral Form
• Outpatient Dietitian Counseling Referral form

Hematology Clinic

• Hematology Clinic Referral Form

HIV AIDS Hepatitis C (Positive Health Clinic)

• Positive Health Services Referral Form

Laboratory Medicine

• Lab Requisition Form

Lung Health 

• Lung Clinic and Pulmonary Rehabilitation Referral – Adult and Pediatric 
• Pulmonary Diagnostics Referral 
• Smoking Cessation

Medical Day Care (MDC)

• COVID-19 Therapy Pack:

  • Remdesivir / COVID-19 Therapy – to book an Infusion, fax completed form to Medical Day Care or Ambulatory Day care in patient's catchment

  • ID Consultation Referral (for Sotrovimab) – to request a consultation with Infectious disease doctors
• IV Hydration Pack
  • Medical Day Care Clinic Referral
  • Orders and Directives
• Blood Product Pack
  • Medical Day Care Clinic Referral
  • Orders and Directives - Reaction Management 
  • Orders and Directives
  • Pre-Printed Orders for Out-Patient Transfusion
  • Regional Consent for Health Care
  • Standard Outpatient Laboratory Requisition 
• IV Iron Pack
  • Medical Day Care Clinic Referral
  • Regional Pre-Printed Orders for Parenteral Iron Inpatient and Outpatient - Adult
• IVIG Pack
  • Medical Day Care Clinic Referral
  • Orders and Directives - Reaction Management 
  • Orders and Directives
  • Regional Consent for Health Care
  • Regional Pre-Printed Orders for Intravenous Immune Globulin (IVIg)
  • Immune Globulin Therapy for Secondary Immunodeficiency
    • New request
    • Renewal request
• Phlebotomy Pack
  • Medical Day Care Clinic Referral
  • Orders and Directives - Reaction Management 
  • Orders and Directives
  • Regional Pre-Printed Orders for Therapeutic Phlebotomy
• Port Flush Pack
  • Medical Day Care Clinic Referral
  • Orders & Directives - Port Flush 
• SCIG Pack
  • Medical Day Care Clinic Referral
  • Medical Day Care SCIG and C1NH Home Infusion Referral 
  • Regional Consent for Health Care
  • SMH and JPOCSC Pre-Printed Orders and Patient Enrolment Notification for Subcutaneous Immune Globulin (SCIG) Home Infusion Program

Neurology Referral Forms

• Neurology Outpatient Referral
• Stroke Prevention Clinic

Pain Clinic

• Chronic Pain Referral Form
• Chronic Pain Intake Form

Maternity Clinics (Perinatal)

• Antepartum Care at Home Referral Form
• Diabetes and Pregnancy Clinic Referral Form
• Early Pregnancy Assessment Clinic Referral
• Maternal Fetal Medicine Clinic Referral Form
• Maternity Clinic Dietitians Referral Form
• Nausea and Vomiting in Pregnancy Clinic Referral Form
• Obstetrics Internal Medicine Referral Form
• Outpatient Fetal Monitoring Referral Form
• Postpartum Contraception and IUD Clinical Referral Form

Referral Forms

• Anticoagulation Management Clinic
• Regional Consent for Health Care
• Infectious Disease Rapid Access Clinic
• Internal Medicine Rapid Access Clinic
• Regional Sleep Lab (Internal Referrals Only)
• Wound Care Clinic

Renal/Vascular Access

• Vascular Clinic Referral Form

Specialized Seniors Clinic

• Specialized Seniors Clinic Referral Form

Surgical Procedures & Endoscopy

• Colposcopy Booking Form

Urology

• Kidney Stone Clinic Referral Form
• Bladder Care Referral Form

Molecular Cytogenetics/Chromosome/Microarray/FISH

Molecular Cytogenetics Cancer Studies Requisition

Molecular Cytogenetics Embryo-fetal Placental Tissue Requisition

Molecular Cytogenetics Constitutional Studies Requisition

Molecular Cytogenetics Prenatal Diagnosis and FISH Requisition

_________________________

Bone Marrow Requisition

_________________________

Cytopathology Requisition

Fine Needle Aspirate Requisition

_________________________

ARHCC Outpatient Pathology Requisition

BH Outpatient Pathology Requisition

RCH Outpatient Pathology Requisition

SMH Outpatient Pathology Requisition

_________________________

Outpatient Laboratory Requisition

• Bone Densitometry
• Breast Imaging Requisition
• Magnetic Resonance (MRI) Requisition
• MRI Appropriateness Checklist
• Nuclear Medicine Requisition
• Outpatient Diagnostic Cardiology Services Requisition
• Request for Service Medical Imaging Requisition (X-ray/Ultrasound/Ct Scan/Interventional)

