| Workgroup | Group Domain | Folder Name | File Name | Item | Form Number | Instructions | Expected Expire Date | Brief Instructions | Production Method | Hide From Catalog |
| 501r | Local | Applications | 8_5x11_HR_SAMC_SHRH_ApplicationTRIFOLD_10-2020.pdf | HR/SAMC/SHRH Financial Assistance Program Application Brochure | 10/2020 Rev. | Al Payne/Revenue Management | N | |||
| 501r | Local | Applications | 8_5x14_HR_SAMC_SHRH_ApplicationTRIFOLD_SP.pdf | HR/SAMC/SHRH Financial Assistance Program Application Brochure, SPANISH | 10/2020 Rev. | Al Payne/Revenue Management | N | |||
| 501r | Local | Applications | 8_5x11_SMJH_SNVMC_SRMH_ApplicationTRIFOLD10-2020.pdf | SMJH/SNVMC/SRMH Financial Assistance Program Application Brochure | 10/2020 Rev. | Al Payne/Revenue Managment | Allegra | N | ||
| 501r | Local | Applications | 8_5x14_SMJH_SNVMC_SRMH_ApplicationTRIFOLD_SP.pdf | SMJH/SNVMC/SRMH Financial Assistance Program Application Brochure, SPANISH | 10/2020 Rev. | Al Payne/Revenue Managment | Allegra | N | ||
| 501r | Local | General Information | SHRH_Poster_12x16_2019.pdf | SHRH If You Cannot Pay Your Bill Poster, 12 x 16, Foam Board, Laminated, Framed and Ready to Hang (Halifax) | 10/2019 Rev. | Bizport | Labels with 1/2019 date are availabe to update your poster if needed. Email cbsupport@sentara.com. | N | ||
| 501r | Local | General Information | SMJH_SNVMC_SRMH_Poster_12x16_2019.pdf | SMJH/SNVMC/SRMH If You Cannot Pay Your Bill Poster, 12 x 16, Foam Board, Laminated, Framed and Ready to Hang | 10/2019 Rev. | Bizport | Al Payne/Revenue Management | N | ||
| 501r | Local | General Information | HR_SAMC_SHRH_FAP_Brochure_10_2020.pdf | HR/SAMC/SHRH Finanacial Assistance Brochure #0617 | 10/2020 Rev. | Al Payne/Revenue Management | N | |||
| 501r | Local | General Information | PlainLanguageSummary_5-2021_FINAL.pdf | OLD Financial Assistance Policy Plain Language Summary #0623, English; padded in pads of 100 | 10/2020 Rev. | 5/4/2021 19:58 | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | General Information | SMJH_SNVMC_SRMH_FAP_Brochure_0619_10_2020.pdf | SMJH/SNVMC/SRMH Finanacial Assistance Brochure #0619 | 10/2020 Rev. | Al Payne/Revenue Management | N | |||
| 501r | Local | General Information | HR_Albemarle_Halifax_FAP_5_2020.pdf | HR/SAMC/SHRH Financial Assistance Policy | 5/2020 Rev. | Al Payne/Revenue Management | N | |||
| 501r | Local | General Information | SMJH_SNVMC_SRMH_FAP_5_2020.pdf | SMJH/SNVMC/SRMH Financial Assistance Policy | 5/2020 Rev. | Al Payne/Revenue Management | N | |||
| 501r | Local | Hospitals | CommunityNotice501.pdf | 501r Community Notice | 1/2020 Rev. | 1/1/2300 12:00 | Al Payne | N | ||
| 501r | Local | Hospitals | HRandNV_InformationRegardingAmountsGenerallyBilled.pdf | HR/NV AGB #0609 | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | HRandNV_InformationRegardingAmountsGenerallyBilled_EN-Chinese.pdf | HR/NV AGB #0609, Chinese | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | HRandNV_InformationRegardingAmountsGenerallyBilled_Korean.pdf | HR/NV AGB #0609, Korean | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | HRandNV_InformationRegardingAmountsGenerallyBilled_Spanish.pdf | HR/NV AGB #0609, Spanish | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | HRandNV_InformationRegardingAmountsGenerallyBilled_Tagalog.pdf | HR/NV AGB #0609, Tagalog | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | HRandNV_InformationRegardingAmountsGenerallyBilled_EN_urd.pdf | HR/NV AGB #0609, Urdu | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | HRandNV_InformationRegardingAmountsGenerallyBilled_Vietnamese.pdf | HR/NV AGB #0609, Vietnamese | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | SAMC_InformationRegardingAmountsGenerallyBilled.pdf | SAMC AGB #0608 (SAMC), English | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | SHRH_InformationRegardingAmountsGenerallyBilled.pdf | SHRH AGB #0610 (Halifax), English | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | SHRH_InformationRegardingAmountsGenerallyBilled_Spanish.pdf | SHRH AGB #0610 (Halifax), Spanish | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | SMJH_InformationRegardingAmountsGenerallyBilled.pdf | SMJH_and_SMJOSC_AGB #0611 , English | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | SMJH_InformationRegardingAmountsGenerallyBilled_Spanish.pdf | SMJH_and_SMJOSC_AGB #0611 , Spanish | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | SRMH_InformationRegardingAmountsGenerallyBilled.pdf | SRMH AGB #0618 (SRMH), English | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | SRMH_InformationRegardingAmountsGenerallyBilled_Spanish.pdf | SRMH AGB #0618 (SRMH), Spanish | 1/2020 Rev. | Flat sheet, B&W | Process Owner: Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | SMJOSC_Poster_12x16_2019.pdf | SMJOSC_If You Cannot Pay Your Bill Poster, 12 x 16, Foam Board, Laminated, Framed and Ready to Hang | 10/2019 Rev. | Bizport | N | |||
| 501r | Local | Hospitals | SMJOSC_FAP_Brochure__0620_10_2020.pdf | SMJOSC Finanacial Assistance Brochure #0620 | 10/2020 Rev. | Al Payne/Revenue Management | N | |||
| 501r | Local | Hospitals | 8_5x11_SMJOSC_ApplicationTRIFOLD.pdf | SMJOSC Financial Assistance Program Application Brochure | 10/2020 Rev. | Process Owner: Al Payne/Revenue Management | Allegra | N | ||
| 501r | Local | Hospitals | Sentara_FAP_2-2021.pdf | Financial Assistance Program Policy #2247 | Feb-21 | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | Sentara_FAP_Application_TRIFOLD_3-2021.pdf | Financial Assistance Application Brochure #2248 | 3/2021 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | Financial_Assistance_Application_Brochure_3-2021_SP.pdf | Financial Assistance Application Brochure #2248, SPANISH | 3/2021 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | Senara_FAP_Poster_12x16_3-2021.pdf | Financial Assistance Program - If You Cannot Pay Your Bill Poster #2249, 12 x 16, Foam Board, Laminated, Framed and Ready to Hang | 3/2021 Rev. | Bizport | Al Payne/Revenue Management | N | ||
| 501r | Local | Hospitals | Sentara_FAP_Brochure__0617_3-2021.pdf | Financial Assistance Program Brochure #0617 | 3/2021 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | SMJH_InformationRegardingProviders.pdf | SMJH Information Regarding Providers #0615 , English | 4/2021 Rev. | 2 sided, B&W | POC Deborah Thexton | N | ||
| 501r | Local | Hospitals | SMJH_InformationRegardingProviders_Spanish.pdf | SMJH Information Regarding Providers #0615, Spanish | 4/2021 Rev. | 2 sided, B&W | POC Deborah Thexton | N | ||
| 501r | Local | Hospitals | SMJOSC_InformationRegardingProviders.pdf | SMJOSC Information Regarding Providers #0629, English | 4/2021 Rev. | 2 sided, B&W | POC Deborah Thexton/Al Payne | N | ||
| 501r | Local | Hospitals | SMJOSC_InformationRegardingProviders_SP.pdf | SMJOSC Information Regarding Providers #0629, Spanish | 4/2021 Rev. | 2 sided, B&W | POC Deborah Thexton/Al Payne | N | ||
| 501r | Local | Hospitals | SMJOSC_FAP_5_2020.pdf | SMJOSC Financial Assistance Policy | 5/2020 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | PlainLanguageSummary_5-2021_FINAL.pdf | Financial Assistance Policy Plain Language Summary #0624 | 5/2021 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | PlainLanguageSummary_5-2021_FINAL_Spanish.pdf | Financial Assistance Policy Plain Language Summary #0624, SPANISH | 5/2021 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | SMJH_OSC_FAP_PlainLanguageSummary.pdf | SMJOSC_Financial Assistance Policy Plain Language Summary #0627, English | 6/2019 Rev. | Inventoried Item | N | |||
| 501r | Local | Hospitals | HR_NV_SAMC_SHRH_InformationRegardingProviders.pdf | Financial Assistance Program - Information Regarding Providers #0612 | 7/2021 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | HR_NV_SAMC_SHRH_InformationRegardingProviders_Chinese.pdf | Financial Assistance Program - Information Regarding Providers #0612, CHINESE | 7/2021 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | HR_NV_SAMC_SHRH_InformationRegardingProviders_Korean.pdf | Financial Assistance Program - Information Regarding Providers #0612, KOREAN | 7/2021 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | HR_NV_SAMC_SHRH_InformationRegardingProviders_Spanish.pdf | Financial Assistance Program - Information Regarding Providers #0612, SPANISH | 7/2021 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | HR_NV_SAMC_SHRH_InformationRegardingProviders_Tagalog.pdf | Financial Assistance Program - Information Regarding Providers #0612, TAGALOG | 7/2021 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | HR_NV_SAMC_SHRH_InformationRegardingProviders_Urdu.pdf | Financial Assistance Program - Information Regarding Providers #0612, URDU | 7/2021 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | HR_NV_SAMC_SHRH_InformationRegardingProviders_Vietnamese.pdf | Financial Assistance Program - Information Regarding Providers #0612, VIETNAMESE | 7/2021 Rev. | Financial Clearance and Collections/Al Payne | N | |||
| 501r | Local | Hospitals | SRMH_InformationRegardingProviders.pdf | SRMH Information Regarding Providers #0616, English | 7/2021 Rev. | 2 sided, B&W | POC Perry Crowder/Al Payne | N | ||
| 501r | Local | Hospitals | SRMH_InformationRegardingProviders_Spanish.pdf | SRMH Information Regarding Providers #0616, Spanish | 7/2021 Rev. | 2 sided, B&W | POC Perry Crowder/Al Payne | N | ||
| 501r | Local | Physician Practices | MedicalGroups_FAP_Application_wInstNOCROPS.pdf | Medical Groups - Application for Financial Assistance Brochure, ENGLISH (used by APS, SMG, SMJMG, SRMG) | 3/2019 Rev. | Inventoried Item English 60# Opaque Offset Prints 4/4 Black + PMS 129/Black + PMS 129 8.5 x 10.875 Glue Strip applied to 8.5 edge tri fold and shrink wrapped in packages on 50?s |
Al Payne | Allegra | N | |
| 501r | Local | Physician Practices | MedicalGroups_FAP_Application_wInst_Spanish.pdf | Medical Groups - Application for Financial Assistance Brochure, SPANISH (used by APS, SMG, SMJMG, SRMG) | 3/2019 Rev. | Inventoried Item English 60# Opaque Offset Prints 4/4 Black + PMS 129/Black + PMS 129 8.5 x 10.875 Glue Strip applied to 8.5 edge tri fold and shrink wrapped in packages on 50?s |
1/1/2300 12:00 | Al Payne | Allegra | N |
| 501r | Local | Physician Practices | MedicalGroups_FAP_Bro.pdf | Medical Groups - Financial Assistance Program Brochure ENGLISH (used by APS, SMG, SMJMG, SRMG) | 3/2019 Rev. | Inventoried Item | 1/1/2300 12:00 | Al Payne | N | |
| 501r | Local | Physician Practices | MedicalGroups_FAP_Bro_SPANISH.pdf | Medical Groups - Financial Assistance Program Brochure SPANISH (used by APS, SMG, SMJMG, SRMG) | 3/2019 Rev. | Inventoried Item | 1/1/2300 12:00 | Al Payne | N | |
| Behavioral Health | pf.sentara.com | General Information | SAMC_BeavioralHealthFolderLabel.pdf | SAMC Beavioral Health Folder Label | Deborah Brite/SAMC Materials Management/ED | N | ||||
| Behavioral Health | pf.sentara.com | General Information | SVBGHBehavioralHealthServicesBrochure.pdf | SVBGH Sentara Behavioral Health Services | 1/1/2300 12:00 | N | ||||
| Behavioral Health | pf.sentara.com | General Information | SRMH_AnxietyDisorderBroch_0620_2157.pdf | SRMH Anxiety Disorder Brochure #2157 | 06/2020 Rev. | Bea Spitler | N | |||
| Behavioral Health | pf.sentara.com | General Information | BipolarBroch_0620_2159.pdf | SRMH Bipolar Brochure #2159 | 06/2020 Rev. | Bea Spitler | N | |||
| Behavioral Health | pf.sentara.com | General Information | SRMH_LifeRecoveryBroch_0620_2161.pdf | SRMH Life Recovery Brochure #2161 | 06/2020 Rev. | Bea Spitler | N | |||
| Behavioral Health | pf.sentara.com | General Information | SRMH_PartialHospProgramBroch_0620_2163.pdf | SRMH Partial Hospital Program Brochure #2163 | 06/2020 Rev. | Bea Spitler | N | |||
| Behavioral Health | pf.sentara.com | General Information | PsychologicalTestingBroch_0620_2162.pdf | SRMH Psychological Testing Brochure #2162 | 06/2020 Rev. | Bea Spitler | N | |||
| Behavioral Health | pf.sentara.com | General Information | SRMH_SchizophreniaBroch_0620_2165.pdf | SRMH Schizophrenia Brochure #2165 | 06/2020 Rev. | Bea Spitler | N | |||
| Behavioral Health | pf.sentara.com | General Information | SRMH_SADBroch_0620_2164.pdf | SRMH Seasonal Affective Disorder Brochure #2164 | 06/2020 Rev. | Bea Spitler | N | |||
| Behavioral Health | pf.sentara.com | General Information | SRMH_WhatToExpectBroch_0620_2160.pdf | SRMH What To Expect Brochure #2160 | 06/2020 Rev. | Bea Spitler | N | |||
| Behavioral Health | pf.sentara.com | General Information | BHU_SRMHIntensiveOutpatientProgram_updated.pdf | SRMH Intensive Outpatient Program #1721 | 07/2020 Rev. | 1/1/2300 12:00 | Luanne Long/Robin Breeden/Bea Spitler/SRMH Behavioral Health | N | ||
| Behavioral Health | pf.sentara.com | General Information | SVBGH_HandbookCenterBehaviorHealthRev7_12_19__2_.pdf | SVBGH Handbook Center Behavior Health #1846 | 09/2019 Rev. | 1/1/2300 12:00 | Glinda O'Neill | N | ||
| Behavioral Health | pf.sentara.com | General Information | SOH_BehavioralHealthHandbook.pdf | SOH Behavioral Health Handbook | 1/2018 Rev. | Print 2 up on 11 x 17 and cut
to 8.5 x 11 No Staples Sentara Pocket Folder; Handbook in Left Pockt all others in right pocket |
1/1/2300 12:00 | N | ||
| Behavioral Health | pf.sentara.com | General Information | 3095_IOP_Brochure_-_print.pdf | Sentara Behavioral Health Services Intensive Outpatient Program (IOP) Brochure | 10/2018 Rev. | 1/1/2300 12:00 | Process Owner: Caitlyn Worner | N | ||
| Behavioral Health | pf.sentara.com | General Information | 3128_PHP_Brochure_-_print.pdf | Sentara Behavioral Health Services Partial Hospitalization Program (PHP) Brochure | 10/2018 Rev. | 1/1/2300 12:00 | Process Owner: Caitlyn Worner | N | ||
| Behavioral Health | pf.sentara.com | General Information | BehavioralHealth_access_codes_1468.pdf | Behavioral Health Services Access Code #1468 | 11/2017 Rev. | 1/1/2300 12:00 | Mendy Jenkins | N | ||
| Behavioral Health | pf.sentara.com | General Information | SRMH_Sentara_Behavioral_Health_Specialists_Brochure.pdf | SRMH Sentara Behavioral Health Specialists Brochure | 11/2020 Rev. | 1/1/2300 12:00 | Danita Adamson | SRMH Print Shop | N | |
| Behavioral Health | pf.sentara.com | General Information | CBH-InpatientHandbook_COVID_edition.pdf | SRMH Behavioral Health Inpatient Unit Handbook | 4/2021 Rev. (Modified for COVID Visitation Guidelines) | NO STAPLES | 1/1/2300 12:00 | Becky Teter/SRMH Behavioral Health Manager | N | |
| Behavioral Health | pf.sentara.com | General Information | SRMH_AdmissionRequestsLog.pdf | SRMH Admission Requests Log Sheet #2027 | 5/2020 Rev. | Ellen Dotas/Manager, SRMH Psychiatric Emergency Team | N | |||
| Behavioral Health | pf.sentara.com | General Information | BHU_BipolarBroch.pdf | Bipolar Disorder Brochure #1599 | 6/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Mendy Jenkins/Behavioral Health Practice Forum | N | |
| Behavioral Health | pf.sentara.com | General Information | CBH-CounselingServBrochure-0618.pdf | Counseling Services Brochure (SRMH) | 6/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Sarah Wichael | N | |
| Behavioral Health | pf.sentara.com | General Information | CBH-movingflyer-0620.pdf | SRMH Sentara Behavioral Health Services Map | 6/2020 Rev. | Sarah Wichael | N | |||
| Behavioral Health | pf.sentara.com | General Information | BHU_AnxietyDisorderBroch.pdf | Anxiety Disorder Brochure #1601 | 7/2018 Rev. | 1/1/2300 12:00 | Mendy Jenkins/Behavioral Health Practice Forum | N | ||
| Behavioral Health | pf.sentara.com | General Information | BHU_DementiaBroch.pdf | Dementia Brochure #1626 | 7/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Mendy Jenkins / Behavioral Health Practice Forum | N | |
| Behavioral Health | pf.sentara.com | General Information | BHU_DepressionBro.pdf | Depression Brochure #1600 | 7/2018 Rev. | 1/1/2300 12:00 | Mendy Jenkins/Behvioral Health Practice Forum | N | ||
| Behavioral Health | pf.sentara.com | General Information | BHU_SchizophreniaBroch.pdf | Schizophrenia Brochure #1602 | 7/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Mendy Jenkins/Behavioral Health Practice Forum | N | |
| Behavioral Health | pf.sentara.com | General Information | BHU_SADBro.pdf | Seasonal Affective Disorder (SAD) Brochure #1625 | 7/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Mendy Jenkins/Behavioral Health Practice Forum | N | |
| Behavioral Health | pf.sentara.com | General Information | CBH-PartialHospProgramBroch-0919.pdf | SRMH Partial Hospitalization Program | 9/2019 Rev. | Nancy Jiunta Shomo/SRMH Behavioral Health | N | |||
| Communications Materials | Local | Communications Devices | Amplifier 60+ Multi-Function Phone | 1/1/2300 12:00 | Features larger buttons for sight impaired, has built in amplifier and is hearing aid compatible. NOTE: This one item could be used in place of the previous Big Button phone and the telephone amplifier, sold separately. | N | ||||
| Communications Materials | Local | Communications Devices | Dual Handset Telephone -Corded | 1/1/2300 12:00 | 2 Can Talk 2 - Dual Corded - extra long cord. Two handsets Model #D2200 | N | ||||
| Communications Materials | Local | Communications Devices | In line Telephone Handset Amplifier | 1/1/2300 12:00 | Can be used with customer's existing phone or with BIG BUTTON Phone | N | ||||
| Communications Materials | Local | Communications Devices | Magnifier Full Sheet | 1/1/2300 12:00 | Sight Saver 2X - Covers full sheet for easy reading | N | ||||
| Communications Materials | Local | Communications Devices | Magnifier Hand Held | 1/1/2300 12:00 | Hand Held / 2X / 4X Model #01876 - Easy comfort handle | N | ||||
| Communications Materials | Local | Communications Devices | Pocketalker Replacement Ear Buds | 1/1/2300 12:00 | N | |||||
| Communications Materials | Local | Communications Devices | Pocketalker Replacement Ear Pads | 1/1/2300 12:00 | N | |||||
| Communications Materials | Local | Communications Devices | Pocketalker Replacement Microphone Cover | 1/1/2300 12:00 | N | |||||
| Communications Materials | Local | Communications Devices | Rolling Cart | 1/1/2300 12:00 | N | |||||
| Communications Materials | Local | Communications Devices | TTY Uniphone (with keyboard) | 1/1/2300 12:00 | Combination TTY and Telephone (w/keyboard) | N | ||||
| Communications Materials | Local | Communications Devices | Tech-Care Safe Sound Earphone Covers (100 p/bag) | N | ||||||
| Communications Materials | Local | Communications Devices | Williams Sound CLP 014 Microphone Clip | 1/1/2300 12:00 | N | |||||
| Communications Materials | Local | Communications Devices | Williams Sound MIC 014 Microphone | 1/1/2300 12:00 | N | |||||
| Communications Materials | Local | Communications Devices | Williams Sound Plug Mount Microphone Windscreen | 1/1/2300 12:00 | N | |||||
| Communications Materials | Local | Communications Devices | IndividualPatientUseOnlyLabl.pdf | Breath Call Device (Individual Patient Use ONLY) | GEB-010 | PLEASE AFFIX "INDIVIDUAL
PATIENT USE ONLY" Label
Donna E Price in Purchasing orders for us Matt Hohman Territory Sales Representative | Curbell Medical Products, Inc. | 7 Cobham Dr. Orchard Park, NY 14127 Direct: 866-831-6658 | Toll Free: 800-235-7500 x7366 | Fax: 716-667-7775 mhohman@curbellmedical.com | www.curbellmedical.com |
Process Owner: Jacqueline Butler/Cathy Grey | N | ||
| Communications Materials | Local | Communications Devices | IndividualPatientUseOnlyLabl.pdf | Breath Call Tubing | GEB-290 | Donna E Price in Purchasing
orders for us Matt Hohman Territory Sales Representative | Curbell Medical Products, Inc. | 7 Cobham Dr. Orchard Park, NY 14127 Direct: 866-831-6658 | Toll Free: 800-235-7500 x7366 | Fax: 716-667-7775 mhohman@curbellmedical.com | www.curbellmedical.com |
Process Owner: Jacqueline Butler/Cathy Grey | N | ||
| Communications Materials | Local | Communications Devices | Dual Handset Telephone-Cordless | KXTGD512 | 1/1/2300 12:00 | Panasonic - Cordless - 2 handsets - Works best in Non-Hospital locations. Puts Patient and Interpretor on phone. | N | |||
| Communications Materials | Local | Communications Devices | 328410 - HEADPHONES REIZEN LOUD EAR PERSONAL AMPLIFIER | PLEASE ORDER via SCM eP (HSS) | 1/1/2300 12:00 | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, ARABIC | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, CHINESE | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, ENGLISH | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, FARSI | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, FRENCH | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, GERMAN | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, HINDI | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, INDONESIAN | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, ITALIAN | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, JAPANESE | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, KOREAN | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, POLISH | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, PORTUGESE | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, RUSSIAN | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, SPANISH | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards, TAGALOG | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Communication Boards,VIETNAMESE | 1/1/2300 12:00 | Each board is approved for single patient use only. Reuse of this product increases risk of infection. (NOT REUSABLE) | N | ||||
| Communications Materials | Local | Picture Boards | Picture Board - English | 1/1/2300 12:00 | N | |||||
| Communications Materials | Local | CommunicationBubbleSticker_PrintSetup.pdf | Communication Bubble #1757, 1 x 1 Sticker | Ethics/Katy Trapp | N | |||||
| Communications Materials | Local | CommunicationBubbleMagnet.pdf | Communication Bubble Door Frame Magnet #1757, 2 x 6 | Bizport | Ethics/Katy Trapp | Bizport | N | |||
| Communications Materials | Local | CommunicationBubbleSign_10_5x8.pdf | Communication Bubble Sign #1757, 8 x 10.5, Laminated | Ethics/Katy Trapp | N | |||||
| Communications Materials | Local | CommunicationBubbleSign_8_25x6.pdf | Communication Bubble Sign #1757, 8.25 x 6, Laminated | Ethics/Katy Trapp | N | |||||
| Communications Materials | Local | SLL_ACCESS_CODE_Fillable2.pdf | Sentara Language Line ACCESS CODE Card - Fillable SLL Access Code | 10/2019 Rev. | 8.5 x 5.5, cover stock, color print, 2 sided, LAMINATED | Katy Trapp | N | |||
| Communications Materials | Local | Sentara_8.5x11_Language_ID_Display_9_2019.pdf | Language ID Display, 8.5 x 11, Laminated | 9/2019 Rev. | 1/1/2300 12:00 | Katy Trapp/Sentara Center for Healthcare Ethics | N | |||
| Communications Materials | Local | PRINT_-_Sentara_8.5x14_Language_ID_Display.pdf | Language ID Display, 8.5 x 14, Laminated | 9/2019 Rev. | 1/1/2300 12:00 | Katy Trapp/Sentara Center for Healthcare Ethics | N | |||
| Communications Materials | Local | RETIRE 8/2019 Katy Trapp: LAN Phone Labels | Ordered via the HSS (SCM sP) system. HSS# 214234 | 1/1/2300 12:00 | N | |||||
| Diabetes Glycemic | Local | General Information | DiabeticStickers.pdf | Diabetic Stickers | BCT | 1/1/2300 12:00 | BCT | N | ||
| Diabetes Glycemic | Local | General Information | SPAH_DPP_Recommendation_4up.pdf | SPAH Diabetes Prevention Program (DPP) Referral Pad #2172 (padded in 100s) | 01/2021 Rev. | Pamela Ellis/Diabetes Education | N | |||
| Diabetes Glycemic | Local | General Information | COM-DiabetesBroch-0719.pdf | SRMH Diabetes Prevention and Care Brochure | 07/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Margaret Roy | N | |
| Diabetes Glycemic | Local | General Information | DocumentRetired.pdf | RETIRED 9/2019 Diabetes - Healthy Eating SHS 3180-10-023, Padded 50 p/pad | 10/2016 Rev. | Process Owner: Diabetes Education/POC Christine Dignan | N | |||
| Diabetes Glycemic | Local | General Information | Blood_Sugar_Log_Booklet_2019.pdf | Blood Sugar Log | 10/2018 Rev. | 1/1/2300 12:00 | Diabetes Educators/Susan DeAbate | N | ||
| Diabetes Glycemic | Local | General Information | DiabetesModules1-3.pdf | Diabetes MODULES (NOT TOOLKIT) #0050 | 10/2018 Rev. | NOT TOOLKIT; Modules | 1/1/2300 12:00 | Process Owner: Diabetes Educators/POC Jean Midyette | N | |
| Diabetes Glycemic | Local | General Information | DiabetesBook_SP_PRINT.pdf | Live Better with Diabetes TOOLKIT #0012, SPANISH | 10/2018 Rev. | Setup 11 x 17 on 12 x 18 | 1/1/2300 12:00 | Susan DeAbate | N | |
| Diabetes Glycemic | Local | General Information | DiabetesBook_FINAL.pdf | STOP PLEASE USE #2115, ONLY DIABETES EDUCATORS TO ORDER FULL TOOLKIT, Live Better with Diabetes TOOLKIT #0012 (Packaged in packs of 10) | 10/2018 Rev. | Shrink wrapped 10 to a pack
and 50 to a box. ? 9 x 12 Pocket Folder Cover/4 inch pockets ? Book Inside Pages 60# Text ? Pages 17 and 18 (Grocery Shopping List), perforated ? Pages 55 and 56 (Placemat) are 11 x 17, 2 sided, folded to 8.5 x 11, perforated ? Log Books Black and White Cover 80# uncoated cover Inside 60# text |
1/1/2300 12:00 | Process Owner: Diabetes Education/POC Christine Dignan | N | |
| Diabetes Glycemic | Local | General Information | CarbohydratesandPortionSizeFlyer.pdf | Carbohydrates and Portion Size Flyer #1855 | 10/2019 Rev. | Diabetes Education Group/POC Christine Dignan | N | |||
| Diabetes Glycemic | Local | General Information | Diabetes_SurvivalSkills2115PRINT.pdf | Living Better With Diabetes Survival Skills #2115, Booklet (Replaces #0012) | 10/2020 Rev. | Systemwide Diabetes Educators/POC Susan DeAbate | N | |||
| Diabetes Glycemic | Local | General Information | Diabetes_SurvivalSkills_SpanishPRINT.pdf | Living Better With Diabetes Survival Skills #2115, Booklet (Replaces #0012), SPANISH | 10/2020 Rev. | Systemwide Diabetes Educators/POC Susan DeAbate | N | |||
| Diabetes Glycemic | Local | General Information | CarbohydrateCountingFlyer.pdf | Carbohydrates Counting Flyer #1891 | 11/2019 Rev. | Diabetes Education Group/POC Christine Dignan | N | |||
| Diabetes Glycemic | Local | General Information | DiabetesFlyer.pdf | Diabetes Flyer #0248 | 11/2019 Rev. | Diabetes Education Group/POC Christine Dignan | N | |||
| Diabetes Glycemic | Local | General Information | DiagnosingDiabetesFlyer.pdf | Diagnosing Diabetes Flyer #1893 | 11/2019 Rev. | Diabetes Education Group/POC Christine Dignan | N | |||
| Diabetes Glycemic | Local | General Information | Hyper-HypoGlycemiaFlyer.pdf | Hyperglycemia/Hypoglycemia Flyer #1892 | 11/2019 Rev. | Diabetes Education Group/POC Christine Dignan | N | |||
| Diabetes Glycemic | Local | General Information | SickDaysFlyer.pdf | Sick Day Management Flyer #1894 | 11/2019 Rev. | Diabetes Education Group/POC Christine Dignan | N | |||
| Diabetes Glycemic | Local | General Information | DocumentRetired.pdf | RETIRED 9/2019 Diabetes - Self Blood Glucose Monitoring #1219, Padded 50 p/pad | 12/2016 Rev. | Diabetes Educations/Christine Dignan | N | |||
| Diabetes Glycemic | Local | General Information | SWRMC_DiabetesHealthBrochure.pdf | SWMRC Diabetes and Nutrition Outpatient Center #0297 #0297 | 3/2018 Rev. | 1/1/2300 12:00 | Diabetes Education/Sharon Morgan | N | ||
| Diabetes Glycemic | Local | General Information | SENT-208-DiabetesEducation_PRINT.pdf | SPAH Diabetes Education Brochure | 4/2019 Rev. | Designer Red Orange 'Theresa Ceniccola' (theresa@redorangestudio.com) | 1/1/2300 12:00 | Diabetes Education SPAH/POC Pamela Ellis or Jessica Edmonds | N | |
| Diabetes Glycemic | Local | General Information | SPAH_Diabetes_Nutrition_Bifold.pdf | SPAH Diabetes and Nutrition Outpatient Center Brochure #1795 | 6/2019 Rev. | Designer Red Orange 'Theresa Ceniccola' (theresa@redorangestudio.com) | 1/1/2300 12:00 | Diabetes Education SPAH/POC Pamela Ellis or Jessica Edmonds | N | |
| Diabetes Glycemic | Local | General Information | FDS-NutritionCounselingBroch-0619.pdf | SRMH Nutrition Counseling Brochure | 6/2019 Rev. | 1/1/2300 12:00 | Sarah Wichael/Sarah Novelly | SRMH Print Shop | N | |
| Diabetes Glycemic | Local | General Information | SCH_DiabetesPreventionProgramReferralPad.pdf | SCH Diabetes Prevention Program (DPP) Referral Pad #1637 (padded in 100s) | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: Diabetes Educations/Jean Midyette | N | ||
| Diabetes Glycemic | Local | General Information | SENT-210_HeartHealthy-MealInsert_PRINT.pdf | SPAH Meal Planning Guidelines Flier | 8/2018 Rev. | Designer Red Orange 'Theresa Ceniccola' (theresa@redorangestudio.com) | 1/1/2300 12:00 | Diabetes Education SPAH/POC Pamela Ellis or Jessica Edmonds | N | |
| Diabetes Glycemic | Local | General Information | SVBGH_DiabetesPreventionProgramReferralPad.pdf | SVBGH Diabetes Prevention Program (DPP) Referral Pad #1636 (padded in 100s) | 8/2018 Rev. | 1/1/2300 12:00 | Susan DeAbate/Diabetes Educations | N | ||
| Diabetes Glycemic | Local | General Information | TigrDiabetesPatientEducation2018.pdf | Tigr Health Patient Education for Diabetes | 8/2018 Rev. | 1/1/2300 12:00 | Diabete's Education/Susan De Abate | N | ||
| Diabetes Glycemic | Local | General Information | OutpatientDiabetesSupportPlan.pdf | Diabetes Self-Management Support Plan #1175, 2 pt W/Y | 8/2019 Rev. | Diabetes Educators/POC Christine Dignan | N | |||
| Diabetes Glycemic | Local | General Information | MyPersonalGoals.pdf | My Personal Goals (Diabetes Education) - SHS 3180-10-034, 3 part W/Y/P | 8/2019 Rev. | (3 part W/Y/P) | Diabetes Educators/POC Christine Dignan | N | ||
| Diabetes Glycemic | Local | General Information | CommonDiabetesMedicinesPills_9_2018.pdf | Diabetes - Common Diabetes Medicines Pills Handout SHS 3180-10-020 (Padded 50 p/pad) | 9/2018 Rev. | 1/1/2300 12:00 | Process Owner: Diabetes Education/POC Christine Dignan | N | ||
| Diabetes Glycemic | Local | General Information | Diabetes_Insulin_Revision_Date_FINAL.pdf | Diabetes - Insulin Handout SHS 3180-10-017 (Padded 50 p/pad) | 9/2018 Rev. | 1/1/2300 12:00 | Process Owner: Diabetes Education/POC Christine Dignan | N | ||
| Diabetes Glycemic | Local | General Information | Diabetes_Other_Injected_Diabetes_Medicines_Revisision_Date_FINAL.pdf | Diabetes - Other Injected Diabetes Medicines SHS 3180-10-017 (padded 50 p/pad) | 9/2018 Rev. | 1/1/2300 12:00 | Process Owner: Diabetes Education/POC Susan DeAbate | N | ||
| Diabetes Glycemic | Local | General Information | Diabetes_Understanding_U-500_Insulin.pdf | Diabetes - U-500 Information Handout (Padded 50 p/pad) | 9/2018 Rev. | 1/1/2300 12:00 | Process Owner: Diabetes Education/POC Susan DeAbate | N | ||
| Diabetes Glycemic | Local | General Information | DiabetesNutritionPlacemat.pdf | Diabetes Nutrition Placemat | 9/2018 Rev. | 1/1/2300 12:00 | N | |||
| Diabetes Glycemic | Local | General Information | DiabetesNutritionPlacemat_Spanish.pdf | Diabetes Nutrition Placemat (SPANISH) | 9/2018 Rev. | 1/1/2300 12:00 | N | |||
