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Helping Hands Order Form Page 1 of 28 Helping Hand Order Form These Helping Hands are available as of 10/15/12. The REV. DATE is the origination date or last revision, whichever is later. DIRECTIONS: Indicate quantity needed in Column 1. Send this form to the Print Shop with a Request for Print Shop Services (PS-01). Date Ordered: Date Needed: Your Name: Phone: Unit/Clinic Location: Cost Center: Order Forms Quantity Form # Helping Hand Title Rev. Date # Of Pages HH-1 Order Form (In House) 10/09 27 HH-2 Non-English Materials Order Form 10/05 18 HH-5 Reprint Order Form 7/08 2 HH-14 Important Phone numbers for Emergencies 3/12 3 HH-17 University Hospitals Map 10/93 2 HH-19 Time to Reorder Cards 11/07 1 HH-21 Is it Cold or the Flu? 12/04 1 HH-22 J-5 Resource Notebook Materials Order Form 5/03 5 HH-26 Pulmonary (CF Notebook) Order Form 10/04 2 HH-28 Day Hospital – Heme/Onc 4/05 1 HH-30 Scrub Club Flyer 12/04 1 HH-31 Can You Trust Health Information on the Web 3/12 2 HH-35 Discharge Planning Sheet – Tracheostomy Care 11/11 1 HH-36 Designation of Another Person to Consent for Medical Care 11/11 3

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Page 1: Helping Hands Order Form Page 1 28 - · PDF fileHelping Hands Order Form Page 1 of 28 ... HH-I-7 Anemia: Iron Deficiency 3/04 3 HH-I-57 Animal Bites 5/11 4 HH-I-265 Ankle Sprain 10/08

Helping Hands Order Form Page 1 of 28

Helping Hand Order Form

These Helping Hands are available as of 10/15/12. The REV. DATE is the origination date or last revision, whichever is later. DIRECTIONS: Indicate quantity needed in Column 1. Send this form to the Print Shop with a Request for Print Shop Services (PS-01).

Date Ordered:

Date Needed:

Your Name:

Phone:

Unit/Clinic Location:

Cost Center:

Order Forms

Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-1 Order Form (In House) 10/09 27

HH-2 Non-English Materials Order Form 10/05 18

HH-5 Reprint Order Form 7/08 2

HH-14 Important Phone numbers for Emergencies 3/12 3

HH-17 University Hospitals Map 10/93 2

HH-19 Time to Reorder Cards 11/07 1

HH-21 Is it Cold or the Flu? 12/04 1

HH-22 J-5 Resource Notebook Materials Order Form 5/03 5

HH-26 Pulmonary (CF Notebook) Order Form 10/04 2

HH-28 Day Hospital – Heme/Onc 4/05 1

HH-30 Scrub Club Flyer 12/04 1

HH-31 Can You Trust Health Information on the Web 3/12 2

HH-35 Discharge Planning Sheet – Tracheostomy Care 11/11 1

HH-36 Designation of Another Person to Consent for Medical Care

11/11 3

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Helping Hands Order Form Page 2 of 28

HH-1 6/10 Copyright 2010, Nationwide Children’s Hospital

Miscellaneous Helping Hands

Quantity

_____

Form #

HH-37

Helping Hand Title

Stop Smoking Programs

Rev. Date

8/12

# Of Pages

2

Part I: Diseases, Conditions, Surgeries

Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-I-106 Abdominal Pain: Hospital Admission 6/09 2

HH-I-316 Abdominal Pain: Outpatient 10/09 2

HH-I-48 Acne 9/11 3

HH-I-307 Adenoid Removal 8/11 4

HH-I-88 Allergic Rhinitis 7/10 2

HH-I-2 Allergy to Dust 5/00 3

HH-I-205 Allergies to Foods 1/12 7

HH-I-189 Allergy to Latex 3/05 6

HH-I-4 Allergy to Medicines 6/06 3

HH-I-5 Allergy to Mold 4/02 2

HH-I-74 Allergy to Stinging Insects 8/12 4

HH-I-6 Amblyopia 5/06 1

HH-I-123 Amblyopia: Eye Patching for Children Who Wear Glasses

6/12 1

HH-I-7 Anemia: Iron Deficiency 3/04 3

HH-I-57 Animal Bites 5/11 4

HH-I-265 Ankle Sprain 10/08 2

HH-I-10 Apnea 8/10 2

HH-I-266 Apnea and Bradycardia (Pre-term Infant) 1/07 1

HH-I-50 Apnea in Premature Infants 5/00 2

HH-I-51 Apnea: Monitoring Your Infant at Home 8/02 8

HH-I-53 Apnea: Use and Care of Apnea Monitor 7/10 5

HH-I-75 Appendectomy: Non-Ruptured Appendix 8/09 3

HH-I-76 Appendectomy: Ruptured 6/09 3

HH-I-243 Arnold Chiari Malformation Surgery 8/06 2

HH-I-11 Asthma and Reactive Airway Disease (RAD) 6/11 5

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Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-I-83 Asthma Relaxation and Breathing Exercises 8/98 2

HH-I-157 Attention Deficit (Hyperactivity) Disorder (ADHD)

9/11 3

HH-I-163 Autopsy 3/10 2

HH-I-313 Bedbugs 7/12 2

HH-I-334 Brachial Plexus Injury 3/11 3

HH-I-127 Brain Tumors 9/09 5

HH-I-186 Bone Marrow Harvest 12/11 2

HH-I-164 Bone Marrow Transplant 11/07 6

HH-I-255 Bone Marrow Transplant (cGVHD) 6/05 2

HH-I-165 Bone Marrow Transplant Acute Graft vs. Host Disease(GVHD)

8/05 2

HH-I-166 Bone Marrow Transplant: Isolation Procedures 8/92 3

HH-I-31 Bronchiolitis 6/11 3

HH-I-248 Bronchopulmonary Dysplasia 12/05 3

HH-I-112 Burns: Split Thickness Skin Grafts 5/12 3

HH-I-92 Burns: Wearing a Pressure Garment 3/12 3

HH-I-115 Chalazion 10/11 1

HH-I-101 Chickenpox 9/11 3

HH-I-38 Chlamydia 3/09 3

HH-I-16 Circumcision 2/12 2

HH-I-279 Circumcision – Newborn 8/08 2

HH-I-65 Clavicle Fracture 6/11 2

HH-I-17 Cleft Lip Repair 2/12 2

HH-I-21 Cleft Palate: Feeding Your Baby 11/05 3

HH-I-18 Cleft Palate Repair 12/11 3

HH-I-231 Clubfoot 4/04 2

HH-I-330 Cochlear Implant: Care After Surgery 12/10 2

HH-I-103 Colic 9/10 3

HH-I-311 Congenital Diaphragmatic Hernia (CDH) 9/09 3

HH-I-150 Congestive Heart Failure 7/09 2

_____ HH-I-346 Congenital Hypothyroidism 9/12 1

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Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-I-114 Conjunctivitis 10/11 2