Referrals

• Fetal Monitoring Referral (OBXX104997C)
• MICY induction of labour booking form (AMXX106820A)
• Nausea and Vomiting of Pregnancy Outpatient and Emergency preprinted order/NVP clinic referral form (DRDO103709D)
• Seamless Perinatal Care Referral (NUXX105256D)
• Perinatal Complex Care Plan Referral (MSXX107526B)

Pre-printed Orders

• Cesarean Section - Pre-Operative - Pre-Printed Order (DRDO106444A)
• Diabetes & Pregnancy Antepartum & Intrapartum (DRDO105417B)

Care Directives/Clinical Forms

• BLOOD COMPONENTS/PRODUCTS & PROCEDURES Advanced Care Directive – Obstetrics

Infant Feeding Plan

• Infant Feeding Discussion Points
• Feeding your baby: information to help with decisions making (patient education)
• Feeding Your Baby Pamphlet (Translated in 8 languages)
• Breastfeeding/chestfeeding online modules
• Breastfeeding/chestfeeding support and resources
• LA LECHE LEAGUE CANADA

Medical Supplementation

• PDHM Consent Form
• Feeding your baby when supplementing is needed (patient education)

CCHD Screening

• CCHD Screening Form 
• Screening for newborn heart problems (patient education) 

• EMG & NCS Requisition
• Neurodiagnostic (EEG & EP) Requisition

Surgical Waitlist Management

• Waitlist Management Policy - Memo
• Waitlist Management Policy - Quick Reference Guide
• Waitlist Management Policy - Fraser Health Authority

OR Booking Package

• OR Booking Package (MS Word format)
• OR Booking Package User Guide
• Surgical Booking Form (pdf format)
• Surgical Pre-Operative Test Order Form
• Patient Questionnaire Pre-Surgical Health History
• Regional Consent for Health Care Form
• Confirmation of Substitute Decision Maker Form
• VTE Prophylaxis Pre-Operative Surgery Form
• Refusal of Blood Component/Product Administration Form

Diagnosis Prioritization

• SPR Backgrounder
• SPR BC Dx Code Surgeon Information Note
• Diagnosis Prioritization Codes V2022-P1 (PDF)
• Diagnosis Prioritization Codes V2022-X1 (Excel)

Cataract Surgery

• Cataract Booking Checklist
• FHA Cataract Slate Submission
• Consent Form for Patient Payment of Intraocular Lens
• Memo: Pricing Changes to Standard/Specialty Lenses
• Standard Intraocular Lenses 

GI Endoscopy

• GI Endoscopy Booking Form

• Regional Pre-Printed Orders for Actively Dying Adults – Community Prescription
• Community Pharmacies with SC Medication in Stock

• Cardioversion – Pre-Operative & Post-Operative (DRDO105776B) RCH & ERH
• Edaravone for Amyotrophic Lateral Sclerosis (ALS)
• General Surgery - Pre-Operative (DRCO106121C)
• Gynecology Surgery - Pre-Operative (DRDO106895A)
• Hip/Knee Replacement (Total) Surgery Pre-Operative (DRDO106035C)
• Home IV Therapy
• Infliximab Inpatients and Outpatients - Adult
• Insertion of PICC or extended-dwell peripheral IV
• Intravenous Immune Globulin (IVIg) (DRDO107408A)
• Immune Globulin Therapy for Secondary Immunodeficiency
  • New request
  • Renewal request
• Outpatient Anticoagulation Treatment Program
• Outpatient Parenteral Antibiotic Therapy
• Parenteral Iron: Inpatient and Outpatient – Adult (DRDO107487B)
• Regional Consent for Health Care
• Spine Surgery Pre-Operative (DRDO106869A) - RCH & ERH
• Therapeutic Phlebotomy
• Outpatient Transfusion (DRDO101802B)
• Tunneled Abdominal Catheter for Paracentesis Management 
• Urology Surgery - Pre-Operative (DRDO106075B)
• Vascular Surgery - Pre-Operative (DRDO106789A) - RCH
• Venous Thromboembolism (VTE) Prophylaxis - Pre-Operative Surgery (DRDO105177B)