| Diabetes Glycemic | Local | General Information | DiabetesWellnessRecord.pdf | Diabetes Wellness Record (Diabetes Owner's Card) | 9/2018 Rev. | Cut to 4.25 x 11 PLEASE DO NOT FOLD |
1/1/2300 12:00 | Process Owner: Diabetes Education/POC Christine Dignan | Vendor | N |
| Diabetes Glycemic | Local | General Information | PMK-Diabetescard-0918.pdf | SRMH We Missed You! Diabetes Nurse Card | 9/2018 Rev. | 1/1/2300 12:00 | Julie Pierantoni/Sarah Wichael | SRMH Print Shop | N | |
| Diabetes Glycemic | Local | General Information | PMK-Diabetescard_spa.pdf | SRMH We Missed You! Diabetes Nurse Card, SPANISH | 9/2018 Rev. | 1/1/2300 12:00 | Julie Pierantoni/Sarah Wichael | N | ||
| Emergency Medicine | pf.sentara.com | Broslow Cart Labels | BLACKDrawer.pdf | BLACK Drawer Set | 11/2020 Rev. | Emergency Medicine/Elisabeth Bradfield | N | |||
| Emergency Medicine | pf.sentara.com | Broslow Cart Labels | BLUEDrawer.pdf | BLUE Drawer Set | 11/2020 Rev. | Emergency Medicine/Elisabeth Bradfield | N | |||
| Emergency Medicine | pf.sentara.com | Broslow Cart Labels | GreenDrawer.pdf | GREEN Drawer Set | 11/2020 Rev. | Emergency Medicine/Elisabeth Bradfield | N | |||
| Emergency Medicine | pf.sentara.com | Broslow Cart Labels | ORANGEDrawer.pdf | ORANGE Drawer Set | 11/2020 Rev. | Emergency Medicine/Elisabeth Bradfield | N | |||
| Emergency Medicine | pf.sentara.com | Broslow Cart Labels | PINKDrawer.pdf | PINK Drawer Set | 11/2020 Rev. | Emergency Medicine/Elisabeth Bradfield | N | |||
| Emergency Medicine | pf.sentara.com | Broslow Cart Labels | PURPLEDrawer.pdf | PURPLE Drawer Set | 11/2020 Rev. | Emergency Medicine/Elisabeth Bradfield | N | |||
| Emergency Medicine | pf.sentara.com | Broslow Cart Labels | YELLOWDrawer.pdf | YELLOW Drawer Set | 11/2020 Rev. | Emergency Medicine/Elisabeth Bradfield | N | |||
| Emergency Medicine | pf.sentara.com | General Information | Retired.pdf | RETIRED 2/2020 Andrea Cropper: SVBGH ED Gold Standard, Discharge Envelopes - 500 p/box | Andrea M Cropper/ED Manager | N | ||||
| Emergency Medicine | pf.sentara.com | General Information | SLH_PleaseCallEDCard.pdf | SLH Please Call ED Card, Blue | 1/1/2300 12:00 | N | ||||
| Emergency Medicine | pf.sentara.com | General Information | SNGH_PleaseCallEDCard_BlueCardStockindd.pdf | SNGH Please Call ED Card, Blue | 1/1/2300 12:00 | Process Owner: Elisabeth Bradfield | N | |||
| Emergency Medicine | pf.sentara.com | General Information | SPA_PleaseCallEDCard.pdf | SPAH Please Call ED Card, Blue | 1/1/2300 12:00 | N | ||||
| Emergency Medicine | pf.sentara.com | General Information | SRMH_PleaseCallEDCard.pdf | SRMH Please Call ED Card, Blue | 1/1/2300 12:00 | N | ||||
| Emergency Medicine | pf.sentara.com | General Information | SVBGH_PleaseCallEDCard.pdf | SVBGH Please Call ED Card, Blue | 1/1/2300 12:00 | N | ||||
| Emergency Medicine | pf.sentara.com | General Information | SCH_EMTALA_ED_Log_Book.pdf | SCH EMTALA ED Log Book #1998 | 04/2020 Rev. | Front and Back page on
COVER 25 interior pages print 2 sided |
1/1/2300 12:00 | Pam Jeshor | N | |
| Emergency Medicine | pf.sentara.com | General Information | SOH_ED_Brochure.pdf | SOH ED Tri-Fold Brochure #2133 | 04/2021 Rev. | Hillarie Garner | N | |||
| Emergency Medicine | pf.sentara.com | General Information | SI_ED_TY_halfpage_2020.pdf | SI ED Thank You #2021 | 05/2020 Rev. | 4 up, 13x19 card stock, cut to 8.5x5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Sandra M Evans/Judi Baker | N | |
| Emergency Medicine | pf.sentara.com | General Information | SI_ED_qrtrpage_notepad.pdf | Sentara Independence ED 4.5"x5.5" Pad #1739 (100 pages per pad) | 1/2019 Rev. | 100 pages per pad | 1/1/2300 12:00 | Deborah Leonard/Therese DeSantos | N | |
| Emergency Medicine | pf.sentara.com | General Information | 2798_NoVa_ED_Brochure-2.pdf | SNVMC Emergency Department Brochure | 2/2018 Rev. | 1/1/2300 12:00 | Dynette Rombough | N | ||
| Emergency Medicine | pf.sentara.com | General Information | DTP2798_NoVa_ED_Brochure-2_ES.pdf | SNVMC Emergency Department Brochure, SPANISH | 2/2018 Rev. | 1/1/2300 12:00 | Dynette Rombough | N | ||
| Emergency Medicine | pf.sentara.com | General Information | ED-PainManagementAnnouncement-8.5x11-Flier.pdf | Emergency Department Pain Management Announcement Flier (8.5?x11?) #1570 | 4/2018 Rev. | 1/1/2300 12:00 | Kaitlin Hemric (Marketing) | N | ||
| Emergency Medicine | pf.sentara.com | General Information | ED-PainManagementAnnouncement-8.5x14-Poster.pdf | Emergency Department Pain Management Announcement Poster (8.5?x14?) #1571 | 4/2018 Rev. | 1/1/2300 12:00 | Kaitlin Hemric (Marketing) | N | ||
| Emergency Medicine | pf.sentara.com | General Information | SentaraIndependence_Please_Call_ED_Card.pdf | Sentara Independence Please Call ED Card, blue | 4/2018 Rev. | 1/1/2300 12:00 | Judi A Baker | N | ||
| Emergency Medicine | pf.sentara.com | General Information | 5_SAMC_9X12_SentaraGoldStandardenv4_21.pdf | SAMC ED Gold Standard, Discharge Envelopes - 500 p/box | 4/2021 Rev. | 9x12 28# OECS White Wove Catalog, standard gum, printed black 2 side | 1/1/2300 12:00 | Jennifer Perry/ED Manager | Lindenmeyer | N |
| Emergency Medicine | pf.sentara.com | General Information | ED_ChargeTicketChanges2018.pdf | ED Downtime Charge Ticket #1581 | 5/2018 Rev. | 1/1/2300 12:00 | ED Forum/Rusty Bradfield/Carrie Buck | N | ||
| Emergency Medicine | pf.sentara.com | General Information | ED-PainManagementAnnouncement-Nurses-Poster2018.pdf | Emergency Department Pain Management Announcement for Nurses Flier (8.5?x11?) #1583 | 5/2018 Rev. | 1/1/2300 12:00 | Kaitlin Hemric (Marketing) | N | ||
| Emergency Medicine | pf.sentara.com | General Information | ED-PainManagementAnnouncement-Physicians-Poster2018.pdf | Emergency Department Pain Management Announcement for Physicians Flier (8.5?x11?) #1582 | 5/2018 Rev. | 1/1/2300 12:00 | Kaitlin Hemric (Marketing) | N | ||
| Emergency Medicine | pf.sentara.com | General Information | LakeRidge_RackCard_4x9_D_FINAL.pdf | Sentara Lake Ridge 4 x 9 Card | 5/2019 Rev. | 1/1/2300 12:00 | Helen Linton | N | ||
| Emergency Medicine | pf.sentara.com | General Information | ED_StrokeAlertHandoff_notepad.pdf | ED Stroke Alert Handoff Notepad #1577 | 6/2019 Rev. | 1/1/2300 12:00 | Shane Squires/Stroke Team | N | ||
| Emergency Medicine | pf.sentara.com | General Information | FreshAsDaisySign11x17_SAMC_1115.pdf | Fresh As A Daisy 11 x 17 Sign (SAMC ED) #1115, Laminated | 6/2019 Rev. | Torey L Kee | N | |||
| Emergency Medicine | pf.sentara.com | General Information | AcceptingFaciltyLabel.pdf | SAMC Accepting Facilty 3 x 5 Label #1831 | 7/2019 Rev. | 1/1/2300 12:00 | Jennifer Perry/Deborah Brite/SAMC ED Manager | N | ||
| Emergency Medicine | pf.sentara.com | General Information | SAMC_DidYouKnowAcute-FocusedCareCard.pdf | SAMC Did You Know Acute-Focused Care Card #1820 | 7/2019 Rev. | 1/1/2300 12:00 | Jennifer Perry/Deborah Brite/SAMC ED Manager | N | ||
| Emergency Medicine | pf.sentara.com | General Information | ForClerkofCourtLabel.pdf | SAMC For Clerk of Court 3 x 5 Label #1832 | 7/2019 Rev. | 1/1/2300 12:00 | Jennifer Perry/Deborah Brite/SAMC ED Manager | N | ||
| Emergency Medicine | pf.sentara.com | General Information | ForPerquimansOnlyLabel.pdf | SAMC For Perquimans Only 3 x 5 Label #1833 | 7/2019 Rev. | 1/1/2300 12:00 | Jennifer Perry/Deborah Brite/SAMC ED Manager | N | ||
| Emergency Medicine | pf.sentara.com | General Information | EDPatientPreArrivalInformationSSH4250-50-001.pdf | Emergency Department Patient Pre-Arrival Information - SSH 4250-50-001 | 8/2018 Rev. | 3 part W/Y/P No Hole Punch | 1/1/2300 12:00 | Elisabeth Bradfield/EDPF | N | |
| Emergency Medicine | pf.sentara.com | General Information | Sexual_Assault_Brochure-0819__002_.pdf | SRMH Sexual Assault Brochure | 9/2019 Rev. | 1/1/2300 12:00 | Tammy Johnson/SRMH SANE Coordinator | N | ||
| Emergency Medicine | pf.sentara.com | General Information | MKD-CriminalJusticeBroch-0819_Arabic_High_Resolution.pdf | SRMH Sexual Assault Brochure, ARABIC | 9/2019 Rev. | 1/1/2300 12:00 | Tammy Johnson/SRMH SANE Coordinator | N | ||
| Emergency Medicine | pf.sentara.com | General Information | MKD-CriminalJusticeBroch-0819_Russian_High_Resolution.pdf | SRMH Sexual Assault Brochure, RUSSIAN | 9/2019 Rev. | 1/1/2300 12:00 | Tammy Johnson/SRMH SANE Coordinator | N | ||
| Emergency Medicine | pf.sentara.com | General Information | MKD-CriminalJusticeBroch-0819_Spanish_High_Resolution.pdf | SRMH Sexual Assault Brochure, SPANISH | 9/2019 Rev. | 1/1/2300 12:00 | Tammy Johnson/SRMH SANE Coordinator | N | ||
| Emergency Medicine | pf.sentara.com | General Information | MKD-CriminalJusticeBroch-0819_Swahili_High_Resolution.pdf | SRMH Sexual Assault Brochure, SWAHILI | 9/2019 Rev. | 1/1/2300 12:00 | Tammy Johnson/SRMH SANE Coordinator | N | ||
| Epic Downtime Forms | Local | ADMHX | OBTriageAdmissionDatabaseADMX003.pdf | OB/Triage Admission Database ADMHX003 | 10/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ADMHX | AdultAdmissionDatabase_ADMHX001.pdf | Adult Admission Database ADMHX001Downtime Form - Print On Demand Only | 11/2019 Rev. | Acute Care Adult Health Practice Forum/POC James Hermansen-Parker/Patricia Scott | N | |||
| Epic Downtime Forms | Local | AMB | Epic_AMB_Downtime_Nurse_Lab_Rad_Form_2021.pdf | SMG Epic AMB Downtime Nurse/Lab/Rad Visit Encounter Form | 1/2021 Rev. | 1/1/2300 12:00 | Elka Taylor | N | ||
| Epic Downtime Forms | Local | AMB | Downtime_Form_AMB_Office_Visit_Procedure_Enc_Nov_2020.pdf | SMG AMB Downtime Office Visit/Procedure Encounter Short Form #2131 | 11/2020 Rev. | 2 page | 1/1/2300 12:00 | N | ||
| Epic Downtime Forms | Local | AMB | Epic_AMB_Downtime_Telephone_Refill_Enc_2021.pdf | SMG Epic AMB Downtime Telephone/Refill Encounter Form | 2/2021 Rev. | 1/1/2300 12:00 | Elka Taylor | N | ||
| Epic Downtime Forms | Local | ANES | Deep_Sedation_Flowsheet_ANES011.pdf | Deep Sedation Flowsheet ANES011 ANES011 | 7/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ANES | DeptofAnesthesiaConsultationANES002.pdf | Department of Anesthesiology Consultation ANES002 ANES002 | 7/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ANES | AnesthesiaPostOperativeNoteANES012.pdf | Anesthesia Post Operative Note ANES012 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ANES | AnesthesiaRecordContinuationANES008.pdf | Anesthesia Record Continuation ANES008 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ANES | CentralLinePlacementPQRIMeasure76ANES013.pdf | Central Line Placement PQRI Measure 76 ANES013 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ANES | EpiduralManagementNoteANES015.pdf | Epidural Management Note ANES015 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ANES | PostOperativeIntrathecal-EpiduralDuramorphSOAPNoteANES014.pdf | Post Operative Intrathecal/Epidural Duramorph SOAP Note ANES014, | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ANES | ProgressNotesPostOpANES005.pdf | Anesthesia Note Post-Op ANES005 - Print on Demand Only | 8/2018 Rev. | 1/1/2300 12:00 | SSPF | N | ||
| Epic Downtime Forms | Local | ANES | ModerateSedationFlowsheetANES010_8-2021.pdf | Moderate Sedation Flowsheet ANES010 - Downtime Print On Demand Only | 8/2021 Rev. | Myrna White/SMJH Surgery Administration | N | |||
| Epic Downtime Forms | Local | ASSESS | SentaraSleepCenterNewPatientEvalASSESS053_2020.pdf | Sentara Sleep Center New Patient Eval ASSESS053 | 07/2020 Rev. | Laura Kins | N | |||
| Health and Wellness | Local | General Health and Wellness Info | ProjectConnect_Spanish_4x6_OB_april2020.pdf | Project Connect Card (OB), SPANISH | 08/2021 Rev. | 1/1/2300 12:00 | Vanessa Hill/Anthony Wright | N | ||
| Epic Downtime Forms | Local | ASSESS | ASSESS179_MedicalNutritionTherapyNutritionAssessment.pdf | ASSESS179 Medical Nutrition Therapy Nutrition Assessment - PRINT ON DEMAND ONLY | 1/2020 Rev. | Clinical Nutrition/POC: Katherine Herman, Beth Gerstein | N | |||
| Epic Downtime Forms | Local | ASSESS | ASSESS180_MedicalNutritionTherapyNeonatalNutritionAssessment.doc.pdf | ASSESS180 Medical Nutrition Therapy Neonatal Nutrition Assessment - PRINT ON DEMAND ONLY | 1/2020 Rev. | Clinical Nutrition/POC: Katherine Herman, Beth Gerstein | N | |||
| Epic Downtime Forms | Local | ASSESS | ASQ_Downtime_ASSESS176.pdf | ASQ Suicide Screening & Assessment Tool ASSESS176 Downtime Form Print On Demand Only | 10/2019 Rev. | EDPF/Ped Practice Forum/NDUC/POC Margaret Furr/Elisabeth Bradfield | N | |||
| Epic Downtime Forms | Local | ASSESS | AntePostpartumFlowsheetASSESS010.pdf | Ante-Postpartum Flowsheet ASSESS010 | 10/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | FallRiskAssessmentASSESS015.pdf | Fall Risk Assessment ASSESS015 | 10/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | LaborDeliveryRecoveryFlowsheetASSESS007.pdf | Labor Delivery Recovery Flowsheet ASSESS007 | 10/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | LaborDeliverySummaryASSESS020.pdf | Labor Delivery Summary ASSESS020 | 10/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | AdultPatientCareFlowsheet_ASSESS001.pdf | Adult Patient Care Flowsheet ASSESS001 Downtime Form - Print On Demand Only | 11/2019 Rev. | Acute Care Adult Health Practice Forum/POC James Hermansen-Parker/Patricia Scott | N | |||
| Epic Downtime Forms | Local | ASSESS | NICUVentFlowsheet__DowntimeASSESS160.pdf | NICU Ventilator Flowsheet ASSESS160 (Downtime Form - Print On Demand Only) | 12/2018 Rev. | 1/1/2300 12:00 | Respiratory Committee/Brian McHale | N | ||
| Epic Downtime Forms | Local | ASSESS | VentilatorFlowsheetASSESS027.pdf | Ventilator Flowsheet ASSESS027 (Downtime Form - Print On Demand Only) | 12/2018 Rev. | 1/1/2300 12:00 | Respiratory Committee/Brian McHale | N | ||
| Epic Downtime Forms | Local | ASSESS | OBFRAT_Fall_Assessment_Tool_ASSESS185.pdf | OBFRAT Fall Assessment Tool ASSESS185 | 12/2020 Rev. | Sandra Rhodes | N | |||
| Epic Downtime Forms | Local | ASSESS | OBFRAT_Fall_Interventions_ASSESS186.pdf | OBFRAT Fall Interventions ASSESS186 | 12/2020 Rev. | Sandra Rhodes | N | |||
| Epic Downtime Forms | Local | ASSESS | SentaraSleepCenterNewPatientEvalASSESS053_2020__1___003__Spanish_FINAL.pdf | Sentara Sleep Center New Patient Eval ASSESS053 (SPANISH) | 12/2020 Rev. | Laura Kins | N | |||
| Epic Downtime Forms | Local | ASSESS | FormNotAvail.pdf | UNDER REVIEW 7/2019 - Frequent Vital Signs Sedation Flowsheet ASSESS019 Downtime Form - Print On Demand Only | 2/2009 Rev. | Acute Care Adult Health Practice Forum/POC James Hermansen-Parker/Patricia Scott | N | |||
| Epic Downtime Forms | Local | ASSESS | NursingHandoffChecklistWorksheet_ASSESS170-1.pdf | Nursing Handoff Checklist Worksheet ASSESS170 | 4/2019 Rev. | 1/1/2300 12:00 | Elisabeth Bradfield/Carrie Buck - EDPF | N | ||
| Epic Downtime Forms | Local | ASSESS | FormNotAvail.pdf | UNDER REVIEW 7/2019 - Physician Assessment ED ASSESS003 Downtime Form - Print On Demand Only | 5/2015 Rev. | EDPF/POC Elisabeth Bradfield/Carrie Buck | N | |||
| Epic Downtime Forms | Local | ASSESS | TraumaAlertFlowsheetASSESS058_Downtime.pdf | Trauma Alert Flowsheet - ASSESS058 | 6/2018 Rev. | 1/1/2300 12:00 | ED Practice Forum | N | ||
| Epic Downtime Forms | Local | ASSESS | EDRECORDADULTPEDASSESS032.PDF | ED Record Adult/Ped ASSESS032 (Downtime Form - Print On Demand Only) | 6/2019 Rev. | 1/1/2300 12:00 | ED Practice Forum/POC Carrie Buck and Elisabeth Bradfield | N | ||
| Epic Downtime Forms | Local | ASSESS | PreSedationChecklistASSESS047.pdf | Pre Sedation Checklist ASSESS047 Downtime Form - Print On Demand Only | 6/2019 Rev. | 1/1/2300 12:00 | Stephanie Armstrong/SRMH Surgery Administration | N | ||
| Epic Downtime Forms | Local | ASSESS | NeonatalAbstinenceScoringASSESS063.pdf | Finnegan Neonatal Abstinence Scoring Tool (FNAST) ASSESS063 | 6/2021 Rev. | 1/1/2300 12:00 | MINPF/Downtime Form - Print On Demand Only | N | ||
| Epic Downtime Forms | Local | ASSESS | LaborDeliveryFlowsheetShortFormASSESS153.pdf | Labor & Delivery Flowsheet Short Form ASSESS153 | 6/2021 Rev. | 1/1/2300 12:00 | MINPF (Terri Horst) | N | ||
| Epic Downtime Forms | Local | ASSESS | SurgSrvcsPACUFlowsheet_ASSESS050.pdf | Surgical Services PACU Flowsheet ASSESS050 | 7/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | GeneralPurposeFlowsheetASSESS013.pdf | General Purpose Flowsheet ASSESS013 - Downtime Form - Print On Demand Only | 7/2019 Rev. | 1/1/2300 12:00 | MINPF/Terri Horst | N | ||
| Epic Downtime Forms | Local | ASSESS | CaregiverSignOff_ASSESS171-2.pdf | Women's Health Caregiver Sign Off ASSESS171 - Downtime Form - Print On Demand Only | 7/2019 Rev. | 1/1/2300 12:00 | MINPF/Terri Horst | N | ||
| Epic Downtime Forms | Local | ASSESS | TestandProcedures_ASSESS172-2.pdf | Women's Health Tests and Procedures ASSESS172 - Downtime Form - Print On Demand Only | 7/2019 Rev. | 1/1/2300 12:00 | MINPF/Terri Horst | N | ||
| Epic Downtime Forms | Local | ASSESS | HyperbaricMedicineServicesFlowsheetASSESS024.pdf | Hyperbaric Medicine Services Flowsheet ASSESS024 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | HyperbaricTreatmentRecordASSESS025.pdf | Hyperbaric Treatment Record ASSESS025 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | MinorProceduresRecordASSESS017.pdf | Minor Procedures Record ASSESS017 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | NeuroStrokFlowsheetASSESS148Downtime.pdf | Neuro/Stroke Flowsheet ASSESS148 | 8/2017 Rev. | N | ||||
| Epic Downtime Forms | Local | ASSESS | PacemakerICDTestingSheetASSESS068.pdf | Pacemaker ICD Testing Sheet ASSESS068 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | PostOpPostProcNursesNotesCardiacCathHoldingSSASSESS052.pdf | PostOp Post Procedure Nurses Notes Cardiac Cath Holding SS ASSESS052 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | PostopPlanofCarePostSurgicalPatientISUASSESS041.pdf | Postop Plan ofCare PostSurgical Patient ISU ASSESS041 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | SameDaySurgeryAdmitOutpatientFlowsheetASSESS044.pdf | Same Day Surgery Admit-Outpatient Flowsheet ASSESS044 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | WoundTherapyEvaluationASSESS046.pdf | Wound Therapy Evaluation ASSESS046 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | CTRSScreeningandAssessmentTool_ASSESS155_Downtime.pdf | CTRS Violence & Suicide Screening & Assessment Tool ASSESS155 - Downtime Print On Demand Only | 8/2018 Rev. | 1/1/2300 12:00 | EDF/Rusty Bradfield | N | ||
| Epic Downtime Forms | Local | ASSESS | Glucommander_0239-C_BasalCorrection_Subcutaneous_SubQ_Insulin_Downtime_FormASSESS145.pdf | Glucommander Basal + Correction Subcutaneous (SubQ) Insulin Downtime Form ASSESS145 Downtime Form - Print On Demand Only | 8/2018 Rev. | 1/1/2300 12:00 | Diabetes Educators/POC Christine Dignan | N | ||
| Epic Downtime Forms | Local | ASSESS | Gluccomander_0227-B_Basal-Bolus___Correction_Subcutaneous__SubQ__Insulin_Downtime_FormASSESS144.pdf | Glucommander Basal/Bolus+Correction SubQ Insulin Downtime Form (Glytec) ASSESS144 Downtime Form - Print On Demand Only | 8/2018 Rev. | 1/1/2300 12:00 | Diabetes Educators/POC Christine Dignan | N | ||
| Epic Downtime Forms | Local | ASSESS | Glucommander_0030-E_Intravenous_Insulin_Downtime_Form__ID_76__ASSESS146.pdf | Glucommander Intravenous Insulin Downtime Form (Glytec) ASSESS146 Downtime Form - Print On Demand Only | 8/2018 Rev. | 1/1/2300 12:00 | Diabetes Educators/POC Christine Dignan | N | ||
| Epic Downtime Forms | Local | ASSESS | Glucommander_0460-A_Initiating_SubQ_Therapy_During_Downtime_ASSESS147.pdf | Glucommander Subcutaneous Insulin Downtime Form for Initiating TherapyASSESS147 Downtime Form - Print On Demand Only | 8/2018 Rev. | 1/1/2300 12:00 | Diabetes Educators/POC Christine Dignan | N | ||
| Epic Downtime Forms | Local | ASSESS | SuicideRiskAssessmentObservationFlowsheetASSESS042_Downtime.pdf | Suicide Risk Assessment Observation Flowsheet - ASSESS042 | 8/2018 Rev. | 1/1/2300 12:00 | EDF/POC Elisabeth Bradfield and Carrie Buck | N | ||
| Epic Downtime Forms | Local | ASSESS | SwallowingScreeningChecklistASSESS022.pdf | Swallowing Screening Checklist ASSESS022 | 8/2018 Rev. | 1/1/2300 12:00 | Downtime Form - Print On Demand Only | N | ||
| Epic Downtime Forms | Local | ASSESS | RestraintFlowSheetPlanofCareASSESS008.pdf | Restraint Flow Sheet Plan of Care ASSESS008 Downtime Form - Print On Demand Only | 8/2019 Rev. | Restraint Team/POC Sherri Caldwell | N | |||
| Epic Downtime Forms | Local | ASSESS | VisualChecksFlowsheetASSESS071.pdf | Visual Checks Flowsheet ASSESS071, Downtime Form - Print On Demand Only | 8/2019 Rev. | Restraint Team/POC Heather Murphy | N | |||
| Epic Downtime Forms | Local | ASSESS | NeonateInfantModerateSedationFlowsheetASSESS004.pdf | Neonate Infant Moderate Sedation Flowsheet ASSESS004 | 8/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | NewbornFlowsheetsASSESS051_Downtime.pdf | Newborn Flowsheets ASSESS051 | 8/2020 Rev. | Downtime Form - Print On Demand Only / MINPF | N | |||
| Epic Downtime Forms | Local | ASSESS | UniversalProtocolChecklistSurgeryProceduresASSESS005.pdf | Universal Protocol Checklist Surgery Procedures ASSESS005 | 8/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | Arterial_Oxygen_Saturation_by_Oximetry_-_Six-Minute_Walk_ASSESS055.pdf | ARTERIAL OXYGEN SATURATION ASSESS055 | 8/2021 Rev. | Terri Horst | N | |||
| Epic Downtime Forms | Local | ASSESS | IntraOpRecordASSESS026.pdf | Intraoperative Record ASSESS026 - Downtime Print On Demand Only | 8/2021 Rev. | N | ||||
| Epic Downtime Forms | Local | ASSESS | LaborDeliveryEducationalAssessmentASSESS023.pdf | Labor & Delivery Educational Assessment ASSESS023 Downtime Print On Demand | 8/2021 Rev. | MINPF/POC Terri Horst | N | |||
| Epic Downtime Forms | Local | ASSESS | NewbornAdmissionASSESS028_Downtime.pdf | Newborn Admission ASSESS028 Downtime PRINT ON DEMAND ONLY | 8/2021 Rev. | MINPF/POC Terri Horst | N | |||
| Epic Downtime Forms | Local | ASSESS | PACURecordASSESS033rev.pdf | PACU Record ASSESS033 | 8/2021 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | PreOpChecklistASSESS012.pdf | Pre Op Checklist ASSESS012 | 8/2021 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | ASSESS | OBVTERiskAssessmentTool_ASSESS158.pdf | OB VTE Risk Assessment Tool ASSESS158 - Print on Demand Only | 9/2018 Rev. | 1/1/2300 12:00 | MINPF | N | ||
| Epic Downtime Forms | Local | ASSESS | CRRTFlowsheetASSESS103.pdf | CRRT Flowsheet ASSESS103 (Downtime Form - Print On Demand Only) | 9/2019 Rev. | 1/1/2300 12:00 | CCPF/Tiffany Parker/Sabrina Harris | N | ||
| Epic Downtime Forms | Local | ASSESS | CriticalCareFlowsheetASSESS034_2019.pdf | Critical Care Flowsheet ASSESS034 | 9/2019 Rev. | 1/1/2300 12:00 | Critical Care Practice Forum/POC Tiffany Parker/Sabrina Harris | N | ||
| Epic Downtime Forms | Local | ASSESS | RespiratoryCareiNOFlowSheetASSESS076.pdf | Respiratory Care iNO FlowSheet ASSESS076 | 9/2019 Rev. | 1/1/2300 12:00 | Respiratory Therapy Manager/POC Brian McHale | N | ||
| Epic Downtime Forms | Local | ASSESS | Newborn_Physical_Assessment_ASSESS149.pdf | Newborn Physical Assessment ASSESS149 | 9/2020 Rev. | Downtime Form - Print On Demand Only / MINPF | N | |||
| Epic Downtime Forms | Local | ASSESS | UniversalProtocolforNewbornASSESS150.pdf | Universal Protocol for Newborn ASSESS150 | 9/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | DEATH | DeathRecord_DEATH001.pdf | Death Record - DEATH001 | 9/2020 Rev. | 1/1/2300 12:00 | Downtime Form - Print On Demand Only Process Owner: David Cochran/Ethics | N | ||
| Epic Downtime Forms | Local | EDVISIT | ReportofVisitEDVISIT001.pdf | Report of Visit EDVISIT001 | 4/2019 Rev. | 1/1/2300 12:00 | EDPF/Elisabeth Bradfield/Carrie Buck | N | ||
| Epic Downtime Forms | Local | EDVISIT | PhysicianNoteEDVISIT013.pdf | ED Physician Note EDVISIT013 - Downtime Print On Demand Only | 7/2018 Rev. | 1/1/2300 12:00 | EDF (Elisabeth Bradfiled/Carrie Buck) | N | ||
| Epic Downtime Forms | Local | EDVISIT | EDCodeStemiAlertEDVISIT006Downtime.pdf | ED Code Stemi Alert - EDVISIT006 | 8/2017 Rev. | Downtime Only - Print On Demand | N | |||
| Epic Downtime Forms | Local | EDVISIT | EDStrokeAlertForm_EDVISIT007Downtime.pdf | ED Stroke Alert Form EDVISIT007 | 8/2017 Rev. | N | ||||
| Epic Downtime Forms | Local | FIN | ManualRegistrationQuestionnaire_FIN004_7-2021.pdf | Manual Registration Questionnaire FIN004 | 7/2021 Rev. | Patient Access/POCs Deloris Hampton/Thomas Allen | N | |||
| Epic Downtime Forms | Local | INSTRCT | JAC016INSTRUCTDischargeInstructionsforIVContrastExtravasationINSTRCT084.pdf | Discharge Instructions for IV Contrast Extravasation INSTRCT084 (JAC016), Print On Demand Only | 12/2019 Rev. | Teri Bibeault | N | |||
| Epic Downtime Forms | Local | INSTRCT | PatientDischargeInstructionSheetINSTRCT010.pdf | Emergency Department Patient Discharge Instruction Sheet INSTRCT010 | 4/2019 Rev. | 1/1/2300 12:00 | Downtime Form - Print On Demand Only | N | ||
| Epic Downtime Forms | Local | INSTRCT | BiliaryCareDCInstINSTRCT012.pdf | Biliary Care DC Inst INSTRCT012 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | INSTRCT | ChestPainTriageProtocolMDORD232.pdf | Chest Pain Triage Protocol MDORD232 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | INSTRCT | NephrostomyTubeCareDCINSTRCT009.pdf | Nephrostomy Tube Care DC INSTRCT009 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | INSTRCT | OutpatientBiopsyDischargeInstructionsINSTRCT006.pdf | Outpatient Biopsy Discharge Instructions INSTRCT006 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | INSTRCT | PtPreOpInstructionsINSTRCT058.pdf | Patient Pre Op Instructions INSTRCT058 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | INSTRCT | Patient_Education_for_Breast_Implant_Mammography_INSTRCT072.pdf | Patient Education for Breast Implant Mammography INSTRCT072 | 8/2020 Rev. | Erika Hodge | N | |||
| Epic Downtime Forms | Local | INSTRCT | InstructionEducationSheetINSTRCT002.pdf | Instruction Education Sheet INSTRCT002 | 8/2021 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | INSTRCT | PostpartumDischargeInstructionsINSTRCT091_Downtime.pdf | Postpartum Discharge Instructions INSTRCT091 Downtime | 8/2021 Rev. | 2 pages | 1/1/2300 12:00 | MINPF/Terri Horst | N | |
| Epic Downtime Forms | Local | INSTRCT | TriageDischargeInstructionsINSTRCT015.pdf | Triage Discharge Instructions INSTRCT015 - Downtime Print On Demand Only | 8/2021 Rev. | 1/1/2300 12:00 | Terri Horst | N | ||
| Epic Downtime Forms | Local | INSTRCT | NewbornDischargeInstructionsINSTRCT019_Downtime.pdf | Newborn Discharge Instructions INSTRCT019 | 9/2020 Rev. | Downtime Form - Print On Demand Only / MINPF | N | |||
| Epic Downtime Forms | Local | INSTRCT | Newborn_Education_INSTRCT085.pdf | Newborn Education INSTRCT085 | 9/2020 Rev. | Downtime Form - Print On Demand Only / MINPF | N | |||
| Epic Downtime Forms | Local | LEGAL | AMA_LEGAL001.pdf | Refuse Treatment Against Medical Advice (AMA) LEGAL001 | 10/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | LEGAL | VirginiaMedicaidPreadmissionScreeningApprovalLetter_LEGAL038.pdf | Virginia Medicaid Preadmission Screening Approval Letter LEGAL038 | 2/2019 Rev. | POC Becky Batchelder/Director of Integrated Care Management | N | |||
| Epic Downtime Forms | Local | LEGAL | VirginiaMedicaidPreadmissionScreeningDenialLetter_LEGAL037.pdf | Virginia Medicaid Preadmission Screening Denial Letter LEGAL037 | 2/2019 Rev. | POC Becky Batchelder/Director of Integrated Care Management | N | |||
| Epic Downtime Forms | Local | LEGAL | PatientBelongingsLEGAL005.pdf | Patient Belongings LEGAL005 | 3/2019 Rev. | 1/1/2300 12:00 | ED Practice Forum/Risk Management | N | ||
| Epic Downtime Forms | Local | LEGAL | Outpatient_Notification_Letter_LEGAL059.pdf | Outpatient Notification Letter LEGAL059 | 3/2021 Rev. | Becky Batchelder/Sarah Clark Integrated Care Management | N | |||
| Epic Downtime Forms | Local | LEGAL | Downtime_NewbornIdentificationLEGAL013.pdf | Newborn Identification LEGAL013 - Print On Demand Only | 6/2021 Rev. | 1/1/2300 12:00 | MINPF/Terri Horst | N | ||
| Epic Downtime Forms | Local | MAR | HomeMedicationReconciliationMAR006.pdf | Home Medication Reconciliation and One Time Physician Order Form MAR006 MAR006 | 6/2021 Rev. | 1/1/2300 12:00 | Downtime Form - Print On Demand Only Clinical Pharmacy Workgroup/Elsbeth Thurston | N | ||
| Epic Downtime Forms | Local | MAR | HomeMedicationReconciliationOutpatientMAR004.pdf | Home Medication Reconciliation and One Time Physician Order Form - Outpatient MAR00Downtime Form - Print On Demand Only4 | 7/2018 Rev. | 1/1/2300 12:00 | Elsbeth Thurston/Pharmacy Workgroup | N | ||
| Epic Downtime Forms | Local | MAR | BackUpMedicationSummaryMAR009.pdf | Backup Medication Summary MAR009 | 8/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | MDCNSLT | Pediatric_Ophthalmology_Consultation_MDCNSLT003.pdf | Pediatric Ophthalmology Consultantation MDCNSLT003 | 7/2018 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | MDDISC | HospitalDismissalNotePostpartumVagandCSDelivery_MDDISC001.pdf | Hospital Dismissal Note Postpartum Vaginal and C/Section Delivery MDDISC001 | 10/2020 Rev. | MINPF/Terri Horst Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | MDHP | OBHPShortFormMDHP002.pdf | OB History and Physical Short Form MDHP002 | 10/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | MDHP | SRMH_HistoryandPhysicalMedicationHistoryMDHP012.pdf | SRMH History and Physical/Medication History MDHP012 | 6/2020 Rev. | Katy Wilson/SRMH Risk Management | N | |||
| Epic Downtime Forms | Local | MDHP | PhysicianRecordofNewbornMDHP007.pdf | Physician Record of Newborn MDHP007 - Downtime Form - Print On Demand Only | 7/2019 Rev. | 1/1/2300 12:00 | MINPF/Terri Horst | N | ||
| Epic Downtime Forms | Local | MDHP | OutpatientSurgeryHPFormMDHP003.pdf | Outpatient Surgery History and Physical Form MDHP003 | 8/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | MDOPNT | InterventionalPostProcedureNoteMDOPNT001.pdf | Interventional Radiology Post Procedure Note MDOPNT001 | 6/2019 Rev. | 1/1/2300 12:00 | Al Nichols/Vascular and Interventional Radiology (IR) Procedure Lab | N | ||
| Epic Downtime Forms | Local | MDOPNT | PICCLineInsertionInterventionalRadiologyPostProcedureNoteMDOPNT004.pdf | PICC Line Insertion Interventional Radiology Post Procedure Note MDOPNT004 | 6/2019 Rev. | 1/1/2300 12:00 | Al Nichols/Vascular and Interventional Radiology (IR) Procedure Lab | N | ||
| Epic Downtime Forms | Local | MDORD | CR_Physician_Referral_MDORD564_Jan_2018.pdf | SMJH Cardiopulmonary Rehabilitation Referral Initial Treatment Plan | 1/2018 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | MDORD | UniversalBackUpReqMDORD005.pdf | Universal Backup Requisition MDORD005 | 10/2020 Downtime Form - Print On Demand Only | Process Owner: Imaging Operations/POC Jason Drane | N | |||
| Epic Downtime Forms | Local | MDORD | PhysiciansOrders_BLANK__MDORD001.pdf | Physicians Orders - Blank - MDORD001 | 3/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | MDORD | LaboratoryTestRequisitionMDORD006.pdf | Laboratory Test Requisition MDORD006 | 4/2021 Rev. | 1/1/2300 12:00 | Sheri Terrillion/Processing Quality Coordinator/Sentara Laboratory Services | N | ||