HH-I-107 Constipation and Fecal Soiling 3/06 3

HH-I-15 Constipation: Child over 1 Year of Age 9/12 3

HH-I-14 Constipation: Infant 2/10 2

HH-I-259 Costochondritis 1/07 2

HH-I-323 Cradle Cap 2/11 1

HH-I-19 Croup 9/11 3

HH-I-20 Cystic Fibrosis 6/11 4

HH-I-292 Cytomegalovirus – CMV 2/09 2

HH-I-207 Dehydration: Giving Liquids at Home 7/10 2

HH-I-322 Dental Injuries: Follow-up Care 2/12 1

HH-I-146 Developmental Dislocated Hip: Home Traction Care

4/11 8

HH-I-94 Diabetes and Minor Illness (Sick Days) 2/08 4

HH-I-210 Diabetes: Foot Care 3/08 2

HH-I-26 Diabetes: Giving an Insulin Injection 3/08 5

HH-I-24 Diabetes: Low Blood Sugar (Hypoglycemia) 3/08 4

HH-I-12 Diabetes Insulin Dependent Diabetes Mellitus 3/08 4

HH-I-23 Diabetes: Ketoacidosis 3/08 2

HH-I-25 Diabetes: Rotating Injection Sites 3/08 4

HH-I-22 Diabetes: Self - monitoring of Blood Glucose 2/08 3

HH-I-40 Diabetes: Testing Urine for Ketones 3/08 4

HH-I-214 Diabetes: Type 2 3/08 2

HH-I-260 Diabetes: What Schools Should Know 2/08 6

HH-I-28 Diaper Rash 7/10 1

HH-I-29 Diarrhea 7/10 3

HH-I-33 Ear Surgery: Care after Tympanoplasty or Mastoidectomy

10/09 4

HH-I-54 Ear Infection: Otitis Media 6/09 3

HH-I-32 Ear: Insertion of Plastic Tubes 9/11 4

HH-I-223 Ear: Otitis Externa (Swimmer’s Ear) 10/10 3

HH-I-328 Ear Wax 12/10 2

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Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-I-104 Eczema 9/11 3

HH-I-329 Enlarged Vestibular Aqueduct 3/11 2

HH-I-34 Enuresis (Bedwetting) 10/11 3

HH-I-315 Eosinophilic Esophagitis/Gastroenteritis 8/09 3

HH-I-125 Ewing's Sarcoma 4/03 2

HH-I-144 Eye Care: Reasons for Wearing Glasses 5/10 2

HH-I-204 Eye Injury: Corneal Abrasion 10/05 2

HH-I-109 Eye Muscle Surgery 5/10 3

HH-I-44 Eye Socket Care 4/06 1

HH-I-120 Eye: Tear Duct Massage 5/10 1

HH-I-147 Failure to Thrive 9/10 3

HH-I-233 Factor VII (7) Deficiency 5/06 2

HH-I-235 Factor XI (11) Deficiency (Hemophilia C) 1/06 3

HH-I-105 Fever 9/10 3

HH-I-195 Fever and Seizures (Febrile Seizures) 2/12 2

HH-I-212 Fifth Disease (Erythema Infectiosum) 9/11 1

HH-I-294 Food-Borne Illness – “Food Poisoning” 3/09 3

HH-I-9 Foreign Object Removal (From the Ears, Nose, Throat or Airway)

6/10 2

HH-I-192 Frostbite (Frostnip) 11/10 2

HH-I-39 G-6-PD Deficiency 12/04 3

HH-I-282 Gallbladder Removal (Cholecystectomy) 2/08 3

HH-I-96 Gastroesophageal Reflux (GERD) –Infants 12/11 3

HH-I-162 Gastroesophageal Reflux (GER): Infant Reflux Wedge

5/10 3

HH-I-151 Gastroschisis 3/06 2

HH-I-102 Genital Warts 5/06 2

HH-I-172 Giardiasis 2/98 2

HH-I-324 Gliomas 8/10 3

HH-I-67 Gonorrhea 3/09 3

_____ HH-I-347 Graves’ Disease 9/12 2

HH-I-296 Haemophilus Influenzae Type B (HIB) 2/09 2

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Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-I-211 Hand-Foot-Mouth Disease (Coxsackie Virus Infection)

11/01 2

HH-I-158 Headaches in Children 3/12 5

HH-I-169 Headaches: Migraine 3/12 5

HH-I-42 Head Injury – Mild 11/11 2

HH-I-41 Head Injury (Inpatient) 6/11 2

HH-I-252 Head Injury – Concussion 11/11 2

HH-I-184 Heart Surgery 11/06 6

HH-I-228 Heart Transplant: Care at Home 6/03 2

HH-I-226 Heart Transplant: Evaluation 7/03 3

HH-I-227 Heart Transplant: Rejection 6/03 2

HH-I-173 Helicobacter Pylori 12/10 2

HH-I-310 Hemangioma 4/12 3

HH-I-138 Hematology/Oncology: Home-going Instructions 8/09 4

HH-I-135 Hematology/Oncology: Pre-Diagnosis Information

11/07 2

HH-I-170 Hemophilia A and B 7/10 4

HH-I-234 Hemophilia Carrier 6/12 3

HH-I-258 Henoch-Schonlein Purpura 5/06 2

HH-I-168 Hepatitis A 10/11 2

HH-I-43 Hepatitis B 8/02 3

HH-I-219 Hereditary Spherocytosis 12/07 2

HH-I-69 Inguinal Hernia or Hydrocele Repair – Home - going Instructions

2/12 2

HH-I-68 Hernia Repair: Umbilical 4/06 3

HH-I-174 Herpes Simplex Virus (HSV) 3/10 2

HH-I-139 Hirschsprung’s Disease 9/06 3

HH-I-317 H1N1 Influenza (Flu) Virus 9/09 3

HH-I-295 HIV/AIDS in the Classroom or Childcare 2/09 2

HH-I-116 HIV Infection/AIDS: Care of the Child 11/07 5

HH-I-82 Hives 9/11 2

HH-I-126 Hodgkin’s Disease 4/03 3

HH-I-85 Hypospadias Repair 2/12 2

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Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-I-343 Hypothyroidism 6/11 2

HH-I-140 Imperforate Anus 11/10 2

HH-I-46 Impetigo 10/11 2

HH-I-35 Increased Intracranial Pressure 9/04 2

HH-I-179 Inflammatory Bowel Disease (IBD) 12/10 2

HH-I-245 Influenza (Flu) 11/11 3

HH-I-281 Intestinal Malrotation Surgery 9/11 3

HH-I-273 Intraventricular Hemorrhage 2/07 2

HH-I-193 Intussusception 5/07 3

HH-I-181 Irritable Bowel Syndrome (IBS) 6/99 2

HH-I-136 ITP (Immune Thrombocytopenic Purpura) 5/06 3

HH-I-137 Jaundice (Hyperbilirubinemia) 5/07 2

HH-I-185 Joint Aspiration 5/11 3

HH-I-191 Kangaroo Care for Your Infant 2/10 2

HH-I-93 Kawasaki Disease 5/06 3

HH-I-134 Langerhans Cell Histiocytosis (LCH) 4/03 1

HH-I-283 Laparoscopic Surgery 7/08 2

HH-I-332 Laryngomalacia 9/11 2

HH-I-287 Lead Poisoning: Chelation Therapy 12/07 3

HH-I-149 Lead Poisoning Prevention 7/11 3

HH-I-124 Leukemia 4/03 2

HH-I-49 Lice: Treatment and Prevention 9/11 3

HH-I-280 Liver Laceration 9/11 1

HH-I-289 Lyme Disease 2/09 3

HH-I-290 Measles 2/09 2

HH-I-268 Meconium Aspiration Syndrome 8/08 2

HH-I-319 Medulloblastoma 3/10 2

HH-I-89 Meningitis 11/10 4

HH-I-326 Mitrofanoff Procedure 5/10 2

HH-I-199 Moles 1/12 2

HH-I-198 Molluscum 5/10 2

HH-I-242 Mononucleosis (Infectious) Epstein - Barr virus 9/11 2

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Quantity Form # Helping Hand Title Rev. Date

