To ensure all data is maintained and properly backed up to maximize recovery in the event of disaster and to make the file accessible to other staff.
To implement a plan in case of any accidents or emergencies involving staff involved in official activities.
To differentiate between different classifications of employees for purposes of determining benefits, eligibility for overtime pay, and other issues.
This resource provides a straightforward tool to use to develop effective hepatitis risk assessment with adult clients through your clinic charting system.
- HepatitisChartingHandoutstd.pdf (562 KB)
This is a one page tool used by community health workers to evaluate individuals for family violence. The tool is designed for use with low literacy populations and uses pictures instead of words to communicate.
- ICONFormEnglish2.pdf (304.19 KB)
- ICONFormSpanish.pdf (318.43 KB)
One page tool to use in evaluating the possibility of physical abuse.
- EvaluationforPhysicalAbuse.pdf (73.11 KB)
- PreNatalHealthHistorySpanish.pdf (33.42 KB)
The "Keep It With You" (KIWY) Personal Medical Information Form is intended to be a voluntary and temporary record that lists medical care and other health information for people who need care during disasters and similar situations.
- kiwy.pdf (70.59 KB)
- HypertensionInitial.doc (30.5 KB)
- asthmainitial.doc (38 KB)
- AdultAdolescentAssessmentForm.pdf (36.05 KB)
- NewPatientInformation.pdf (159.18 KB)
- MedicationRecord.pdf (262.37 KB)
- Promotoraprogramprocedures_span.doc (268.5 KB)
These policies were developed by OneWorld Health Center to govern their promotora program. Included in this document are policies regarding: Procedures, Follow-up Calls, Forms, Job Descriptions, Competencies and Attributes.
- promotoraprogramprocedures_eng.doc (65.5 KB)
- 282_EmployeeImmunizationRecords.doc (21.5 KB)
Seven page document that provides a sample/template emergency preparedness plan.
- Emergency Preparedness.doc (230 KB)
Two documents that can be used as a template guide for creating a pandemic flu policy.
- Pandemic Plan.doc (118.5 KB)
- Influenza Pandemic Policy.doc (269.5 KB)
Chief Medical Officer job description. Includes topics: Major function and Essential functions list.
- CMO 2010.doc (41.5 KB)
- 3.02.28 Treatment Priorities.doc (32 KB)
The Workbook provides a process that can support state, local,and tribal planners as they advance in their efforts to reach all populations—and specifically, special populations—in day-today communication and during crisis or emergency situations.
The Workbook is divided into three primary sections, each representing a major stage in the process of communicating with special populations,and provides a baseline of research plus selected resources that should substantially reduce the work required of health departments to begin this process.
Sample clinic policy for scenarios that constitute emergencies requiring immediate attention by an auxiliary medical personnel or physician.
- EmergencyCalls2.doc (29.5 KB)
- emergencymanagementplan.doc (151 KB)
- MedicalEmergency.doc (23.5 KB)