| Epic Downtime Forms | Local | MDORD | Downtown_Req_SLS_Blue_Cytology_MDORD549.pdf | Cytology & Histology Laboratory Downtime Requisition MDORD549 - Downtime Form | 6/2018 Rev. | 1/1/2300 12:00 | Cristi Rigazio | N | ||
| Epic Downtime Forms | Local | MDORD | PHYSICIAN_REFFERAL_MDORD565_2020.pdf | SMJH Pulmonary And Respiratory Rehabilitation Referral | 6/2020 Rev. | Downtime Form | N | |||
| Epic Downtime Forms | Local | MDORD | Structural_Heart__Procedure_Protocols_Order_Set___2821___7-2-19.pdf | OP: Structural Heart Procedure Protocols Order Set Epic2821 | 7/2/2019 Rev. | 1/1/2300 12:00 | Mary E. Bachas | N | ||
| Epic Downtime Forms | Local | MDPROG | LaborandDeliveryRecordfortheNewbornMDPROG010.pdf | Labor and Delivery Record for the Newborn MDPROG010 | 1/2021 Rev. | 1/1/2300 12:00 | Dr. Green/Brenda Ronan Downtime Form - Print On Demand Only | N | ||
| Epic Downtime Forms | Local | MDPROG | PhysicianAdmissionNotesMDPROG002.pdf | Physician Admission Notes MDPROG002 | 10/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | MDPROG | ProgressNotesPostOpMDPROG004.pdf | Progress Notes - Post OpMDPROG004 | 10/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | MDPROG | PreviableInfantProgressNoteMDPROG008.pdf | Previable Infant Progress Note MDPROG008 - Downtime Form - Print On Demand Only | 7/2019 Rev. | 1/1/2300 12:00 | MINPF/Terri Horst | N | ||
| Epic Downtime Forms | Local | MDPROG | NurseryPhysicianProgressNotesMDPROG009.pdf | Nursery Physician Progress Notes MDPROG009 | 8/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | MDPROG | PhysicianProgressNotesBlankMDPROG001.pdf | Physician Progress Notes Blank MDPROG001 | 8/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | MEDNEC | PhysicianCertificationStatement_MEDNEC008.pdf | Physician Certification Statement MEDNEC008 | 2/27/2019 Rev. | 1/1/2300 12:00 | Integrated Care Management/Sarah Clark/Becky Batchelder | N | ||
| Epic Downtime Forms | Local | MEDNEC | HINN12NoncoveredContinuedStay_MEDNEC007fillable.pdf | HINN12 Noncovered Continued Stay MEDNEC007 | 6/2019 Rev. | 1/1/2300 12:00 | Integrated Care Management/Sarah Clark/Becky Batchelder | N | ||
| Epic Downtime Forms | Local | MEDNEC | DetailedNoticeofDischargeMEDNEC005_2020_FILLABLE.pdf | Detailed Notice of Discharge MEDNEC005 | Exp. 12/31/2022 | Integrated Care Management/Sarah Clark/Becky Batchelder | N | |||
| Epic Downtime Forms | Local | NEWB | CarSafetySeatMonitoringFormNEWB003.pdf | Car Safety Seat Monitoring Form - NEWB003 | 9/2020 Rev. | Downtime Form - Print On Demand Only / MINPF | N | |||
| Epic Downtime Forms | Local | PFT | SimpleStressTest-PFT_PFT002_Downtime.pdf | Simple Stress Test-PFT (Six-Minute) PFT002 | 11/2017 Rev. | 1/1/2300 12:00 | Respiratory/Brian McHale | N | ||
| Epic Downtime Forms | Local | PROGNT | NursesNotesPROGNT002.pdf | Nurse's Notes PROGNT002 - Print on Demand ONLY | 10/2018 Rev. | 1/1/2300 12:00 | Process Owner: NDUC/Elisabeth Bradfield | N | ||
| Epic Downtime Forms | Local | PROGNT | UniversalTransferSummaryPROGNT004.pdf | Universal Transfer Summary PROGNT004 | 7/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | PROGNT | InterdisciplinaryPlanofCarePROGNT003.pdf | Interdisciplinary Plan of Care (IPOC) PROGNT003 - Downtime Print On Demand Only | 8/2021 Rev. | Terri Horst | N | |||
| Epic Downtime Forms | Local | PROGNT | InterdisciplinaryProgressNotesPROGNT001.pdf | Interdisciplinary Progress Note - PROGNT001 | 9/2020 Rev. | N | ||||
| Epic Downtime Forms | Local | PROGNT | Newborn_Care_Plans_PROGNT008.pdf | Newborn Care Plans PROGNT008 Downtime | 9/2020 Rev. | Downtime From - Print On Demand Only Terri Horst/MINPF | N | |||
| Epic Downtime Forms | Local | REHAB | IPR_OTDailyTreatmentNote_REHAB066Downtime.pdf | Occupational Therapy Daily Treatment Note REHAB066 | 11/2018 Rev. | Print On Demand / Process Owner: Rehab/Melissa Waugh | N | |||
| Epic Downtime Forms | Local | REHAB | InterdisciplinaryCommunicationLog_REHAB014.pdf | Therapy Center Interdisciplinary Communication Log REHAB014 | 5/2017 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | REHAB | BedsideAssessmentofSwallowingFunction_REHAB022_2020.pdf | Bedside Assessment of Swallowing Function REHAB022 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Downtime Forms | Local | REHAB | ModifiedBariumSwallowREHAB023.pdf | Modified Barium Swallow REHAB023 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Downtime Forms | Local | REHAB | NeonatalOccupational-SpeechTherapyProgressNoteREHAB035.pdf | Neonatal Occupational/Speech Therapy Progress Note REHAB035 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Downtime Forms | Local | REHAB | OTInitialEvaluationReassessmentAcuteCare_REHAB008.pdf | OT Initial Evaluation Reassessment Acute Care REHAB008 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Downtime Forms | Local | REHAB | REHAB_065_IPR_OT_Downtime_Form-_Evaluation_and_Treatment_IPR_revised_2020b.pdf | Occupational Therapy Initial Evaluation and Treatment REHAB065 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Downtime Forms | Local | REHAB | PTInitialEvaluationReassessment_REHAB007.pdf | PT Initial Evaluation Reassessment REHAB007 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Downtime Forms | Local | REHAB | REHAB064_IPR_PT_Downtime_Form-_Treatment_IPR_revised_2020.pdf | Physical Therapy Daily Treatment Note REHAB064 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Downtime Forms | Local | REHAB | REHAB063_IPR_PT_Downtime_Form-_Evaluation_and_Treatment_IPR_revised_2020.pdf | Physical Therapy Initial Evaluation and Treatment REHAB063 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Downtime Forms | Local | REHAB | RecreationTherapyInitialEvaluationREHAB039.pdf | Recreation Therapy Initial Evaluation REHAB039 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Downtime Forms | Local | REHAB | RehabilitationFamilyConferenceREHAB029.pdf | Rehabilitation Family Conference REHAB029 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Downtime Forms | Local | REHAB | SpeechLanguagePathCognitiveLinguisticLangEvalREHAB040_2020.pdf | Speech-Language Pathology Cognitive-Linguistic Evaluation REHAB040 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Downtime Forms | Local | REHAB | SpeechLanguagePathologyLangEvalREHAB041_2020.pdf | Speech-Language Pathology Language Evaluation REHAB041 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Downtime Forms | Local | REHAB | OPRehabDailyNoteREHAB038.pdf | OP Rehab Daily Note REHAB038 | 9/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | REHAB | OPRehabProgressNoteforPhysREHAB037.pdf | OP Rehab Progress Note for Physicians REHAB037 | 9/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | REHAB | OccupationalTherapyInitialEvaluation_REHAB002.pdf | Occupational Therapy Initial Evaluation REHAB002 | 9/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | REHAB | PatientHistorySheet_REHAB019.pdf | Outpatient Patient History Sheet REHAB019 | 9/2020 Rev. | Downtime Form - Print On Demand Only | N | |||
| Epic Downtime Forms | Local | REHAB | REHAB018_UnplannedDischargeSummary.pdf | Unplanned Discharge Summary REHAB018 | 9/2020 Rev. Downtime Form - Print On Demand Only | STC Administration/Rita Brereton | N | |||
| Epic Downtime Forms | Local | REHAB | OP_PTInitialEvaluation_REHAB067Downtime.pdf | Outpatient Physical Therapy Initial Evaluation REHAB067 | 9/2020 Rev. Downtime Form - Print On Demand Only | 1/1/2300 12:00 | STC Administration/Rita Brereton | N | ||
| Epic Downtime Forms | Local | REHAB | SpeechandSwallowingEvaluationREHAB005.pdf | Speech and Swallowing Evaluation REHAB005 | 9/2020 Rev. Downtime Form - Print On Demand Only | STC Administration/Rita Brereton | N | |||
| Epic Downtime Forms | Local | REHAB | REHAB010_TherapyRequestforOrders.pdf | Therapy Request for Orders REHAB010 | 9/2020 Rev. Downtime Form - Print On Demand Only | Rita Brereton/Rehab Services Adminiatration Manager | N | |||
| Epic Downtime Forms | Local | VACCINE | NeonatalVaccineAdministrationRecordVACCINE001Spanish.pdf | Neonatal Vaccine Administration Record (Spanish) - VACCINE001 | 3/2019 Rev. | 1/1/2300 12:00 | MINPF/Terri Horst | N | ||
| Epic Downtime Forms | Local | VACCINE | NeonatalVaccineAdministrationRecordVACCINE001.pdf | Neonatal Vaccine Administration Record - VACCINE001 | 3/2019 Rev. | 1/1/2300 12:00 | MINPF/Terri Horst | N | ||
| Epic Downtime Forms | Local | VACCINE | VaccineAdministrationRecordVACCINE002Spanish.pdf | Vaccine Administration Record (Spanish) - VACCINE002 | 3/2019 Rev. | 1/1/2300 12:00 | MINPF/Terri Horst | N | ||
| Epic Downtime Forms | Local | VACCINE | VaccineAdministrationRecordVACCINE002.pdf | Vaccine Administration Record - VACCINE002 | 3/2019 Rev. | 1/1/2300 12:00 | MINPF/Terri Horst | N | ||
| Epic Uptime Forms | Local | ADMHX | COVID_19_SurgeInpatientAdmissionDocumentaton_ADMHX004.pdf | COVID-19 Surge Inpatient Admission Documentation ADMHX004 | 1/2021 Rev. | Kelsey Jones/ | N | |||
| Epic Uptime Forms | Local | AMBUL | PostAlteplaseTransportForm_AMBUL001b.pdf | Alteplase Transfer Sheet AMBUL001 | 1/2020 Rev. | System Stroke PI/Erick Vitug/Sarah Cullen/Ross Reitz | N | |||
| Epic Uptime Forms | Local | ANES | AnesthesiaMedicalNecessityANES025.pdf | Anesthesia Documentation of Medical Necessity for Category B Procedures ANES025 | 1/2017 Rev. | SNGH Surgery Administration/POC Pamela Streetman/Mary Johnson | N | |||
| Epic Uptime Forms | Local | ANES | AnesthesiaPreopEvalSWRMCANES018.pdf | Anesthesia Pre-Op Evaluation (SWRMC) - ANES018 | 1/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | ANES | PreoperativeClearancePartASWRMC_ANES026.pdf | Preoperative Clearance - ANES026 Part A (SWRMC) | 1/2019 Rev. | 1/1/2300 12:00 | Linda McCormick/Surgical Services | N | ||
| Epic Uptime Forms | Local | ANES | SMJH_AnesthesiaQuestANES030.pdf | SMJH Anesthesia Questionnaire ANES030 | 2/2021 Rev. | 1/1/2300 12:00 | Myrna White | N | ||
| Epic Uptime Forms | Local | ANES | PatientAdmissionHospitalsHiRes.pdf | PatientAdmissionHospitalsHiRes.pdf | 3/2017 Rev. | 1/1/2300 12:00 | N | |||
| Epic Uptime Forms | Local | ANES | SMG_AnesthesiaRecord.pdf | Anesthesia Record (SCH, Port Warwick) - SMG - ANES017 | 7/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | ANES | Anesthesia_Emergency_Lab_Form_ANES007.pdf | Anesthesia Emergency Lab Form ANES007 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | ANES | SRMH_PreOpTestingRequirementsforElectiveSurgPtANES029.pdf | Pre-Operative Testing Requirements for Elective Surgical Patients ANES029 | 8/2017 Rev. | SRMH Print Shop | N | |||
| Epic Uptime Forms | Local | ANES | AnesthesiaRecordANES001_2017.pdf | Anesthesia Record ANES001 | 8/2021 Rev. | 3 part all white | N | |||
| Health and Wellness | Local | General Health and Wellness Info | PED_FRONT_ENGLISH_postcard_4x6_August2021.pdf | Project Connect Card (Pediatrics) | 08/2021 Rev. | 1/1/2300 12:00 | Vanessa Hill/Anthony Wright | N | ||
| Epic Uptime Forms | Local | ASSESS | InterventionalRadiologyPreProcedureCheckOffListASSESS069_Rebrand.pdf | Interventional Radiology Pre-Procedure Checklist - ASSESS069 | 1/2020 Rev. | Al Nichols/SNGH Vascular/IR Lab | N | |||
| Epic Uptime Forms | Local | ASSESS | MySafetyPlanASSESS131.pdf | My Safety Plan ASSESS131 | 1/2020 Rev. | Behavioral Health Practice Forum/Kelly Higgins-Cross | N | |||
| Epic Uptime Forms | Local | ASSESS | SMJH_CardiologyPatientPreAssessmentFormASSESS133.pdf | SMJH Cardiology Patient Pre-Assessment ASSESS133 | 1/2020 Rev. | SRMH Print Shop | SMJH Cardiology/POC Ronda Hodge | N | ||
| Epic Uptime Forms | Local | ASSESS | SRMH_DynamicAppraisalofSituationalAggression_ASSESS181_1-2021.pdf | SRMH Dynamic Appraisal of Situational Aggression PILOT ASSESS181 | 1/2021 Rev. | Margaret Furr/Staff Development | N | |||
| Epic Uptime Forms | Local | ASSESS | CardiacRehabExercisePresandTreatmentPlanASSESS104.pdf | SOH Cardiac Rehab - Exercise Prescription and Treatment Plan ASSESS104 | 10/2019 Rev. | Ciara Jones System/Sandy Buck/SOH Cardiac Rehab | N | |||
| Epic Uptime Forms | Local | ASSESS | CardiacRehabNursingAssessmentSOH_ASSESS084.pdf | SOH Cardiac Rehab - Nursing Assessment ASSESS084 | 10/2019 Rev. | Ciara Jones System/Sandy Buck/SOH Cardiac Rehab | N | |||
| Epic Uptime Forms | Local | ASSESS | CT_ExposureAssessmentForm_ASSESS156.pdf | CT Exposure Assessment Form ASSESS156 | 10/2020 Rev. | 1/1/2300 12:00 | Thelma Papini/Imaging Operations | N | ||
| Epic Uptime Forms | Local | ASSESS | MRI_Breast_Questionnaire_ASSESS151.pdf | MRI Breast Questionnaire ASSESS151 | 10/2020 Rev. | Mammo Operations - Jimi Mingee/Teri Bibeault | N | |||
| Epic Uptime Forms | Local | ASSESS | MRI_Breast_Questionnaire_ASSESS151_ES.pdf | MRI Breast Questionnaire ASSESS151, Spanish | 10/2020 Rev. | Mammo Operations - Jimi Mingee/Teri Bibeault | N | |||
| Epic Uptime Forms | Local | ASSESS | 2020_Pregnancy_Test_Refusal_Form_ASSESS183.pdf | Pregnancy Test Refusal Form ASSESS183 | 10/2020 Rev. | Radiation Oncology/Thelma Papini | N | |||
| Epic Uptime Forms | Local | ASSESS | 2020_Supplemental_Breastfeeding_Instructions_Form_ASSESS184.pdf | Supplemental Breastfeeding Instructions Form ASSESS184 | 10/2020 Rev. | Radiation Oncology/Thelma Papini | N | |||
| Epic Uptime Forms | Local | ASSESS | Patient_Debriefing_Form_Use_aft_Seclusion-Rest_ASSESS070.pdf | Patient Debriefing Form for Use After Seclusion or Restraint ASSESS070 | 11/2017 Rev. | 1/1/2300 12:00 | BHPF/Mendy Jenkins | N | ||
| Epic Uptime Forms | Local | ASSESS | ASSESS177_DiabetesDuringPregnancyAssessmentForm.pdf | Diabetes During Pregnancy Assessment Form ASSESS177 | 11/2019 Rev. | Christine Dignan/Diabetes Education | N | |||
| Epic Uptime Forms | Local | ASSESS | JA-C011PatientEducationIodinatedContrastMedicationINSTRCT020.pdf | Patient Education Iodinated Contrast Medication INSTRCT020 / JA-C011 | 4/2018 Rev. | 1/1/2300 12:00 | Imaging Operations/Teri Bibeault | N | ||
| Epic Uptime Forms | Local | ASSESS | JA-C012PtHistQuestforUsewithIodinatedContrastMedASSESS064.pdf | Patient History Questionnaire for Procedures with and/or without Use of Iodinated Contrast Medication ASSESS064/JAC012 | 4/2018 Rev. | 1/1/2300 12:00 | Imaging Operations/Teri Bibeault | N | ||
| Epic Uptime Forms | Local | ASSESS | Chiro_PatientHistorySheetASSESS154.pdf | Chiropractic Center Patient History Sheet ASSESS154 | 4/2019 Rev. | 1/1/2300 12:00 | Missy Folta/Sentara Chiropractic Center | N | ||
| Epic Uptime Forms | Local | ASSESS | PainManagementPatientSelfReportASSESS081.pdf | Pain Management Patient Self Report ASSESS081 | 5/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | ASSESS | SOH_PreparingYouPatientfortheOR_Checklist_ASSESS152.pdf | SOH Preparing Your Patient for the OR Checklist ASSESS152 | 5/2018 Rev. | 1/1/2300 12:00 | SOH Surgical Services/Jessica Carpenter | N | ||
| Epic Uptime Forms | Local | ASSESS | SRMH_LactationConsultationServicesAssessmentASSESS125.pdf | SRMH Lactation Consultation Services Assessment ASSESS125 | 5/2020 Rev. | SRMH Print Shop | Rev. 5/17 Terri Horst (Family Maternity Center SRMH) | N | ||
| Epic Uptime Forms | Local | ASSESS | SMJH_XareltotoEliquisDiaryASSESS140.pdf | Xarelto/Eliquis Diary ASSESS140 | 6/2018 Rev. | 1/1/2300 12:00 | N | |||
| Epic Uptime Forms | Local | ASSESS | SRMH_DEXAQuestASSESS123.pdf | DEXA Questionnaire ASSESS123 (SRMH) ASSESS123 | 6/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Tami Eppard/SRMH Radiology | N | |
| Epic Uptime Forms | Local | ASSESS | MRI_SafetyForm_ASSESS037_June_2019.pdf | MRI Safety Screening Form Questionnaire ASSESS037 | 6/2019 Rev. | Please print 2 sided. | 1/1/2300 12:00 | Imaging Operations/Teri Bibeault | N | |
| Epic Uptime Forms | Local | ASSESS | EdinburghPostnatalDepressionScaleASSESS105Arabic.pdf | Edinburgh Postnatal Depression Scale (ARABIC) ASSESS105 | 6/2020 Rev. | MINPF | N | |||
| Epic Uptime Forms | Local | ASSESS | EdinburghPostnatalDepressionScaleASSESS105sp.pdf | Edinburgh Postnatal Depression Scale (SPANISH) ASSESS105 | 6/2020 Rev. | N | ||||
| Epic Uptime Forms | Local | ASSESS | EdinburghPostnatalDepressionScaleASSESS105Tagalog.pdf | Edinburgh Postnatal Depression Scale (TAGALOG) ASSESS105 | 6/2020 Rev. | MINPF | N | |||
| Epic Uptime Forms | Local | ASSESS | EdinburghPostnatalDepressionScaleASSESS105.pdf | Edinburgh Postnatal Depression Scale ASSESS105 | 6/2020 Rev. | 1/1/2300 12:00 | MINPF | N | ||
| Epic Uptime Forms | Local | ASSESS | SMJH_BloodFlowSheetASSESS139_7_2017.pdf | Blood Flow Sheet (SMJH) ASSESS139 | 7/2017 Rev. | SRMH Print Shop | N | |||
| Epic Uptime Forms | Local | ASSESS | SMJH_PrenatalPhoneAssessmentASSESS138.pdf | Prenatal Phone Assessment (SMJH) ASSESS138 | 7/2017 Rev. | SRMH Print Shop | N | |||
| Epic Uptime Forms | Local | ASSESS | CatquestASSESS106.pdf | Catquest 9SF Patient Questionnaire ASSESS106 | 7/2021 Rev. | Amy Bonanno | N | |||
| Epic Uptime Forms | Local | ASSESS | Cardiac_Surgery_Blood_Chemistry_Flow_ASSESS057.pdf | Cardiac Surgery Blood Chemistry Flow - ASSESS057 ASSESS057 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | ASSESS | Iodine-131TherapyPatientQuestionnaire_ASSESS157.pdf | Iodine-131 Therapy Patient Questionnaire ASSESS157 | 8/2018 Rev. | 1/1/2300 12:00 | Thelma Papini/Imaging Operations | N | ||
| Epic Uptime Forms | Local | ASSESS | MTI_Checklist_ASSESS174_2019.pdf | MTI Checklist ASSESS174 | 8/2019 Rev. | 1/1/2300 12:00 | System Wide Respiratory Committee/Brian McHale | N | ||
| Epic Uptime Forms | Local | ASSESS | PreSurgicalCataractSurgAssessmentASSESS107.pdf | Pre-Surgical Cataract Surgery Assessment ASSESS107 | 8/2019 Rev. | 1/1/2300 12:00 | Karen Pelham | N | ||
| Epic Uptime Forms | Local | ASSESS | SMJH_PiedmontStoneHandoffASSESS142_2019.pdf | SMJH Piedmont Stone Handoff Report ASSESS142 | 8/2019 Rev. | 1/1/2300 12:00 | SMJH Surgical Services/Myrna White | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | ASSESS | DiabetesAssessmentASSESS100.pdf | Diabetes Self Management Training ASSESS100 | 8/2020 Rev. | 1/1/2300 12:00 | Susan DeAbate/Diabetes Education | N | ||
| Epic Uptime Forms | Local | ASSESS | PVLPenileDCSummaryASSESS067_2020.pdf | Peripheral Vascular Lab Penile Discharge Summary ASSESS067 | 8/2020 Rev. | Priced 2 up on 11 x 17 and cut | Shelley Harris/SNGH Peripheral Vascular Lab | N | ||
| Epic Uptime Forms | Local | ASSESS | SMJH_EliquisDiaryASSESS135.pdf | Eliquis Diary ASSESS135 | 9/2019 Rev. | SMJH EP Navigator/POC Rebecca Hancock | N | |||
| Epic Uptime Forms | Local | ASSESS | SMJH_PadaxaDiaryASSESS137.pdf | Pradaxa Diary ASSESS137 | 9/2019 Rev. | SMJH EP Navigator/POC Rebecca Hancock | N | |||
| Epic Uptime Forms | Local | ASSESS | SMJH_XareltoDiaryASSESS136.pdf | Xarelto Diary ASSESS136 | 9/2019 Rev. | SMJH EP Navigator/POC Rebecca Hancock | N | |||
| Epic Uptime Forms | Local | ASSESS | 2020_Pregnancy_Breastfeeding_Screening_Form_ASSESS148.pdf | Pregnancy and/or Breast Feeding Verification ASSESS148 | 9/2020 Rev. | 1/1/2300 12:00 | Radiation Oncology/Thelma Papini | N | ||
| Epic Uptime Forms | Local | BLOOD | BLOOD003.pdf | Blood Tag - BLOOD003 (2500 p/carton) | Lindenmeyer CUSTOM PRINT FORM 2 HORIZ PERFS & 1 HOLE PUNCH Cut Sheet Printed 8-1/2 x 11 Parts: 1 Paper: 28LB White Ink: 1 Color Perf: 2 HORIZ Holes: 1 HP Top |
Barb Kelly/SNGH Lab | Lindenmeyer | N | ||
| Epic Uptime Forms | Local | BLOOD | OCS_Run_Record_BLOOD007.pdf | OCS Run Record BLOOD007 | 2/2021 Rev. | SHH Chief Perfusionist/Roldan Fernando | N | |||
| Epic Uptime Forms | Local | BLOOD | SHHPerfusionRecordBLOOD004_4_2019.pdf | Perfusion Record (2 Part White/Yellow) - BLOOD004 (Heart Hospital) | 4/2019 Rev. | NOTE: This form is 2 SIDED and 2 part. Lab Values print on the back of White and Yellow copies | 1/1/2300 12:00 | Roland Fernando/Chief Perfusionist | N | |
| Epic Uptime Forms | Local | BLOOD | IntraoperativeAutologousTransfusionRecordBLOOD006_2ptWY.pdf | Intraoperative Autologus Transfusion Record BLOOD006 | 8/2017 Rev. | Pack(s)-250 Sets p/pack | 1/1/2300 12:00 | Victor Holland | N | |
| Epic Uptime Forms | Local | BLOODCNSNT | BloodProductsConsent_woAttestation_BLOODCNSNT002.pdf | Blood/Blood Components/Blood Products (use with electronic Physician Attestation) BLOODCNSNT002 (ONLY SAMC, SRMH, SNGH, SHH, SWRMC) | 6/2019 Rev. | 1/1/2300 12:00 | Process Owner: Mary Ellen Bachas | N | ||
| Epic Uptime Forms | Local | BLOODCNSNT | BloodProductsConsent_woAttestation_BLOODCNSNT002_ESa.pdf | Blood/Blood Components/Blood Products (use with electronic Physician Attestation) BLOODCNSNT002 SPANISH (ONLY SAMC, SRMH, SNGH, SHH, SWRMC) | 6/2019 Rev. | Process Owner: Mary Ellen Bachas | N | |||
| Epic Uptime Forms | Local | BLOODCNSNT | BloodProductsConsent_withAttestation_BLOODCNSNT001.pdf | Blood/Blood Components/Blood Products WITH Physician Attestation BLOODCNSNT001 | 6/2019 Rev. | 1/1/2300 12:00 | Process Owner: Mary Ellen Bachas - This version should be used as the Epic Downtime Form. | N | ||
| Epic Uptime Forms | Local | BLOODCNSNT | BloodProductsConsent_withAttestation_BLOODCNSNT001_ESa.pdf | Blood/Blood Components/Blood Products WITH Physician Attestation BLOODCNSNT001, SPANISH | 6/2019 Rev. | Process Owner: Mary Ellen Bachas - This version should be used as the Epic Downtime Form. | N | |||
| Epic Uptime Forms | Local | Barcode Labels | 12LEAD.pdf | 12LEAD Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | ADVD.pdf | ADVD Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | AMBUL.pdf | AMBUL Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | ANES.pdf | ANES Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | ASSESS.pdf | ASSESS Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | CARDIACEKGStressTest.pdf | CARDIAC Label - EKG Stress Test | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | CARDIAC.pdf | CARDIAC029 Barcode Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | CARDPULMREHAB.pdf | CARDPULMREHAB Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | CHFDiag.pdf | CHFDIAG Labels | N | |||||
| Epic Uptime Forms | Local | Barcode Labels | CNSNT.pdf | CNSNT Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | DDNPOST.pdf | DDNPOST Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | EDVISIT.pdf | EDVISIT Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | ENDO.pdf | ENDO Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | EPABLATION.pdf | EPABLATION Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | EPDEVICE.pdf | EPDEVICE Label | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | FIN.pdf | FIN Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | FINNONCLIN.pdf | FIN NONCLIN Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | HIMROI.pdf | HIMROI Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | HOMEHEALTH.pdf | HOMEHEALTH Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | IMAGE.pdf | IMAGE Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | IMPLANT.pdf | IMPLANT Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | INSTRCT.pdf | INSTRCT Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | LAB.pdf | LAB Barcode Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | LEGAL.pdf | LEGAL Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | LABLabspecimen.pdf | Lab Specimen Label - LAB | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | MAC.pdf | MAC Barcode Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | MACVAS.pdf | MACVAS Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | MANOMETRY.pdf | MANOMETRY Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | MDCNSLT.pdf | MDCNSLT Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | MDDISC.pdf | MDDISC Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | MDHP.pdf | MDHP Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | MDOPNT.pdf | MDOPNT Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | MDORD.pdf | MDORD Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | MDPROG.pdf | MDPROG Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | MEDNEC.pdf | MEDNEC Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | MRFO.pdf | MRFO Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | NEWB.pdf | NEWB Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | NICUDCMDDISC001.pdf | NICU DC Summary - MDDISC Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | OXIMETRY.pdf | OXIMETRY Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | PACE.pdf | PACE Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | PFT.pdf | PFT Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | PMI.pdf | PMI Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | PROGNT.pdf | PROGNT Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | PVL.pdf | PVL Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | RESULTS.pdf | RESULTS Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | RSRCHCNSNT__Autosaved_.pdf | RSRCHCNSNT Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | SLPANALYSIS.pdf | SLPANALYSIS Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | SLPRESULT.pdf | SLPRESULT Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | SLPRESULT.pdf | SLPRESULT Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | TELENURSING.pdf | TELENURSING Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | TELETECH.pdf | TELETECH Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | TRANSPLANT.pdf | TRANSPLANT Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | Barcode Labels | VACCINE.pdf | VACCINE Labels | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | CARDIAC | HolterMonitorLeadSheetCARDIAC.pdf | Holter Monitor Lead Sheet CARDIAC | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | CARDIAC | Cardiac_Thoracic_Surgery_Pre_Op_Protocols_Order_Set_.pdf | IP/OP: Cardiac/Thoracic Surgery Pre Op Protocols Order Set EPIC 2948 | 12/17/2019 Rev. | Mary E. Bachas | N | |||
| Epic Uptime Forms | Local | CARDIAC | OP__Cardiac_Diagnostic_Pre_Procedure_Protocols_Order_Set_EPIC_2947.pdf | OP: Cardiac Diagnostic Pre Procedure Protocols Order Set EPIC 2947 | 2/26/2020 Rev. | Mary E. Bachas | N | |||
| Epic Uptime Forms | Local | CARDIAC | SOH_CardiacRehabilitationEducationLogCARDIAC031.pdf | SOH Cardiac Rehabilitation Education Log CARDIAC031 | 4/2019 Rev. | 1/1/2300 12:00 | Sandy Buck/SOH Cardiovascular Therapy | N | ||
| Epic Uptime Forms | Local | CARDIAC | SRMH_HolterMonitorEquipmentResponsibilityAgreement_CARDIAC033.pdf | SRMH Holter Monitor Equipment Responsibility Agreement CARDIAC033 | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: SRMH Heart and Vascular Services/Thomas Rice | N | ||
| Epic Uptime Forms | Local | CARDIAC | SRMH_HolterMonitorInstructionsChecklist_CARDIAC032.pdf | SRMH Holter Monitor Instructions Checklist CARDIAC032 | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: SRMH Heart and Vascular Services/Thomas Rice | N | ||
| Epic Uptime Forms | Local | CARDIAC | CardiacNonInvasiveStressTestWorksheetCARDIAC011.pdf | Cardiac Non-Invasive Stress Test Worksheet - CARDIAC011 | 9/2017 Rev. | Amy Poland/Non-Invasive Cardiology | N | |||
| Epic Uptime Forms | Local | CARDIAC | CARDIAC001TiltTableTestWorksheet.pdf | Tilt Table Test Worksheet Results - CARDIAC001 | 9/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | CARDPULMREHAB | SAMC_ExerciseRecordCARDPULMREHAB020.pdf | SAMC Exercise Record CARDPULMREHAB020 | 10/2017 Rev. | 1/1/2300 12:00 | N | |||
| Epic Uptime Forms | Local | CARDPULMREHAB | SOH_CardiacRehabExplanationofMonitoredCardiacRehabProgramCARDPULMREHAB025.pdf | SOH Cardiac Rehab - Explanation of Monitored Cardiac Rehabilitation Program CARDPULMREHAB025 | 10/2019 Rev. | Ciara Jones/SOH POC Sandy Buck | N | |||
| Epic Uptime Forms | Local | CARDPULMREHAB | CR_DCInstructionCARDPULMREHAB010_2020.pdf | SRMH Cardiac Rehabilitation Program Outcomes and Discharge Instructions CARDPULMREHAB010 | 3/2020 Rev. | SRMH Print Shop | SRMH Cardiovascular Therapy/April Eavers | N | ||
| Epic Uptime Forms | Local | CARDPULMREHAB | PR_DCInstructionCARDPULMREHAB011_2020.pdf | SRMH Pulmonary Rehabilitation Program Outcomes and Discharge Instructions CARDPULMREHAB011 | 3/2020 Rev. | SRMH Print Shop | SRMH Cardiovascular Therapy/April Eavers | N | ||
| Epic Uptime Forms | Local | CARDPULMREHAB | SRMH_VR_DCInstructionCARDPULMREHAB013_2020.pdf | SRMH Vascular Rehabilitation Program Outcomes and Discharge Instructions CARDPULMREHAB013 | 3/2020 Rev. | SRMH Print Shop | SRMH Cardiovascular Therapy/April Eavers | N | ||
| Epic Uptime Forms | Local | CARDPULMREHAB | SRMH_CardiopulmonaryRehabilitationExerciseFlowsheetCARDPULMREHAB002.pdf | SRMH Cardiopulmonary Rehabilitation Exercise Flowsheet CARDPULMREHAB002 | 7/2017 Rev. | SRMH Print Shop | ICPF/Donna Gagnon | N | ||
| Epic Uptime Forms | Local | CARDPULMREHAB | SRMH_CardiovascularRehabPhysicianResponseFormCARDPULMREHAB001.pdf | SRMH Cardiovascular Rehab Physician Response Form CARDPULMREHAB001 | 7/2017 Rev. | SRMH Print Shop | ICPF/Donna Gagnon | N | ||
| Epic Uptime Forms | Local | CARDPULMREHAB | SRMH_PR_PhysicianResponseFormCARDPULMREHAB003.pdf | SRMH PR Physician Response Form CARDPULMREHAB003 | 7/2017 Rev. | SRMH Print Shop | SRMH Print Shop | N | ||
| Epic Uptime Forms | Local | CARDPULMREHAB | RateYourPlateHeartCARDPULMREHAB.pdf | Rate Your Plate - Heart CARDPULMREHAB | 8/2017 Not a Sentara Piece | 1/1/2300 12:00 | N | |||
| Epic Uptime Forms | Local | CARDPULMREHAB | COOP_CARDPULMREHAB.pdf | NEEDS REVIEW COOP/Health Status Measure CARDPULMREHAB012 | 9/2016 Rev. | N | ||||
| Epic Uptime Forms | Local | CARDPULMREHAB | CRandPR_PHQ9CARDPULMREHAB004.pdf | NEEDS REVIEW CR and PR PHQ9 CARDPULMREHAB004 | 9/2016 Rev. | SRMH Print Shop | N | |||
| Epic Uptime Forms | Local | CARDPULMREHAB | CRandPR_SixMinuteWalkTestCARDPULMREHAB005.pdf | NEEDS REVIEW CR and PR Six Minute Walk Test CARDPULMREHAB005 | 9/2016 Rev. | SRMH Print Shop | N | |||
| Health and Wellness | Local | General Health and Wellness Info | PED_FRONT_SPANISH_postcard_4x6_August2021.pdf | Project Connect Card (Pediatrics), SPANISH | 08/2021 Rev. | 1/1/2300 12:00 | Vanessa Hill/Anthony Wright | N | ||
| Epic Uptime Forms | Local | CNSNT | ICA_Chemo_Bio_Immunotherapy_CNSNT154_Spanish_FINAL.pdf | Consent to Chemotherapy, Biotherapy, Immunotherapy CNSNT154 (SPANISH) | 07/2020 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | SNVMCConsentforOBAnesAnalCNSNT128span.pdf | Consent for Obstetrical Anesthesia/Analgesia (SNVMC) - Spanish CNSNT128 | 1/2017 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | SNVMCConsentforOBAnesAnalCNSNT128.pdf | Consent for Obstetrical Anesthesia/Analgesia (SNVMC) CNSNT128 | 1/2017 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | InformedConsentAcknowledgmentHemodialysisCNSNT144.pdf | Informed Consent Acknowledgment Hemodialysis CNSNT144 | 1/2020 Rev. | David Cochran/Katy Trapp | N | |||
| Epic Uptime Forms | Local | CNSNT | InformedConsentAcknowledgmentHemodialysisCNSNT144_Spanish.pdf | Informed Consent Acknowledgment Hemodialysis CNSNT144, SPANISH | 1/2020 Rev. | David Cochran/Katy Trapp | N | |||