# Of Pages

(EBV)

HH-I-297 Mosquito-Borne Diseases 2/09 2

HH-I-197 Mouth Sores (Viral) 9/11 2

HH-I-244 MRSA Infection in the Community 9/11 3

HH-I-298 Mumps 2/09 2

HH-I-141 Necrotizing Enterocolitis (NEC) 3/11 2

HH-I-320 Neonatal Abstinence Syndrome (NAS) 12/09 3

HH-I-345 Nephrotic Syndrome 10/11 2

HH-I-128 Neuroblastoma 5/03 2

HH-I-97 Neurogenic Bowel: Abdominal Massage 3/06 2

HH-I-180 Neurogenic Bowel: Bowel Training 6/99 4

HH-I-99 Neurogenic Bowel Regulation 7/95 3

HH-I-160 Nissen Anti-Reflux Surgery (GERD) 8/11 4

HH-I-129 Non-Hodgkin’s Lymphoma 4/03 2

HH-I-84 Nosebleeds 9/11 2

HH-I-203 Nursemaid’s Elbow 4/11 2

HH-I-152 Omphalocele 5/06 2

HH-I-240 Optic Gliomas (Optic Pathway Glioma of Childhood)

3/04 2

HH-I-47 Orchidopexy 2/12 2

HH-I-321 Osseointegrated (Bone Anchored) Hearing System 9/11 3

HH-I-130 Osteogenic Sarcoma 4/03 2

HH-I-318 Paradoxical Vocal Cord Dysfunction (PVCD) 6/10 2

HH-I-62 Pelvic Inflammatory Disease (PID) 9/11 2

HH-I-196 Peripheral Blood Stem Cell Collection and Autologous Stem Cell Transplant

12/07 5

HH-I-270 Persistent Pulmonary Hypertension of the Newborn (PPHN)

1/07 2

HH-I-58 Pertussis (Whooping Cough) 12/10 3

HH-I-56 Pinworms: Treatment and Prevention 9/11 2

HH-I-201 Pityriasis Rosea 4/10 1

HH-I-299 Pneumonia 6/11 2

HH-I-111 Poison Ivy, Poison Oak, and Poison Sumac 9/11 3

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Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-I-153 Polypectomy (Removal of Juvenile Polyps) 10/96 3

HH-I-161 Portal Hypertension 2/10 3

HH-I-336 Positional Plagiocephaly 4/11 3

HH-I-288 Precocious (Early) Puberty in Boys 9/11 2

HH-I-337 Precocious (Early) Puberty in Girls 9/11 2

HH-I-118 Pyloric Stenosis 4/06 3

HH-I-202 Psoriasis 3/11 2

HH-I-239 Pulmonary Hypertension 6/04 6

HH-I-177 Rabies Treatment Vaccine 6/10 3

HH-I-178 Respiratory Distress 6/11 2

HH-I-267 Respiratory Distress Syndrome – Newborn (RDS) 5/11 2

HH-I-276 Retinopathy of Prematurity (ROP) 1/07 2

HH-I-131 Retinoblastoma 4/03 2

HH-I-132 Rhabdomyosarcoma 4/03 2

HH-I-143 Ringworm (Tinea Corporis) 9/05 2

HH-I-81 Rocky Mountain Spotted Fever 7/12 2

HH-I-314 Roseola 7/09 1

HH-I-206 Rotavirus 9/11 2

HH-I-171 RSV Infection (Respiratory Syncytial Virus) 7/11 3

HH-I-291 Rubella (German Measles) 2/09 2

HH-I-59 Scabies 9/11 3

HH-I-284 SCFE (Slipped Capital Femoral Epiphysis) 7/08 4

HH-I-60 Scoliosis: Wearing a Brace 5/09 3

HH-I-61 Seizure Care 4/12 5

HH-I-182 Seizures: Generalized 10/04 3

HH-I-272 Seizures: Infant 3/07 2

HH-I-148 Seizures: Infantile Spasms 9/04 3

HH-I-183 Seizures: Partial 9/04 3

HH-I-271 Sepsis (Infection) – Infant 3/07 2

HH-I-300 Shingles 2/09 2

HH-I-55 Sickle Cell Disease 1/03 3

HH-I-221 Sickle Cell Disease and Fever 2/08 2

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Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-I-229 Sickle Cell Disease and Pain 4/09 2

HH-I-222 Sickle Cell Disease and Stroke 9/08 2

HH-I-224 Sickle Cell Disease and Spleen Crisis (Splenic Sequestration)

8/08 2

HH-I-225 Sickle Cell Disease and Acute Chest Syndrome 12/09 2

HH-I-218 Sickle Cell Trait 4/08 2

HH-I-121 Sore Throat (Viral) 10/05 3

HH-I-256 Splenectomy 12/05 2

HH-I-91 Spinal Fusion 11/08 5

HH-I-213 Stem Cell Transplant: HLA Typing 11/07 2

HH-I-122 Strep Throat 9/11 3

HH-I-302 Strokes in Children 6/09 4

HH-I-333 Subglottic Stenosis 9/11 2

HH-I-301 Supracondylar Humerus Fracture 2/09 2

HH-I-73 Surgery: Home Preparation 1/10 3

HH-I-194 Surgery: Short Term, Home Care Instructions 8/99 2

HH-I-154 Surgery and Your Child 1/10 3

HH-I-325 Surgery for Ulcerative Colitis 10/11 3

HH-I-190 Syphilis 9/09 3

HH-I-64 T & A (Tonsillectomy and Adenoidectomy) 9/11 6

HH-I-72 T & A Home Care 9/11 3

HH-I-309 Teething 10/08 1

HH-I-117 Thrush 9/11 3

HH-I-145 Tinea Capitis 8/05 2

HH-I-335 Tracheomalacia 2/11 1

HH-I-269 Transient Tachypnea of the Newborn 1/07 2

HH-I-249 Traumatic Brain Injury 12/05 3

HH-I-108 Trichomoniasis 3/09 2

HH-I-209 Tuberculosis 2/03 6

HH-I-331 Umbilical Granuloma 5/11 1

HH-I-30 Upper Respiratory Infections (Colds) 6/11 3

HH-I-79 Urinary Tract Infection: Prevention 9/11 2

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Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-I-119 Vaginal Discharge 3/10 3