• Sleep Clinic Referral
• Sleep Study Requisition

• Primary Care Attachment Referral - Urgent Primary Care Centre

• ARH Diagnostic Vascular Lab Requisition
• ARH Foot Wound Clinic Physician Referral
• RCH Vascular Clinic Test Requisition

2020-2021 Abbotsford Regional Hospital ICU

2020-2021 Delta Hospital 

2020-2021 Fraser Canyon Hospital 

2020-2021 Mission Memorial Hospital

2020-2021 Royal Columbian Hospital ICU

2020-2021 Surrey Memorial Hospital ICU

2021 Abbotsford Regional Hospital 

2021 Burnaby Hospital

2021 Chilliwack General Hospital

2021 Eagle Ridge Hospital

2021 Langley Memorial Hospital

2021 Long Term Care

2021 Peace Arch Hospital

2021 Pediatrics

2021 Royal Columbian Hospital

2021 Surrey Memorial Hospital

Antimicrobial Dosing (Firstline)

Aminoglycoside Dosing and Therapeutic Monitoring

Colistin Dosing

Vancomycin Dosing and Therapeutic Monitoring

Antimicrobial Stewardship Annual Report 2021-2022

Antimicrobial Stewardship Annual Report 2020-2021

Antimicrobial Stewardship Annual Report 2019-2020

Antimicrobial Stewardship Annual Report 2018-2019

Antimicrobial Stewardship Annual Report 2017-2018

Antimicrobial Stewardship Annual Report 2016-2017

Antimicrobial Stewardship Annual Report 2015-2016

What is the purpose of the Pre-Admission Screening Questionnaire?

The Pre-Admission Screening Questionnaire helps the care team understand what the patient was like in the 6 key care areas 2 weeks prior to coming to the hospital. Knowing the pre hospital status of the patient is vital to care and discharge planning. Patient/family complete the screening questionnaire after a decision to admit has been made, within the first 48 hours of admission. The health care provider reviews the screening questionnaire, completes further assessment for areas of concern, and documents the issue and plan on the care plan.

What are the benefits for Physicians?

• Increased efficiencies by providing more accurate and timely charting.  The Interprofessional Care and Discharge Plan is used by the entire health care team (including nursing staff, allied health and physicians) to document and communicate:

  • interventions/ actions required to address areas of concern/risk after screening and assessment are completed and

  • discharge needs and goals.

• The goal is for all patients to have a care plan initiated within 48 hours of admission to hospital.

• Improved communications and collaboration

• Prepopulated care plan reference material aligned with established Pre Printed Orders (PPO), Clinical Decision Support Tools (CDST), and defined Care Pathways to inform evidenced based patient centred care plans

What are the benefits for Patients?

• Improved quality and efficiencies in providing care

• Reduced complications (eg. prevention of adverse medication-related events, decreased UTI rates, increased detection and treatment of delirium

• Reduced length of stay

• using standardized documents shared amongst all care teams improves patient transitions in care and decreases duplication

• The use of patient bedside whiteboards engage patients and families in frequent, open transparent conversations which improve outcomes and satisfaction overall.

  • A highly visible EDD improves communication between care providers, the patient, and family members.

     

The PSP Mental Health Module-Making it Real algorithm guides primary care providers in their practice with MHSU clients. The algorithm contains:

• screening tools
• self-management tools
• decision making tools on how to assess and refer to specialized services.

This algorithm has been further adapted into a specific FHA algorithm with expanded MHSU sections.

PSP Mental Health Module-Making it Real Algorithm

The Collaborative Care Process Map will help guide FH MHSU clinicians to work collaboratively with the client’s PCP throughout the client’s “Episode of Care” with MHSU services. The Collaborative Care Process Map applies to community mental health centre programs and specifically when a client is receiving care from both the centre and a PCP. It applies to the entire client journey including referral to the centre, intake, ongoing care, and transition/discharge.