| Epic Uptime Forms | Local | CNSNT | CNSNT021_IC_ModSedationPhysAttestationNoteinEpicPilot.pdf | Informed Consent: Moderate/Deep Sedation PILOT CNSNT021 | 1/2020 Rev. USED BY SAMC, SHRH, SRMH | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | ConsentforPhotographCNSNT043.pdf | Consent to Photograph, Videotape, Audio Record CNSNT043 | 11/2018 Rev. | 1/1/2300 12:00 | N | |||
| Epic Uptime Forms | Local | CNSNT | AnesthesiaConsentCNSNT003.pdf | Anesthesia Consent Form (English) - CNSNT003 | 4/2020 Rev. | Dr. Karen Sickenger | N | |||
| Epic Uptime Forms | Local | CNSNT | AnesthesiaConsentCNSNT003_ES_2.pdf | Anesthesia Consent Form (Spanish) - CNSNT003 | 4/2020 Rev. | Dr. Karen Sickenger | N | |||
| Epic Uptime Forms | Local | CNSNT | ICA_SurgeryorMedicalProcedure_PhysAttestationNoteinEpic_CNSNT001_FILLABLE2.pdf | CNSNT001 Informed Consent Acknowledgement for Surgery or Medical Procedure with PHYSICIAN ATTESTATION NOTE IN EPIC (Fillable Procedure Line - Optional) | 5/2020 Rev. UPDATE TO CNSNT001-A | Informed Consent Team/POC Katy Trapp | N | |||
| Epic Uptime Forms | Local | CNSNT | ICA_SurgeryorMedicalProcedure_PhysAttestationNoteinEpic_CNSNT001_ES.pdf | CNSNT001 SPANISH Informed Consent Acknowledgement for Surgery or Medical Procedure with PHYSICIAN ATTESTATION NOTE IN EPIC | 5/2020 Rev. UPDATE TO CNSNT001-A | Informed Consent Team/POC Katy Trapp/Brian Gadsby | N | |||
| Epic Uptime Forms | Local | CNSNT | ICA_SurgeryorMedicalProcedure_PhysAttestationNote_DOWNTIME_CNSNT002_ES.pdf | CNSNT002 SPANISH Informed Consent Acknowledgement for Surgery or Medical Procedure with PHYSICIAN ATTESTATION | 5/2020 Rev. UPDATE TO CNSNT001-B | Informed Consent Team/POC Katy Trapp/Brian Gadsby | N | |||
| Epic Uptime Forms | Local | CNSNT | ICA_SurgeryorMedicalProcedure_PhysAttestationNote_DOWNTIME_CNSNT002_FILLABLE3.pdf | CNSNT002 Informed Consent Acknowledgement for Surgery or Medical Procedure with PHYSICIAN ATTESTATION (Fillable Procedure Line - Optional) | 5/2020 Rev. UPDATE to CNSNT001-B | Informed Consent Team/POC Katy Trapp | N | |||
| Epic Uptime Forms | Local | CNSNT | OBAnesthesiaConsentAtlanticAnesthesia_CNSNT006_.pdf | OB Anesthesia Consent Form - Atlantic Anesthesia, Inc. - CNSNT006 | 6/2021 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | OBAnesthesiaConsentAtlanticAnesthesiaCNSNT006Sp.pdf | OB Anesthesia Consent Form - Atlantic Anesthesia, Inc. - CNSNT006 Spanish | 6/2021 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | OBConsentforProcedure-Treatment_CNSNT004.pdf | OB Consent for Procedures and Treatment - CNSNT004 | 6/2021 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | OBConsentforProcedure-Treatment_CNSNT004SP.pdf | OB Consent for Procedures and Treatment - CNSNT004, Spanish | 6/2021 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | AtlanticAnesthesiaConsentSPANISHCNSNT005.pdf | Atlantic Anesthesia Inc. Consent Form (Spanish) - CNSNT005 | 7/2017 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | AtlanticAnesthesiaCNSNT005.pdf | Atlantic Anesthesia Inc. Consent Form - CNSNT005 | 7/2017 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | AtlanticAnesRegionalAnesPostOpPainMgmtConsentCNSNT122.pdf | Atlantic Anesthesia Regional Anesthesia Post Op Pain Management Consent CNSNT122 | 7/2017 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | I-131_ProcedureConsent_CNSNTT116.pdf | Iodine - 131 Procedure Consent | 7/2018 Rev. | 1/1/2300 12:00 | Thelma Papini/Imaging Operations | N | ||
| Epic Uptime Forms | Local | CNSNT | ICA_Chemo_Bio_Immunotherapy_CNSNT154.pdf | Consent to Chemotherapy, Biotherapy, Immunotherapy CNSNT154 | 7/2020 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | AnesSpecialistConsentCNSNT034.pdf | Anesthesia Specialist Consent (English) - CNSNT034 | 8/2017 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | AnesSpecialistConsentCNSNT034Sp.pdf | Anesthesia Specialist Consent (Spanish) - CNSNT034 | 8/2017 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | SAMC_SKH_AnesthesiaConsent_CNSNT156.pdf | SAMC/SKH Anesthesia Consent CNSNT156 | 8/2017 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | ConsentForModerateSedationCNSNT021.pdf | Consent for Moderate/Deep Sedation - CNSNT021 | 8/2019 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | ConsentForModerateSedationCNSNT021_SP.pdf | Consent for Moderate/Deep Sedation - CNSNT021, SPANISH | 8/2019 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | RadiationOncologyProcedureCNSNT150.pdf | Radiation Oncology Procedure Consent - CNSNT150 | 9/2016 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | NeonatalCircumcisionConsentCNSNT020.pdf | Neonatal Circumcision Consent for Procedures and Treatment - CNSNT020 | 9/2019 Rev. | Informed Consent Team | N | |||
| Epic Uptime Forms | Local | CNSNT | DocumentRetired.pdf | RETIRE 11/2019: Parent Refusal for Metabolic Screen | NOT ORDERED | N | ||||
| Epic Uptime Forms | Local | COMMREQ | Language__Communication_Services_Request_Form_12.2020.pdf | Communication Request Form COMMREQ001 | 12/2020 Rev. | Process Owner: Katy Trapp | N | |||
| Epic Uptime Forms | Local | CPR | CPR002_2021.pdf | Cardio-Pulmonary Arrest Record - CPR002 | 1/2021 Rev. | 1/1/2300 12:00 | Process Owner: Code Blue Committee | N | ||
| Epic Uptime Forms | Local | CPR | NeonatalCPR001.pdf | Cardio-Pulmonary Arrest Record - Neonatal - CPR001 | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: MINPF/Terri Horst | N | ||
| Epic Uptime Forms | Local | DDNPOST | NC_DNR.pdf | NC Do Not Resuscitate Order (DNR) | Inventory Item DO NOT PRINT | Katy Trapp | N | |||
| Epic Uptime Forms | Local | DDNPOST | NC_MOST_form.pdf | NC Medical Order for Scope of Treatment (MOST) | Inventory Item DO NOT PRINT | 1/1/2300 12:00 | Katy Trapp | N | ||
| Epic Uptime Forms | Local | DDNPOST | DDNPOST.pdf | Physicians Order for Scope of Treatment (POST) - DDNPOST | 09/2020 (https://www.virginiapost.org/forms) | Crackling Canary Paper, 2
SIDED Check site for version: https://www.virginiapost.org/forms If outdated contact David Cochran to obtain updated pdf from program.coordinator@virginiapost.org |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | DDNPOST | AuthorizedDurableDNRForm.pdf | Authorized Durable DNR Form DDNPOST | verified 6/5/2021 vdh.gov | Shelf Item 3 part Yellow/White/White Top: Yellow-Color Print 1st Copy White-Black Print http://www.vdh.virginia.gov/content/uploads/sites/23/2016/05/Authorized-Durable-DNR-Order-Form-Instructions-udated-61917.pdf 2nd Copy White-Black Print |
Click to View: {popup=http://www.vdh.virginia.gov/content/uploads/sites/23/2016/05/Authorized-Durable-DNR-Order-Form-Instructions-udated-61917.pdf}DDNR{/popup} | Signature Printing | N | |
| Epic Uptime Forms | Local | EDVISIT | SMJH_PatientSignInED_EDVISIT018.pdf | Emergency Department Patient Sign-In Sheet EDVISIT018 | 12/2017 Rev. | 1/1/2300 12:00 | Courtney Lambert/Free Standing ED | N | ||
| Epic Uptime Forms | Local | EDVISIT | EMSTransferFormEDVISIT017.pdf | EMS Transfer Form EDVISIT017 | 5/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Paula Neher/SRMH ED Educator | N | |
| Epic Uptime Forms | Local | EDVISIT | EDStressTestReportEDVISIT015.pdf | Stress Test Report for Emergency Room Patients EDVISIT015 | 9/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | ENDO | SMJH_BacterialOvergrowthHydrogenBreathTestENDO013.pdf | SMJH Bacterial Overgrowth Hydrogen Breath Test ENDO013 | 12/2019 Rev. | SMJH Endoscopy Department/POC Layne Brophy | SRMH Print Shop | N | ||
| Epic Uptime Forms | Local | ENDO | SMJH_LactoseHydrogenBreathTestENDO014.pdf | SMJH Lactose Hydrogen Breath Test ENDO014 | 12/2019 Rev. | SMJH Endoscopy Department/POC Layne Brophy | SRMH Print Shop | N | ||
| Maternity | pf.sentara.com | General Information | FBP-NitrousOxideFAQflyer-0821.pdf | FAQ of Nitrous Oxide for Pain Relief in Labor Flyer | 08/2021 Rev. | 1/1/2300 12:00 | Process Owner: MINPF/POC Terri Horst | N | ||
| Epic Uptime Forms | Local | FIN | HER_SMG_FIN001ConsentforTreatmentandFinancialAgreement_1_17_2020rev.pdf | HER & SMG Consent for Treatment & Financial Agreement FIN001 | 1/17/2020 Rev. | Process Owner: Bobby Richman | N | |||
| Epic Uptime Forms | Local | FIN | Important_Message_From_TRICARE_2018.pdf | An Important Message From Tricare (2 Part W/Y, 2 sided) | 1/2018 Verified | N | ||||
| Epic Uptime Forms | Local | FIN | SMJH_SMJMG_FIN001_ConsentforTreatmentandFinancialAgreement_1_21_2020.pdf | SMJH & SMJMG Consent for Treatment & Financial Agreement FIN001 | 1/21/2020 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: Bobby Richman | N | |
| Epic Uptime Forms | Local | FIN | SMJH_SMJMG_FIN001ConsentforTreatmentandFinancialAgreement_1_21_2020_ES_updated.pdf | SMJH & SMJMG Consent for Treatment & Financial Agreement FIN001, SPANISH | 1/21/2020 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: Bobby Richman | N | |
| Epic Uptime Forms | Local | FIN | SRMH_SRMG_FIN001_ConsentforTreatmentandFinancialAgreement_1_21_2020.pdf | SRMH & SRMG Consent for Treatment & Financial Agreement FIN001 | 1/21/2020 Rev. | SRMH Print Shop | Process Owner: Bobby Richman | N | ||
| Epic Uptime Forms | Local | FIN | SRMH_SRMG_FIN001ConsentforTreatmentandFinancialAgreement_1_21_2020_ES_updated.pdf | SRMH & SRMG Consent for Treatment & Financial Agreement FIN001, SPANISH | 1/21/2020 Rev. | SRMH Print Shop | Process Owner: Bobby Richman | N | ||
| Epic Uptime Forms | Local | FIN | HR_SMG_FIN001ConsentforTreatmentandFinancialAgreement_11_21_2019.pdf | Hampton Roads & SMG Consent for Treatment & Financial Agreement (Virginia) - FIN001 | 11/21/2019 Rev. | 1/1/2300 12:00 | Process Owner: Bobby Richman | N | ||
| Epic Uptime Forms | Local | FIN | HR_SMG_FIN001ConsentforTreatmentandFinancialAgreement_11_21_2019_ES_CORRECTED.pdf | Hampton Roads/SMG Consent for Treatment & Financial Agreement (Virginia) - FIN001, SPANISH | 11/21/2019 Rev. | 1/1/2300 12:00 | Bobby Richman | N | ||
| Epic Uptime Forms | Local | FIN | SMG_NC_FIN001_ConsentforTreatmentandFinancialAgreement_11_21_2019.pdf | SMG NC Consent for Treatment and Financial Agreement FIN001 | 11/21/2019 Rev. | 1/1/2300 12:00 | Bobby Richman/SMG Practice Support | N | ||
| Epic Uptime Forms | Local | FIN | SNVMC_FIN001_ConsentforTreatmentandFinancialAgreement_11_21_2019.pdf | SNVMC & SMG Consent for Treatment and Financial Agreement FIN001 | 11/21/2019 Rev. | 1/1/2300 12:00 | Process Owner: Bobby Richman | N | ||
| Epic Uptime Forms | Local | FIN | SNVMC_FIN001_ConsentforTreatmentandFinancialAgreement_11_21_2019_ES_CORRECTED.pdf | SNVMC & SMG Consent for Treatment and Financial Agreement FIN001, SPANISH | 11/21/2019 Rev. | 1/1/2300 12:00 | Process Owner: Bobby Richman | N | ||
| Epic Uptime Forms | Local | FIN | SPAH_SMG_FIN001ConsentforTreatmentandFinancialAgreement_11_21_2019.pdf | SPAH & SMG Consent for Treatment and Financial Agreement FIN001 | 11/21/2019 Rev. | 1/1/2300 12:00 | Process Owner: Bobby Richman | N | ||
| Epic Uptime Forms | Local | FIN | SPAH_SMG_FIN001ConsentforTreatmentandFinancialAgreement_11_21_2019_ES_CORRECTED.pdf | SPAH & SMG Consent for Treatment and Financial Agreement FIN001, SPANISH | 11/21/2019 Rev. | 1/1/2300 12:00 | Process Owner: Bobby Richman | N | ||
| Epic Uptime Forms | Local | FIN | PatientFinancialInformationFIN011.pdf | Patient Financial Information Collection Letter FIN011, 2 part | 3/2020 Rev. | System Registration Directors/POC Shonda Green: Thomas Allen; Cindy Devlin; Mike Harkins | N | |||
| Epic Uptime Forms | Local | FIN | FIN019_ConsentFinAgreementSentaraToHomeMonitoringProgram.pdf | Financial Agreement/Consent for Sentara to Home Remote Patient Monitoring Program FIN019 | 4/24/2020 Rev. | Bobby Richman | N | |||
| Epic Uptime Forms | Local | FIN | SAMC_APS_NC_ConsentforTreatmentandFinancialAgreement_8_12_2019.pdf | SAMC & APS Consent for Treatment and Financial Agreement FIN001 | 8/12/2019 Rev. | 1/1/2300 12:00 | Process Owner: Bobby Richman | N | ||
| Epic Uptime Forms | Local | FIN | SAMC_APS_NC_ConsentforTreatmentandFinancialAgreement_08_12_2019_ES.pdf | SAMC & APS Consent for Treatment and Financial Agreement FIN001, SPANISH | 8/12/2019 Rev. | 1/1/2300 12:00 | Process Owner: Bobby Richman | N | ||
| Epic Uptime Forms | Local | FIN | MedicareSecondaryPayorQuestionnaireFIN002.pdf | Medicare Secondary Payor Questionnaire FIN002 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | FIN | MedicareSecondaryPayorQuestionnaireFIN002.pdf | Medicare Secondary Payor Questionnaire FIN002.pdf | 8/2017 Rev. | Valerie Price | N | |||
| Epic Uptime Forms | Local | FIN | MedicareSecondarytoanAutomobileAccidentFIN010__1_.pdf | Medicare Secondary to an Automobile Accident FIN010 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | FIN | SHRHSDHMA_FIN001ConsentforTreatmentandFinancialAgreement_9_23_2019.pdf | SHRH & SDHMA Consent for Treatment & Financial Agreement (Virginia) - FIN001 | 9/23/2019 Rev. | Process Owner: Bobby Richman | N | |||
| Epic Uptime Forms | Local | FIN | SHRHSDHMA_FIN001ConsentforTreatmentandFinancialAgreement_9_23_2019_SP.pdf | SHRH & SDHMA Consent for Treatment & Financial Agreement (Virginia) - FIN001, SPANISH | 9/23/2019 Rev. | Process Owner: Bobby Richman | N | |||
| Epic Uptime Forms | Local | FINSERIES | SeriesofTx_ConsentforTxandFinAgreement_FINSERIES001.pdf | Series of Treatment Consent for Treatment and Financial Agreement FINSERIES001 | 10/2020 Rev. | 1/1/2300 12:00 | Process Owner: Registration/POC Thomas Allen and Mike Harkins | N | ||
| Epic Uptime Forms | Local | FINSERIES | SeriesofTx_ConsentforTxandFinAgreement_FINSERIES003.pdf | Series of Treatment Consent for Treatment and Financial Agreement for OP Infusion FINSERIES003 | 10/2020 Rev. | Jeffrey Hardin | N | |||
| Epic Uptime Forms | Local | FINSERIES | SeriesofTx_ConsentforTxandFinAgreement_FINSERIES001_ES.pdf | Series of Treatment Consent for Treatment and Financial Agreement FINSERIES001, SPANISH | 5/2020 Rev. | 1/1/2300 12:00 | Process Owner: Registration/POC Thomas Allen and Mike Harkins | N | ||
| Epic Uptime Forms | Local | FINSERIES | SCN_SeriesofTx_TxandFinAgreement_FINSERIES002_6_2020_edited.pdf | Cancer Network (Sentara Cancer Center) Series of Treatment Consent for Treatment and Financial Agreement FINSERIES002 | 6/2020 Rev. | 1/1/2300 12:00 | Process Owner: Registration/POC Thomas Allen and Mike Harkins | N | ||
| Epic Uptime Forms | Local | HEARING | HearingScreenResults__HEARING002.pdf | Hearing Screening Results Lead Sheet HEARING002 | N | |||||
| Epic Uptime Forms | Local | HEARING | HearingScreenReportingFormforStateVAHEARING003_3PtNew.pdf | Hearing Screen Reporting Form For State of Virginia HEARING003 | 8/2019 Rev. | 1/1/2300 12:00 | Process Owner: MINPF/Terri Horst | N | ||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | ADVD.pdf | ADVD Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | DMEEDVISIT.pdf | DMEEDVISIT Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HHCCN.pdf | HHCCN Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HHDC.pdf | HHDC Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HHHABN.pdf | HHHABN Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HHHEVACP.pdf | HHHEVACP Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HHHEVER.pdf | HHHEVER Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HHHF2F.pdf | HHHF2F Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HHHHIMROI.pdf | HHHHIMROI Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HHHMRFO.pdf | HHHMRFO Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HHHNOMNOC.pdf | HHHNOMNOC Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HHHRESULTS.pdf | HHHRESULTS Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HHRF.pdf | HHRF Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HHSSA.pdf | HHSSA Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSADM.pdf | HOSADM Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSBTS.pdf | HOSBTS Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSCA.pdf | HOSCA Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSCIA.pdf | HOSCIA Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSDEAICD.pdf | HOSDEAICD Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSDMAS.pdf | HOSDMAS Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSDNR.pdf | HOSDNR Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSDRUG.pdf | HOSDRUG Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSEOB.pdf | HOSEOB Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSFIN.pdf | HOSFIN Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSGIP.pdf | HOSGIP Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSNOCODO.pdf | HOSNOCODO Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSREVOC.pdf | HOSREVOC Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSTRANS.pdf | HOSTRANS Label Sheet (30 Labels p/sheet) | N | |||||
| Epic Uptime Forms | Local | HH and HOSP Barcode Label Sheets | HOSVAR.pdf | HOSVAR Label Sheet (30 Labels p/sheet) | N | |||||
| Maternity | pf.sentara.com | General Information | FBP-NitrousOxideBroch-0821.pdf | Nitrous Oxide for Pain Relief During Labor Brochure | 08/2021 Rev. | 1/1/2300 12:00 | Terri Horst | N | ||
| Maternity | pf.sentara.com | General Information | SPAH_BreastfeedingSupportGroup_Rackcard.pdf | SPAH Breastfeeding & Postpartum Support Group Rack Card #2205 | 08/2021 Rev. | Jennifer "JJ" Toombs | N | |||
| Maternity | pf.sentara.com | General Information | SPAH_Baby_Wall_brochure_2021.pdf | SPAH Commemorate the Birth of a Child - Baby Wall Brochure | 08/2021 Rev. | Angel Barnhill | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_Cupping_Brochure_SNVMC_2304.pdf | SNVMC STC Cupping Brochure #2304 | 08/2021 Rev. | April Harrington | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_PedsNewtown_TherapyHomeProgramSheet_2pt.pdf | STC Newtown Pediatrics Therapy Home Program Sheet #1703 | 08/2021 Rev. | 1/1/2300 12:00 | Process Owner: Rita Brereton | N | ||
| Epic Uptime Forms | Local | HIMROI | MedicalRecordsConsentFormHIMROI005.pdf | Medical Records Consent Form - Transplant - HIMROI005 | 11/2019 Rev. | N | ||||
| Epic Uptime Forms | Local | HIMROI | AuthorizationtoDiscloseProtectedHealthInformationHIMROI001_12_2020.pdf | Authorization to Disclose Protected Health Information HIMROI001, Flat Sheet | 12/2020 Rev. | Nancy Blankenship/Health Information Management | N | |||
| Epic Uptime Forms | Local | HIMROI | AuthorizationtoDiscloseProtectedHealthInformationHIMROI001_12_2020_Spanosh_FINAL.pdf | Authorization to Disclose Protected Health Information HIMROI001, SPANISH | 12/2020 Rev. | Nancy Blankenship/Health Information Management | N | |||
| Epic Uptime Forms | Local | HIMROI | AuthorizationtoDiscloseProtectedHealthInformationHIMROI001_12_2020_Russian_FINAL.pdf | Authorization to Disclose Protected Health Information Russian HIMROI001, Flat Sheet | 12/2020 Rev. | Nancy Blankenship/Health Information Management | N | |||
| Epic Uptime Forms | Local | HIMROI | PatientAttestationFormHIMROI010.pdf | Patient Attestation Form HIMROI010 | 6/2021 Rev. | 1/1/2300 12:00 | Therapy Services/Rita Brereton | N | ||
| Epic Uptime Forms | Local | HIMROI | DocumentRetired.pdf | RETIRE 11/2019: Referral to Central Intake for Home Visiting HIMROI009 | NOT ORDERED | MINPF/Heike Nicks | N | |||
| Epic Uptime Forms | Local | HIPAA | RequestforCorrectionAmendmentofHealthInformationHIPAA001.pdf | Request for Correction/Amendment of Health Information - HIPAA001 | 7/2018 Rev. | 1/1/2300 12:00 | Nancy Blankenship/Marsha Rooks - Health Information Management | N | ||
| Epic Uptime Forms | Local | IMAGE | TapeUltrasoundHereIMAGE001.pdf | Ultrasound Lead Sheet IMAGE001 | N | |||||
| Epic Uptime Forms | Local | IMPLANT | SMJH_RecommendPeriopManagementofCardiacDevicesIMPLANT006.pdf | Recommendations for Perioperative Management of Cardiac Devices (SMJH) IMPLANT006 | 3/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Rebecca Hancock | N | |
| Epic Uptime Forms | Local | IMPLANT | InterventionalRadiologyImplantFormIMPLANT002.pdf | Interventional Radiology Implant Form IMPLANT002 | 5/2021 Rev. | Al Nichols/Interventional Radiology | N | |||
| Epic Uptime Forms | Local | IMPLANT | ImplantInformationFormIMPLANT001.pdf | Implant Information Form IMPLANT001 | 6/2020 Rev. | Pamela Streetman/Surgery Administration SNGH | N | |||
| Epic Uptime Forms | Local | INSTRCT | SOH_WoundHealingCenterPolicy_INSTRCT092.pdf | SOH Wound Healing Center Policy INSTRCT092 | 10/2019 Rev. | Sybil McGlone/SOH Wound Healing Center Program Director | N | |||
| Epic Uptime Forms | Local | INSTRCT | INSTRCT068_Exercise_Nuclear_Stress_Test_-_What_to_Expect.pdf | Nuclear Stress Test - What to Expect INSTRCT068 | 11/2018 Rev. | Process Owner: Non-Invasive Cardiology/Amy Poland | N | |||
| Epic Uptime Forms | Local | INSTRCT | INSTRCT066_Exercise_Stress_ECHO-What_to_Expect_12.20.pdf | Stress ECHO - What to Expect INSTRCT066 | 12/2020Rev. | Process Owner: Thomas Rice | N | |||
| Epic Uptime Forms | Local | INSTRCT | DobutamineStressEchoforAS-WhatToExpectSheet_INSTRCT090.pdf | Dobutamine Stress Echo for Evaluation of Aortic Stenosis What to Expect Sheet - INSTRCT090 | 2/2018 Rev. | 1/1/2300 12:00 | Process Owner: Amy Poland | N | ||
| Epic Uptime Forms | Local | INSTRCT | AsthmaPediatricToolkitIggyandtheInhalers2021.pdf | Pediatric Asthma Education Checklist INSTRCT081/Pediatric Toolkit Iggy and the Inhalers | 2/2021 Rev. | Pediatric Nurse Practice Forum/Helen Powell/Audrey Snyder/Margaret Furr | N | |||
| Epic Uptime Forms | Local | INSTRCT | AsthmaPediatricToolkitIggyandtheInhalersSpanish2021.pdf | Pediatric Asthma Education Checklist INSTRCT081/Pediatric Toolkit Iggy and the Inhalers, SPANISH | 2/2021 Rev. | Pediatric Nurse Practice Forum/Helen Powell/Audrey Snyder/Margaret Furr | N | |||
| Epic Uptime Forms | Local | INSTRCT | INSTRCT063DobutamineNuclearStressTest.pdf | Dobutamine Nuclear Stress Test - What to Expect - INSTRCT063 | 5/2019 Rev. | 1/1/2300 12:00 | Terry McKenna NDUC POC | N | ||
| Epic Uptime Forms | Local | INSTRCT | DischargeInstforPtTakingMetfominINSTRCT011.pdf | Instructions for Diabetic Patients Taking Metformin Products - INSTRCT011 | 5/2019 Rev. | 1/1/2300 12:00 | Imaging Operations/Teri Bibeault | N | ||
| Epic Uptime Forms | Local | INSTRCT | INSTRCT067LexiscanNuclearStressTest.pdf | Lexiscan Nuclear Stress Test - What to Expect INSTRCT067 | 5/2019 Rev. | 1/1/2300 12:00 | Terry McKenna NDUC POC | N | ||
| Epic Uptime Forms | Local | INSTRCT | TiltTableTestWhattoExpectINSTRCT086_2018.pdf | Tilt Table Test - What to Expect INSTRCT086 | 6/2018 Rev. | Process Owner: Amy Poland | N | |||
| Epic Uptime Forms | Local | INSTRCT | InstructionsforTherapeuticPhlebotomyPatientsINSTRCT083.pdf | Instructions for Therapeutic Phlebotomy Patients INSTRCT083 | 7/2017 Rev. | SRMH Print Shop | N | |||
| Epic Uptime Forms | Local | INSTRCT | I-131_OutpatientIodine-131PostTreatmentInstructions_INSTRCT077.pdf | Outpatient Iodine-131 Post Treatment Instructions INSTRCT077 | 7/2018 Rev. | 1/1/2300 12:00 | Thelma Papini/Imaging Operations | N | ||
| Epic Uptime Forms | Local | INSTRCT | PostBreastBiopsyCareINSTRCT069.pdf | Post Breast Biopsy Care INSTRCT069 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | INSTRCT | PostProcedureInstructionsColonEGDERCPINSTRCT008.pdf | Post Procedure Instructions EGD/ERCP/Colonoscopy/EUS/PEG - INSTRCT008 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | INSTRCT | PrematureBabysEyesInstSheetApptFollowUpINSTRCT053.pdf | Premature Baby's Eyes Instruction Sheet and Appointment Follow-Up (3 Part W/Y/P) - INSTRCT053 | 8/2020 Rev. | MINPF | N | |||
| Epic Uptime Forms | Local | INSTRCT | INSTRCT064_Dobutamine_Stress_ECHO_-_What_to_Expect.pdf | Dobutamine Stress ECHO- What to Expect - INSTRCT064 | 9/2017 Rev. | Process Owner: Amy Poland | N | |||
| Epic Uptime Forms | Local | INSTRCT | INSTRCT065_Exercise_Stress_Test-What_to_Expect_9-17.pdf | Exercise Stress Test - What to Expect INSTRCT065 | 9/2017 Rev. | Process Owner: Amy Poland | N | |||
| Epic Uptime Forms | Local | INSTRCT | JA-C013_Patient_Education_Gadolinium_Based_MRI_Contrast_INSTRCT021.pdf | Patient Education Gadolinium Based MRI Contrast - INSTRCT021 | 9/2018 Rev. | 1/1/2300 12:00 | Process Owner: Radiology Services/Teri Bibeault | N | ||
| Epic Uptime Forms | Local | LAB | MetabolicScreeningLAB001.pdf | Metabolic Screening Lead Sheet LAB001 | MINPF | N | ||||
| Epic Uptime Forms | Local | LAB | CVSLabChemistryFlowsheetLAB006.pdf | CVS Lab Chemistry Flowsheet LAB006 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | LAB | DocumentRetired.pdf | RETIRE 11/2019 Blood Alcohol Specimen Collection - LAB004 | NOT ORDERED | EDPF/Rusty Bradfield/Carrie Buck | N | |||
| Epic Uptime Forms | Local | LEGAL | LEGALLeadSheet.pdf | LEGAL Lead Sheet | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | LEGAL | NewbornFootprint-IdentificationLEGAL002.pdf | Newborn Footprint-Identification Lead Sheet LEGAL002 | MINPF Terri Horst | N | ||||
| Epic Uptime Forms | Local | LEGAL | PatientHomeMedicationStorageEnvelope9x12_LEGAL014_102020.pdf | Patient's Home Medication Storage Env. LEGAL014 | Lindenmeyer Patient Medication Envelope: 9x12 28# White Wove Catalog Envelope, Peel & Seal Flap, printed black 1 side, 2 part 8.5 x 11.5 snap set form (white/white) with two sheets of carbon paper attached to face of envelope, no print on backside, no numbering |
Process Owner: Pharmacy Administration/Angela Gilley | N | |||
| Epic Uptime Forms | Local | LEGAL | NoVisitorPatientBelongingsList_LEGAL058.pdf | SPAH No Visitor Patient Belongings List LEGAL058 | 01/2021 Rev. | Shanda Weathers | N | |||
| Epic Uptime Forms | Local | LEGAL | DocumentRetired.pdf | **RETIRED** Informed Refusal of Pregnancy Testing (SMJH) LEGAL028 | 03/2021 Rev. | SRMH Print Shop | Retired, per Lisa Moore 3/2021 | N | ||
| Epic Uptime Forms | Local | LEGAL | DocumentRetired.pdf | **RETIRED** Radiation Oncology Refusal for Pregnancy Test LEGAL032 | 03/2021 Rev. | 1/1/2300 12:00 | Denise Holland/David Cochran (retired per Lisa Moore and Shannon Kriz, 3/2021) | N | ||
| Epic Uptime Forms | Local | LEGAL | DocumentRetired.pdf | **RETIRED** Radiation Oncology Refusal for Pregnancy Test LEGAL035 | 03/2021 Rev. | 1/1/2300 12:00 | Thelma Papini/Imaging Operations (retired per Lisa Moore, 3/2021) | N | ||
| Epic Uptime Forms | Local | LEGAL | ReleaseFromLiabilitNeonatalVaccineLEGAL018.pdf | Release from Liability - Neonatal Vaccines LEGAL018 | 03/2021 Rev. | 1/1/2300 12:00 | MINPF | N | ||
| Epic Uptime Forms | Local | LEGAL | ReleaseFromLiabilitNeonatalVaccineLEGAL018_Spanish_FINAL.pdf | Release from Liability - Neonatal Vaccines LEGAL018 (SPANISH) | 03/2021 Rev. | MINPF | N | |||
| Epic Uptime Forms | Local | LEGAL | LEGAL051_BehavioralHealthUnit.pdf | Acknowledgement for Voluntary Treatment on a Behavioral Health Unit LEGAL051 | 10/2018 Rev. | POC Tina Bibb | N | |||
| Epic Uptime Forms | Local | LEGAL | AuthorizationforTransfer_LEGAL055docx.pdf | Authorization for Transfer LEGAL055 (previously CNSNT018) | 10/2018 Rev. | Pack(s)-250 Sets p/pack | ED Practice Forum/Risk Management | N | ||
| Epic Uptime Forms | Local | LEGAL | ASSIGNMENT_OF_AUTO_MED_EXP_INS_11__REV_10_2020_LEGAL015.pdf | Assignment of Automobile Medical Expense Insurance and Liability Process LEGAL015 | 10/2020 Rev. | Louis Richman | N | |||
| Epic Uptime Forms | Local | LEGAL | AssignmentofAutoMedicalExpInsandLiabilityProceedsLEGAL015wLIENLetterback.pdf | Assignment of Automobile Medical Expense Insurance and Liability Process LEGAL015 WITH LEIN LETTER BACKER | 10/2020 Rev. | Louis Richman | N | |||
| Epic Uptime Forms | Local | LEGAL | BehavioralHealth_patientrights_LEGAL033.pdf | Behavioral Health Unit Patient Rights Acknowledgement LEGAL033 | 11/2017 Rev. | 1/1/2300 12:00 | Mendy Jenkins | N | ||
| Epic Uptime Forms | Local | LEGAL | LEGAL044_AuthorizationforBloodAlcoholandDrugTesting.pdf | Authorization for Blood Alcohol and Drug Testing LEGAL044 | 11/2019 Rev. | EDPF/Elisabeth Bradfield/Carrie Buck | N | |||
| Epic Uptime Forms | Local | LEGAL | LEGAL042_BereavementPhotographAuthorization.pdf | Bereavement Photograph Authorization LEGAL042 | 11/2019 Rev. | N | ||||
| Epic Uptime Forms | Local | LEGAL | SRMH_NonVAHospitalizationWaiverFormLEGAL025.pdf | SRMH Non-VA Hospitalization Form LEGAL025 | 12/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: Cynthia Harlow | N | |
| Epic Uptime Forms | Local | LEGAL | LEGAL057_FetalRemainsDiscposition.pdf | Authorization to Disposition of Fetal Remains LEGAL057 | 2/2019 Rev. | MINPF | N | |||
| Epic Uptime Forms | Local | LEGAL | LEGAL052_PerinatalLossIdentificationForm.pdf | Perinatal Loss Identification Form LEGAL052 | 2/2019 Rev. | 1/1/2300 12:00 | Process Owner: Perinatal Bereavement/Ethics/Maternity/POC Deborah Dougherty | N | ||
| Epic Uptime Forms | Local | LEGAL | LEGAL049_SurrogacyMedicalSurgicalAuthorization.pdf | Surrogacy Medical Surgical Authorization LEGAL049 (previously CNSNT125) | 3/2020 Rev. | MINPF/Terri Horst | N | |||
| Epic Uptime Forms | Local | LEGAL | NoVisitorPatientBelongingsList_LEGAL050.pdf | No Visitor (COVID-19) Patient Belongings List LEGAL050 | 4/2020 Rev. | System Wide Risk Management/POC Janet Cobb | N | |||
| Epic Uptime Forms | Local | LEGAL | AcknowledgementforAuthorizationtoReleasePlacentaandWaiverofLiabilityLEGAL019.pdf | Acknowledgement for Authorization to Release Placenta and Waiver of Liability LEGAL019 | 5/2021 Rev. | 1/1/2300 12:00 | MINPF | N | ||
| Epic Uptime Forms | Local | LEGAL | INFANTID_DNA_Collection2.pdf | Infant ID DNA Screening LEGAL036 | 6/2019 Rev. | MINPF and Ethics/POC Terri Horst and David Cochran | N | |||
| Epic Uptime Forms | Local | LEGAL | AdministrationOfNitrousOxideDuringLabor_LEGAL034.pdf | Patient Agreement Administration Of Nitrous Oxide During Labor LEGAL034 | 6/2021 Rev. | 1/1/2300 12:00 | MINPF (Terri Horst) | N | ||
| Epic Uptime Forms | Local | LEGAL | AdministrationOfNitrousOxideDuringLabor_LEGAL034_ES.pdf | Patient Agreement Administration Of Nitrous Oxide During Labor LEGAL034, SPANISH | 6/2021 Rev. | 1/1/2300 12:00 | MINPF (Terri Horst) | N | ||
| Epic Uptime Forms | Local | LEGAL | AcuteInpatintRehabCenterPrivacyActStatement_LEGAL007.pdf | Acute Inpatient Rehabilitation Center Privacy Act Statement Health Care Records LEGAL007 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | LEGAL | BulletsMissileFormLEGAL003.pdf | Bullets/Missile Form - LEGAL003 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | LEGAL | Certified_Mail_Receipt_LEGAL010.pdf | Certified Mail Receipt LEGAL010 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | LEGAL | CourtesyStayLetterofUnderstandingLEGAL023.pdf | Courtesy Stay Letter of Understanding LEGAL023 | 8/2018 Rev. | 1/1/2300 12:00 | N | |||
| Epic Uptime Forms | Local | LEGAL | DeclinationofStandardNewbornTreatmentorScreeningLEGAL021.pdf | Declination of Standard Newborn Treatment or Screening LEGAL021 | 8/2019 Rev. | 1/1/2300 12:00 | MINPF/Terri Horst | N | ||