HH-I-142 Vesicostomy 12/09 2

HH-I-286 Vocal Fold Nodules 4/08 1

HH-I-71 Vomiting 9/11 3

HH-I-175 Von Willebrand’s Disease (VWD) 11/05 3

HH-I-70 VP Shunt: Care at Home 9/04 2

HH-I-293 Warts 2/09 1

HH-I-156 Warts: Liquid Nitrogen Treatment 11/10 2

HH-I-133 Wilms’ Tumor 4/03 2

Part II: Procedures

Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-II-150 ACL Protocol Exercises (Anterior Cruciate Ligament)

5/12 3

HH-II-16 Arm Restraints 10/05 3

HH-II-153 Arnold Chiari Malfunction: Care After Surgery 8/06 2

HH-II-109 Bladder Irrigation with Neosporin 4/10 2

HH-II-124 Blood Donation: Autologous 7/06 2

HH-II-108 Blood Donation: Directed 11/05 3

HH-II-1 Blood Pressure Measurement 5/03 5

HH-II-136 Blood Separation: Apheresis 11/07 3

HH-II-122 Blood Transfusion 7/06 3

HH-II-123 Blood Transfusion: Aftercare 11/07 1

HH-II-148 Blood Transfusion: Consent Information 7/06 3

HH-II-14 Cast: Hip Spica or Body Cast 9/10 12

HH-II-144 Cast: Hip Spica Checklist for Care of the Child 6/09 2

HH-II-2 Cast and Splint Care 9/12 5

HH-II-104 Casted Leg: Home Equipment Needs 6/09 4

HH-II-39 Catheterization: Self-Clean Intermittent-Female 7/09 4

HH-II-49 Catheterization: Self-Clean Intermittent-Male 7/09 4

HH-II-15 Catheterization Record Intermittent 3/05 4

HH-II-125 Catheterization: Teaching Your Child (Self-Clean Intermittent)

7/09 2

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Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-II-146 Cecostomy Tube (C-Tube) Care of the Child 5/05 6

HH-II-159 Cervical Collar (Aspen) 3 2

HH-II-20 Chest Physical Therapy (CPT): Children and Adults

6/11 7

HH-II-21 Chest Physical Therapy (CPT): Infants and Toddlers

6/11 6

HH-II-60 Circulation Checks 11/10 3

HH-II-161 Circulation Check Record 8/05 2

HH-II-47 CPR for Children Age 1 Through Puberty 9/11 3

HH-II-52 CPR for Children Who Have Gone Through Puberty

9/11 2

HH-II-59 CPR for Infants 9/11 3

HH-II-6 Crutch Walking 7/09 3

HH-II-143 Dental Injury: Post Treatment Instructions 4/10 2

HH-II-82 Dental: Presurgical Traction Cleft Lip & Palate 4/10 2

HH-II-83 Dental: Wearing a Palatal Expander 8/10 3

HH-II-87 Dental: Wearing a Retainer 4/10 2

HH-II-84 Dental: Wearing Braces 4/10 2

HH-II-85 Dental: Wearing Elastics 4/10 2

HH-II-86 Dental: Wearing Headgear 4/10 2

HH-II-88 Dental: Wearing Separators 4/10 1

HH-II-160 Dermabond Wound Care 10/11 2

HH-II-165 Dressing Change: AquaCel AG 7/06 3

HH-II-106 Dressing Change: Burns 10/11 4

HH-II-188 Dry Dressing Change` 4/11 2

HH-II-9 Ear Irrigations 6/09 3

HH-II-90 ECMO (Extracorporeal Membrane Oxygenation) 11/06 5

HH-II-10 Enema 3/10 2

HH-II-126 Exercise for Fitness 3/05 3

HH-II-11 Exercises: Arms and Hands (Passive) 1/11 3

HH-II-89 Exercises: Breathing, Posture, and Chest Mobility 3/05 4

HH-II-139 Exercises: Hand (Active) 4/03 2

HH-II-163 Exercises: Left Torticollis 1/07 3

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Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-II-92 Exercises: Lower Extremities (Active) 3/05 4

HH-II-57 Exercises: Lower Extremities - Infant (Passive) 7/07 2

HH-II-58 Exercises: Lower Extremities-Older Child (Passive)

3/05 2

HH-II-138 Exercises: Neck (Active) 4/03 1

HH-II-93 Exercises: Posture 3/05 2

HH-II-164 Exercises: Right Torticollis 1/07 3

HH-II-94 Exercises: Stretching 3/05 4

HH-II-95 Exercises: Upper Extremities (Active) 4/03 2

HH-II-186 Exercises: Upper Extremities Infant (Passive) 5/11 3

HH-II-46 Gastrostomy Button: Daily Care 6/12 5

HH-II-98 Gastrostomy Button: Tube Feeding 3/12 4

HH-II-145 GJ Tube (Gastrojejunostomy Tube) Daily Care 2/12 6

HH-II-12 Gastrostomy Tube Care 7/12 6

HH-II-5 Gloves: Sterile 4/05 2

HH-II-157 Incentive Spirometer: How to Use 10/07 1

HH-II-141 IV: Central Venous Catheter Going to School or Child Care

2/12 4

HH-II-102 IV: Medicine at Home: Balloon Infusion Device 12/11 4

HH-II-103 IV: Medicine at Home: IV Push Method 12/11 2

HH-II-36 IV: Broviac Catheter 10/10 4

HH-II-129 IV: Broviac Catheter: Care at Home 10/10 8

HH-II-184 IV: Central Line – Preventing Bloodstream Infections

12/11 2

HH-II-100 IV: Peripheral Lock Care at Home 2/05 5

HH-II-137 IV: PICC Catheter 10/10 4

HH-II-134 IV: PICC Catheter: Care at Home 10/10 8

HH-II-44 IV: Subcutaneous Infusion Port (SlP) 3/12 4

HH-II-130 IV: Subcutaneous Infusion Port (SlP): Care at Home

4/11 8

HH-II-17 IV: Therapy 11/03 3

HH-II-158 Massage Therapy: Basic Strokes (Infant/Toddler) 2/06 4

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HH-II-155 Massage Therapy: Basic Strokes (Preschool to Adult)

2/06 4

HH-II-156 Massage Therapy: General Information (Infant/Toddler)

2/06 2

HH-II-154 Massage Therapy: General Information (Preschool to Adult)

2/06 2

HH-II-187 Muscle Biopsy 2/11 3

HH-II-45 Mouth Care for Patients Receiving Chemotherapy 12/07 3

HH-II-32 Nasogastric Tubes (Insertion & Feeding) 7/00 5

HH-II-105 Nasogastric Tube Insertion & Feeding (Guidewire) 7/00 4

HH-II-152 Nissen Fundoplication: Care at Home 8/11 3

HH-II-107 Ostomy Care: One-Piece Pouch with Attached Skin Barrier

1/10 6

HH-II-99 Ostomy Care: Ordering Supplies 1/10 2

HH-II-33 Ostomy Care: Two-Piece Pouch 6/02 6

HH-II-116 Oxygen Therapy at Home 12/11 6

HH-II-38 Parenteral Nutrition (PN) 12/11 3

HH-II-113 Parenteral Nutrition at Home 6/11 10

HH-II-111 Pavlik Harness 7/09 3

HH-II-110 Peak Flow Meter 7/12 2

HH-II-117 Peak Flow Meter Diary 7/12 5

HH-II-190 Peripheral Nerve Catheter 10/11 3

Postural Drainage, see Chest Physical Therapy

HH-II-28 Pulse and Respirations 4/06 3

HH-II-34 Radiation Therapy 10/12 3

HH-II-179 Restraints 6/11 2

HH-II-50 Saline (Salt Water) Preparation 1/10 2

HH-II-3 Splints 5/98 2

HH-II-182 Subcutaneous Injection Catheter: Insertion and Removal at Home

3/10 3

HH-II-183 Subcutaneous Injection Catheter (Insuflon) – Giving Meds at Home

3/10 2

HH-II-25 Suctioning Nose and Mouth at Home 10/96 3

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HH-II-24 Suctioning Nose with Bulb Syringe 6/10 3

