ES.FR.016 - EVDE SAĞLIK HİZMETLERİ HASTA-HASTA YAKINI GÖRÜŞ ÖNERİ VE ŞİKÂYET KAYIT FORMU

Doküman Kodu: ES.FR.016
Yayın Tarihi: 18.02.2019
Revizyon Tarihi: 05.09.2022
Revizyon No: 2

Paylaş:

DİKKAT! Buradaki bilgiler sağlık profesyonelleri için hazırlanmıştır. Arama motorları vs. ile bu sayfadaki bilgilere ulaştıysanız, sağlık profesyonellerine danışmadan, sadece buradaki bilgiler ile hareket etmeyiniz.

Doküman Önizlemesi

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Demo Hastanesi (Prokalite.Com) EVDE SAĞLIK HİZMETLERİ HASTA-HASTA YAKINI GÖRÜŞ ÖNERİ VE ŞİKÂYET KAYIT FORMU

Doküman Kodu: ES.FR.016

Yayın Tarihi: 18.02.2019

Revizyon Tarihi: 05.09.2022

Revizyon No: 2

Sayfa: Otomatik

SIRA NO	BİLDİRİM TARİHİ	BİLDİRİMİ YAPAN KİŞİ İLETİŞİM BİLGİLERİ	KONU (Ayrıntılı Belirtilecektir)	BİLDİRİME KONU OLAN BİRİM ADI	BİLDİRİMİ ALAN KİŞİ ADI SOYADI
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Evde Sağlık Hizmetleri bölümündeki diğer form örnekleri

Tümünü gör (33)

ES.FR.012 FONKSİYONEL AMBULANS SINIFLAMASI FORMU ES.FR.013 HEMŞİRE ZİYARET FORMU ES.FR.014 EVDE SAĞLIK HİZMETLERİ HASTA VE HASTA YAKINI GÖRÜŞ, ÖNERİ VE ŞİKAYET DEĞERLENDİRME SONUÇ FORMU ES.FR.015 EVDE SAĞLIK HİZMETLERİ BİLGİLENDİRME FORMU ES.FR.017 EVDE SAĞLIK HİZMETLERİ HASTA DEĞERLENDİRME FORMU ES.FR.018 EVDE SAĞLIK HİZMETLERİ BAŞVURU FORMU ES.FR.019 EVDE SAĞLIK HİZMETİ HASTA TEDAVİ PLANI FORMU ES.FR.020 EVDE SAĞLIK HİZMETİ SONLANDIRMA FORMU

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<table style="border-collapse: collapse; width: 1292px;" class=" cke_show_border" cellspacing="0"><tbody><tr><td style="border-color:black; border-style:solid; border-width:1px; height:120px; text-align:center; vertical-align:middle; width:77px"><span style="font-size:13px"><strong><span style="color:black">SIRA NO</span></strong></span></td><td style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; text-align:center; vertical-align:middle; width:129px"><span style="font-size:13px"><strong><span style="color:black">BİLDİRİM TARİHİ</span></strong></span></td><td style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; text-align:center; vertical-align:middle; width:191px"><span style="font-size:13px"><strong><span style="color:black">BİLDİRİMİ YAPAN KİŞİ İLETİŞİM BİLGİLERİ</span></strong></span></td><td style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; text-align:center; vertical-align:middle; width:183px"><span style="font-size:13px"><strong><span style="color:black">KONU (Ayrıntılı Belirtilecektir)</span></strong></span><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:145px"><span style="font-size:13px"><strong><span style="color:black">BİLDİRİME KONU OLAN BİRİM ADI</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle; width:145px"><span style="font-size:13px"><strong><span style="color:black">BİLDİRİMİ ALAN KİŞİ ADI SOYADI</span></strong></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:40px; text-align:center; vertical-align:middle; width:77px"><p><span style="font-size:15px"><strong><span style="color:black">1</span></strong></span></p><p><br></p></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:129px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:191px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:183px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:145px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:145px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:40px; text-align:center; vertical-align:middle; width:77px"><p><span style="font-size:15px"><strong><span style="color:black">2</span></strong></span></p><p><br></p></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:129px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:191px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:183px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:145px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:145px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:40px; text-align:center; vertical-align:middle; width:77px"><p><span style="font-size:15px"><strong><span style="color:black">3</span></strong></span></p><p><br></p></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:129px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:191px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:183px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:145px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:145px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:40px; text-align:center; vertical-align:middle; width:77px"><p><span style="font-size:15px"><strong><span style="color:black">4</span></strong></span></p><p><br></p></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:129px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:191px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:183px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:145px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:145px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:40px; text-align:center; vertical-align:middle; width:77px"><p><span style="font-size:15px"><strong><span style="color:black">5</span></strong></span></p><p><br></p></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:129px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:191px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:183px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:145px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:145px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr><tr><td style="border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:40px; text-align:center; vertical-align:middle; width:77px"><p><span style="font-size:15px"><strong><span style="color:black">6</span></strong></span></p><p><br></p></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:129px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:191px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; text-align:center; vertical-align:middle; width:183px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:145px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle; width:145px"><span style="font-size:15px"><span style="color:black">&nbsp;</span></span></td></tr></tbody></table>