| Epic Uptime Forms | Local | LEGAL | LEGAL056_PeripheralVascularLabPenileDuplexUS_Acknowledgement.pdf | Peripheral Vascular Lab Penile Duplex US Acknowledgement LEGAL056 | 8/2020 Rev. | Priced 2 up on 11 x 17 and cut | Shelley Harris/SNGH Peripheral Vascular Lab | N | ||
| Epic Uptime Forms | Local | LEGAL | LEGAL043AuthorizationforForensicExam.pdf | Authorization for Forensic Examination LEGAL043 | 8/2021 Rev. | EDPF | N | |||
| Epic Uptime Forms | Local | LEGAL | SMJH_AnimalExposureReportLEGAL029.pdf | Animal Exposure Report (SMJH) LEGAL029 | 9/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: SMJH Infection Prevention/Andrea Chapman | N | |
| Epic Uptime Forms | Local | LEGAL | WaiverofLiabRefusaltoRemoveJewelryPriortoSurgeryLEGAL009.pdf | Waiver of Liability for Refusal to Remove Jewelry Prior to Surgery - LEGAL009 | 9/2018 Rev. | 1/1/2300 12:00 | Legal/Jay Sweeney | N | ||
| Epic Uptime Forms | Local | LEGAL | LEGAL045_AuthorizationforAutopsy.pdf | Authorization for Autopsy LEGAL045 | 9/2019 Rev. | N | ||||
| Epic Uptime Forms | Local | LEGAL | Releaseofinfanttoadoptiveparents_LEGAL040.pdf | Release of Infant to Adoptive Parents LEGAL040 | 9/2019 Rev. | 1/1/2300 12:00 | MINPF/POC Terri Horst/Lori Holleman | N | ||
| Epic Uptime Forms | Local | LEGAL | ReleaseofNewborn-TOMOTHER_LEGAL041.pdf | Release of Newborn Infant to Mother LEGAL041 | 9/2019 Rev. | 1/1/2300 12:00 | MINPF/POC Terri Horst/Lori Holleman | N | ||
| Epic Uptime Forms | Local | LEGAL | releaseofnewborntootherthanmotherLEGAL039.pdf | Release of Newborn Infant to Other Than Mother LEGAL039 | 9/2019 Rev. | 1/1/2300 12:00 | MINPF/POC Terri Horst/Lori Holleman | N | ||
| Epic Uptime Forms | Local | LEGAL | DocumentRetired.pdf | RETIRE 11/2019 Lotus Birth Acknowledgment and Release LEGAL027 | NOT ORDERED | N | ||||
| Epic Uptime Forms | Local | MANOMETRY | MANOMETRYINTERPRETATIONLeadSheet.pdf | Manometry Interpretation Lead Sheet - MANOMETRY | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | MANOMETRY | MANOMETRYREPORTandTRACINGSLeadSheet.pdf | Manometry Report and Tracings Lead Sheet- MANOMETRY | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | MDCNSLT | IntraOp-FineNeedleAspiration_3pt_WYP_MDCNSLT002updatedlogo.pdf | Intraoperative/Fine Needle Aspiration Consultation Request Form - MDCNSLT002 | 10/2018 Rev. | 3 part, top hole punched NOTE: Yellow and Pink Copies are different than White, please use all 3 pages of attached pdf for W/Y/P copies. |
1/1/2300 12:00 | Process Owner: SNGH Lab/Patricia Bassett/POC Christi Rigazio Lab Specialist | N | |
| Epic Uptime Forms | Local | MDCNSLT | Pediatric_Ophthalmology_Consultation_MDCNSLT003.pdf | Pediatric Ophthalmology Consultantation MDCNSLT003 | 4/2021 Rev. | 1/1/2300 12:00 | Process Owner: Brenda Ronan/Dr. Crouch | N | ||
| Epic Uptime Forms | Local | MDHP | DocumentRetired.pdf | RETIRE 11/2019: Patient Information Form (REHAB) MDHP013 | NOT ORDERED | SRMH Print Shop | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Hospice_HopeCard_Sympathy_Halifax2021.pdf | Hope Card with Preprinted Envelope, Halifax Hospice #1657 | 08/2021 Rev. | Grace Little | N | |||
| Epic Uptime Forms | Local | MDOPNT | CTFetalDoseDataForm_MDOPNT028.pdf | CT Fetal Dose Data Form MDOPNT028 | 10/2020 Rev. | 1/1/2300 12:00 | Thelma Papini/Imaging Operations | N | ||
| Epic Uptime Forms | Local | MDOPNT | FluoroscopyFetalDoseDataForm_MDOPNT045.pdf | Fluoroscopy Fetal Dose Data Form MDOPNT045 | 10/2020 Rev. | 1/1/2300 12:00 | Thelma Papini/Imaging Operations | N | ||
| Epic Uptime Forms | Local | MDOPNT | HighDoseFluoroscopyReportMDOPNT049.pdf | High Dose Fluoroscopy Report MDOPNT049 | 10/2020 Rev. | 1/1/2300 12:00 | Thelma Papini/Imaging Operations | N | ||
| Epic Uptime Forms | Local | MDOPNT | RadiographicFetalDoseDataForm_MDOPNT027.pdf | Radiographic Fetal Dose Data Form MDOPNT027 | 10/2020 Rev. | 1/1/2300 12:00 | Thelma Papini/Imaging Operations | N | ||
| Epic Uptime Forms | Local | MDOPNT | FluidManagementLogMDOPNT033-2.pdf | Fluid Management MDOPNT033 | 5/2019 Rev. | 1/1/2300 12:00 | Gretchen Ward | N | ||
| Epic Uptime Forms | Local | MDOPNT | IRProcedureEventFormMDOPNT042.pdf | IR Procedure Event Form MDOPNT042 | 6/2019 Rev. | 1/1/2300 12:00 | Al Nichols/Vascular and Interventional Radiology (IR) Procedure Lab | N | ||
| Epic Uptime Forms | Local | MDOPNT | StrokeInterventionSummaryMDOPNT041.pdf | Stroke Intervention Summary MDOPNT041 | 6/2019 Rev. | 1/1/2300 12:00 | Al Nichols/Vascular and Interventional Radiology (IR) Procedure Lab | N | ||
| Epic Uptime Forms | Local | MDOPNT | VaginalDeliveryCountSheetMDOPNT025.pdf | Vaginal Delivery/Cerclage/D&C Count Record - MDOPNT025 | 6/2019 Rev. | 1/1/2300 12:00 | MINPF/POC Terri Horst | N | ||
| Epic Uptime Forms | Local | MDOPNT | Sentara_ImageIntraoperative_Ultrasound_Image_MDOPNT026.pdf | Image Intraoperative Ultrasound Image MDOPNT026 | 7/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | MDOPNT | SMJH_IndicationChecklistforICD-CRT_MDOPNT044.pdf | Indication Checklist for ICD/CRT-D Implants Medicare Patients Pre-Procedure Review (SMJH) MDOPNT044 | 7/2017 Rev. | SRMH Print Shop | N | |||
| Epic Uptime Forms | Local | MDOPNT | SRMH_CSectionCountSheetMDOPNT039.pdf | SRMH C-Section Count Sheet MDOPNT039 | 7/2019 Rev. | 1/1/2300 12:00 | Terri Horst/SRMH L&D | N | ||
| Epic Uptime Forms | Local | MDOPNT | BTLCountSheetMDOPNT017.pdf | BTL Count Sheet - MDOPNT017 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | MDOPNT | SMJH_ObstetricalOperatingRoomCountSheetMDOPNT046_2018.pdf | Obstetrical Operating Room Count Sheet (SMJH) MDOPNT046 | 8/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | SMJH LDRP Manager | N | |
| Epic Uptime Forms | Local | MDOPNT | SNGHInstrumentCountSheetMDOPNT016.pdf | SNGH C-Section Sponge, Sharp, Instrument Count - MDOPNT016 | 8/2018 Rev. | 1/1/2300 12:00 | Shelley Jones/SNGH Labor & Delivery | N | ||
| Epic Uptime Forms | Local | MDOPNT | SLHLDRPInstrumentCountSheetMDOPNT031.pdf | Labor & Delivery/C-Section Sponge, Sharp, and Intrument Count Sheet MDOPNT031 (SLH ONLY) | 8/2021 Rev. | N | ||||
| Epic Uptime Forms | Local | MDOPNT | SVBGH_ORCountSheetMDOPNT037_2018.pdf | Operating Room Count Sheet (SVBGH) MDOPNT037 | 9/2018 Rev. | 2 sided form | 1/1/2300 12:00 | Amy Brusco/Laurel Anderson | N | |
| Epic Uptime Forms | Local | MDORD | CHF-Transplant_Procedureal_Orders_MDORD491.pdf | CHF/Transplant Procedural Orders - MDORD491 | 03/2021 Rev. | Kelli Carmichael/Mindy Seigh | N | |||
| Epic Uptime Forms | Local | MDORD | CTLungScreeningOrderForm_NorthernVA_MDORD552.pdf | SNVMC Low-Dose CT Lung Screening Order Form MDORD552 | 04/2021 Rev. | 2 sided, padded 25 sheets p/pad | Melissa Botelho | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Hospice_HopeCard_Sympathy_Harrisonburg2021.pdf | Hope Card with Preprinted Envelope, Harrisonburg Hospice #1657 | 08/2021 Rev. | WHITE Card Stock, 2 up on 11 x 17, Fold to 8.5 x 5.5, 9 x 6 Blank Env. | Jennifer Mann/Grace Little | N | ||
| Stationery | Local | Cards (Stationery) | SHC_Alleghany_embossed_thankyou_card.pdf | Home Health Alleghany Embossed Logo Thank You Card | 08/2021 Rev. | Embossed Logo Notecard with pre-printed envelope | 1/1/2300 12:00 | Grace Little | N | |
| Stationery | Local | Cards (Stationery) | SHC_Cville_embossed_thankyou_card.pdf | Home Health Charlottesville Embossed Logo Thank You Card | 08/2021 Rev. | Embossed Logo Notecard with pre-printed envelope | 1/1/2300 12:00 | Grace Little | N | |
| Epic Uptime Forms | Local | MDORD | SNVMC_OIC_TransfusionOrderSet_Heather_Causseaux.pdf | SNVMC Outpatient Infusion Center (OIC) Transfusion Order Set MDORD550 | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: SNVMC Patient Care Services/POC Heather Causseaux | N | ||
| Epic Uptime Forms | Local | MDORD | MDORD554_RadiologyOutpatientPhysicianOrder.pdf | SHRH Radiology Outpatient Physician Order MDORD554 | 1/2020 Rev. | SHRH Radiology/Judy Vaughn | N | |||
| Epic Uptime Forms | Local | MDORD | MDORD555_RequestforOutpatientNutritionServices.pdf | SRMH MDORD555 Request for Outpatient Nutrition Services | 1/2020 Rev. | Leigh Steiniger/SRMH Clinical Nutrition | N | |||
| Epic Uptime Forms | Local | MDORD | ChemotherapyOrderForm_MDORD191.pdf | Chemotherapy Blank Order Form MDORD191 | 10/2017 Rev. | 1/1/2300 12:00 | Mary Ellenn Bachas | N | ||
| Epic Uptime Forms | Local | MDORD | SHRH_SleepStudyOrderFormMDORD560.pdf | SHRH Sleep Study Order Form MDORD560 | 10/2020 Rev. | SHRH Cath Lab/Starann Ballou | N | |||
| Epic Uptime Forms | Local | MDORD | I-131_WrittenDirective_MDORD498.pdf | Iodine-131 Written Directive MDORD498 | 11/2020 Rev. | priced 2 up on 11 x 17 | Thelma Papini/Imaging Operations | N | ||
| Epic Uptime Forms | Local | MDORD | MDORD062.pdf | Urologic/Abdominal Pre-Procedure Testing and Day of Procedure Orders MDORD062 | 3/2018 Rev. | 1/1/2300 12:00 | N | |||
| Epic Uptime Forms | Local | MDORD | SRMHMRIRequestFormSpineandExtremityMDORD514.pdf | MRI Request Form Spine and Extremity MDORD514 | 3/2020 Rev. | SRMH Print Shop | Process Owner: Rebecca Nicely | N | ||
| Epic Uptime Forms | Local | MDORD | SRMH_CTRequestFormBrainNeckFaceMDORD531_2020.pdf | SRMH CT Request Form (Brain, Neck, Face, etc.) MDORD531 | 3/2020 Rev. | SRMH Print Shop | Rebecca Nicely/SRMH Director Radiology | N | ||
| Epic Uptime Forms | Local | MDORD | SRMHCTRequestFormAbdomenPelvisChestMDORD512.pdf | SRMH CT Request Form MDORD512 | 3/2020 Rev. | SRMH Print Shop | Rebecca Nicely | N | ||
| Epic Uptime Forms | Local | MDORD | SRMHCTRequestFormSpineandExtremityMDORD508.pdf | SRMH CT Request Form Spine and Extremity MDORD508 | 3/2020 Rev. | SRMH Print Shop | Rebecca Nicely/SRMH Director Radiology | N | ||
| Epic Uptime Forms | Local | MDORD | SRMH_CTLungScreeningtFormMDORD536.pdf | SRMH Low-Dose CT Lung Screening Order Form MDORD532 | 3/2020 Rev. | SRMH Print Shop | Rebecca Nicely/SRMH Director Radiology | N | ||
| Epic Uptime Forms | Local | MDORD | SRMHMRIRequestFormAbdomenPelvisChestMDORD513.pdf | SRMH MRI Request Form (Abdomen, Pelvis, & Chest) MDORD513 | 3/2020 Rev. | SRMH Print Shop | Rebecca Nicely/SRMH Director Radiology | N | ||
| Epic Uptime Forms | Local | MDORD | SRMH_MRIRequestFormBrainNeckFaceMDORD533_2020.pdf | SRMH MRI Request Form MDORD533 | 3/2020 Rev. | SRMH Print Shop | Rebecca Nicely/SRMH Director Radiology | N | ||
| Epic Uptime Forms | Local | MDORD | SRMHMaternalTransportOrderSheetMDORD505.pdf | SRMH Maternal Transport Order Sheet MDORD505 | 3/2020 Rev. | SRMH Family Birthplace Manager/Terri Horst | N | |||
| Epic Uptime Forms | Local | MDORD | SRMHNuclearMedImagingRequestFormMDORD511.pdf | SRMH Nuclear Med Imaging Request Form MDORD511 | 3/2020 Rev. | SRMH Print Shop | Rebecca Nicely | N | ||
| Epic Uptime Forms | Local | MDORD | SRMH_PETCTSchedulingRequisition_MDORD532.pdf | SRMH PET/CT Scheduling Requisition MDORD532 | 3/2020 Rev. | SRMH Print Shop | Rebecca Nicely/SRMH Director Radiology | N | ||
| Epic Uptime Forms | Local | MDORD | HR_BreastImagingForm_MDORD527.pdf | Breast Imaging Referral Form MDORD527, padded in 100s | 3/2021 Rev. | 2 sided (back is just locations), B&W | 1/1/2300 12:00 | Mammo Operations | N | |
| Epic Uptime Forms | Local | MDORD | SRMH_PVLPhysicianOrder_MDORD551.pdf | SRMH Peripheral Vascular Order Form MDORD551 | 3/2021 Rev. | 1/1/2300 12:00 | Thomas Rice/SRMH Heart and Vascular Services | N | ||
| Epic Uptime Forms | Local | MDORD | SRMHAmbulanceTransportCertificationandOrderMDORD515.pdf | UNDER REVIEW Ambulance Transport Certification and Order MDORD515 | 4/2016 Rev. | SRMH Print Shop | N | |||
| Epic Uptime Forms | Local | MDORD | SMJH_CancerRehabPrescription_MDORD547a.pdf | SMJH Cancer Rehab & Renewal Program Referral MDORD547 | 4/2018 Rev. | 1/1/2300 12:00 | SRMH Print Shop | N | ||
| Epic Uptime Forms | Local | MDORD | MDORD562_MRI_CIED_OrderSet.pdf | MRI CIED Order Set MDORD562 | 5/2020 Rev. | Randy Fellman/Advanced Imaging Heart Hospital Manager | N | |||
| Epic Uptime Forms | Local | MDORD | SMJH_BreastImagingReferralFormMDORD528edited.pdf | SMJH Breast Imaging Referral Form MDORD528 | 6/2020 Rev. | Bart Morris | 1/1/2300 12:00 | Susan Hunt/SMJH Imaging | N | |
| Epic Uptime Forms | Local | MDORD | SMJH_IronandTherapeuticPhlebInfusionProviderOrders_MDORD563.pdf | SMJH Infusion Center Provider Iron and Therapeutic Phlebotomy Orders MDORD563 | 6/2020 Rev. | Danielle Schrader | SRMH Print Shop | N | ||
| Epic Uptime Forms | Local | MDORD | SMJH_InfusionProviderOrders_MDORD540.pdf | SMJH Infusion Center Provider Orders MDORD540 | 6/2020 Rev. | Danielle Schrader | SRMH Print Shop | N | ||
| Epic Uptime Forms | Local | MDORD | SRMH_BreastImagingForm_MDORD529.pdf | SRMH Breast Imaging Referral Form MDORD529 | 6/2020 Rev. | 2 sided (back is just locations), B&W | Tami Eppard/SRMH Radiology Manager/Women's Center | N | ||
| Epic Uptime Forms | Local | MDORD | SMJH_CTLungScreeningtFormMDORD521.pdf | SMJH Low-Dose CT Lung Screening Order Form MDORD532 | 6/2021 Rev. | Mike Yeats/Susan Hunt | N | |||
| Epic Uptime Forms | Local | MDORD | SRMH_Noninvasive_Cardiology_Order_MDORD568.pdf | SRMH Noninvasive Cardiology Order MDORD568 | 6/2021 Rev. | SRMH Non-Invasive Cardiology/Thomas Rice | N | |||
| Epic Uptime Forms | Local | MDORD | Pre_Op_Anesthesia_Order_Set_and_Protocol__820_and_818_.pdf | Pre Anesthesia Order Set and Protocol MDORD 820 and 818 | 7/2017 Rev. | Mary Ellen Bachas | N | |||
| Epic Uptime Forms | Local | MDORD | NV_BreastImagingReferralFormMDORD559.pdf | NV Breast Imaging Referral Form MDORD559, padded 50 p/pad | 7/2020 Rev. | Priced 2 up on 11 x 17 | Melissa Bothelo/Radiology Manager SNVMC | N | ||
| Epic Uptime Forms | Local | MDORD | SRMHDiagnosticImagingRequestFormMDORD509.pdf | SRMH Diagnostic Imaging Request Form MDORD509 | 8/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Rebecca Nicely/SRMH Director Radiology | N | |
| Epic Uptime Forms | Local | MDORD | PhysicianOrderforHospitalBasedOutpatientPulmonaryRehabiliationMDORD518.pdf | SRMH Physician Order for Hospital Based Outpatient Pulmonary Rehabiliation MDORD518 | 8/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Rebecca Nicely/SRMH Director Radiology | N | |
| Epic Uptime Forms | Local | MDORD | SRMHUltrasoundImagingRequestFormMDORD510.pdf | SRMH Ultrasound Imaging Request Form MDORD510 | 8/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Rebecca Nicely/SRMH Director Radiology | N | |
| Epic Uptime Forms | Local | MDORD | DiabetesOutpatientDeptDiabetesEducationOrderSCHDORD501.pdf | Diabetes Outpatient Department Diabetes Education Order - (SCH) MDORD501 | 8/2021 Rev. | PPF/Susan De Abate/Jean Midyette | N | |||
| Epic Uptime Forms | Local | MDORD | DiabetesOutpatientCenterDiabetesEducationOrderSLHMDORD501.pdf | Diabetes Outpatient Program Diabetes Education Order - (SLH) MDORD501 | 8/2021 Rev. | Mary Ellen Bachas / PPF - Susan DeAbate | N | |||
| Epic Uptime Forms | Local | MDORD | DiabetesOutpatientCenterDiabetesEducationOrderSOHMDORD501.pdf | Diabetes Outpatient Program Diabetes Education Order - (SOH) MDORD501 | 8/2021 Rev. | 1/1/2300 12:00 | PPF/Christine Dignan | N | ||
| Epic Uptime Forms | Local | MDORD | DiabetesOutpatientCenterDiabetesEducationOrderSNGHDORD501.pdf | Diabetes and Nutrition Outpatient Center Diabetes Education Order - (SNGH) MDORD501 | 8/2021 Rev. | Mary Ellen Bachas / PPF - Susan DeAbate | N | |||
| Epic Uptime Forms | Local | MDORD | DiabetesOutpatientCenterDiabetesEducationOrderSPAHMDORD501.pdf | Diabetes and Nutrition Outpatient Center Diabetes Education Order - (SPAH) MDORD501 | 8/2021 Rev. | 7/30/3021 12:00 | PPF/Susan De Abate | N | ||
| Epic Uptime Forms | Local | MDORD | DiabetesOutpatientCenterDiabetesEducationOrderSWRMCMDORD501.pdf | Diabetes and Nutrition Outpatient Center Diabetes Education Order - (SWRMC) MDORD501 | 8/2021 Rev. | Mary Ellen Bachas / PPF - Susan DeAbate | N | |||
| Epic Uptime Forms | Local | MDORD | SAMC_DiabetesOutpatientCenterDiabetesEducationOrderMDORD501.pdf | SAMC Diabetes Outpatient Center Diabetes Education Order MDORD501 | 8/2021 Rev. | Patsy Marriner/SAMC Diabetes Education | N | |||
| Epic Uptime Forms | Local | MDORD | SNVMC_DiabetesNutritionReferral_8.5x11_E.pdf | SNVMC Diabetes & Nutrition Management Education Order MDORD501, Pads of 50 | 8/2021 Rev. | Abigail Chesterson / PPF - Susan DeAbate | N | |||
| Epic Uptime Forms | Local | MDORD | MDORD561_SPAH_DiabetesandNutritionOP_MNT_Order.pdf | SPAH Diabetes and Nutrition Outpatient Center Order Medical Nutrition Therpay Order MDORD561 | 8/2021 Rev. | 1/1/2300 12:00 | SPAH Diabetes Education/Pamela Ellis | N | ||
| Epic Uptime Forms | Local | MDORD | DiabetesOutpatientCenterDiabetesEducationOrderSVBGHMDORD501.pdf | SVBGH Diabetes Outpatient Center Diabetes Education Order MDORD501 | 8/2021 Rev. | PPF/Susan De Abate | N | |||
| Epic Uptime Forms | Local | MDORD | SWRMC_Diabetes_and_Nutrition_Outpatient_Center_Order_MDORD428.pdf | SWRMC Diabetes and Nutrition Outpatient Center Order Medical Nutrition Therpay Order MDORD428 | 8/2021 Rev. | 1/1/2300 12:00 | Process Owner: SWRMC Diabetes Education/POC Sharon Morgan | N | ||
| Epic Uptime Forms | Local | MDORD | DocumentRetired.pdf | RETIRE 11/2019 Blood Component Order Form (SMJH) MDORD543 | NOT ORDERED | SRMH Print Shop | Danielle Schrader/LaDonna Winegar/SMJH Medical Oncology | N | ||
| Epic Uptime Forms | Local | MDORD | DocumentRetired.pdf | RETIRE 11/2019 Fluoroscopy Imaging Request Form SRMH Only MDORD535 | NOT ORDERED | SRMH Print Shop | N | |||
| Epic Uptime Forms | Local | MDORD | DocumentRetired.pdf | RETIRE 11/2019 Revo MRI SureScan Pacing System Cardiology Order Form SRMH Only MDORD534 | NOT ORDERED | SRMH Print Shop | N | |||
| Epic Uptime Forms | Local | MDORD | DocumentRetired.pdf | RETIRE 11/2019: Outpatient NeuroDiagnostics Procedure Scheduling Form SRMH ONLY MDORD520 | NOT ORDERED | SRMH Print Shop | N | |||
| Epic Uptime Forms | Local | MEDIMSG | HER_MEDIMSG.pdf | Hospital for Extended Recovery - Important Message from Medicare MEDIMSG | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SHRH_MEDIMSG_SP.pdf | Hospital for Extended Recovery - Important Message from Medicare MEDIMSG (Spanish) | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SAMC_MEDIMSG.pdf | Important Message From Medicare - SAMC - MEDIMSG | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
N | |||
| Epic Uptime Forms | Local | MEDIMSG | SAMC_MEDIMSG_SP.pdf | Important Message From Medicare - SAMC - MEDIMSG (Spanish) | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
N | |||
| Epic Uptime Forms | Local | MEDIMSG | SNVMC_MEDIMSG.pdf | Important Message From Medicare - SNVMC - MEDIMSG | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
N | |||
| Epic Uptime Forms | Local | MEDIMSG | SNVMC_MEDIMSG_SP.pdf | Important Message From Medicare - SNVMC - MEDIMSG (Spanish) | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SCH_MEDIMSG.pdf | Important Message from Medicare - SCH - MEDIMSG | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SCH_MEDIMSG_SP.pdf | Important Message from Medicare - SCH - MEDIMSG (Spanish) | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SHRH_MEDIMSG.pdf | Important Message from Medicare - SHRH - MEDIMSG | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
N | |||
| Epic Uptime Forms | Local | MEDIMSG | SHRH_MEDIMSG_SP.pdf | Important Message from Medicare - SHRH - MEDIMSG (Spanish) | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
N | |||
| Epic Uptime Forms | Local | MEDIMSG | SLH_MEDIMSG.pdf | Important Message from Medicare - SLH - MEDIMSG | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SLH_MEDIMSG_SP.pdf | Important Message from Medicare - SLH - MEDIMSG (Spanish) | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SMJH_MEDIMSG.pdf | Important Message from Medicare - SMJH - MEDIMSG | Exp. 12/31/2022 | SRMH Print Shop 2 SIDED, Yellow on top (Prints like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SMJH_MEDIMSG_SP.pdf | Important Message from Medicare - SMJH - MEDIMSG (Spanish) | Exp. 12/31/2022 | SRMH Print Shop 2 SIDED, Yellow on top (Prints like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SNGH_MEDIMSG.pdf | Important Message from Medicare - SNGH - MEDIMSG | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SNGH_MEDIMSG_SP.pdf | Important Message from Medicare - SNGH - MEDIMSG (Spanish) | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SOH_MEDIMSG.pdf | Important Message from Medicare - SOH - MEDIMSG | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
N | |||
| Epic Uptime Forms | Local | MEDIMSG | SOH_MEDIMSG_SP.pdf | Important Message from Medicare - SOH - MEDIMSG (Spanish) | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SPAH_MEDIMSG.pdf | Important Message from Medicare - SPAH - MEDIMSG | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SPAH_MEDIMSG_SP.pdf | Important Message from Medicare - SPAH - MEDIMSG (Spanish) | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SRMH_MEDIMSG.pdf | Important Message from Medicare - SRMH - MEDIMSG | Exp. 12/31/2022 | SRMH Print Shop 2 SIDED, Yellow on top (Prints like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SRMH_MEDIMSG_SP.pdf | Important Message from Medicare - SRMH - MEDIMSG (SPANISH) | Exp. 12/31/2022 | SRMH Print Shop 2 SIDED, Yellow on top (Prints like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SVBGH_MEDIMSG.pdf | Important Message from Medicare - SVBGH - MEDIMSG | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SVBGH_MEDIMSG_SP.pdf | Important Message from Medicare - SVBGH - MEDIMSG (Spanish) | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDIMSG | SWRMC_MEDIMSG.pdf | Important Message from Medicare - SWRMC - MEDIMSG | Exp. 12/31/2022 | 1/1/2300 12:00 | N | |||
| Epic Uptime Forms | Local | MEDIMSG | SWRMC_MEDIMSG_SP.pdf | Important Message from Medicare - SWRMC - MEDIMSG (Spanish) | Exp. 12/31/2022 | 2 SIDED, Yellow on top (Prints
like Tricare) NOTE: The back of the form is written on |
1/1/2300 12:00 | N | ||
| Epic Uptime Forms | Local | MEDNEC | THAMedNecPreProcedureReviewMedicarePatientMEDNEC003.pdf | THA Medical Necessity Pre-Procedure Review - Medicare Patient MEDNEC003 | 7/2017 Rev. | Michele Carroll | N | |||
| Epic Uptime Forms | Local | MEDNEC | THAReplacementRevisionMedNecPreProcedureReviewMedicareMEDNEC004.pdf | THA Replacement/Revision Medical Necessity Pre-Procedure Review - Medicare MEDNEC004 | 7/2017 Rev. | Michele Carroll | N | |||
| Epic Uptime Forms | Local | MEDNEC | TKAMedNecPreProcedureReviewMedicarePatientMEDNEC002.pdf | TKA Medical Necessity Pre-Procedure Review- Medicare Patient MEDNEC002 | 7/2017 Rev. | Michele Carroll | N | |||
| Epic Uptime Forms | Local | MEDNEC | TKAReplacementRevisionMedNecPreProcedureReviewMedicareMEDNEC001.pdf | TKA Replacement/Revision Medical Necessity Pre-Procedure Review - Medicare MEDNEC001 | 7/2017 Rev. | Michele Carroll | N | |||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SAMC_MOON001.pdf | Medicare Outpatient Observation Notice SAMC MOON001 | Expiration 12/31/2022 | Sarah Clark | N | |||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SCH_MOON002.pdf | Medicare Outpatient Observation Notice SCH MOON002 | Expiration 12/31/2022 | Sarah Clark | N | |||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SHRH_MOON003.pdf | Medicare Outpatient Observation Notice SHRH MOON003 | Expiration 12/31/2022 | Sarah Clark | N | |||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SLH_MOON004.pdf | Medicare Outpatient Observation Notice SLH MOON004 | Expiration 12/31/2022 | Sarah Clark | N | |||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SMJH_MOON005.pdf | Medicare Outpatient Observation Notice SMJH MOON005 | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SNGH_MOON006.pdf | Medicare Outpatient Observation Notice SNGH MOON006 | Expiration 12/31/2022 | Sarah Clark | N | |||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SNVMC_MOON007.pdf | Medicare Outpatient Observation Notice SNVMC MOON007 | Expiration 12/31/2022 | 1/1/2300 12:00 | Sarah Clark | N | ||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SOH_MOON008.pdf | Medicare Outpatient Observation Notice SOH MOON008 | Expiration 12/31/2022 | Sarah Clark | N | |||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SPAH_MOON009.pdf | Medicare Outpatient Observation Notice SPAH MOON009 | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SRMH_MOON010.pdf | Medicare Outpatient Observation Notice SRMH MOON010 | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SVBGH_MOON011.pdf | Medicare Outpatient Observation Notice SVBGH MOON011 | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SWRMC_MOON012.pdf | Medicare Outpatient Observation Notice SWRMC MOON012 | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SAMC_MOON001_SP.pdf | Medicare Outpatient Observation Notice SAMC MOON001, SPANISH | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SCH_MOON002_SP.pdf | Medicare Outpatient Observation Notice SCH MOON002, SPANISH | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SHRH_MOON003_SP.pdf | Medicare Outpatient Observation Notice SHRH MOON003, SPANISH | Expiration 12/31/2022 | Sarah Clark | N | |||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SLH_MOON004_SP.pdf | Medicare Outpatient Observation Notice SLH MOON004, SPANISH | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SMJH_MOON005_SP.pdf | Medicare Outpatient Observation Notice SMJH MOON005, SPANISH | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SNGH_MOON006_SP.pdf | Medicare Outpatient Observation Notice SNGH MOON006, SPANISH | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SNVMC_MOON007_SP.pdf | Medicare Outpatient Observation Notice SNVMC MOON007, SPANISH | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SOH_MOON008_SP.pdf | Medicare Outpatient Observation Notice SOH MOON008, SPANISH | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SPAH_MOON009_SP.pdf | Medicare Outpatient Observation Notice SPAH MOON009, SPANISH | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SRMH_MOON010_SP.pdf | Medicare Outpatient Observation Notice SRMH MOON010, SPANISH | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SVBGH_MOON011_SP.pdf | Medicare Outpatient Observation Notice SVBGH MOON011, SPANISH | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MOON | MedicareOutpatientObservationNoticeMOON_SWRMC_MOON012_SP.pdf | Medicare Outpatient Observation Notice SWRMC MOON012, SPANISH | Expiration 12/31/2022 | N | ||||
| Epic Uptime Forms | Local | MRFO | MedicalRecordsFromOtherFacilitiesCoversheetMRFO001.pdf | Medical Records From Other Facilities Lead Sheet MRFO001 | N | |||||
| Epic Uptime Forms | Local | MYCHARTPROXY | Sentara_Patient_Portal_Proxy_Access_MYCHARTPROXY001.pdf | Patient Portal Proxy Access - All Ages MYCHARTPROXY001 | 18-Sep | 1/1/2300 12:00 | SMG Practice Support | N | ||
| Epic Uptime Forms | Local | PMI | 2017_PainManagementProgramBotoxProcedureNotePMI003.pdf | Pain Management Program Botox Procedure Note PMI003 | 7/2017 Rev. | Tina Maher | N | |||
| Epic Uptime Forms | Local | PREN | PrenatalRecordsfromMDOfficePREN001.pdf | Prenatal Records from MD Office - PREN001 | 7/2018 Rev. | 1/1/2300 12:00 | N | |||
| Epic Uptime Forms | Local | PROGNT | DeaforHardofHearingNotes_PROGNT007.pdf | Sensory Note/Deaf or Hard of Hearing Notes PROGNT007 | 9/2018 Rev. | 1/1/2300 12:00 | Process Owner: Ethics and Patient Rights/Katy Trapp/David Cochran | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | 793_WHAT_TO_EXPECT_Methacholine_Challenge.pdf | SRMH Bronchial Provocation Methacholine Challenge | 10/2019 Rev. | Katy Morris | N | |||
| Epic Uptime Forms | Local | Procedure Information Sheets | Pill_Cam_Instructions.pdf | SRMH PillCam Capsule Endoscopy #0850 | 2/2020 Rev. | Abigail Breeden/SRMG Gastro | N | |||