HH-II-56 Suctioning Stents 3/10 3

HH-II-26 Sutured Wound Care 8/12 4

HH-II-189 Temperature: Oral, Rectal, Axillary and Ear - Digital

4/11 4

HH-II-27 Temperature: Oral, Rectal, and Axillary - Glass 4/11 3

HH-II-200 Tracheostomy Care: Changing Twill Trach Tapes 5/12 2

HH-II-201 Tracheostomy Care: Changing Velcro Trach Ties 5/12 2

HH-II-202 Tracheostomy Care: Cuffless Trach Tube 5/12 2

HH-II-206 Tracheostomy Care: Emergency Procedures 8/12 5

_____ HH-II-208 Tracheostomy Care: How to Prevent Tracheostomy Infections

6/12

_____ HH-II-207 Tracheostomy Care: How to Protect Your Child with a Trach Tube

6/12 4

HH-II-193 Tracheostomy Care: How to Suction Your Child’s Trach Tube

10/12 4

HH-II-197 Tracheostomy Care: Humidity and Hydration 3/12 5

HH-II-29 Tracheostomy Care: Order from Print Shop 8/09 52

HH-II-205 Tracheostomy Care: Performing CPR with a Trach Tube

6/12 6

HH-II-203 Tracheostomy Care: Reusable Trach Tubes 6/12 1

HH-II-199 Tracheostomy Care: Stoma Care 5/12 2

HH-II-196 Tracheostomy Care: Suctioning With a Ballard Closed System

10/11 3

HH-II-204 Tracheostomy Care: Travel Bag for Trach Care 6/12 1

HH-II-194 Tracheostomy Care: Using the Passy-Muir Valve 8/11 3

HH-II-191 Tracheostomy Care: With a Reusable Inner Cannula

8/11 2

HH-II-195 Tracheostomy Care: With a Water Filled Cuff 10/11 2

HH-II-192 Tracheostomy Care: With an Air-filled Cuff 8/11 2

HH-II-205 Tracheostomy Care: CPR with a Trach Tube 6/12 2

HH-II-198 Tracheostomy: What It Is – Why It Is Needed 5/12 4

HH-II-48 Traction: Balanced 7/09 2

HH-II-53 Traction: Bryant’s 7/09 2

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HH-II-120 Traction: Halo-Vest 5/99 3

HH-II-55 Traction: 90°-90° 5/06 2

HH-II-135 Transmission-Based Precautions: Antibiotic-Resistant Organisms

8/09 2

HH-II-176 Transmission-Based Precautions (Isolation): Contact Precautions

5/10 6

HH-II-177 Transmission-Based Precautions (Isolation): Airborne Precautions

5/10 5

HH-II-178 Transmission-Based Precautions (Isolation): Droplet Precautions

5/10 4

HH-II-173 Tummy Time 2/11 2

HH-II-42 Urinary Catheter Care: Indwelling 1/12 3

HH-II-132 Urinary Catheter Irrigation: Clean Procedure 1/12 2

HH-II-140 Walkers (Orthopedic) 7/09 2

HH-II-180 Whole Body Cooling (Therapeutic Hypothermia) 1/09 2

Part III: Diagnostic Tests

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# Of Pages

HH-III-74 Allergy Testing 12/11 2

HH-III-10 Anal Manometry 10/10 2

HH-III-25 Angiogram 9/12 4

HH-III-105 Antroduodenal Manometry 6/12 3

HH-III-121 Array CGH Analysis Test 2/12 2

HH-III-13 Atropine Drops for Eye Exam 9/12 2

HH-III-120 Auditory Brainstem Response 5/11 1

HH-III-2 Barium Enema 9/12 2

HH-III-67 Bleeding Time (Template) 6/10 2

HH-III-76 Blood Counts for Patients Receiving Chemo or Radiation

6/10 6

HH-III-99 Blood Tests for Clotting Disorders 6/10 2

HH-III-113 Bone Density Scanning (DEXA, DXA) 6/09 4

HH-III-16 Bone Marrow Aspiration Test 4/06 2

HH-III-79 Bone Scan: Nuclear Medicine 9/12 3

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HH-III-86 Bronchoscopy (Flexible Bronchoscopy, Bronchoalveolar Lavage)

11/98 2

HH-III-84 Bronchoscopy and Laryngoscopy 9/07 3

HH-III-107 Capsule Endoscopy (Pillcam) 2/11 4

HH-III-3 Cardiac Catheterization 4/00 5

HH-III-116 Cardiac Catheterization: Care at Home 11/07 2

HH-III-117 Cardiac Catheterization: Procedures - Adult 5/10 4

HH-III-36 Chalasia Scan 9/12 2

HH-III-49 Chromosome Analysis Test 8/10 2

HH-III-104 Colonic Manometry 5/11 3

HH-III-108 Colonic Marker Study 3/10 2

HH-III-101 Colonoscopy with General Anesthesia 3/12 4

HH-III-83 Colposcopy 4/02 3

HH-III-58 Complete Blood Count (CBC) 6/10 2

HH-III-19 CT Scan 9/12 4

HH-III-8 Cystogram: Nuclear Medicine 9/12 3

HH-III-4 Cystogram: Radiology 9/12 3

HH-III-1 D-Xylose Absorption Test 5/12 2

HH-III-114 Echocardiogram: Sedated 12/09 2

HH-III-5 EEG (Electroencephalogram) 6/12 2

HH-III-6 EKG, ECG (Electrocardiogram) 10/08 2

HH-III-78 EMG (Electromyogram) and NCV (Nerve Conduction Velocity)

6/12 3

HH-III-52 Esophageal Manometry 8/09 2

HH-III-53 Esophageal pH Monitoring 7/09 3

HH-III-115 Exercise Stress Test 4/10 2

HH-III-44 Eye Test: Vision Screening 5/10 1

HH-III-73 Fecal Fat Quantitative Test 8/11 6

HH-III-93 Fecal Fat Qualitative Test (Random Collection) 8/11 2

HH-III-9 Gastrointestinal Test - Upper GI 2/12 2

HH-III-57 Genital Exam-Female (Pre- or Early Puberty) 8/07 2

HH-III-81 Genital Exam-Male 8/07 2

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HH-III-43 Glucose Tolerance Test (Inpatient) 6/10 2