Collaborative Care Process Map

Reproductive Mental Health Clinic Referral Form

The Feeding Your baby – Information to help with decisions resources are now available on the Fraser Health Patient Education Resource Catalogue at the links below.   If you have this document on the Fraser Health Pulse (intranet) or www.fraserhealth.ca, please replace the link with the link found below. This will connect directly with the Patient Education Resource Catalogue where you are able to place an order or print a copy on your printer.  Once you have updated the link to the one above you will never need to update your link on the Fraser Health Pulse (Intranet) or www.fraserhealth.ca since this link on the Patient Education Resource Catalogue will house the newest version.

English (catalogue # 264467): https://patienteduc.fraserhealth.ca/search/results/109080

Hindi (catalogue # 264520):  https://patienteduc.fraserhealth.ca/search/results/112122

Korean (catalogue # 264517):  https://patienteduc.fraserhealth.ca/search/results/112119

Persian (catalogue # 264518):  https://patienteduc.fraserhealth.ca/search/results/112120

Punjabi (catalogue # 264513):  https://patienteduc.fraserhealth.ca/search/results/112116

Vietnamese (catalogue # 264514):  https://patienteduc.fraserhealth.ca/search/results/112117

Chinese Simplified (catalogue # 264516):  https://patienteduc.fraserhealth.ca/search/results/112118

Chinese Traditional (catalogue # 264521):  https://patienteduc.fraserhealth.ca/search/results/120796

Filipino (catalogue # 264519):  https://patienteduc.fraserhealth.ca/search/results/112121

Trauma Team Activation and Consult Criteria

Trauma Team Activation Criteria Poster

Non refusal Patient Criteria for Trauma Transfer to ARH and RCH

Adult Burn Management

Pediatric Burn Management

For external access, please contact Library Services.

A-Z Online Journals

EBSCO A-to-Z® is a locator tool listing all of a e-HLbc's e-resources, including e-journals, titles in full-text databases, publisher packages, etc. The easy-to-navigate, searchable list of journals allows end users to quickly find any journal or resource, even those buried in a database.

Biomedical Reference Collection

Full-text journals covering such disciplines as clinical medicine, nursing, dentistry, veterinary medicine, pre-clinical sciences and the health care system.

CINAHL

CINAHL® with Full Text provides indexing for 2,818 journals from the fields of nursing and allied health. All journals in this collection are selectively indexed in CINAHL. CINAHL Select has been added to all customers who subscribe to CINAHL with Full Text providing cover-to-cover full text for the journals that are indexed selectively in CINAHL with Full Text.

Cochrane Systematic Reviews

Cochrane Database of Systematic Reviews is one of the most important databases in evidence-based medicine. It is on par with MEDLINE in the view of many and provides quick access to the systematic reviews of randomized controlled trials (RCTs) undertaken by the international Cochrane Collaboration. Its strength is providing easy access to RCTs that deal with drugs, interventions and therapies.

EMBASE

EMBASE - the Excerpta Medica database - is an international (but European focused) biomedical and pharmacological database that provides access to the most up-to-date information about medical and drug-related subjects. Comprehensive inclusion of drug-related information makes EMBASE particularly valuable, with coverage of 5,000+ biomedical journals from 70 countries.

Evidence-Based Medicine Reviews (EBMR)

EBMR, a definitive resource in evidence based medicine, combines 7 of the most trusted EBM resources into one databases. Search all at once or separately.

HealthStar

A database that contains citations to the published literature on health services, technology, administration, and research. It focuses on both the clinical and non-clinical aspects of health care delivery.

LexiComp

Concise and in-depth clinical content allows pharmacists, physicians and nurses to find answers quickly and efficiently while making safer medication decisions.

Medline (Ovid) & Medline (EBSCO)

MEDLINE® (Medical Literature Analysis and Retrieval System Online) is the U.S. National Library of Medicine's® (NLM) premier bibliographic database that contains approximately 12 million references to journal articles in life sciences with a concentration on biomedicine. Articles cover topics in medicine, nursing, dentistry, veterinary medicine, the health care system, pre-clinical sciences, and much more.

Both links connect to the MEDLINE database, under the different search platforms of EBSCO and Ovid.

PsycARTICLES

Full-text articles in general psychology and specialized, basic, applied, clinical and theoretical research psychology, as well as psychiatry.

PsycINFO

The PsycINFO database contains almost 2 million references to psychological literature from 1887 to present, from journal articles, books, book chapters, technical reports, and dissertations.

UpToDate

Accessible from home and mobile devices once account is set up. Contact library staff for assistance.