| Epic Uptime Forms | Local | Procedure Information Sheets | InformationSheet_PatencyPillCam.pdf | SRMH PillCam Patency Capsule Endoscopy #0857 | 2/2020 Rev. | Abigail Breeden/SRMG Gastro | N | |||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_A_V_Shunt_Angiogram.pdf | SRMH AV Shunt Angiogram #0801 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Abscess_Drainage.pdf | SRMH Abscess Drainage #0798 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | WHAT_TO_EXPECT_APBI.pdf | SRMH Accelerated Partial Breast Irradiation Balloon Catheter Insertion (APBI) #0724 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Adult_Circumcision.pdf | SRMH Adult Circumcision Procedure Information Sheet # 735 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Arteriogram-Angiogram-PTA.pdf | SRMH Arteriogram/Angiogram #0799 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Arthrocentesis-Joint_Injection.pdf | SRMH Arthrocentesis and/or Joint Injection #0791 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Arthrogram.pdf | SRMH Arthrogram #0800 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | 795_WHAT_TO_EXPECT_Auricotemporal_Nerve_Block_-_Copy_-_Copy.pdf | SRMH Auricotemporal Nerve Block Procedure Informatin Sheet #795 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris/SRMH Quality | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Biliary_Tube_Change.pdf | SRMH Biliary Tube Change #0802 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Biopsy.pdf | SRMH Biopsy #0803 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | 721_Information_Sheet_Botox_Injection.pdf | SRMH Botox Injection #0721 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | WHAT_TO_EXPECT_BREAST_CONSERVATION_LUMPECTOMY.pdf | SRMH Breast Conservation; Segmental/Partial Mastectomy (Lumpectomy) #0723 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | WHAT_TO_EXPECT_WIRE_LOCALIZATION.pdf | SRMH Breast Needle Localization #0731 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | WHAT_TO_EXPECT_PUNCH_BIOPSY.pdf | SRMH Breast Skin Punch Biopsy #0726 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | 792_WHAT_TO_EXPECT_Bronchoscopy.pdf | SRMH Bronchoscopy #0792 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Bursa_Injection.pdf | SRMH Bursa Injection #0804 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_CT_Contrast.pdf | SRMH CT Contrast #0808 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_CT_Guided_Lumbar_Puncture.pdf | SRMH CT Guided Lumbar Puncture #0809 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_CT_Nerve_Root_Injection.pdf | SRMH CT Nerve Root Injection #0810 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | 849_WHAT_TO_EXPECT_Carpal_Tunnel_Syndrome.pdf | SRMH Carpal Tunnel Syndrome #849 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Catheter_Stripping.pdf | SRMH Catheter Stripping #0805 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Central_Venous_Catheter_Placement_or_Change.pdf | SRMH Central Venous Catheter Placement or Change #0806 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Cholecystostomy_Tube_Placement.pdf | SRMH Cholecystostomy Tube Placement #0807 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Colonoscopy.pdf | SRMH Colonoscopy, possible biopsy, polypectomy #0732 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Cystogram.pdf | SRMH Cystogram #0811 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Cystolitholapaxy.pdf | SRMH Cystolitholapaxy Procedure Information Sheet #736 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Cystoscopy_and_Retrograde_Pyelogram.pdf | SRMH Cystoscopy and Retrograde Pyelogram #0737 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Cystoscopy_with_Internal_Optical_urethrotomy.pdf | SRMH Cystoscopy with Internal Optical Urethrotomy ( IOU) #0738 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Cystoscopy__Cystoscopy_with_Biopsy__and_Cystoscopy_with_Removal_of_Stent.pdf | SRMH Cystoscopy, Cystoscopy with Biopsy, and Cystoscopy with Removal of Stent #0739 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_ESWL.pdf | SRMH ESWL Procedure Information Sheet #740 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_EXCISIONAL_BIOPSY.pdf | SRMH EXCISIONAL BIOPSY Procedure Information Sheet #741 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_ERCP.pdf | SRMH Endoscopic Retrograde Cholangiopancreatography, possible sphincterotomy #0734 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Epidural_Steroid_Injection.pdf | SRMH Epidural Steroid Injection #0812 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_EGD.pdf | SRMH Esophagogastroduodenoscopy (EGD) with possible biopsy and dilatation #0733 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | WHAT_TO_EXPECT_FINE_NEEDLE_ASPIRATION.pdf | SRMH Fine Needle Aspiration #0722 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Galactogram.pdf | SRMH Galactogram #0813 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | 794_WHAT_TO_EXPECT_Greater_Occipital_Nerve_Block.pdf | SRMH Greater Occipital Nerve Block #0794 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Greenlight_Laser.pdf | SRMH Greenlight or Pro-touch Laser #0742 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Hydrocelectomy.pdf | SRMH Hydrocelectomy #0743 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Hysterosalpingogram.pdf | SRMH Hysterosalpingogram #0814 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_IVC_Filter_Placement.pdf | SRMH Inferior Vena Cavagram IVC Filter Placement #0815 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_IVP.pdf | SRMH Intavenous Pyelogram IVP #0816 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_INTRAVESICAL_MITOMYCIN_THERAPY.pdf | SRMH Intravesical BCG Therapy #0744 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_INTRAVESICAL_MITOMYCIN_THERAPY.pdf | SRMH Intravesical Mitomycin Therapy #0745 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_J_Tube_Change.pdf | SRMH J Tube Change #0817 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Kyphoplasty.pdf | SRMH Kyphoplasty #0818 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Laparoscopy.pdf | SRMH Laparoscopy #0746 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Laproscopic_Adjustable_Gastric_Banding.pdf | SRMH Laproscopic Adjustable Gastric Banding Procedure Information Sheet #852 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Loopogram.pdf | SRMH Loopogram/Conduitogram #0819 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Lumbar_Discography.pdf | SRMH Lumbar Discography #0820 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Lumbar_Puncture.pdf | SRMH Lumbar Puncture #0821 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_MINIMALLY_INVASIVE_PROSTATE_PROCEDURES.pdf | SRMH MINIMALLY INVASIVE PROSTATE PROCEDURES Procedure Information Sheet #748 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | WHAT_TO_EXPECT_MASTECTOMY.pdf | SRMH Mastectomy #0725 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Nephrostogram.pdf | SRMH Nephrostogram #0824 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Nephrostomy_Tube_Change.pdf | SRMH Nephrostomy Tube Change #0825 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Nephrostomy_Tube_Placement_.pdf | SRMH Nephrostomy Tube Placement #0750 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Nephroureteral_Stent_Placement.pdf | SRMH Nephroureteral Stent Placement #0826 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_ORCHIECTOMY.pdf | SRMH ORCHIECTOMY Procedure Information Sheet #751 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | WHAT_TO_EXPECT_SURGICAL_EXCISIONAL_BIOPSY.pdf | SRMH Open Surgical Breast Excision #0729 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Orchiopexy_.pdf | SRMH Orchiopexy Procedure Information Sheet #752 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_PUBOVAGINAL_SLING_PROCEDURE_AND_MALE_URETHRAL_SLING.pdf | SRMH PUBOVAGINAL SLING PROCEDURE AND MALE URETHRAL SLING Procedure Information Sheet #759 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Paracentesis.pdf | SRMH Paracentesis #0827 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Pediatric_Circumcision_and_Revision.pdf | SRMH Pediatric Circumcision and Revision Procedure Information Sheet #753 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Pediatric_Hydrocelectomy.pdf | SRMH Pediatric Hydrocelectomy Procedure Information Sheet #754 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Penile_Prosthesis.pdf | SRMH Penile Prosthesis Procedure Information Sheet #755 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_PEG.pdf | SRMH Percutaneous Endoscopic Gastrostomy #0828 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_PTNS.pdf | SRMH Percutaneous Tibial Nerve Stimulation (PTNS) #0758 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Prostate_Brachytherapy.pdf | SRMH Prostate Brachytherapy Procedure Information Sheet #756 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Prostate_Gold_Marker_Placement.pdf | SRMH Prostate Gold Marker Placement #0757 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Radical_Cystectomy.pdf | SRMH Radical Cystectomy #0760 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Nephrectomy.pdf | SRMH Radical Nephrectomy, Partial Nephrectomy, Nephroureterectomy, Adrenalectomy #0749 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Radical_Prostatectomy.pdf | SRMH Radical Prostatectomy Procedure Information Sheet #761 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Radioactive_Iodine_Hypothyroidism.pdf | SRMH Radioactive Iodine for Hyperthyroidism #0829 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Radiofrequency_Ablation.pdf | SRMH Radiofrequency Ablation #0830 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Renal_Vein_Renin_Sampling.pdf | SRMH Renal Vein Renin Sampling #0831 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_SI.pdf | SRMH Sacroiliac Joint Injection SI #0832 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | WHAT_TO_EXPECT_SLNB.pdf | SRMH Sentinel Lymph Node Mapping/Biopsy/Surgery #0727 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Sinogram-Fistulogram.pdf | SRMH Sinogram/Fistulogram #0833 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Spermatocelectomy.pdf | SRMH Spermatocelectomy Procedure Information Sheet #762 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Spine_Facet_Injection.pdf | SRMH Spine Facet Injection #0834 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH)/Penny Cline | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Suprapubic_Cystotomy.pdf | SRMH Suprapubic Cystotomy Tube With or Without Cystoscopy #0763 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_T_Tube_Cholanigogram.pdf | SRMH T-Tube Cholanigogram #0838 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Tenckoffogram.pdf | SRMH Tenckoffogram #0836 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Thoracentesis.pdf | SRMH Thoracentesis #0837 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Transrectal_Prostate_Biopsy.pdf | SRMH Transrectal Prostate Biopsy Procedure Information Sheet #764 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Transurethral_Incision_or_Resection_of_the_Bladder_Neck.pdf | SRMH Transurethral Incision or Resection of the Bladder Neck Procedure Information Sheet #765 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_TURBT.pdf | SRMH Transurethral Resection of Bladder Tumor (TURBT) #0766 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_TURP-TUIP.pdf | SRMH Transurethral Resection of the Prostate (TURP) and Transurethral Incision of the Prostate (TUIP) #0767 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | 796_WHAT_TO_EXPECT_Trigger_Point_Injection.pdf | SRMH Trigger Point Injection #0796 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_UDT.pdf | SRMH UDT Procedure Information Sheet #768 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Ultrasound_Liver_Biopsy.pdf | SRMH Ultrasound Guided Liver Biopsy #0841 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Ultrasound_Guided_Paracentesis.pdf | SRMH Ultrasound Guided Paracentesis #0839 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Ultrasound_Renal_Biopsy.pdf | SRMH Ultrasound Guided Renal Biopsy #0842 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Ultrasound_Guided_Thoracentesis.pdf | SRMH Ultrasound Guided Thoracentesis #0840 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Ultrasound__Fluoroscopic__or_C.T._Cyst_or_Fluid_Aspiration.pdf | SRMH Ultrasound, Flouroscopic, or CT Cyst or Fluid Aspiration #0843 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Ureteroscopy_and_Stent_Placement.pdf | SRMH Ureteroscopy and Stent Placement #0769 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Urethrogram.pdf | SRMH Urethogram #0844 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_VARICOCELECTOMY.pdf | SRMH VARICOCELECTOMY Procedure Information Sheet #770 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | SRMH Print Shop | N | |
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_VCUG.pdf | SRMH VCUG #0846 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Vascular_Embolization.pdf | SRMH Vascular Embolization #0845 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Vasectomy.pdf | SRMH Vasectomy #0797 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Venogram.pdf | SRMH Venogram #0847 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Xray_Guided_Lumbar_Puncture.pdf | SRMH Xray Guided Lumbar Puncture #0848 | 3/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Meatotomy.pdf | SRMH Meatotomy #0747 | 3/2019Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | Procedure Information Sheets | Information_Sheet_Myelogramdocx.pdf | SRMH Myelogram #0823 | 5/2019 Rev. | 1/1/2300 12:00 | Katy Morris (SRMH) | N | ||
| Epic Uptime Forms | Local | REHAB | SRMH_ArmShoulderHandOutcomeAssessment_REHAB053_Spanish_FINAL.pdf | SRMH Arm Shoulder Hand Outcome Assessment REHAB053 (Spanish) | 04/2019 Rev. | Judi Sly/SRMH Rehab Administration | N | |||
| Epic Uptime Forms | Local | REHAB | SRMH_FootandAnkleOutcomeAssessment_REHAB049_Spanish_FINAL.pdf | SRMH Foot and Ankle Outcome Assessment REHAB049 (Spanish) | 04/2019 Rev. | Judi Sly/SRMH Rehab Administration | N | |||
| Epic Uptime Forms | Local | REHAB | SRMH_GeneralOutcomeAssessment_REHAB060_Spanish_FINAL.pdf | SRMH General Outcome Assessment REHAB060 (Spanish) | 04/2019 Rev. | Judi Sly/SRMH Rehab Administration | N | |||
| Epic Uptime Forms | Local | REHAB | SRMH_HipOutcomeAssessment_REHAB050_Spanish_FINAL.pdf | SRMH Hip Outcome Assessment REHAB050 (Spanish) | 04/2019 Rev. | Judi Sly/SRMH Rehab Administration | N | |||
| Epic Uptime Forms | Local | REHAB | SRMH_KneeOutcomeAssessment_REHAB051_Spanish_FINA.pdf | SRMH Knee Outcome Assessment REHAB051 (Spanish) | 04/2019 Rev. | Judi Sly/SRMH Rehab Administration | N | |||
| Epic Uptime Forms | Local | REHAB | SRMH_LowerBackOutcomeAssessment_REHAB052_Spanish_FINAL.pdf | SRMH Lower Back Outcome Assessment REHAB052 (Spanish) | 04/2019 Rev. | Judi Sly/SRMH Rehab Administration | N | |||
| Epic Uptime Forms | Local | REHAB | SRMH_NeckOutcomeAssessment_REHAB048_Spanish_FINAL.pdf | SRMH Neck Outcome Assessment REHAB048 (Spanish) | 04/2019 Rev. | Judi Sly/SRMH Rehab Administration | N | |||
| Epic Uptime Forms | Local | REHAB | AquaticTherapyAcknowledgement_REHAB068.pdf | Aquatic Therapy Acknowledgment REHAB068 | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: Rehab Services/POC Melissa Waugh | N | ||
| Epic Uptime Forms | Local | REHAB | DryNeedlingInformation_REHAB069.pdf | Dry Needling Information REHAB069 | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: Rehab Services/POC Melissa Waugh | N | ||
| Epic Uptime Forms | Local | REHAB | SRMH_AquaticTherapyREHAB044.pdf | SRMH Aquatic Therapy REHAB044 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_ArmShoulderHandOutcomeAssessment_REHAB053.pdf | SRMH Arm, Shoulder, or Hand Outcome Assessment REHAB053 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_FootandAnkleOutcomeAssessment_REHAB049.pdf | SRMH Foot and Ankle Outcome Assessment REHAB049 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_FunctionalExerciseTrainingDiaryREHAB042.pdf | SRMH Functional Exercise Training Diary REHAB042 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_GeneralOutcomeAssessment_REHAB060.pdf | SRMH General Outcome Assessment REHAB060 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_HipOutcomeAssessment_REHAB050.pdf | SRMH Hip Outcome Assessment REHAB050 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_KneeOutcomeAssessment_REHAB051.pdf | SRMH Knee Outcome Assessment REHAB051 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_LowerBackOutcomeAssessment_REHAB052.pdf | SRMH Lower Back Outcome Assessment REHAB052 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_NeckOutcomeAssessment_REHAB048.pdf | SRMH Neck Outcome Assessment REHAB048 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_REFLUXSYMPTOMINDEX_REHAB046.pdf | SRMH Reflux Sympton Index (RSI) REHAB046 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_RehabServicesAttendancePolicyREHAB043.pdf | SRMH Rehab Services Attendance Policy REHAB043 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_REHABSERVICESPATIENTMEMBERACCESSREHAB045.pdf | SRMH Rehab Services Patient Membe Access REHAB045 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_SpeechandSwallowingClinicPatientDemographicInformation_REHAB047.pdf | SRMH Speech and Swallowing Clinic Patient Demographic Information REHAB047 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_TegnerActivityScale_REHAB058.pdf | SRMH Tegner Activity Scale Sports Outcome REHAB058 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_VoiceandSwallowingFEES_REHAB054.pdf | SRMH Voice and Swallowing Services Fiberoptic Evaluation for Swallowing REHAB054 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_VoiceandSwallowingFiberopticLaryngealSensoryTesting_REHAB057.pdf | SRMH Voice and Swallowing Services Fiberoptic Laryngeal Sensory Testing REHAB057 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_VoiceandSwallowingLaryngealFunctionTestResults_REHAB056.pdf | SRMH Voice and Swallowing Services Laryngeal Function Test Results REHAB056 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_VoiceandSwallowingQuestionnaire_REHAB055.pdf | SRMH Voice and Swallowing Services Swallowing Questionnaire REHAB055 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | SRMH_VoiceandSwallowingServicesVideostroboscopyRatingFormREHAB059.pdf | SRMH Voice and Swallowing Services Videostroboscopy Rating Form REHAB059 | 4/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Judy Jenkins/Judith Getz/SRMH Rehab Administration | N | |
| Epic Uptime Forms | Local | REHAB | InpatientRehabWeeklyTeamConferenceReport_REHAB026.pdf | Inpatient Rehab Weekly Team Conference Report REHAB026 | 8/2020 Rev. | Shereen Davis/Rehab Administration | N | |||
| Epic Uptime Forms | Local | RETIRED DOCUMENTS | DocumentRetired.pdf | RETIRE 9/2019: Abortion Conssent Form CNSNT008 | Use Acknowledgement of Informed Consent form with the physician attestation note in EPIC | N | ||||
| Epic Uptime Forms | Local | RETIRED DOCUMENTS | PreKidneyPancreasEducationChecklistTRANSPLANT021.pdf | RETIRE 5/2019 per Megan Coleman KPTRANSPLANT021 Checklist Renal-Pancreas Pre-Transplant Education TRANSPLANT021 | 1/2018 Rev. | Process Owner: Megan Coleman/Peggy Bradshaw | N | |||
| Epic Uptime Forms | Local | RETIRED DOCUMENTS | DocumentRetired.pdf | RETIRE 8/2019 Michelle Dempsey-Evans: V.A.P.C.S (Williamsburg Division) Anesthesia Consent Form CNSNT106 | 5/2019 Rev. | N | ||||
| Epic Uptime Forms | Local | RETIRED DOCUMENTS | DocumentRetired.pdf | RETIRED 10/2019 Forensic Nurse Chair: Sexual Assault Examination Record EDVISIT016 | 7/2019 Rev. | EDPF/Rusty Bradfield | N | |||
| Epic Uptime Forms | Local | RETIRED DOCUMENTS | DocumentRetired.pdf | RETIRE 9/2019: Consent for FEES (STC) CNSNT151 | NOT ORDERED | N | ||||
| Epic Uptime Forms | Local | RETIRED DOCUMENTS | DocumentRetired.pdf | RETIRE 9/2019: Consent for Infant Photograph and Email / Video Recording - CNSNT044 | NOT ORDERED | N | ||||
| Epic Uptime Forms | Local | RETIRED DOCUMENTS | DocumentRetired.pdf | RETIRE 9/2019: Consent for Telemedicine Services CNSNT152 | NOT ORDERED | N | ||||
| Epic Uptime Forms | Local | RETIRED DOCUMENTS | InformedConsentorRefusalofEmergencyContraceptionCNSNT107.pdf | RETIRE 9/2019: Informed Consent/Refusal for Emergency Contraception - CNSNT107 | NOT ORDERED | N | ||||
| Epic Uptime Forms | Local | RETIRED DOCUMENTS | DocumentRetired.pdf | RETIRE 9/2019: Peripheral Vascular Lab - Penile Duplex US Consent - CNSNT070 | NOT ORDERED | N | ||||
| Epic Uptime Forms | Local | RETIRED DOCUMENTS | DocumentRetired.pdf | RETIRE 9/2019: Consent / Declination Tomosynthesis CNSNT139 | Not Ordered | N | ||||
| Epic Uptime Forms | Local | TELENURSING | NursingTelemetryAnalysisRecordTELENURSING001.pdf | Nursing/Telemetry Analysis Record - TELENURSING001 | 8/2020 Rev. | N | ||||
| Epic Uptime Forms | Local | TELETECH | TELETECHPaper_2019.pdf | TELETECH Paper | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | TELETECH | TeletechPaperSWRMC.pdf | TELETECH Paper SWRMC (30,000 sheets/12 boxes) | DO NOT PRINT/Send order to Allegra to pull from inventory. | 1/1/2300 12:00 | N | |||
| Epic Uptime Forms | Local | TELETECH | TELETECH003LeadSheet.pdf | TELETECH003 Lead Sheet | 1/1/2300 12:00 | N | ||||
| Epic Uptime Forms | Local | TELETECH | 24HourTelemetryAnalysisRecordTELETECH001.pdf | 24 Hour Telemetry Analysis Record (5 Hole Punched) - TELETECH001 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | TELETECH | TelemetryAnalysisRecordContTELETECH002.pdf | 24 Hour Telemetry Analysis Record (5 Hole Punched) Page 2 - TELETECH002 | 8/2017 Rev. | N | ||||
| Epic Uptime Forms | Local | TRANSPLANT | KP_Caregiver_Contract_KPTRANSPLANT.pdf | KP_TRANSPLANT075 Caregiver Contract | 01/2020 Rev. | 1/1/2300 12:00 | KP Abdominal Organ Executive Committee/Megan Coleman/Peggy Bradshaw | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | Consent_Surgical_LD_Kidney_Transplant_LDCNSNT124.pdf | LD_CNSNT124 Consent for Living Donor Kidney Transplant Surgery CNSNT124 | 01/2021 Rev. | 1/1/2300 12:00 | Process Owner: Megan Coleman/Peggy Bradshaw | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | Consent_Surgical_Kidney_and_Pancreas_Deceased_Donor_Transplant_KPCNSNT059.pdf | KP_CNSNT059 Consent for Kidney, Pancreas, or Kidney/Pancreas Transplant Surgery | 02/2021 Rev. | 1/1/2300 12:00 | Process Owner: Megan Coleman/Peggy Bradshaw | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | KP_Compliance_Contract_KPTRANSPLANT076.pdf | KP Compliance Contract KPTRANSPLANT076 | 04/2021 Rev. | Kelli Carmichael/Abdominal Organ Quality and Advisory | N | |||
| Epic Uptime Forms | Local | TRANSPLANT | Consent_Surgical_Removal_Kidney_Directed_Donation_LDCNSNT061.pdf | LD_CNSNT061 Consent for Surgical Removal of Kidney for Directed Donation | 05/2021 Rev. | 1/1/2300 12:00 | Process Owner: Megan Coleman/Peggy Bradshaw | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | Consent_Surgical_Removal_Kidney_NonDirected_Donation_LDCNSNT062.pdf | LD_CNSNT062 Consent for Surgical Removal Of Kidney For Non-Directed Donation - CNSNT062 | 05/2021 Rev. | 1/1/2300 12:00 | Process Owner: Megan Coleman/Peggy Bradshaw | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | Consent_HCV_HBV_Listing_Acceptance_KPTRANSPLANT063_july2020.pdf | KP_TRANSPLANT063 HBV-HCV Positive Donors | 07/2020 Rev. | 1/1/2300 12:00 | KP Abdominal Organ Executive Committee/Megan Coleman/Peggy Bradshaw | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | TRANSPLANT058_AcknowofEducandUnder-EvalforVentAssistDevImpl.pdf | TRANSPLANT058 Acknowledgement of Education and Understanding: Evaluation for Ventricular Assist Device Implantation | 1/2020 Rev. | Brenda Smith/SNGH Transplant Coordinator | N | |||
| Epic Uptime Forms | Local | TRANSPLANT | TRANSPLANT060_LVADCaregiverFullDisclosureAgreegment.pdf | TRANSPLANT060 LVAD Caregiver Agreement | 1/2020 Rev. | Brenda Smith/SNGH Transplant Coordinator | N | |||
| Epic Uptime Forms | Local | TRANSPLANT | CNSNT060_HeartTransplantSurgicalConsent.pdf | TX_CNSNT060 Heart Transplant Surgery Consent | 1/2020 Rev. | Brenda Smith/SNGH Transplant Coordinator | N | |||
| Epic Uptime Forms | Local | TRANSPLANT | ConsentSurgicalVADCNSNT064-2.pdf | VAD_CNSNT064 Consent for VAD Implantation | 1/2020 Rev. | Brenda Smith/SNGH Transplant Coordinator | N | |||
| Epic Uptime Forms | Local | TRANSPLANT | AcknowofEducandUnder-EvalNon-DirectedDonationofKidney_LDTRANSPLANT055_1.2021.pdf | LD_TRANSPLANT055 Acknowledgement of Education and Understanding: Evaluation for Non-Directed Donation of a Kidney | 1/2021 Rev. | 1/1/2300 12:00 | Process Owner: Megan Coleman/Peggy Bradshaw | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | AcknowofEducandUnder-EvalDirectedDonationofKidney_LDTRANSPLANT056_1.2021.pdf | LD_TRANSPLANT056 Acknowledgement of Education and Understanding: Evaluation for Directed Donation of A Kidney | 1/2021 Rev. | 1/1/2300 12:00 | Process Owner: Megan Coleman/Peggy Bradshaw | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | VAD_TRANSPLANT064_MechanicalCirculatorySupportHomeInspectionChecklistforPatientSupportPerson.pdf | VAD_TRANSPLANT064 Mechanical Circulatory Support Home Inspection Checklist | 2/2019 Rev. | 1/1/2300 12:00 | Process Owenr: Brenda Smith | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | VAD_TRANSPLANT065_MechanicalCirculatorySupportHeartWareFinalDischargeEquipmentChecklist.pdf | VAD_TRANSPLANT065 Mechanical Circulatory Support HeartWare Final Discharge Equipment Checklist | 2/2019 Rev. | 1/1/2300 12:00 | Process Owenr: Brenda Smith | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | VAD_TRANSPLANT066_MechanicalCirculatorySupportHeartmateII-3FinalDischargeEquipmentChecklist.pdf | VAD_TRANSPLANT066 Mechanical Circulatory Support Heartmate II/3 Final Discharge Equipment Checklist | 2/2019 Rev. | 1/1/2300 12:00 | Process Owenr: Brenda Smith | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | VAD_TRANSPLANT067_HandOffTransportMonitoringEquipmentChecklist.pdf | VAD_TRANSPLANT067 Hand Off: Transport Monitoring Equipment Checklist | 2/2019 Rev. | 1/1/2300 12:00 | Process Owenr: Brenda Smith | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | Consent_TxpDonorRiskFactor_TXPCNSNT068.pdf | TX_CNSNT068 Transplant Donor Risk Factor Consent Form | 3/2021 Rev. | Megan Coleman and Kelli Carmichael/Heart Transplant and Kidney Transplant Advisory | N | |||
| Epic Uptime Forms | Local | TRANSPLANT | KP_CNSNT147_A2A2BConsent.pdf | KP_CNSNT147 Consent for Acceptance of A2/A2B Donor Kidney Transplant | 4/2019 Rev. | 1/1/2300 12:00 | Process Owner: Megan Coleman/Peggy Bradshaw | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | KPCNSNT146_Consent_KDPI_greater_than_85.pdf | KP_CNSNT146 Consent KDPI greater than 85 percent | 6/2019 Rev. | This file is already set for 2PT printing for collating. | 1/1/2300 12:00 | Process Owner: Megan Coleman/Peggy Bradshaw | N | |
| Epic Uptime Forms | Local | TRANSPLANT | KPTRANSPLANT024_SubstanceAbuseContract2019.pdf | KP_TRANSPLANT024 Substance Abuse Contract, Renal and Pancreas Transplant Program | 6/2019 Rev. | 1/1/2300 12:00 | Process Owner: Megan Coleman/Peggy Bradshaw | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | AcknowofEducandUnder-EvalforKidney-PancreasorKidneyPancreasTRANSPLANT057.pdf | KP_TRANSPLANT057 Acknowledgement of Education and Understanding: Evaluation for Kidney, Pancreas, or Kidney/Pancreas Transplantation | 6/2021 Rev. | 1/1/2300 12:00 | Process Owner: Megan Coleman/Peggy Bradshaw | N | ||
| Epic Uptime Forms | Local | TRANSPLANT | AcknowledgementofRecipientPairedExchangeProgramTRANSPLANT061.pdf | LD_TRANSPLANT061 Acknowledgement of Recipient Paired Exchange Program TRANSPLANT061 | 7/2018 Rev. | 1/1/2300 12:00 | Process Owner: Megan Coleman/Peggy Bradshaw | N | ||
| General Medical Services | Local | Gastro | GI_Procedure_Instructions__1_.pdf | GI Procedure Instructions #1402 | 2/2020 Rev. | Sarah Ward (Evelyn Byrd Gastro) | SRMH Print Shop | N | ||
| General Medical Services | Local | Gastro | Osmoprep.pdf | Osmoprep Instructions #1404 | 2/2020 Rev. | Abigail Breeden/SRMG Gastro | SRMH Print Shop | N | ||
| General Medical Services | Local | Gastro | Prepopik.pdf | Prepopik Instructions #1407 | 2/2020 Rev. | Abigail Breeden/SRMG Gastro | SRMH Print Shop | N | ||
| General Medical Services | Local | Gastro | Early_Trilyte.pdf | SHRH Instructions for Colonoscopy - Early Trilyte Prep | 2/2020 Rev. | Designed by Bart Morris | Faith O'Neill | N | ||
| General Medical Services | Local | Gastro | Early_Golyte.pdf | SHRH Instructions for Colonoscopy - Trilyte Prep | 2/2020 Rev. | Designed by Bart Morris | Faith O'Neill | N | ||
| General Medical Services | Local | Gastro | Trilyte_Split_Prep.pdf | SHRH Instructions for Colonoscopy - Trilyte Split Prep | 2/2020 Rev. | Designed by Bart Morris | Faith O'Neill | N | ||
| General Medical Services | Local | Gastro | INSTRUCTIONS_FOR_EGD.pdf | SHRH Instructions for Endoscopy (EGD) | 2/2020 Rev. | Designed by Bart Morris | Faith O'Neill | N | ||
| General Medical Services | Local | Gastro | Flexible_Sigmoidoscopy.pdf | SHRH Instructions for Flexible Sigmoidoscopy | 2/2020 Rev. | Designed by Bart Morris | Faith O'Neill | N | ||
| General Medical Services | Local | Gastro | SUPREP.pdf | SHRH Instructions for Suprep Colonoscopy | 2/2020 Rev. | Designed by Bart Morris | Faith O'Neill | N | ||
| General Medical Services | Local | Gastro | Miralax_Prep-3___9.pdf | SHRH Miralax Prep (3 & 9) for Colonoscopy | 2/2020 Rev. | Designed by Bart Morris | Faith O'Neill | N | ||
| General Medical Services | Local | Gastro | Miralax_Split_Prep-6___6.pdf | SHRH Miralax Split Prep (6 & 6) for Colonoscopy | 2/2020 Rev. | Designed by Bart Morris | Faith O'Neill | N | ||
| General Medical Services | Local | Gastro | DocumentRetired.pdf | ***RETIRED per Abby Breeden*** EGD Instructions #1401 | 8/2021 Rev. | Abigail Breeden/SRMG Gastro | SRMH Print Shop | N | ||
| General Medical Services | Local | Gastro | Golytly_Prep_Instructions.pdf | RETIRED 6/2019 Abigail Breeden; Golytly Pre instructions #1403 | 9/2017 Rev. | Sarah Ward (Evelyn Byrd Gastro) | SRMH Print Shop | N | ||
| General Medical Services | Local | General Services/Information | Zebra Thermal Label | (Please order from Far West Print Solutions) | Solutions@Farwestprint.com | 1/1/2300 12:00 | {popup=https://www.asb-farwest.com/sentara.htm}Far West{/popup} | Far West | N | |
| General Medical Services | Local | General Services/Information | LAB-BloodTransfusionsSPANbro-0520.pdf | Blood and Blood Component Transfusions Brochure (SPANISH) (SRMH) | 05/2020 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Sarah Wichael | SRMH print Shop | N |
| General Medical Services | Local | General Services/Information | SCH_My_Choice_For_Healthcare_Card.pdf | SCH My Choice For Healthcare Card | 05/2020 Rev. | 1/1/2300 12:00 | Caitlyn Worner | N | ||
| General Medical Services | Local | General Services/Information | SWRMC_My_Choice_For_Healthcare_Card.pdf | SWRMC My Choice For Healthcare Card | 05/2020 Rev. | 1/1/2300 12:00 | Caitlyn Worner | N | ||
| General Medical Services | Local | General Services/Information | Sentara_Laboratory_Services_Draw_Site_Listing_brochure.pdf | ***DOCUMENT RETIRED 5/2021 Kathy Prussock***Sentara Laboratory Services Collection Site Listing Brochure #1886 | 05/2021 Rev. | 1/1/2300 12:00 | Kathy Prussock/Allaine Doon | N | ||
| General Medical Services | Local | General Services/Information | Sentara_Laboratory_Services_Draw_Site_Listing_5-2021.pdf | Sentara Laboratory Services Draw Site Listing Flyer #2153 (replaced #1886) | 05/2021 Rev. | Kathy Prussock | N | |||
| General Medical Services | Local | General Services/Information | SVBGH_Patient_Transition2Home_flyer_1717.pdf | SVBGH Patient Transition To Home Flyer #1717 | 1/2019 Rev. | 1/1/2300 12:00 | Kathleen Gramkowski | N | ||
| General Medical Services | Local | General Services/Information | SVBGH_Patient_Transition2Home_flyer_4x9.pdf | SVBGH Patient Transition to Home 4"x9" #1718 | 1/2019 Rev. | 1/1/2300 12:00 | Kathleen Gramkowski | N | ||
| General Medical Services | Local | General Services/Information | SAMC_Flyer_jan2020.pdf | SAMC Flyer | 1/2020 Rev. | 1/1/2300 12:00 | Annya Soucy | N | ||
| General Medical Services | Local | General Services/Information | SMJH_ProtectPrivacyCard_3_5x2.pdf | SMJH Protect Privacy Card #1290 | 10/2019 Rev. | Process Owner: Chelsea Fitz | N | |||
| General Medical Services | Local | General Services/Information | SHRH_ProviderDirectory_trifold.pdf | SHRH Provider Directory Brochure | 10/2020 Rev. | Joni G Henderson | N | |||
| General Medical Services | Local | General Services/Information | PMK-languagecard-1118_Arabic.pdf | SRMH Language Card, Arabic | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: Silvia Garcia-Romero | SRMH Print Shop | N | |
| General Medical Services | Local | General Services/Information | PMK-languagecard-1118_ENG.pdf | SRMH Language Card, English | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: Silvia Garcia-Romero | SRMH Print Shop | N | |
| General Medical Services | Local | General Services/Information | PMK-languagecard-1118_Russian.pdf | SRMH Language Card, Russian | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: Silvia Garcia-Romero | SRMH Print Shop | N | |
| General Medical Services | Local | General Services/Information | PMK-languagecard-1118_SP.pdf | SRMH Language Card, Spanish | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: Silvia Garcia-Romero | SRMH Print Shop | N | |
| General Medical Services | Local | General Services/Information | SRMH_Therapy_Services_PT_for_Dancers.pdf | SRMH Therapy Services Physical Therapy for Dancers Flyers | 12/2019 Rev. | Tara Fulk/SRMH Outpatient Therapy | N | |||
| General Medical Services | Local | General Services/Information | 4169_Transitional_Care_Info_Graphics_-_22x28_Posters_Employee.pdf | Transitional Care Management English Employee 22 x 28 Laminated Poster | 12/2020 11:25 am Rev. | Send to Bizport Laminated |