HH-III-7 Glucose Tolerance Test (Outpatient) 8/11 1

HH-III-68 Growth Hormone Frequent Sampling Test 9/10 2

HH-III-15 Growth Hormone Stimulation Test – Outpatient 6/10 3

HH-III-125 Hearing Loss – Connexin Genetic Testing 4/12 3

HH-III-97 Heart Biopsy 6/03 3

HH-III-63 Hydrogen Breath Test (Lactose Tolerance Test) 7/09 2

HH-III-111 Impedance pH Monitoring 11/10 3

HH-III-96 Infant Pulmonary Function Testing: Inpatient 5/10 2

HH-III-118 Infant Pulmonary Function Testing: Outpatient 5/10 3

HH-III-11 IVP (Intravenous Pyelogram) 9/12 2

HH-III-65 Kidney Biopsy 9/12 3

HH-III-22 Liver Biopsy 9/12 3

HH-III-69 MRI (Magnetic Resonance Imaging) 9/12 3

HH-III-88 Newborn Screen Blood Test 6/10 2

HH-III-32 Pinworm Test 7/11 2

HH-III-23 Proctoscopy or Sigmoidoscopy 7/09 4

HH-III-75 Rectal Biopsy (Suction Procedure) 8/09 2

HH-III-47 Renal Scan: Nuclear Medicine 9/12 2

HH-III-77 Shunt-O-Gram 9/12 2

HH-III-103 Sleep Studies 11/10 3

HH-III-21 Spinal Tap 3/12 2

HH-III-29 Stool Specimen Collection: Ova & Parasites or Giardia/Cryptosporidium Antigen Test

7/11 2

HH-III-26 Stool Specimen Collection: pH, Reducing Substances, Occult Blood, Trypsin, Bilirubin

5/12 2

HH-III-62 Sweat Chloride Test 6/11 2

HH-III-48 Throat Culture 6/10 2

HH-III-71 T.O.P Test 7/07 2

HH-III-54 Ultrasound Scan 7/12 4

HH-III-110 Universal Newborn Hearing Screen 2/07 2

HH-III-109 Upper Endoscopy with General Anesthesia 7/09 3

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HH-III-28 Urine Dip Tests 11/97 4

HH-III-27 Urine Specimen: Clean Catch-Female 7/11 2

HH-III-51 Urine Specimen: Clean Catch-Male 7/11 2

HH-III-20 Urine Specimen: 24-Hour Collection 5/12 2

HH-III-59 Urodynamics 1/08 3

HH-III-80 Videofluoroscopic Swallow Study (VFSS) 1/10 3

HH-III-100 Vocal Cord Dysfunction 1/04 3

HH-III-17 X-ray 9/12 2

Part IV: Well Child Care, Safety and Prevention

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# Of Pages

HH-IV-2 Bathing Your Baby 2/11 3

HH-IV-9 Bicycle Safety 10/11 2

HH-IV-65 Birth Control Depo-Provera 9/05 2

HH-IV-24 Birth Control: Diaphragm 2/06 3

HH-IV-36 Birth Control: Norplant 2/06 2

HH-IV-3 Birth Control Pills 2/06 3

HH-IV-25 Birth Control: Spermicides 2/06 3

HH-IV-53 Body System: Cardiovascular 7/11 2

HH-IV-48 Body System: Gastrointestinal 8/11 1

HH-IV-51 Body System: Reproductive-Female 7/11 2

HH-IV-52 Body System: Reproductive-Male 7/11 2

HH-IV-54 Body System: Respiratory 7/11 1

HH-IV-55 Body System: Skeletal 7/11 2

HH-IV-38 Body System: Urinary-Female 7/11 2

HH-IV-39 Body System: Urinary-Male 7/11 2

HH-IV-5 Bottle Feeding 9/07 2

HH-IV-7 Bottle Feeding: Formula Preparation 5/09 3

HH-IV-61 Breast Care and Expressing Milk 11/07 3

HH-IV-85 Breast Milk for your Hospitalized Infant 11/07 3

HH-IV-116 Breast-Feeding Children Who Have Milk Protein Intolerance

9/09 2

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HH-IV-6 Breast-Feeding Your Baby 5/09 4

HH-IV-56 Breast Self-Exam 9/07 1

_____ HH-IV-133 Bullying: Information for Parents 9/12 6

HH-IV-60 Burn Prevention Activities 5/10 5

HH-IV-15 Burn Prevention: Infant/Toddler 3/10 3

HH-IV-18 Burn Prevention: Preschool/School Age 10/11 3

HH-IV-17 Burn Prevention: Teenage/Adult 3/10 4

HH-IV-129 Button Battery Safety 3/12 2

HH-IV-74 Calming a Fussy Baby 7/07 3

HH-IV-14 Child Passenger Safety: Car Seats and Booster Seats

2/11 4

HH-IV-91 Child Passenger Safety: Car Seats and Car Beds (Infant)

3/12 4

HH-IV-87 Child Passenger Safety: Hip Spica or Similar Cast 3/12 4

HH-IV-119 Child Passenger Safety: Infant Car Seat Challenge 2/12 2

HH-IV-76 Childcare and Illness: Should Your Child Stay Home?

9/11 2

HH-IV-124 Children at Risk of Self-Harm or Harm to Others – Home Care

5/11 2

HH-IV-125 Children at Risk of Self-Harm or Harm to Others – Hospital Safety Rules

5/11 2

HH-IV-46 Condoms 3/10 3

HH-IV-12 Dental: Baby Bottle Tooth Decay 7/10 3

HH-IV-59 Dental Hygiene with Braces 4/10 3

HH-IV-4 Dental: Teeth & Gum Care 7/10 3

HH-IV-29 Dental: Teeth & Gum Care for Infants & Toddlers 7/10 4

HH-IV-27 Diet: Clear Liquid (Preparation for Procedures) 11/06 1

HH-IV-1 Diet: High Fiber 7/10 2

HH-IV-75 Diet: Ketogenic 9/04 3

HH-IV-67 Discipline 8/11 3

HH-IV-72 Divorce and Children 7/11 3

HH-IV-130 Dry Skin Care 4/12 2

HH-IV-62 Eye Care & Safety 5/10 2

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HH-IV-83 Fall Prevention in the Healthcare Setting 12/09 2

HH-IV-8 Feeding Your Baby Solid Foods 12/04 3

HH-IV-79 Food-borne Illness – Safe Food Preparation 3/09 3

HH-IV-95 Getting Ready for Oral (by Mouth) Feedings While Your Child is on G-Tube or G-J Tube Feedings

5/09 2

HH-IV-115 Getting Sober: Learning to Live Without Drugs (Opiate) and Alcohol – Families

3/10 3

HH-IV-114 Getting Sober: Learning to Live Without Drugs (Opiate) and Alcohol - Patient

3/10 2

HH-IV-80 Hand Hygiene 2/12 2

HH-IV-117 Healthy Sleep Habits for Infants and Toddlers 5/11 2

HH-IV-120 Healthy Sleep Habits for Older Children and Teens

6/11 2

HH-IV-81 Helping Children Feel Safe in Stressful Times 10/01 3

HH-IV-73 Home Safety for Infants and Toddlers 6/10 3

HH-IV-89 Mealtime Success (Structured Mealtimes for Happy, Healthy Babies and Toddlers)

