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Clinical

Adult Dehydration pdf
Cephazolin Policy pdf
Ceftriazone Policy pdf
PE pdf
POAC Funded Pelvic Ultrasound pdf
Anaphylaxis Policy 2016 pdf
Acute Asthma pdf
AAA Policy pdf
Fosfomycin _Oct2021 pdf
Acute Adult Dehydration pdf
POAC Paediatric Asthma Algorithm pdf
Antibiotics in tonsilitis POAC policy pdf
Sore throat algorithm pdf
Pyelonephritis pdf
DVT Flowchart pdf
Chest Xray for CAP pdf
POAC Claiming Schedule 2015 pdf
Pneumonia
Cellulitis
Ferinject Checklist pdf
Ferinject Data Sheet pdf
Hospital referral to POAC pdf
Cellulitis Jan 2015 pdf
Adult Dehydration pdf
ADHB IV Protocol pdf
Recommended Dwell Times pdf
Disclaimer Form pdf
OST pdf
Reablement and STS Referral Form pdf
Ferinject Patient Leaflet pdf

Wound Care

Wound Care Booklet pdf
Wound Care FAQs pdf
Communication Wound Care pdf
Non-complex wound care referral process pdf

HMB Pathway

CMH Pathway pdf
POAC Menorrhagia Process pdf

Radiology Policies

Suspected AAA pdf
Acute Appendicitis pdf
Paediatric Radiology Policy pdf
Menorrhagia pdf
Testicular Torsion pdf

Fosfomycin

UTI - fosfomycin pdf
HOSPITAL PHARMACY:

AUCKLAND CITY HOSPITAL - OUTPATIENT PHARMACY
Phone: 09 307 8997
Fax: 09 307 8998
Level 5 (retail shopping area), ACH, Park Rd, Grafton

MIDDLEMORE HOSPITAL - INPATIENT PHARMACY
Phone: 09 276 0016 option 1
Fax: 09 276 0235Kidz First Entrance, 100 Hospital Rd, Otahuhu (ask security for directions)

NORTH SHORE HOSPITAL - OUTPATIENT PHARMACY
Phone: 09 486 8920 ext 2333
Fax: 09 486 8332
NSH, Main Foyer, 124 Shakespeare Rd, Milford

POAC Information

POAC Info Manual pdf

Electronic Claiming

Medtech User Instructions pdf
My Practice User Instructions pdf

St John Pathway

St John FAQs pdf
St John Guideline pdf
St John A&M List pdf
Referral Process pdf

Newsletters

WDHB Radiology Access April 2015 pdf
October 2013 pdf
April 2013 pdf
February 2013 pdf
May 2012 pdf
December 2011 pdf
July 2011 pdf
April 2011 pdf
POAC Winter Coordination HBSS Referral

POAC Case Number
Referral Date:

DD		/
MM		/
YYYY
Referred By:*
Ward:*
Contact Phone:*

CLIENT INFORMATION

Last Name:*
First Name:*
DOB:*
NHI:*
Ethnicity:*
 European 
 Maori 
 Pacific 
 Asian 
 Other 
Home Address:
Home Phone:*
Mobile:
NOK Contact/Relationship:
NOK Phone Contact(s):
Reason for referral:*
Date of hospital admission:

DD		/
MM		/
YYYY
Planned hospital discharge date:

DD		/
MM		/
YYYY
Medical/Social history:*
Patient goals/rehabilitation plan (discussed with client):
Mobility
Level of cognition
*
Bladder Continent*
*
Bowel Continent*
*
Isolation Requirements*
*
Safety Risks*
Safety risks, isolation requirements, hazards at client's home:
GP Name:*
GP Phone:*
GP Practice:*

SERVICES REQUIRED:

Tasks
Toileting
 Select Required 
Dressing
 Select Required 
Meal Preparation
 Select Required 
Transfers/Turning Hoist
 Select Required 
Showering/Bed Bath
 Select Required 
Heavy Household Tasks
 Select Required 
Number of weeks services required:

(Patient will be reviewed at 2 weeks and assessed for ongoing requirements)*
 1 week 
 2 weeks 
 3 weeks 
 4 weeks 
 5 weeks 
 6 weeks (automatic for surgical patients) 
Is there any urgent need immediately following discharge?
First Visit Required:*

DD		/
MM		/
YYYY
Number of visits per day:*
Preferred time of visit:
Length of each visit (hours):*
Special requirements (diet/cultural/communication)
Referrals made to other services
(consider DN, OT, NASC, equipment)
POAC Winter Coordination HBSS Referral

POAC Case Number
Referral Date:

DD		/
MM		/
YYYY
Referred By:*
Ward:*
Contact Phone:*

CLIENT INFORMATION

Last Name:*
First Name:*
DOB:*
NHI:*
Ethnicity:*
 European 
 Maori 
 Pacific 
 Asian 
 Other 
Home Address:
Home Phone:*
Mobile:
NOK Contact/Relationship:
NOK Phone Contact(s):
Reason for referral:*
Date of hospital admission:

DD		/
MM		/
YYYY
Planned hospital discharge date:

DD		/
MM		/
YYYY
Medical/Social history:*
Patient goals/rehabilitation plan (discussed with client):
Mobility
Level of cognition
*
Bladder Continent*
*
Bowel Continent*
*
Isolation Requirements*
*
Safety Risks*
Safety risks, isolation requirements, hazards at client's home:
GP Name:*
GP Phone:*
GP Practice:*

SERVICES REQUIRED:

Tasks
Toileting
 Select Required 
Dressing
 Select Required 
Meal Preparation
 Select Required 
Transfers/Turning Hoist
 Select Required 
Showering/Bed Bath
 Select Required 
Heavy Household Tasks
 Select Required 
Number of weeks services required:

(Patient will be reviewed at 2 weeks and assessed for ongoing requirements)*
 1 week 
 2 weeks 
 3 weeks 
 4 weeks 
 5 weeks 
 6 weeks (automatic for surgical patients) 
Is there any urgent need immediately following discharge?
First Visit Required:*

DD		/
MM		/
YYYY
Number of visits per day:*
Preferred time of visit:
Length of each visit (hours):*
Special requirements (diet/cultural/communication)
Referrals made to other services
(consider DN, OT, NASC, equipment)

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