Process Owner: Eric Douglas | N | ||
| General Medical Services | Local | General Services/Information | 4169_Transitional_Care_Info_Graphics_-_22x28_Posters_Patient.pdf | Transitional Care Management English Patient 22 x 28 Laminated Poster | 12/2020 11:25 am Rev. | Send to Bizport Laminated |
Process Owner: Eric Douglas | N | ||
| General Medical Services | Local | General Services/Information | TCM_Infographic_Chinese_Patient_Letter.pdf | Transitional Care Management Chinese Patient Letter | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_Chinese_4169_Rack.pdf | Transitional Care Management Chinese Rack Card | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_English_Employee_Letter.pdf | Transitional Care Management English Employee Letter | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_English_Patient_Letter.pdf | Transitional Care Management English Patient Letter | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | 4169_Transitional_Care_Info_Graphics_-_Rack_-_print.pdf | Transitional Care Management English Rack Card | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_Farsi_Patient_Letter.pdf | Transitional Care Management Farsi Patient Letter | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_Farsi_4169_Rack.pdf | Transitional Care Management Farsi Rack Card | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_Korean_Patient_Letter.pdf | Transitional Care Management Korean Patient Letter | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_Korean_4169_Rack.pdf | Transitional Care Management Korean Rack Card | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_Spanish_Patient_Letter.pdf | Transitional Care Management Spanish Patient Letter | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_Spanish_4169_Rack.pdf | Transitional Care Management Spanish Rack Card | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_Tagalog_Patient_Letter.pdf | Transitional Care Management Tagalog Patient Letter | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_Tagalog_4169_Rack.pdf | Transitional Care Management Tagalog Rack Card | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_Vietnamese_Patient_Letter.pdf | Transitional Care Management Vietnamese Patient Letter | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | TCM_Infographic_Vietnamese_4169_Rack.pdf | Transitional Care Management Vietnamese Rack Card | 12/2020 Rev. | Process Owner: Eric Douglas | N | |||
| General Medical Services | Local | General Services/Information | Halifax_Hosp_STAY_Book_0319a_-_Paginated.pdf | SHRH Your Hospital Stay Book - Price TBD per quantity ordered | 3/2019 Rev. | Send to Jones Printing Cover stock cover with inside back 4 in glued pocket Text Weight Inside pages |
1/1/2300 12:00 | Faith O'Neil | Jones Printing | N |
| General Medical Services | Local | General Services/Information | SMG_Chronic_Care_Brochure_bifold.pdf | Your Guide to Chronic Care Management Brochure | 4/2019 Rev. | Designer Jaycen LeBlanc | 1/1/2300 12:00 | Courtney Martone | N | |
| General Medical Services | Local | General Services/Information | SWRMCDispositionofBodyForm.pdf | Disposition of Body Form (SWRMC) #0586 | 5/2018 Rev. | Flat Sheet, Left Hole Punch | 1/1/2300 12:00 | N | ||
| General Medical Services | Local | General Services/Information | PatientBinderCovers_FrontandBack.pdf | My Healthcare Binder Covers (Systemwide), Front Cover and Back Cover | 5/2018 Rev. | These need to print single sided so covers are separate. | 1/1/2300 12:00 | N | ||
| General Medical Services | Local | General Services/Information | TeleSitterBrochure_R2.pdf | TeleSitter Brochure #1585 | 5/2018 Rev. | 1/1/2300 12:00 | Sharon Bunn | N | ||
| General Medical Services | Local | General Services/Information | UroGyn_12x9Trifold_0519_C_Pink_FINAL.pdf | SNVMC Pelvic Floor Program Women's Urology and Gynecology Services Brochure | 5/2019 Rev. | 1/1/2300 12:00 | Janice Lavoie/Physician Services Urology | N | ||
| General Medical Services | Local | General Services/Information | UroGyn_12x9_0519_DarkPink_Spanish_High_Resolution.pdf | SNVMC Pelvic Floor Program Women's Urology and Gynecology Services Brochure, SPANISH | 5/2019 Rev. | 1/1/2300 12:00 | Janice Lavoie/Physician Services Urology | N | ||
| General Medical Services | Local | General Services/Information | PlasticSurgery_4x9_0519_B_FINAL_adj.pdf | SNVMC Plastic Surgery Brochure | 5/2019 Rev. | 1/1/2300 12:00 | Healther Causseaux/Surgical Program Development | N | ||
| General Medical Services | Local | General Services/Information | PlasticSurgery_8x9_Bifold_Spanish_High_Resolution.pdf | SNVMC Plastic Surgery Brochure, SPANISH | 5/2019 Rev. | 1/1/2300 12:00 | Healther Causseaux/Surgical Program Development | N | ||
| General Medical Services | Local | General Services/Information | GenUro_12x9Trifold_Spanish_High_Resolution.pdf | SNVMC Urology Services Brochure, SPANISH | 5/2019 Rev. | 1/1/2300 12:00 | Janice Lavoie/Physician Services Urology | N | ||
| General Medical Services | Local | General Services/Information | 3631_Video_Visit_Rack_Redesign_-_white_-_print__00000002_.pdf | Video Visit Rack/Bio Card - Tammy Maloney | 5/2019 Rev. | 1/1/2300 12:00 | Bethany Allen | Jones Printing | N | |
| General Medical Services | Local | General Services/Information | WhenIsaColonoscopyConsideredaHealthScreening.pdf | When Is a Colonoscopy Considered a Health Screening | 5/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Danise Hottinger/Abigail Breeden/Cynthia Hill | N | |
| General Medical Services | Local | General Services/Information | LAB-BloodTransfusionsbro-0520.pdf | Blood and Blood Component Transfusions Brochure (ENGLISH) (SRMH) | 5/2020 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Sarah Wichael | N | |
| General Medical Services | Local | General Services/Information | New_Medication_Teaching_Guide_MAGNET_logo_5-2020.pdf | New Medication Teaching Guide #0348 | 5/2020 Rev. | 1/1/2300 12:00 | N | |||
| General Medical Services | Local | General Services/Information | New_Medication_Teaching_Guide_NOMAGNET_logo_5-2020.pdf | New Medication Teaching Guide #0348 NO MAGNET LOGO | 5/2020 Rev. | 1/1/2300 12:00 | Johnsa Morris | N | ||
| General Medical Services | Local | General Services/Information | Sentara_Laboratory_Services_Draw_Site_Listing_5-2021.pdf | Sentara Laboratory Services Collection Site Listing Flyer #2153 | 5/2021 Rev. | Kathy Prussock/Central Testing | N | |||
| General Medical Services | Local | General Services/Information | CBH-CommunityResourceTreatmentHndbk-0619.pdf | SRMH Community Resource for Alcohol Detox/Substance Abuse Treatment | 6/2019 Rev. | 1/1/2300 12:00 | Deborah Kile | SRMH Print Shop | N | |
| General Medical Services | Local | General Services/Information | MED-MedicalAssistProgpanelcard-0619.pdf | SRMH Medical Assistance Program (MAP) Rack Card | 6/2019 Rev. | 1/1/2300 12:00 | Natalie Bass/SRMG Admin | N | ||
| General Medical Services | Local | General Services/Information | MED-MedicalAssistProgpanelcard_SPANISH-0619.pdf | SRMH Medical Assistance Program (MAP) Rack Card, SPANISH | 6/2019 Rev. | 1/1/2300 12:00 | Natalie Bass/SRMG Admin | N | ||
| General Medical Services | Local | General Services/Information | 3601_SBLH_Fact_Sheet_Update_-_print.pdf | Sentara BelleHarbour Flyer | 7/2019 Rev. | Designer: Jaycen LeBlanc | 1/1/2300 12:00 | Chelsie Williams | N | |
| General Medical Services | Local | General Services/Information | The Value of Health Insurance Brochure (CMS Product No. 11631) | 7/2019 Rev. | https://marketplace.cms.gov/outreach-and-education/value-of-health-insurance-english.pdf
80# Gloss Text Prints 4/4 8.5 x 11 Folds to 5.5 x 8.5 and Shrink Wrapped in 50?s |
1/1/2300 12:00 | Allegra | N | ||
| General Medical Services | Local | General Services/Information | The Value of Health Insurance Brochure (CMS Product No. 11631), SPANISH | 7/2019 Rev. | https://marketplace.cms.gov/outreach-and-education/value-of-health-insurance-spanish.pdf
80# Gloss Text Prints 4/4 8.5 x 11 Folds to 5.5 x 8.5 and Shrink Wrapped in 50?s |
1/1/2300 12:00 | Allegra | N | ||
| General Medical Services | Local | General Services/Information | SEN-847.2-TransferCenter_Updates_GeneralFlyer.pdf | Sentara Transfer Center, Right Place, Right Time, Right Level of Care GENERAL Flyer | 8/2019 Rev. | 1/1/2300 12:00 | Julie A Suedmeyer-Buller/Marketing | N | ||
| General Medical Services | Local | General Services/Information | SEN-847.3-TransferCenter_Updates_PhysicianFlyer__002_.pdf | Sentara Transfer Center, Right Place, Right Time, Right Level of Care PHYSICIAN Flyer | 8/2019 Rev. | 1/1/2300 12:00 | Julie A Suedmeyer-Buller/Marketing | N | ||
| General Medical Services | Local | General Services/Information | SNVMC_MyEduc_DC_Inst_Binder__1_.pdf | SNVMC My Education & Discharge Instructions Binder | 9/2018 Rev. | See notes/comments in pdf
doc Only print and send inserts, NOT BINDER |
1/1/2300 12:00 | Braeden Peters | N | |
| General Medical Services | Local | General Services/Information | DocumentRetired.pdf | RETIRE 11/2019: Outpatient Medical/Surgery Unit (SVBGH) #1173 | NOT ORDERED | Process Owner: Cindy Gray | N | |||
| General Medical Services | Local | General Services/Information | SRMH My Healthcare Plan Binder, ENGLISH, 40 binders per/box | PLEASE PICKUP FROM RECEIVING / PHONE: 689-6920 | These are our discharge binders, we put patient visitor booklet, preparing to leave hospital, blood blot, follow up call, Sentara to home, 2 separate sheet for just RMH and a brochure from the foundation into plastic inserts that are labeled. 1? binder with front and back cover. These are paid for up front so no cost on site. | 1/1/2300 12:00 | Meghan Patterson Contact it was Steve Nelson. They are kept in RMH | N | ||
| General Medical Services | Local | General Services/Information | SRMH My Healthcare Plan Binder, SPANISH | PLEASE PICKUP FROM RECEIVING / PHONE: 689-6920 | These are our discharge binders, we put patient visitor booklet, preparing to leave hospital, blood blot, follow up call, Sentara to home, 2 separate sheet for just RMH and a brochure from the foundation into plastic inserts that are labeled. 1? binder with front and back cover. These are paid for up front so no cost on site. | 1/1/2300 12:00 | N | |||
| General Medical Services | Local | General Services/Information | SMJH My Education and Discharge Instruction Binder - 35 per Box | Please email Catherine H Hughes (CHBOUCHE@sentara.com) to order. | 1/1/2300 12:00 | Catherine Hughes/SMJH Volunteer Services | N | |||
| General Medical Services | Local | Patient Blood Management (PBM) Program | PlateletsTransfusion_Flyer_1912.pdf | Platelet Transfusion Flyer (Platelets Don't Grow On Trees) #1912 | 12/2019 Rev. | Christopher Smith/Clinical Process Improvement | N | |||
| General Medical Services | Local | Patient Blood Management (PBM) Program | OnePatientOneUnitOneLife_Sign.pdf | Platelet Transfusion Sign (One Patient, One Unit, One Life) #1914, Laminated | 12/2019 Rev. | Christopher Smith/Clinical Process Improvement | N | |||
| General Medical Services | Local | Patient Blood Management (PBM) Program | PlateletsDontGrowOnTrees_Sign.pdf | Platelet Transfusion Sign (Platelets Don't Grow On Trees) #1913, Laminated | 12/2019 Rev. | Christopher Smith/Clinical Process Improvement | N | |||
| General Medical Services | Local | Patient Blood Management (PBM) Program | CBPM_5x7_referencecard.pdf | CBPM 5x7 Reference Card #1808 | 7/19 Reviewed/Revised | Laminated | 1/1/2300 12:00 | Christopher T Smith | N | |
| General Medical Services | Local | Patient Blood Management (PBM) Program | CPBM_LessIsMore_Flyer.pdf | CPBM Less Is More Flyer #1813 | 7/19 Reviewed/Revised | 1/1/2300 12:00 | Christopher T Smith | N | ||
| General Medical Services | Local | Patient Blood Management (PBM) Program | CPBM_Less_is_More_11x8_5_small_poster.pdf | CPBM Less is More 11x8 5 Small Poster #1815 | 7/19 Reviewed/Revised | 1/1/2300 12:00 | Christopher T Smith | N | ||
| General Medical Services | Local | Patient Blood Management (PBM) Program | CPBM_Poster_11x17.pdf | CPBM Poster 11x17 #1814 | 7/19 Reviewed/Revised | 1/1/2300 12:00 | Christopher T Smith | N | ||
| General Medical Services | Local | Patient Blood Management (PBM) Program | KeyConsiderations_RedBloodCells__Onco_flyer.pdf | Key Considerations Red Blood Cells Onco Flyer #1810 | 7/19 Reviewed/Revised | 1/1/2300 12:00 | Christopher T Smith | N | ||
| General Medical Services | Local | Patient Blood Management (PBM) Program | KeyConsiderations_RedBloodCells__PT_flyer.pdf | Key Considerations Red Blood Cells PT Flyer #1809 | 7/19 Reviewed/Revised | 1/1/2300 12:00 | Christopher T Smith | N | ||
| General Medical Services | Local | Patient Blood Management (PBM) Program | KeyConsiderations_RedBloodCells__PT_flyer.pdf | Key Considerations Red Blood Cells PT Flyer #1811 | 7/19 Reviewed/Revised | 1/1/2300 12:00 | Christopher T Smith | N | ||
| General Medical Services | Local | Patient Blood Management (PBM) Program | PBMP_brochure.pdf | PBMP Brochure #1812 | 7/19 Reviewed/Revised | 1/1/2300 12:00 | Christopher T Smith | N | ||
| General Medical Services | Local | Pediatrics | SWRMC_Pediatric_Brochure.pdf | SWRMC Pediatric Unit Brochure #2009 | 5/2020 Rev. | 1/1/2300 12:00 | Audrey Snyder/Caitlyn Worner | N | ||
| General Medical Services | Local | Pediatrics | SWRMC_IP_Pediatric_Unit_RackCard.pdf | SWRMC Inpatient Pediatric Unit Rack Card #1860 | 9/2019 Rev. | Audrey Snyder/Caitlyn Worner | N | |||
| General Medical Services | Local | Urology | 500238_SNVMC_Aquablation_8.5x11_9_FINAL.pdf | SNVMC Sentara Urology Center Aquablation Flyer | 12/2020 Rev. | 6/1/2022 12:00 | Elizabeth Rogers | N | ||
| General Medical Services | Local | Urology | ProstateUrology_8.5x11_D_FINAL.pdf | SNVMC Sentara Urology Center Prostate Cancer Facts | 5/2019 Rev. | 1/1/2300 12:00 | Janice Lavoie/Physician Services Urology | N | ||
| General Medical Services | Local | Urology | GenUro_12x9Trifold_E_FINAL.pdf | SNVMC Urology Services Brochure | 5/2019 Rev. | 1/1/2300 12:00 | Janice Lavoie/Physician Services Urology | N | ||
| General Medical Services | Local | Urology | MKD-CareofLegBagbroch-0619.pdf | SRMH Guide to Your Care - Care of your leg and drainage bag Brochure | 6/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: Sarah Wichael | N | |
| General Medical Services | Local | Urology | PSV-CareofBladderCathWombro-0718.pdf | SRMH Guide to Your Care - Caring for your bladder catheter-for females Brochure | 7/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: Sarah Wichael | N | |
| General Medical Services | Local | Urology | PSV-CareofBladderCathMenbro-0718.pdf | SRMH Guide to Your Care - Caring for your bladder catheter-for males Brochure | 7/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Sarah Wichael | N | |
| General Medical Services | Local | Women's Health | Urgent_Maternal_Warning_Signs_ENGLISH_flyer.pdf | Urgent Maternal Warning Signs ENGLISH Flyer | 05/2020 Rev. | Debi Bucci | N | |||
| General Medical Services | Local | Women's Health | Urgent_Maternal_Warning_Signs_SPANISH_flyer.pdf | Urgent Maternal Warning Signs SPANISH Flyer | 05/2020 Rev. | Debi Bucci | N | |||
| General Medical Services | Local | Women's Health | UroGyn_ScriptFlyer_8.5x11_G.pdf | SNVMC Pelvic Floor Program Flyer, 25 sheets p/pad | 9/2019 Rev. | Heather Causseaux/Elizabeth Rogers | N | |||
| Health and Wellness | Local | General Health and Wellness Info | Health Care Services Large Select Window 10 x 13 (Envelopes Only) - SEE JOYCE OR BRIAN | Shelf Item | 1/1/2300 12:00 | N | ||||
| Health and Wellness | Local | General Health and Wellness Info | My_Health_and_Medication_List_Booklet_2019.pdf | MyHealth Log and Medicine List | Shelf Item | 1/1/2300 12:00 | Brian Gasby | Signature Printing | N | |
| Health and Wellness | Local | General Health and Wellness Info | 3147_SI_Community_Day_Flyer_-print.pdf | SI Community Day Flyer | N | |||||
| Health and Wellness | Local | General Health and Wellness Info | BannerUp_A1.pdf | SPAH Better Breathers Club Banner Up | Send to Bizport | Julie A Suedmeyer-Buller/Marketing | Bizport | N | ||
| Health and Wellness | Local | General Health and Wellness Info | PMK-NutritionCounselingflyer.pdf | SRMH Nutrition Counseling Available for Our Patients | 1/1/2300 12:00 | Rev. 6/2017 Sarah Wichael | N | |||
| Health and Wellness | Local | General Health and Wellness Info | SentaraAmbulatoryServices_FITtest_foldover_card.pdf | Sentara Ambulatory Services FIT Test Foldover Card | 1/1/2300 12:00 | Process Owner: Toy Coffey-Perkins | N | |||
| Health and Wellness | Local | General Health and Wellness Info | 0281_BloodPressureCard_v022020.pdf | Blood Pressure Record #0281, Packs of 100 | 02/2020 Rev. | Shelf Item | 1/1/2300 12:00 | Rosalinda Babilonia | N | |
| Health and Wellness | Local | General Health and Wellness Info | 0190_MLMPWellnessRecord_v022020.pdf | MLMP Wellness Record, Know Your Numbers #0190, Packs of 100 | 02/2020 Rev. | Shelf Item | 1/1/2300 12:00 | Rosalinda Babilonia | N | |
| Health and Wellness | Local | General Health and Wellness Info | Nutrition_Services_Patient_Info_Sheets_Optimize_Weight-PRINT.pdf | Optimize Weight and Nutrition Before Surgery (Flyer) | Mar-21 | Lisa Schulwolf | N | |||
| Health and Wellness | Local | General Health and Wellness Info | SMGBloodPressureFoldCard2021.pdf | Blood Pressure Card #0257 (Packs of 100) | 03/2021 Rev. | 1/1/2300 12:00 | SMG Practice Support | N | ||
| Health and Wellness | Local | General Health and Wellness Info | Patient_Info_Sheet_Surgery_Nutrition_Tips-PRINT.pdf | Surgery Nutrition Tips (Flyer) | 03/2021 Rev. | Lisa Schulwolf | N | |||
| Health and Wellness | Local | General Health and Wellness Info | Adult_Medicaid_Postcard_4x6_april2020.pdf | Adult Medicaid Postcard 4"x6" | 04/2020 Rev. | 1/1/2300 12:00 | Vanessa Hill/Anthony Wright | N | ||
| Health and Wellness | Local | General Health and Wellness Info | ProjectConnect_English_4x6_OB_april2020.pdf | Project Connect Card (OB) | 04/2020 Rev. | 1/1/2300 12:00 | Vanessa Hill/Anthony Wright | N | ||
| Health and Wellness | Local | General Health and Wellness Info | SCPMC_What_You_Need_to_Know_About_Posture_Body_Mechanics_Lifting_Brochure_Woodbridge.pdf | SCPMC What You Need to Know About Posture Body Mechanics Lifting Brochure (Woodbridge) #2241 | 04/2021 Rev. | POC: Sarah Sidar (Ryan Palmatier) | N | |||
| Health and Wellness | Local | General Health and Wellness Info | CHB-Labyrinthbroch-0421.pdf | SRMH Labyrinth Brochure | 04/2021 Rev. | Robin L Martin | N | |||
| Health and Wellness | Local | General Health and Wellness Info | Saving_Grocery_2020.pdf | Grocery Store Saving, Pads of 50 | 06/2020 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | 1/1/2300 12:00 | Rosalinda Babilonia/Joan Sechrist | N | |
| Stationery | Local | Cards (Stationery) | SHC_Harrisonburg_embossed_thankyou_card.pdf | Home Health Harrisonburg Embossed Logo Thank You Card | 08/2021 Rev. | Embossed Logo Notecard with pre-printed envelope | 1/1/2300 12:00 | Grace Little | N | |
| Stationery | Local | Cards (Stationery) | SHC_NC_embossed_thankyou_card.pdf | Home Health NC (Elizabeth City) Embossed Logo Thank You Card | 08/2021 Rev. | Embossed Logo Notecard with pre-printed envelope | 1/1/2300 12:00 | Grace Little | N | |
| Stationery | Local | Cards (Stationery) | SHC_NN_embossed_thankyou_card.pdf | Home Health Newport News Embossed Logo Thank You Card | 08/2021 Rev. | Embossed Logo Notecard with pre-printed envelope | 1/1/2300 12:00 | Grace Little | N | |
| Stationery | Local | Cards (Stationery) | SHC_Norfolk_embossed_thankyou_card.pdf | Home Health Norfolk Embossed Logo Thank You Card | 08/2021 Rev. | Embossed Logo Notecard with pre-printed envelope | 1/1/2300 12:00 | Grace Little | N | |
| Stationery | Local | Cards (Stationery) | SHC_Suffolk_embossed_thankyou_card.pdf | Home Health Suffolk Embossed Logo Thank You Card | 08/2021 Rev. | Embossed Logo Notecard with pre-printed envelope | 1/1/2300 12:00 | Grace Little | N | |
| Stationery | Local | Cards (Stationery) | SHC_VB_embossed_thankyou_card.pdf | Home Health Virginia Beach Embossed Logo Thank You Card | 08/2021 Rev. | Embossed Logo Notecard with pre-printed envelope | 1/1/2300 12:00 | Grace Little | N | |
| Stationery | Local | Cards (Stationery) | SHC_Williamsburg_embossed_thankyou_card.pdf | Home Health Williamsburg Embossed Logo Thank You Card | 08/2021 Rev. | Embossed Logo Notecard with pre-printed envelope | 1/1/2300 12:00 | Grace Little | N | |
| Stationery | Local | Cards (Stationery) | SHC_Woodbridge_embossed_thankyou_card.pdf | Home Health Woodbridge Embossed Logo Thank You Card | 08/2021 Rev. | Embossed Logo Notecard with pre-printed envelope | 1/1/2300 12:00 | Alicia R Bailey/Grace Little | N | |
| Support Services | Local | Pharmacy | Rx_Allinoneposter_2021_-_EPA_-_P_list_update_with_valid_dates.pdf | Healthcare RX Waste Stream Management #2311 (Laminated) | 08/2021 Rev. | Angela Gilley | N | |||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Poster_PHA_11x17_v0817_print__1_.pdf | MLMP 12 Minutes Today Many Active Tomorrows 11 x 17 sign | 1/2020 Rev. | Rosalinda Babilonia | N | |||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Flyer_PHA_8.5x11_v0817_print__1_.pdf | MLMP 12 Minutes Today Many Active Tomorrows Flyer, Pads of 50 | 1/2020 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Chart_BMI_v0817_print__1_.pdf | MLMP Body Mass Index (BMI), Pads of 50 | 1/2020 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Flyer_MyPlate_v0817_print__1_.pdf | MLMP Choose MyPlate Healthier Eating Flyer, Pads of 50 | 1/2020 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Flyer_GetFitDontSit_v0817_print__1_.pdf | MLMP Get Fit Dont Sit Flyer, Pads of 50 | 1/2020 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Flyer_DHA_v0817_print__1_.pdf | MLMP Keeping You on Track Online Flyer, Pads of 50 | 1/2020 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Brochure_WorksitePrograms_v0817_print__1_.pdf | MLMP Worksite and Self-Paced Employee Programs Brochure, Packs of 50 | 1/2020 Rev. | Rosalinda Babilonia | N | |||
| Health and Wellness | Local | General Health and Wellness Info | SCPMC_What_You_Need_to_Know_About_Neck_Pain_Brochure__1412.pdf | SCPMC What You Need to Know About Neck Pain Brochure #1412 | 10/2020 Rev. | Process Owner: Ryan Palmatier | N | |||
| Health and Wellness | Local | General Health and Wellness Info | SCPMC_What_You_Need_to_Know_About_Posture__Body_Mechanics____Lifting_Brochure__1414.pdf | SCPMC What You Need to Know About Posture, Body Mechanics, & Lifting Brochure #1414 | 10/2020 Rev. | Process Owner: Ryan Palmatier | N | |||
| Health and Wellness | Local | General Health and Wellness Info | WLC-ProExHeartVascFlyer-1120__1_.pdf | SRMH Heart and Vascular Wellness Program Flyer | 11/2020 Rev. | 1/1/2300 12:00 | N | |||
| Health and Wellness | Local | General Health and Wellness Info | SMJH_Outpatient_Nutrition_Handouts.pdf | SMJH Outpatient Nutrition Handouts #1471 | 12/2017 Rev. | 1/1/2300 12:00 | Process Owner: Rita Smith | N | ||
| Health and Wellness | Local | General Health and Wellness Info | WhatToRememberWhenYouGetHome_Flyer_Rockingham.pdf | SRMC What To Remember When You Get Home Laminated Flyer #1909 | 12/2019 Rev. | 1/1/2300 12:00 | Stefanie Brock | N | ||
| Health and Wellness | Local | General Health and Wellness Info | 2182_Walkers_Blog_-_Hallux2019-print.pdf | The Facts About Big Toe Arthritis | 18-Feb | 1/1/2300 12:00 | Bethany Allen | N | ||
| Health and Wellness | Local | General Health and Wellness Info | SENT-164-Opioid_BR.pdf | Chronic Pain Management Brochure | 2/2018 Rev. | 1/1/2300 12:00 | Brian York | N | ||
| Health and Wellness | Local | General Health and Wellness Info | 2182_Walkers_Blog_-_Heel_Pain2019-print.pdf | Facts About Heel Pain | 2/2018 Rev. | 1/1/2300 12:00 | Bethany Allen | N | ||
| Health and Wellness | Local | General Health and Wellness Info | 2182_Walkers_Blog_-_Pediatric_Flatfeet2019-print.pdf | Facts About Pediatric Flatfeet | 2/2018 Rev. | 1/1/2300 12:00 | Bethany Allen | N | ||
| Health and Wellness | Local | General Health and Wellness Info | 2182_Walkers_Blog_-_Ankle_Instability2019-print.pdf | The Facts About Ankle Instability | 2/2018 Rev. | 1/1/2300 12:00 | Bethany Allen | N | ||
| Health and Wellness | Local | General Health and Wellness Info | CBH-CardiacWellbeingbroch-0219.pdf | SRMH Emotional Well-Being: Taking Care of You Brochure | 2/2019 Rev. | 1/1/2300 12:00 | April Eavers/SRMH CardioPulmonary Rehab | SRMH Print Shop | N | |
| Health and Wellness | Local | General Health and Wellness Info | 2019_Masking-Flu_Posters_11x17_horizontal_2783_.pdf | 2019 Masking-Flu Posters 11x17 Horizontal | 2019 | Employee Health/POC Betty Walker/Mary O Padgett | N | |||
| Health and Wellness | Local | General Health and Wellness Info | 2019_Masking-Flu_Posters_11x17_vertical_2783.pdf | 2019 Masking-Flu Posters 11x17 Vertical | 2019 | Employee Health/POC Betty Walker/Mary O Padgett | N | |||
| Health and Wellness | Local | General Health and Wellness Info | 2019_Masking-Flu_Posters_24x36_vertical_2783.pdf | 2019 Masking-Flu Posters 24 x 36 Vertical, Foam Board, Ready to Hang | 2019 | Send to Bizport 24 x 36 Foam Board, Ready to Hang |
Employee Health/POC Betty Walker/Mary O Padgett | N | ||
| Health and Wellness | Local | General Health and Wellness Info | 2019_Masking-Flu_Posters_85x11_horizontal_2783.pdf | 2019 Masking-Flu Posters 8.5 x 11 Horizontal | 2019 | Employee Health/POC Betty Walker/Mary O Padgett | N | |||
| Health and Wellness | Local | General Health and Wellness Info | 2019_Vaccination-Flu_Poster-2655.pdf | 2019 Vaccination-Flu Poster 11x17 Horizontal | 2019 | NEED TO ADD PRICE FROM BIZPORT | Employee Health/POC Betty Walker/Mary O Padgett | N | ||
| Health and Wellness | Local | General Health and Wellness Info | PMK-HospBioCardEltahir-0219.pdf | Eltahir, Elmutaz Rack Card | 3/2018 Rev. | 1/1/2300 12:00 | Sarah Ward | SRMH Print Shop | N | |
| Health and Wellness | Local | General Health and Wellness Info | Picky_Eater_Flyer_HiRes_3_2018.pdf | Tips for Tackling Your Picky Eater Flyer | 3/2018 Rev. | Bart Morris | 1/1/2300 12:00 | ANNYA S SOUCY | N | |
| Health and Wellness | Local | General Health and Wellness Info | SMJMG_OpioidFlyer.pdf | SMJMG Opioid Flyer #1332 | 4/2017 Rev. | Camilla Washington | SRMH Print Shop | N | ||
| Health and Wellness | Local | General Health and Wellness Info | rethink_your_drink_bookmark_4x9.pdf | Rethink Your Drink Bookmark 4"x9" #1588 | 4/2018 Rev. | 1/1/2300 12:00 | Helen Linton | N | ||
| Health and Wellness | Local | General Health and Wellness Info | SNGH_9K_MyHealthcarePlanBook.pdf | SNGH 9K My Healthcare Plan Booklet #1765 | 4/2019 Rev. | 1/1/2300 12:00 | Nicole Davis/9K Manager | N | ||
| Health and Wellness | Local | General Health and Wellness Info | AnticoagulationBook_InHouseBooklet.pdf | Anticoagulation Booklet | 4/2020 Rev. | Pharmacy Operations Manager/Candace Minter | Jones Printing | N | ||
| Health and Wellness | Local | General Health and Wellness Info | List_for_Life_Card_PMS.pdf | List for Life Card (600 Cards per case) | 4/2020 Rev. | Pharmacy Administration/POC Angela Gilley/Candace Minter | N | |||
| Health and Wellness | Local | General Health and Wellness Info | Sentara_NutritionCounselingHandout_1499.pdf | Medical Nutrition Therapy #1499 | 4/2020 Rev. | 1/1/2300 12:00 | Beth Gerstein | N | ||
| Health and Wellness | Local | General Health and Wellness Info | SENT-1966b_Preventing_Blood_Clots_FINAL.pdf | Preventing Life-Threatening Blood Clots Brochure #1251 | 4/2020 Rev. | Process Owner: Scott Stewart/Lisa Schulwolf | N | |||
| Health and Wellness | Local | General Health and Wellness Info | SENT-1966b_Preventing_Blood_Clots_FINAL_Spanish_High_Resolution.pdf | Preventing Life-Threatening Blood Clots Brochure #1251, SPANISH | 4/2020 Rev. | Process Owner: Scott Stewart/Lisa Schulwolf | N | |||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Flyer_TelephonicCoaching_WebMD_v0421_bleeds.pdf | MLMP Telephonic Health Coaching Flyer, Pads of 50 | 4/2021 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | 1/1/2300 12:00 | Rosalinda Babilonia | N | |
| Health and Wellness | Local | General Health and Wellness Info | SCPMC_What_You_Need_to_Know_About_Back_Pain_Brochure_1413.pdf | SCPMC What You Need to Know About Back Pain Brochure #1413 | 4/2021 Rev. | Process Owner: Ryan Palmatier | N | |||
| Health and Wellness | Local | General Health and Wellness Info | TopReasonsToHealAtHomeFlyer.pdf | Top Reasons To Heal At Home Flyer | 5/2017 Rev. | 1/1/2300 12:00 | 5/2017 Rosemarie West | N | ||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Bookmark_StayingHealthyPrograms_v0518_print_TEAL.PDF | MLMP Know Your Numbers Bookmark, Packs of 100 | 5/2018 Rev. | Shelf Item | 1/1/2300 12:00 | Rosalinda Babilonia | N | |
| Health and Wellness | Local | General Health and Wellness Info | CAN-CANprogrambroch-0519.pdf | The C.A.N. Program | 5/2019 Rev. | 1/1/2300 12:00 | Robin Atwood/Yvonne Jarrels | N | ||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Flyer_HealthyHabitsHealthyYou_1_v0618_print.pdf | MLMP Healthy Habits, Healthy You Flyer, Pads of 50 | 6/2018 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | 1/1/2300 12:00 | Rosalinda Babilonia | N | |
| Health and Wellness | Local | General Health and Wellness Info | MLMP_FactSheet_Exercise_8.5x11_v0618_print__1_.pdf | MLMP Making Exercise A Lifestyle Choice, Pads of 50 | 6/2018 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | 1/1/2300 12:00 | Rosalinda Babilonia | N | |
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Bookmark_StayingHealthyPrograms_v0618_print.pdf | MLMP Staying Healthy Self-Paced-At-Home Bookmark, Packs of 100 | 6/2018 Rev. | Shelf Item | 1/1/2300 12:00 | Rosalinda Babilonia | N | |
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Flyer_GlobalFit_v0621_v2_bleeds.pdf | MLMP Gym Network 360 from GlobalFit and Optima Health Flyer - pads of 50 | 6/2021 Rev. | 1/1/2300 12:00 | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | General Health and Wellness Info | MyChildsVaccineAdministrationRecordCard.pdf | My Child's Vaccine Administration Record | 7/2018 Rev. | 1/1/2300 12:00 | N | |||
| Health and Wellness | Local | General Health and Wellness Info | CAN-nutrition_wellnessbklt-0718.pdf | Nutrition and Wellness Booklet | 7/2018 Rev. | 1/1/2300 12:00 | Robin Atwood (Sarah Wichael) | SRMH Print Shop | N | |
| Health and Wellness | Local | General Health and Wellness Info | SMG_OpioidMedicationLetterFlyer.pdf | Opioid Flyer #1330 | 7/2020 Rev. | SMG Practice Support | N | |||