11/11 4

HH-IV-57 Menstruation (Menstrual Period) 7/10 3

HH-IV-10 Nurse Practitioner 4/07 1

HH-IV-88 Obesity and Overweight Prevention: Tips for Staying Fit and Healthy

12/06 4

HH-IV-94 Pain Management: Dealing with Chronic Pain in Children and Teens

9/10 1

HH-IV-77 Pain Management: What We Can Do To Help 6/08 3

HH-IV-82 Patient Safety in the Healthcare Setting 1/09 3

HH-IV-58 Personal Hygiene 7/11 2

HH-IV-30 Poisonings and Poison Prevention 9/10 2

HH-IV-118 Pregnancy: Issues and Answers 12/10 3

HH-IV-132 Scar Management 9/12 1

HH-IV-35 School and Illness: Should Your Child Stay Home? 11/11 2

HH-IV-68 Secondhand Smoke 2/06 4

HH-IV-71 Sibling Rivalry 7/11 3

HH-IV-69 SIDS Reduction (Safe Sleep Practices for Infants) 9/10 3

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HH-IV-84 Sleep Terrors and Sleepwalking 2/12 2

HH-IV-16 Toilet Training 7/09 5

HH-IV-19 Weaning Your Baby: Cup Feeding 2/10 2

HH-IV-102 Well Baby Visits – Newborn 12/09 2

HH-IV-103 Well Baby Visits – One Month 11/09 2

HH-IV-104 Well Baby Visits – Two Months 11/09 2

Part V: Medications

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# Of Pages

HH-V-58 Acetaminophen 1/12 5

HH-V-21 Acetazolamide (Diamox) 6/04 4

HH-V-245 Actemra 4/12 3

HH-V-125 ACTH for Infantile Spasms 9/04 6

HH-V-82 Acyclovir, Zovirax (Heme/Onc) 7/03 3

HH-V-2 Aerosol Therapy 7/09 4

HH-V-83 Allopurinol, Zyloprim (Heme/Onc) 7/03 3

HH-V-121 Aminocaproic Acid (Amicar) 12/09 4

HH-V-164 Amiodarone (Cordarone) 11/02 4

HH-V-112 Amitriptyline Hydrochloride (Elavil, Endep) 10/04 4

HH-V-168 Amlodipine (Norvasc) 11/03 4

HH-V-89 Amoxicillin/Clavulanate Potassium (Augmentin) 10/01 3

HH-V-94 Amoxicillin Trihydrate (Amoxil) 3/11 4

HH-V-127 Amphotericin B 2/05 2

HH-V-50 Antiemetics (Heme/Onc) 12/02 2

_____ HH-V-176 Anti-Thymocyte Globulin (ATG, Atgam) – IV 10/12 4

HH-V-54 Asparaginase, L-Asparaginase, Elspar‚ L-Asp,Erwillia Asparaginase, E-Asp, Pegaspargase, Oncaspar

7/03 2

HH-V-6 Aspirin 5/10 5

HH-V-170 Azathioprine (Imuran) 3/03 5

HH-V-95 Baclofen (Lioresal) 3/11 4

HH-V-201 Baclofen Pump 12/05 4

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(Intrathecal Baclofen Therapy – ITB)

HH-V-71 Bleomycin‚ (Heme/Onc) 11/07 3

HH-V-202 Botulinum Toxin Therapy for Spasticity 8/12 3

HH-V-49 Bronchodilators 12/08 5

HH-V-117 Busulfan (Myleran) 11/07 2

HH-V-147 Caffeine 6/10 4

HH-V-22 Captopril and Enalapril 5/04 4

HH-V-45 Carbamazepine (Tegretol Carbatrol) 4/12 6

HH-V-116 Carboplatin, CBDCA, Paraplatin‚ (Heme/Onc) 11/07 2

HH-V-74 Carmustine‚ BCNU (Heme/Onc) 11/07 2

HH-V-109 Caudal Block for Pain Control 9/03 2

HH-V-26 Cephalexin (Keflex) 4/06 4

HH-V-65 Chemotherapy 1/03 2

HH-V-111 Chlorhexidine (Peridex) Heme/Onc 11/07 3

HH-V-11 Chlorothiazide (Diuril) 3/11 4

HH-V-248 Ciprofloxacin (Cipro®) 3/12 5

HH-V-53 Cisplatin, Platinol, CPDD (Heme/Onc) 12/09 2

HH-V-100 Clonazepam, Klonopin 6/04 4

HH-V-85 Clotrimazole, Mycelex‚ Lozenges (Heme/Onc) 1/03 2

HH-V-86 Cortisone (Hydrocortisone) Injections 2/02 4

HH-V-225 Cough and Cold Medicines (Over the Counter) 2/09 3

HH-V-55 Cyclophosphamide, Cytoxan, CTX (Heme/Onc) 2/05 3

HH-V-104 Cyclosporin (CSA, Sandimmune) 11/07 3

HH-V-52 Cytarabine, ARA-C, Cytosine Arabinoside,

Cytosar (Heme/Onc)

7/03 2

HH-V-70 Dacarbazine, DTIC (Heme/Onc) 7/03 2

HH-V-66 Dactinomycin, Actinomycin D, AMD (Heme/Onc)

7/03 2

HH-V-132 Dantrolene (Dantrium) 9/04 3

HH-V-115 Dapsone 11/07 3

HH-V-76 Daunorubicin, Daunomycin, DNM (Heme/Onc) 11/07 2

HH-V-10 Decongestants (Prescription Medications) 11/07 3

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HH-V-133 Desmopressin Acetate (DDAVP) for Diabetes Insipidus

11/03 7

HH-V-120 Desmopressin Acetate (DDAVP Stimate) for Bleeding Disorders

4/11 3

HH-V-9 Dexamethasone (Decadron) 1/10 6

HH-V-30 Dextroamphetamine Sulfate (Dexedrine,

Adderall)

9/06 6

HH-V-246 Diabetes Management While in the Hospital – Insulin Pump Therapy

4/12 1

HH-V-162 Diazepam Rectal Gel (Diastat) 6/11 4

HH-V-12 Digoxin (Lanoxin) 4/04 3

HH-V-42 Doxorubicin, Adriamycin‚ (Heme/Onc) 7/03 3

HH-V-18 Ear Drops 7/10 2

HH-V-243 Enbrel 4/12 3

HH-V-161 Enoxaparin (Lovenox) 7/02 4

HH-V-103 Epidural Catheter for Pain Control 1/97 3

HH-V-122 EpiPen 3/11 3

HH-V-207 Erythromycin Ethylsuccinate for GI Motility (EES)

6/06 5

HH-V-208 Erythropoietin (Epogen) 10/06 4

HH-V-51 Ethosuximide (Zarontin) 1/10 3

HH-V-68 Etoposide, VP-16 (Heme/Onc) 10/03 2

HH-V-14 Eye Drops 6/08 2

HH-V-20 Eye Ointment 5/10 2

HH-V-204 Fentanyl Transdermal Patch (Duragesic) 12/09 5

HH-V-114 Filgrastim Neupogen, G-CSF 6/10 6

HH-V-177 Fluconazole (Diflucan) 7/11 5

HH-V-192 Fludarabine (Fludara) 4/12 4

HH-V-73 Fluorouracil (5FU) (Heme/Onc) 11/07 3

HH-V-101 Furosemide (Lasix) 3/11 4

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HH-V-187 Gabapentin (GBP) (Neurontin) 7/11 5