UpToDate covers more than 7,400 topics in 13 medical specialties and includes more than 76,000 pages of text, graphics, links to Medline abstracts, more than 254,000 references, and a drug database. Physician editors and authors review and update the content continuously. An updated version of UpToDate is released every four months.

ERIC 

The Education Resources Information Center (ERIC), sponsored by the Institute of Education Sciences (IES) of the U.S. Department of Education, produces the world's premier database of journal and non-journal education literature. Search the ERIC bibliographic database of more than 1.1 million citations going back to 1966.

Google Scholar

Google Scholar provides a simple way to broadly search for scholarly literature.You can search across many disciplines and sources: peer-reviewed papers, theses, books, abstracts and articles, from academic publishers, professional societies, preprint repositories, universities and other scholarly organizations.

Health Services/Technology Assessment Text (HSTAT)

Health Services Technology Assessment Texts (HSTAT) is a full text database of guidelines, technology assessments and evidence-based medicine reports developed by the United States National Library of Medicine (NLM).

International Bibliographic Information on Dietary Supplements (IBIDS)

The IBIDS database provides access to bibliographic citations and abstracts from published, international, and scientific literature on dietary supplements. IBIDS is a collaboration between two US government agencies: the Office of Dietary Supplements of the National Institutes of Health, and the Food and Nutrition Information Center (FNIC) of the United States Department of Agriculture's (USDA) National Agricultural Library (NAL).

MedlinePlus

MedlinePlus brings together authoritative information from NLM, the National Institutes of Health (NIH), and other government agencies and health-related organizations. Preformulated MEDLINE searches are included in MedlinePlus and give easy access to medical journal articles. MedlinePlus also has extensive information about drugs, an illustrated medical encyclopedia, interactive patient tutorials, and latest health news.

Merck Manuals Online Medical Library

The Merck Manual of Diagnosis and Therapy covers all the subjects expected in a textbook of internal medicine as well as detailed information on pediatrics, psychiatry, obstetrics, gynecology, dermatology, pharmacology, ophthalmology, otolaryngology, and a number of special subjects.

Online Mendelian Inheritance in Man (OMIM)

A catalog of human genes and genetic disorders authored and edited by Dr. Victor A. McKusick and his colleagues at Johns Hopkins and elsewhere, and developed for theWWW by NCBI, the National Center for Biotechnology Information. The database contains textual information and references, as well as links to MEDLINE and sequence records in the Entrez system, and links to additional related resources at NCBI and elsewhere. OMIM is intended for use primarily by physicians and other professionals concerned with genetic disorders, by genetics researchers, and by advanced students in science and medicine.

PubMed

This is an excellent free version of Medline from the U.S.National Library of Medicine.

REHABDATA

The database covers documents describing physical, mental, and psychiatric disabilities, independent living, vocational rehabilitation, special education, assistive technology, law, employment, and other issues as they relate to people with disabilities. Published by the National Rehabilitation Center.

TOXNET

TOXNET (TOXicology Data NETwork) is a cluster of databases covering toxicology, hazardous chemicals, environmental health and related areas. Published by the U.S. National Library of Medicine.

Got Library? An Introduction to Library Resources

A collection of short online lessons to introduce learners to Fraser Health's Library Services. Lessons focus on a variety of services and resources available to Fraser Health employees and physicians in support of patient care, decision making and research.

Using Library Search Tools (Online) - Basic and Intermediate Levels

*Please note, these courses use sound. A private computer or headphones is recommended*

By the end of these online sessions, you will know how to:

Basic Level (30 Mins)

• Find the library web pages on FH Pulse
• Access research databases
• Run searches using keywords
• Find articles
• Contact library staff

Intermediate Level (30 Mins)

• Find appropriate subject headings
• Combine subject headings and keywords to make complex searches
• Narrow your search using limits
• Find your article from a citation

Advanced Level (30 Mins)

• Use PICO to develop your search question
• Improve your search results with explode, major concept, wildcare, and truncation
• Find full text articles from outside the databases

To make sure that you can use all of the resources included in this course, please use a Fraser Health networked computer.

Email Library Services to schedule a one-on-one tutorial, or team training on these topics and more: 

• Copyright guidance
• Everyday evidence-based practice
• Library orientation
• Managing citations
• Pearl growing
• Finding drug information
• Using databases to find articles (CINAHL, MEDLINE, etc.)
• UpToDate