HH-V-172 Ganciclovir 10/03 5

HH-V-137 General Anesthesia for Dental Treatment 3/12 3

HH-V-15 Glucagon Injection 2/08 5

HH-V-244 Humira 4/12 4

HH-V-75 Hydroxyurea, Hydrea, HDU (Heme/Onc) 7/03 2

HH-V-191 Ibuprofen (Motrin, Advil) – Cardiology 6/06 5

HH-V-206 Ibuprofen (Motrin, Advil) – General Use 9/06 4

HH-V-57 Ifosfamide, Ifex 11/07 2

HH-V-223 Infliximab (Remicade) 8/07 3

HH-V-48 Inhaled Corticosteroids for Asthma 12/11 4

HH-V-136 Inhalers: Spacers 12/11 2

HH-V-231 Inhalers: Spacers with Mask 12/08 2

HH-V-60 Injections: IM 1/07 5

HH-V-17 Injections: Subcutaneous 3/11 4

HH-V-138 Insulin 2/08 4

HH-V-153 Isoniazid (Laniazid) 7/04 4

HH-V-97 IVIG (Gamma Globulin) Therapy 12/07 2

HH-V-123 IV Mercaptopurine, Purinethol, 6-MP 11/03 2

HH-V-183 Lamotrigine (Lamictal) 12/03 4

HH-V-249 Lansoprazole (Prevacid) 3/12 5

HH-V-80 Leucovorin, "Leucovorin Rescue", Wellcovorin, Folinic Acid, Citrovorum Factor (Heme/Onc)

5/03 3

HH-V-184 Levetiracetam (Keppra) 1/12 5

HH-V-240 Levothyroxine 6/11 3

HH-V-40 Lomustine, CCNU (Heme/Onc) 7/03 2

_____ HH-V-159 Lidocaine-Prilocaine (EMLA) Numbing Cream 8/12 3

HH-V-1 Medication Record 12/10 2

HH-V-157 Medicine Safety 2/12 4

HH-V-27 Medications: Home-going Instructions 8/02 3

HH-V-149 Medications: What May be Brought from Home 4/12 1

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Helping Hands Order Form Page 26 of 28

Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-V-28 Medicine: How to Give by Mouth 2/12 5

HH-V-228 Medicine: Proper Disposal 10/10 2

HH-V-79 Mercaptopurine, Purinethol, 6-MP (Heme/Onc) 11/03 3

HH-V-102 Mesalamine (Rowasa, Canasa) 12/02 3

HH-V-232 Methadone 11/09 6

HH-V-72 Methotrexate, MTX (Heme/Onc) 11/07 4

HH-V-143 Methotrexate for Noncancerous Conditions 11/04 6

HH-V-33 Methylphenidate (Ritalin, Ritalin SR, Ritalin LA) 9/06 6

HH-V-29 Metoclopramide (Reglan) 10/09 5

HH-V-39 Metronidazole (Flagyl) - GI 12/05 4

HH-V-31 Metronidazole (Flagyl) - GYN 10/05 4

HH-V-107 Midazolam – ICU (Versed) 2/11 2

HH-V-239 Midazolam – Intranasal (Versed) 2/11 2

HH-V-237 Morphine for Neonatal Abstinence Syndrome (NAS)

3/10 4

HH-V-167 Mycophenolate (CellCept) 11/07 5

HH-V-106 Neuromuscular Blocking Agents 5/10 2

HH-V-63 Nitrogen Mustard, Mustargen, Mechlorethamine‚ (Heme/Onc)

7/03 2

HH-V-34 Nose Drops 10/11 2

HH-V-242 Nose Spray 10/11 2

HH-V-209 Nurse Controlled Analgesia 1/07 2

HH-V-81 Nystatin, Oral Suspension, Nilstat 11/07 2

HH-V-247 Omeprazole (Prilosec) 3/12 5

HH-V-134 Oral Sedation - Dental 7/11 2

HH-V-182 Oxcarbazepine 1/12 6

HH-V-105 Oxybutynin Chloride (Ditropan) 3/11 5

HH-V-146 Palivizumab (Synagis) 9/12 2

HH-V-99 Pancreatic Enzymes 6/11 4

HH-V-24 PCA (Patient-Controlled Analgesia) 1/07 2

HH-V-90 Penicillin (Pen-VEE-K, V-Cillin K) 6/10 4

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Helping Hands Order Form Page 27 of 28

Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-V-238 Pentamidine Aerosol 8/10 2

HH-V-35 Phenobarbital or Mephobarbital 9/04 4

HH-V-234 Phenobarbital for Neonatal Abstinence Syndrome (NAS)

3/10 4

HH-V-13 Phenytoin (Dilantin) 9/04 5

HH-V-32 Prednisone and Prednisolone 5/10 6

HH-V-77 Procarbazine, Matulane‚ PCZ (Heme/Onc) 11/07 4

HH-V-169 Procedural Sedation 5/11 3

HH-V-179 Procedural Sedation: Care at Home 5/09 2

HH-V-119 Ranitidine (Zantac) 3/11 4

HH-V-56 Rifampin (Rifadin, Rimactane) 9/01 4

HH-V-230 Risperidone 10/09 5

HH-V-37 Safe Handling for Special Medications (Hazardous Medications)

11/07 3

HH-V-163 Sildenafil 8/02 3

HH-V-96 Solu-Medrol (Methylprednisolone) 7/03 2

HH-V-160 Sotalol (Betapace, Betapace AF) 6/02 4

HH-V-16 Spironolactone (Aldactone) 7/04 4

HH-V-233 SSRI Antidepressants 8/09 4

HH-V-235 Suboxone 10/10 6

HH-V-19 Sucralfate (Carafate) 12/05 4

HH-V-92 Sulfamethoxazole Trimethoprim

(Bactrim or Septra)

1/01 4

HH-V-84 Sulfamethoxazole and Trimethoprim (Bactrim‚

Septra) to Prevent PCP Infection

5/03 4

HH-V-98 Sulfasalazine (Azulfidine) 3/11 5

HH-V-229 Sumatriptan Succinate (Imitrex) 3/10 5

HH-V-5 Suppositories: Rectal 12/10 2

HH-V-171 Tacrolimus (Prograf FK-506) 5/03 5

HH-V-173 Temozolomide (Temodar) 7/03 4

HH-V-69 Teniposide, VM-26, Vumon‚ (Heme/Onc) 11/07 3

HH-V-78 Thioguanine, 6-TG (Heme/Onc) 7/03 3

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Helping Hands Order Form Page 28 of 28

Quantity Form # Helping Hand Title Rev. Date

# Of Pages

HH-V-251 Tobramycin 5/12 4

HH-V-203 Transdermal Systems (Medication Patches) 12/09 4

HH-V-155 Tuberculosis Medications 2/03 4

HH-V-25 Valproic Acid (Sodium Valproate) 9/04 4

HH-V-67 Vinblastine, Velban, VLB (Heme/Onc) 11/07 3

HH-V-59 Vincristine, Oncovin, VCR (Heme/Onc) 7/03 2

HH-V-144 Warfarin (Coumadin®) 3/01 5

G:shared\ed\patient education\HH\order form test HH-1.doc