| Health and Wellness | Local | General Health and Wellness Info | WellnessChallenge_072021_final_print.pdf | Optima Health Wellness Challenges, Pads of 50 | 7/2021 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | General Health and Wellness Info | 2020-COVID-19-shot-card-2b.pdf | COVID-19 Vaccination Record Card (MLS-319813_r) | 8/17/2020 Rev. | Candace Minter/Pharmacy Administration | N | |||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_FactSheet_Exercise_v0818_Spanish_print.pdf | MLMP SPANISH Making Exercise A Lifestyle Choice, Pads of 50 | 8/2018 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | General Health and Wellness Info | 3717_Valve_Therapy_Tri_-_print.pdf | Endobronchial Valve Treatment for Severe Emphysema | 8/2019 Rev. | 1/1/2300 12:00 | Bethany Allen/Marketing | N | ||
| Health and Wellness | Local | General Health and Wellness Info | SPAH_BBC_Brochure.pdf | SPAH Chronic Lung Disease Support (Better Breathers Club) Brochure | 8/2019 Rev. | 1/1/2300 12:00 | Julie A Suedmeyer-Buller/Marketing | N | ||
| Health and Wellness | Local | General Health and Wellness Info | Wellness_Booklet_Proof.pdf | Wellness Booklet (How WELL Are You BEING?) | 8/2019 Rev. | Rosalinda Babilonia | N | |||
| Health and Wellness | Local | General Health and Wellness Info | Pneumonia_Patient_Handbook.pdf | Pneumonia Toolkit SHS 3180-91-003 | 8/2021 Rev. | 80# Gloss Cover and 60# Opaque Offset Prints 4/4 Cover has pockets that are die cut and glued and the inside pages are saddle stitched in | 1/1/2300 12:00 | Scott Stewart Critical Care HPT | N | |
| Health and Wellness | Local | General Health and Wellness Info | Pneumonia_Patient_Handbook_SP.pdf | Pneumonia Toolkit, SPANISH SHS 3180-91-003 | 8/2021 Rev. | 1/1/2300 12:00 | Scott Stewart Critical Care HPT | N | ||
| Health and Wellness | Local | General Health and Wellness Info | AsthmaBooklet_2021.pdf | What You Need to Know About Asthma Toolkit #0066 (Includes Book, Brochure, and Peak Flow Log) | 8/2021 Rev. | Price include 4.09 for book:
.14 for Brochure printed 2 up on 13 x 19 and .14 for Peak Log printed 2 up on
13 x 19. Peak Log and Brochure are last 4 pages of the PDF. |
Scott Stewart Critical Care HPT | Professional Printing | N | |
| Health and Wellness | Local | General Health and Wellness Info | AsthmaBooklet_2021_SP.pdf | What You Need to Know About Asthma Toolkit, SPANISH #0066 | 8/2021 Rev. | Scott Stewart Critical Care HPT | N | |||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_Brochure_E-Cigarettes_9x12_v0918_print.pdf | MLMP Vaping Brochure (50 p/pack) | 9/2018 Rev. | 1/1/2300 12:00 | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | Tobacco Cessation | Quitting for Life, Channing Bete Self-Care booklet - Case of 125 | Shelf Charge needs to be credited to Rosalinda in Health and Preventative Services |
N | |||||
| Health and Wellness | Local | Tobacco Cessation | TobaccoCessationResource_ToolkitCover.pdf | Tobacco Cessation Resource Toolkit Coversheet - Pads of 50 | Print on Demand, Padded in 50s | N | ||||
| Health and Wellness | Local | Tobacco Cessation | TobaccoCessation-20MinsFlyer_v0419_print.pdf | Within 20 minutes after Quitting Tobacco Flyer - Pads of 50 | Shelf, Padded in 50s | N | ||||
| Health and Wellness | Local | Tobacco Cessation | TC__Action_Plan2019.pdf | Tobacco Cessation Action Plan - Packs of 50 | 4/2019 Rev. | 2 part W/Y | 1/1/2300 12:00 | Rosalinda Babilonia | N | |
| Health and Wellness | Local | Tobacco Cessation | DocumentRetired.pdf | ***RETIRED 7/2021 Per Rosalinda*** Tobacco Cessation Resource Guide - Packs of 100 | 7/2021 Rev. | Shelf | 1/1/2300 12:00 | Rosalinda Babilonia | N | |
| Health and Wellness | Local | Tobacco Cessation | MLMP_FactSheet_Tobacco_v0818_Spanish_print.pdf | MLMP SPANISH Tobacco Cessation Tips- Pads of 50 | 8/2018 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | Tobacco Cessation | MLMP_FactSheet_Tobacco_8.5x11_v0818_print.pdf | MLMP Tobacco Cessation Tips- Pads of 50 | 8/2018 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | Vaccine Info | FamilyCare_-_HEAP__ALT_-_RacBro-0118__HiRes.pdf | Health Education & Awareness Progarm (H.E.A.P.) Brochure | 1/2018 Rev. | Pamela Walters | N | |||
| Health and Wellness | Local | Vaccine Info | FamilyCare_-_SOC_-_RacBrochure___HiRes.pdf | Supporting Our Communities Brochure | 1/2018 Rev. | Pamela Walters | N | |||
| Health and Wellness | Local | Vaccine Info | tdap.pdf | TDAP Vaccine Information Sheet | CDC Publication: http://www.immunize.org/vis/vis_tdap.asp | http://www.immunize.org/vis/vis_tdap.asp | Click to View: {popup=http://www.immunize.org/vis/vis_tdap.asp}Tdap{/popup} | N | ||
| Health and Wellness | Local | Vaccine Info | Flu.pdf | Influenza (Flu) Vaccine (Inactivated or Recombinant) Information Sheet | CDC Publication:http://www.immunize.org/vis/flu_inactive.pdf | Go to www.immunize.org/vis/vis_flu_inactive.asp and pull the most current version on the CDC site. | Click to View: {popup=http://www.immunize.org/vis/vis_flu_inactive.asp}Flu{/popup} | N | ||
| Health and Wellness | Local | Vaccine Info | HepB.pdf | Hepatitis B Vaccine Information Sheet | CDC Publication:http://www.immunize.org/vis/hepatitis_b.pdf | http://www.immunize.org/vis/vis_hepatitis_b.asp | Click to View: {popup=http://www.immunize.org/vis/vis_hepatitis_b.asp}HepB{/popup} | N | ||
| Health and Wellness | Local | Vaccine Info | MMR.pdf | MMR Vaccine Information Sheet | CDC Publication:http://www.immunize.org/vis/vis_mmr.asp | Click to View: {popup=http://www.immunize.org/vis/vis_mmr.asp}MMR{/popup} | N | |||
| Health and Wellness | Local | Women's Health | WH_CommunityResourceFlyer.pdf | Womens Health Community Resource Flyer #1244, Padded 100 p/pad | 05/2021 Rev. | 1/1/2300 12:00 | MINPF/POC Michelle Mosher | N | ||
| Health and Wellness | Local | Women's Health | SOH_miscarriage_bereavement_Rackcard.pdf | SOH Miscarriage Bereavement Rack Card #1743 | 2/2019 Rev. | 1/1/2300 12:00 | Dawn Eure | N | ||
| Heart/Vascular | Local | Forms | SOH_CardiacRehabProgramCertificate.pdf | SOH Cardiac Rehabilitation Program Certificate | Sandy Buck | N | ||||
| Support Services | Local | Pharmacy | Medication_and_IV_Solution_Labeling_Outside_Pharmacy_2021.pdf | Medication and IV Solution Labeling Outside Pharmacy (Laminated) | 08/2021 Rev. | ***Files saved on S:PrintServices/Misc...*** | Angela Gilley | N | ||
| Heart/Vascular | Local | Forms | 3926_Structural_Heart_Testing_Schedule_Redesign-print.pdf | Structural Heart Testing Schedule | 1/2020 Rev. | SHH Integrated Care Management/POC Amy Kanter and Brian York | N | |||
| Heart/Vascular | Local | Forms | SVBGH_Maintenance_Exercise_Flowsheet.pdf | SVBGH Cardiac Rehab Maintenance Exercise Flowsheet #0336, Yellow Paper | 10/2018 Rev. | 11 x 17 YELLOW Paper | 1/1/2300 12:00 | Process Owner: Helen McKenna | N | |
| Heart/Vascular | Local | Forms | CHF_VAD_Transplant_Follow__up_sheet.pdf | CHF VAD Transplant Follow Up Sheet | 10/2020 Rev. | Advanced Heart Failure Center | N | |||
| Heart/Vascular | Local | Forms | SNGH_HeartIntervention_RequestforAdd-OnProcedureCard.pdf | SNGH Request for Add-On Procedure Card #1533 | 3/2020 Rev. | 5.25 x 3.5 | 1/1/2300 12:00 | Jaime Barahona/Vascular/IR Lab | N | |
| Heart/Vascular | Local | Forms | AHFU_HF_Ticket_to_Home_NLC_Feedback_.pdf | SNGH Understanding Heart Failure: Ticket to Home #1970 | 3/2020 Rev. | Cynthia Blackwell | N | |||
| Heart/Vascular | Local | Forms | SNGH_Intra-opDocumentation_Pad.pdf | SNGH Intra-op Documentation Pad #1359, 100 sheets p/pad | 4/2020 Rev. | SNGH Vascular Interventional Radiology/Hope Wolfe | N | |||
| Heart/Vascular | Local | Forms | SNVMC_InterventionalOncologyServices_notepad_No1550.pdf | SNVMC Interventional Oncology Services Notepad #1550 (Padded 50 p/pad) | 5/2019 Rev. | 1/1/2300 12:00 | Karen Walsh | N | ||
| Heart/Vascular | Local | Forms | SNVMC_noninvasivelabreferralform_notepad_No_1477.pdf | SNVMC Noninvasive Laboratory Referral Form #1477 (Padded 50 p/pad) | 5/2019 Rev. | 1/1/2300 12:00 | Karen Walsh | N | ||
| Heart/Vascular | Local | Forms | SNVMC_Referral_InterventionalRadiology_1495.pdf | SNVMC Interventional Radiology Referral Form #1495 (Padded 50 p/pad) | 5/2021 Rev. | 1/1/2300 12:00 | Amber Brown (POC)/Karen Walsh | N | ||
| Heart/Vascular | Local | Forms | Tracking_What_I_Drink_Form_with_CARAFE_5-2021.pdf | Tracking What I Drink Form with CARAFE #2268 | 5/2021 Rev. | 1/1/2300 12:00 | Cynthia Blackwell/Heart ICU SNGH | N | ||
| Heart/Vascular | Local | Forms | SLH_CardiacRehabOutcomes.pdf | SLH Cardiac Rehab Outcomes #1799 | 6/2019 Rev. | 1/1/2300 12:00 | Ciara Jones/Karen Babcock/SLH Cardiac Rehab | N | ||
| Heart/Vascular | Local | Forms | EPLabAblationPreOpChecklist.doc.pdf | Ablation Lab Pre-Op Checklist #1818 | 7/2019 Rev. | 1/1/2300 12:00 | Laura Schwartz/Cath Lab Managers | N | ||
| Heart/Vascular | Local | Forms | CardiacSurgeryPreOpChecklist.doc.pdf | Cardiac Surgery Pre-Op Checklist #1820 | 7/2019 Rev. | 1/1/2300 12:00 | Laura Schwartz/Cath Lab Managers | N | ||
| Heart/Vascular | Local | Forms | CathLabPreOpChecklist.doc.pdf | Cath Lab Pre-Op Checklist #1816 | 7/2019 Rev. | 1/1/2300 12:00 | Laura Schwartz/Cath Lab Managers | N | ||
| Heart/Vascular | Local | Forms | EPLabDeviceLabPreOpChecklist.doc.pdf | Device Lab Pre-Op Checklist #1821 | 7/2019 Rev. | 1/1/2300 12:00 | Laura Schwartz/Cath Lab Managers | N | ||
| Heart/Vascular | Local | Forms | MinorProcedurePreOpChecklist.doc.pdf | Minor Procedure Pre-Op Checklist #1817 | 7/2019 Rev. | 1/1/2300 12:00 | Laura Schwartz/Cath Lab Managers | N | ||
| Heart/Vascular | Local | Forms | CathLabTAVRPreOpChecklist.doc.pdf | TAVR Pre-Op Checklist #1819 | 7/2019 Rev. | 1/1/2300 12:00 | Laura Schwartz/Cath Lab Managers | N | ||
| Heart/Vascular | Local | Forms | CHARGE_SHEET_REVISIONS_12-30-19.pdf | SNGH/SHH CHF/AHF/VAD/PAH/Transplant Charge Sheet | 8/2018 Rev. | SNGH CHF Program Coordinator/Ariel Warlick | N | |||
| Heart/Vascular | Local | Forms | SVBGHPhaseIIExerciseFlowsheet0311.pdf | SVBGH Center for Cardiac Health and Wellness #1311, 11 x 17 Bookfold | 9/2018 Rev. | 1/1/2300 12:00 | Process Owner: Helen S McKenna | N | ||
| Heart/Vascular | Local | General Information | ICD-Pt_education_tool_for_SDM_on_primary_prev_ICD__Univ_of_Colorado-2016_.pdf | ICD-Pt education tool for SDM on primary prev ICD Univ of Colorado-2016 .pdf | N | |||||
| Heart/Vascular | Local | General Information | Acceptable-Fat-Card-Final_02.pdf | Ornish Lifestyle Medicine Acceptable Food Label Ingredients, Laminated | Brian York/Sharon Henley | N | ||||
| Heart/Vascular | Local | General Information | 1-Chef-Card__1_.pdf | Ornish Lifestyle Medicine Chef Cards, Laminated | Brian York/Sharon Henley | N | ||||
| Heart/Vascular | Local | General Information | Sentara_Heart_Hospital_Card.pdf | Sentara Heart Arrhythmia Center Card | 1/1/2300 12:00 | Toni Saunders | N | |||
| Heart/Vascular | Local | General Information | Sentara_Heart_Hospital_Card.pdf | Sentara Heart Arrhythmia Center Mailer | 1/1/2300 12:00 | Toni Saunders | N | |||
| Heart/Vascular | Local | General Information | SentaraHeart_Guide_to_Heart_Care.pdf | Your Guide to Heart Care | 1/1/2300 12:00 | Brian York | N | |||
| Heart/Vascular | Local | General Information | TranscatheterAorticValveReplacement_booklet_0121__6_.pdf | Going Home After Transaortic Valve Replacement (TAVR) Booklet | 01/2021 Rev. | 1/1/2300 12:00 | Janene O Good | N | ||
| Heart/Vascular | Local | General Information | VascularRehab_BOOKLET_FINAL.pdf | Vascular Rehab Booklet (9"x12") | 01/2021 Rev. | Donna Gagnon | N | |||
| Heart/Vascular | Local | General Information | SNGH_AdvHeartFailureReferral_5x7card.pdf | SNGH Adv. Heart Failure Referral 5"x7" #1941 | 02/2020 Rev. | 1/1/2300 12:00 | Margaret Sullivan | N | ||
| Heart/Vascular | Local | General Information | SVBGH_Cardiac_Rehabilitation_Certificate-Medical_Director.pdf | SVBGH Cardiac Rehabilitation Certificate-Medical Director | 02/2021 Rev. | Amii Parker | N | |||
| Heart/Vascular | Local | General Information | Post_Op_Recipe_For_Recovery_1973.pdf | Post Op Recipe For Recovery #1973 | 03/2020 Rev. | 1/1/2300 12:00 | Erin Sadler | N | ||
| Heart/Vascular | Local | General Information | SHH_HourlyLung_Exercises.pdf | SHH Hourly Lung Exercises #1974 | 03/2020 Rev. | Erin Sadler | N | |||
| Heart/Vascular | Local | General Information | SENT-2053a_Cardiac_Rehab_Booklet_FINAL-PRINT_fullbook.pdf | Cardiac Rehab Handbook | 04/2021 Rev. | COVER 80# Lynx Cover TEXT 60# Soporset Offset Text Trim, Collate, Fold and Stitch Prints 4/4 finished size 8.5 x 11 with Bleed Flat size 11 x 17 |
Brian York | Shelf | N | |
| Heart/Vascular | Local | General Information | SENT-2053_Cardiac_Rehab_Brochure_FINAL-PRINT.pdf | Cardiac Rehabilitation Brochure | 04/2021 Rev. | Jones Printing | Process Owner: Brian York | N | ||
| Heart/Vascular | Local | General Information | ETT_Tube_Rotation_7x5.pdf | ETT Tube Rotation 7" x 5" | 05/2021 Rev. | Tara Almony | N | |||
| Heart/Vascular | Local | General Information | SOHCardiacRehabCongratulationsLetter_udpated.pdf | SOH Cardiac Rehab Congratulations Letter (#1396) | 05/2021 Rev. | Sandy Buck | N | |||
| Heart/Vascular | Local | General Information | SOHCardiacRehabGraduateLetter_updated.pdf | SOH Cardiac Rehab Graduate Letter (#1397) | 05/2021 Rev. | Sandy Buck | N | |||
| Support Services | Local | Pharmacy | SentaraRxDeliveryManifest_updated.pdf | Sentara Rx - Delivery Manifest - SNGH 4850-50-005 | 08/2021 Rev. | 1/2 page, 3 Part NCR W-Y-P | 1/1/2300 12:00 | Pinaki Patel | N | |
| Support Services | Local | Pharmacy | Sterile_Product_Preparation_Area_Poster_2021.pdf | Sterile Product (IV) Preparation Area Poster (Laminated) - SHS 4870-10-001 | 08/2021 Rev. | cut to 8.5 x 14,
laminated ***Files saved on S:PrintServices/Misc...*** |
12/30/2299 12:00 | Angela Gilley | N | |
| Epic Downtime Forms | Local | ASSESS | FEES_ASSESS021Downtime.pdf | FEES ASSESS021 | 07/2021 Rev. | Downtime Form - Print On Demand Only | N | |||
| Heart/Vascular | Local | General Information | Were_Listening_flyer_SHH_Mary.pdf | SHH We're Listening #1838, Mary | 08/2019 Rev. | 1/1/2300 12:00 | Mary McHugh | N | ||
| Heart/Vascular | Local | General Information | Were_Listening_flyer_SHH_Julie.pdf | SHH We're Listening #1839, Julie | 08/2019 Rev. | 1/1/2300 12:00 | Julie Whited | N | ||
| Heart/Vascular | Local | General Information | Were_Listening_flyer_SHH_Mel.pdf | SHH We're Listening #1840, Mel | 08/2019 Rev. | 1/1/2300 12:00 | Mel Spruill | N | ||
| Heart/Vascular | Local | General Information | SENT-206_CoumadinVitK_6x9_PRINT.pdf | Coumadin and Vitamin K Brochure (6 x 9) | 1/2019 Rev. | Designer: Red Orange | 1/1/2300 12:00 | Process Owner: Brian York/Sharon Henley | N | |
| Heart/Vascular | Local | General Information | Cardiothoracic_Surgery_Preop_ed_guide_booklet.pdf | SHH Cardiothoracic Surgery Preop Education Packet | 1/2019 Rev. | Process Owner: D'Angela Weaver | N | |||
| Heart/Vascular | Local | General Information | SRMH_Vascular_Disease_Brochure_0120.pdf | SRMH Vascular Disease Brochure | 1/2020 Rev. | Sarah Wichael/Amy Herman | SRMH Print Shop | N | ||
| Heart/Vascular | Local | General Information | HVS-VascularSurgCard-0120.pdf | Sentara Vascular Surgery Specialists | 1/2020 Rev. | Amy Herman/SRMH Cardiology | N | |||
| Heart/Vascular | Local | General Information | HVS-TAVRhandout-0121.pdf | Transcatheter Aortic Valve Replacement (TAVR) Care Map | 1/2021 Rev. | 1/1/2300 12:00 | Janene O Good | N | ||
| Heart/Vascular | Local | General Information | SHH_CSICU_CRRBro.pdf | Cardiac Surgery Intensive Care Unit and cardiac Recovery Room #0634 | 10/2018 Rev. | 1/1/2300 12:00 | Vanessa C Palaszewski | N | ||
| Heart/Vascular | Local | General Information | SHH_CSAUnit_brochure.pdf | SHH CSA Unit Brochure #1576 | 10/2018 Rev. | 1/1/2300 12:00 | Sabrina M Rogers | N | ||
| Heart/Vascular | Local | General Information | ICDCard_YellowCard.pdf | ICD Patient Instructions Yellow Card #1198 | 10/2019 Rev. | Rebecca Hancock/SMJH Sentara Heart Arrhythmia Center | N | |||
| Heart/Vascular | Local | General Information | DailyProgresschecklist_2weeks_07_2020.pdf | Daily Progress Checklist (Cardiothoracic Surgery), 2 Week #1273 | 10/2020 Rev. | PAMELA J THORPE-KIRSTEIN | N | |||
| Heart/Vascular | Local | General Information | SCS_HeartTestingBrochure_4panel_1292.pdf | Heart Testing Services, Sentara Cardiology Specialists Brochure #1292 | 10/2020 Rev. | 1/1/2300 12:00 | Bethany Allen/Tiffany Douville | N | ||
| Heart/Vascular | Local | General Information | 3610_SIMPWillimasburg_Rack_-_Print.pdf | SIMP Williamsburg Landing Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Heart/Vascular | Local | General Information | SentaraCardiologySpecialistsBRO_2020.pdf | Sentara Cardiology Specialists Brochure # 1291 | 10/2020 Rev. | Jones Printing | Process Owner: Bethany Allen | N | ||
| Heart/Vascular | Local | General Information | SentaraHeart_HeartTesting_8_5x5_5.pdf | Sentara Cardiology Specialists Heart Testing Referral 8.5"x5.5" #1931 | 10/2020 Rev. | Terri Raleigh | N | |||
| Heart/Vascular | Local | General Information | SentaraCardiologySpecialists_LocationsandServices_2020.pdf | Sentara Cardiology Specialists Locations and Services Brochure #1293 | 10/2020 Rev. | Bethany Allen/Tiffany Douville | N | |||
| Heart/Vascular | Local | General Information | HVS-StructuralHeartProgCard-1020.pdf | Structural Heart Program Rack Card #2125 | 10/2020 Rev. | Janene Good | N | |||
| Heart/Vascular | Local | General Information | SENT-168-SHH_visitor_guide_brochure-3_FINAL.pdf | Heart Hospital Visitor Guide with Map | 11/2017 Rev. | Brian York/Shelf Item | 1/1/2300 12:00 | Brian York | N | |
| Heart/Vascular | Local | General Information | 2WestCardiac_badge_4_5x4_25.pdf | SVBGH 2 West Cardiac Badge #1459 | 11/2017 Rev. | Kathleen Gramkowski | N | |||
| Heart/Vascular | Local | General Information | Halifax_Cardiac_Booklet__1118__F__Pag.pdf | SHRH Cardiac Booklet | 11/2018 Rev. | PRINTING NOTES FOR BOOKLET
- COVER - Please print on 80# COVER Dull Coated white paper stock Interior 12 pages - Please print on 100# TEXT Dull Coated white paper stock |
1/1/2300 12:00 | Wendy L Crews | N | |
| Heart/Vascular | Local | General Information | Advanced_Heart_Failure_Clinic_Magnet.pdf | Advanced Heart Failure Clinic Magnet (3.5"x2") #1287 | 11/2020 Rev. | 50 = $79 100 = $89 150 = $98 200 = $107 250 = $116 |
Amy Tarbay | Bizport | N | |
| Heart/Vascular | Local | General Information | Heart_Attack_Care_PF-17-0313_POCKET.pdf | Living Well After A Heart Attack, AMI Toolkit, SHS 3180-91-004 (Limited Qty due to possible update) | 11/2021 Rev. | Allegra 80# Gloss Cover and 60# Opaque Offset Prints 4/4 Cover has pockets that are die cut and glued and the inside pages are saddle stitched in |
Brian York | N | ||
| Heart/Vascular | Local | General Information | Sentara_Heart_Attack_Care_Toolkit_SP.pdf | Living Well After A Heart Attack, AMI Toolkit, SPANISH SHS 3180-91-004 (Limited Qty due to possible update) | 11/2021 Rev. | Brian York | N | |||
| Heart/Vascular | Local | General Information | Holter_Brochure_HiRes.pdf | SHRH Holter Monitoring Patient Diary | 2/2017 Rev. | Joni Henderson/Mary Jane Collie/Non-Invasive Lab | N | |||
| Heart/Vascular | Local | General Information | Sentara_TCYH_BR_SPAH_PRINT1.pdf | Take Care of Your Heart Brochure | 2/2018 Rev. | 1/1/2300 12:00 | Brian York | N | ||
| Heart/Vascular | Local | General Information | SVBGH_Phase_II_Exercise_Flowsheet-imp.pdf | SVBGH Cardiac Rehab Exercise Flowsheet #1742 | 2/2019 Rev. | 11 x 17 WHITE Paper | 1/1/2300 12:00 | Process Owner: Helen McKenna | N | |
| Heart/Vascular | Local | General Information | SHH_5HH_Handout.pdf | SHH 5HH Cardiac Medicine Intermediate Care Unit Handout #1965 | 2/2020 Rev. | Cynthia Blackwell/Heart ICU SNGH | N | |||
| Heart/Vascular | Local | General Information | SHH_AHFU_Placemat.pdf | SHH Living Better With Heart Failure Placemat #1966 | 2/2020 Rev. | Cynthia Blackwell/Heart ICU SHH | N | |||
| Heart/Vascular | Local | General Information | HVS-VascularScreeningPanelCd-0220__003_.pdf | SRMH Vascular Screening Rack Card | 2/2020 Rev. | Thomas Rice/SRMH Heart and Vascular | N | |||
| Heart/Vascular | Local | General Information | SHH_HF_badge_3_5x4.pdf | SHH HF badge 3 5x4 #1754 | 3/2019 Rev. | 1/1/2300 12:00 | Alisa Petrauskas | N | ||
| Heart/Vascular | Local | General Information | Sentara_Vascular_Specialist_Rack_Card.pdf | Sentara Vascular Surgery Specialists Rack Card (Norfolk) | 3/2021 Rev. | Bethany Allen/Tamera Hartman | N | |||
| Heart/Vascular | Local | General Information | 2372_Cardio_Wellness_Clinic-print.pdf | Sentara Cardiovascular Wellness Clinic Brochure | 4/2017 Rev. | Chelsie Williams | N | |||
| Heart/Vascular | Local | General Information | SCH_CarciacPulmonaryRehab_PatientsPrintableExercisePrescriptionBW.pdf | SCH Cardiac Pulmonary Rehab Patients Printable Exercise Prescription #1584, 8.5 x 4.5 - 2 sided card | 4/2018 Rev. | 8.5 x 4.5 Card | 1/1/2300 12:00 | Donna Gagnon | N | |
| Heart/Vascular | Local | General Information | SVBGH_Heart_Failure_Clinic_Brochure.pdf | SVBGH Heart Failure Clinic Brochure | 4/2018 Rev. | 1/1/2300 12:00 | Naomi Hallum | N | ||
| Heart/Vascular | Local | General Information | SHH_HF_ticket_to_home.pdf | SHH HF Ticket To Home #1748 | 5/1/2019 Rev. | 1/1/2300 12:00 | Alisa Petrauskas | N | ||
| Heart/Vascular | Local | General Information | Undoit_Facts_6_16_17_Hospital_4x9.pdf | Ornish Understanding Undo It With Ornish | 5/2018 Rev. | 1/1/2300 12:00 | N | |||
| Heart/Vascular | Local | General Information | SHH_CardiacObservationUnitTriFold.pdf | SHH Cardiac Observation Unit TriFold #1789 | 5/2019 Rev. | 1/1/2300 12:00 | Coretta Williamson/Cardiac Observation Unit | N | ||
| Heart/Vascular | Local | General Information | CoronaryScan_RackCard4x9_B_FINAL.pdf | SNVMC Coronary Artery Calcium Scoring Card | 5/2019 Rev. | 1/1/2300 12:00 | Deidre Thomas/SNVMC Cardiac Admin | N | ||
| Heart/Vascular | Local | General Information | CoronaryScan_4x9_Spanish_High_Resolution.pdf | SNVMC Coronary Artery Calcium Scoring Card, SPANISH | 5/2019 Rev. | 1/1/2300 12:00 | Deidre Thomas/SNVMC Cardiac Admin | N | ||
| Heart/Vascular | Local | General Information | COPD_Zones_Magnet_2018.pdf | COPD Zones Magnet #1589 | 6/2018 Rev. | Send to Bizport | 1/1/2300 12:00 | Scott Stewart | Bizport | N |
| Heart/Vascular | Local | General Information | HVS-ElectrophysiologyBroch-0619.pdf | SRMH Electrophysiology Study Brochure | 6/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Sarah Wichael | N | |
| Heart/Vascular | Local | General Information | ERAS_Patient_Poster.pdf | ERAS Patient Poster 11x17 #2282 | Jun-21 | Shelley Cahalan | N | |||
| Heart/Vascular | Local | General Information | ERAS_Staff_Poster.pdf | ERAS Staff Poster 11x17 #2281 | 6/2021 Rev. | Shelley Cahalan | N | |||
| Heart/Vascular | Local | General Information | 126254_Heart_Healthy_Eating_Book_6-2021.pdf | Heart Healthy Eating Patient Handbook | 6/2021 Rev. | Process Owner: Brian York | Shelf Item | N | ||
| Heart/Vascular | Local | General Information | UndoitPatientOverview7_21_17_4x9.pdf | Ornish Lifestyle Undo Your Heart Disease Brochure | 7/2017 Rev. | Julie A. Suedmeyer-Buller | N | |||
| Heart/Vascular | Local | General Information | FolderandBook.pdf | Heart Failure Toolkit SHS 3180-91-002 | 7/2019 Rev. | 80# Gloss Cover and 60# Opaque Offset Prints 4/4 Cover has pockets that are die cut and glued and the inside pages are saddle stitched in | Scott Stewart Critical Care HPT | Professional Printing | N | |
| Heart/Vascular | Local | General Information | SENT-1711_Heart_Failure_Spanish_INHOUSE.pdf | Heart Failure Toolkit, SPANISH SHS 3180-91-002, Inside book B/W | 7/2019 Rev. | Scott Stewart Critical Care HPT | N | |||
| Heart/Vascular | Local | General Information | HVS-HolterMonitorBklt-0719.pdf | Holter Monitor: Your Patient Diary Booklet | 7/2019 Rev. | 1/1/2300 12:00 | Tom Rice | SRMH Print Shop | N | |
| Heart/Vascular | Local | General Information | SOH_TransitionRack.pdf | SOH Transition of Care Clinic Rack Card #1652 | 8/2018 Rev. | 1/1/2300 12:00 | Amy Moore/SOH Cardiac Rehab | N | ||
| Heart/Vascular | Local | General Information | HVS-CardioSurgeryRefGuideflyer-0818.pdf | SRMH Quick Reference Guide Following Cardiothoracic Surgery Flyer | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: Sara Godshall | N | ||
| Heart/Vascular | Local | General Information | HVS-CardioSurgeryRefGuideflyer-0818_Arabic.pdf | SRMH Quick Reference Guide Following Cardiothoracic Surgery Flyer, ARABIC | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: Sara Godshall | N | ||
| Heart/Vascular | Local | General Information | HVS-CardioSurgeryRefGuideflyer-0818_Russian.pdf | SRMH Quick Reference Guide Following Cardiothoracic Surgery Flyer, RUSSIAN | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: Sara Godshall | N | ||
| Heart/Vascular | Local | General Information | HVS-CardioSurgeryRefGuideflyer-0818_Spanish.pdf | SRMH Quick Reference Guide Following Cardiothoracic Surgery Flyer, SPANISH | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: Sara Godshall | N | ||
| Heart/Vascular | Local | General Information | HVS-HeartSurgeryRefGuideflyer-0818.pdf | SRMH Quick Reference Guide Following Minimally Invasive Heart Surgery Flyer | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: Sara Godshall | N | ||
| Heart/Vascular | Local | General Information | HVS-HeartSurgeryRefGuideflyer-0818_Arabic.pdf | SRMH Quick Reference Guide Following Minimally Invasive Heart Surgery Flyer, ARABIC | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: Sara Godshall | N | ||
| Heart/Vascular | Local | General Information | HVS-HeartSurgeryRefGuideflyer-0818_Russian.pdf | SRMH Quick Reference Guide Following Minimally Invasive Heart Surgery Flyer, RUSSIAN | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: Sara Godshall | N | ||
| Heart/Vascular | Local | General Information | HVS-HeartSurgeryRefGuideflyer-0818_Spanish.pdf | SRMH Quick Reference Guide Following Minimally Invasive Heart Surgery Flyer, SPANISH | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: Sara Godshall | N | ||
| Heart/Vascular | Local | General Information | HVS-TAVRprocedureflyer-0718.pdf | Sentara Heart Valve and Structural Disease Center/TAVR Flier | 8/2018 Rev. | SRMH Print Shop/Sarah Wichael | 1/1/2300 12:00 | Janene O Good | SRMH Print Shop | N |
| Heart/Vascular | Local | General Information | COPDBooklet_Rebrand_lores.pdf | What You Need to Know About COPD Toolkit #0065 | 8/2019 Rev. | Toolkit Includes: Book Action Plan Brochure COPD Magnet |
1/1/2300 12:00 | Scott Stewart Critical Care HPT | N | |
| Heart/Vascular | Local | General Information | COPD_Book_Spanish_12x18.pdf | What You Need to Know About COPD Toolkit, SPANISH #0065 | 8/2019 Rev. | 1/1/2300 12:00 | Scott Stewart Critical Care HPT | N | ||
| Heart/Vascular | Local | General Information | SRMH_Sentara_Cardiology_Specialists_Flyer_0820.pdf | SRMH Sentara Cardiology Specialists Flyer | 8/2020 Rev. | Amy Herman/SRMH Cardiology Specialist Practice Manager | SRMH Print Shop | N | ||
| Heart/Vascular | Local | General Information | SH-Pulomary-Brochure-FINAL__1_.pdf | Pulmonary Rehabilitation Brochure | 9/2016 Rev. | Process Owner: Brian York | N | |||
| Human Resources | Local | Recruitment | EarlyHireBSNProgramFlyer.pdf | Early Hire BSN Program Flyer | 11/2017 Rev. | 1/1/2300 12:00 | Arlene Sadoff | N | ||
| ICU/CCU | pf.sentara.com | General Information | Marianne_s_Room_Label.pdf | Marianne's Room Label #2187 | SMJH Cancer Administration/Susan Driskell | N | ||||
| ICU/CCU | pf.sentara.com | General Information | SCHICUBrochure.pdf | Intensive Care Unit Brochure #0455 #0455 | #0455 | 1/1/2300 12:00 | N | |||
| ICU/CCU | pf.sentara.com | General Information | ICUBrochureSOH.pdf | Intensive Care Unit Brochure #1091 #1091 | #1091 | 1/1/2300 12:00 | N | |||
| ICU/CCU | pf.sentara.com | General Information | SLH_ICU_visitorsignage_6x4.pdf | SLH ICU Visitor Card 6x4 #1895 | 01/2020 Rev. | 6"x4" card printed on card stock | 1/1/2300 12:00 | Ericka L Dates | N | |
| ICU/CCU | pf.sentara.com | General Information | SLH_ICU_Foley_Catheter_Removal_Centeral_Line_Removal_card.pdf | SLH ICU Foley Catheter Removal Central Line Removal Card 3.5"x2" #2173 | 01/2021 Rev. | ***PASTEL GREEN COVER*** | Sarah Barcomb | N | ||
| ICU/CCU | pf.sentara.com | General Information | SPAH_ICU_visitorsignage_6x4.pdf | SPAH ICU Visitor Card 6"x4" #1962 | 02/2020 Rev. | please print on cardstock/cover | 1/1/2300 12:00 | Barbara Larsen | N | |
| ICU/CCU | pf.sentara.com | General Information | SVBGHStepdownUnitBrochure.pdf | Stepdown Unit Brochure (SVBGH) #1110 | 11/2017 Rev. | 1/1/2300 12:00 | Process Owner: Randi Ott SVBGH 3 East Stepdown Unit | N | ||
| ICU/CCU | pf.sentara.com | General Information | SNGH_Room_Ready_Checklist.pdf | SNGH Room Ready Checklist Notepad (100 pages per pad) #1715 | 11/2018 Rev. | Notepad with 100 pages per pad | 1/1/2300 12:00 | Erica Smitman | N | |
| ICU/CCU | pf.sentara.com | General Information | ICU_Drip_Badge_3-16-2021.pdf | Critical Care Drip Badge #0294, 3 x 3.5 | 3/2021 Rev. | 1/1/2300 12:00 | Critical Care Practice Forum/Tracey Odachowski | N | ||
| ICU/CCU | pf.sentara.com | General Information | ICU_Mobility_Toolkit_2018_-_Sentara_Therapy_Services__1_.pdf | ICU Therapy Standardization Toolkit 2018 #1606 | 5/2018 Rev. | 1/1/2300 12:00 | Kari Voll | N | ||
| ICU/CCU | pf.sentara.com | General Information | MKD-CriticalCareBroch-0619.pdf | SRMH Critical Care Unit Brochure | 6/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | N | ||
| ICU/CCU | pf.sentara.com | General Information | SVBGH_ICU_MRT_NurseBadge.pdf | SVBGH ICU MRT Nurse Card #2056 | 7/2020 Rev. | 6 up on 13 x 19 | Debbie Moore | N | ||
| ICU/CCU | pf.sentara.com | General Information | SVBGH_2WestAdmissionCard_YellowCardStock.pdf | SVBGH 2 West Admission Card #1659 | 9/2018 Rev. | 1/1/2300 12:00 | Kathleen Gramkowski/Nursing Administration | N | ||
| ICU/CCU | pf.sentara.com | General Information | SVBGH_CCU_IntermediateVasoactiveDripsBadge.pdf | SVBGH CCU Intermediate Vasoactive Drips Badge #1661 | 9/2018 Rev. | 4x5 badge | 1/1/2300 12:00 | Kathleen Gramkowski/Nursing Administration | N | |
| Imaging | Local | Breast Imaging | Independence_MammoImagingCards_5_19.pdf | Independence Breast Center Mammo Imaging Cards | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Mammo Operations | N | ||
| Imaging | Local | Breast Imaging | 3711_Mammo_Appointment_Card_-_print.pdf | Mammo Reminder Card - Peninsula Locations | Chelsie Williams POC | N | ||||
| Imaging | Local | Breast Imaging | Mammo_Reminder_Card_-_Central_Scheduling_21.pdf | Mammo Reminder Card - Southside Central Scheduling | 1/1/2300 12:00 | N | ||||
| Imaging | Local | Breast Imaging | Cancer_1800SENTARAMammoReminderCard.pdf | Mammo Reminder Card 1-800-SENTARA | 1/1/2300 12:00 | N | ||||
| Imaging | Local | Breast Imaging | MammoReminderPostcardSVBComprBreastCenter.pdf | Mammo Reminder Postcard (Sentara Virginia Beach Comprehensive Breast Center) | Cut to 4 x 6 | 1/1/2300 12:00 | N | |||
| Imaging | Local | Breast Imaging | WOM-MammogrambrochSPAN.pdf | Mammogram Brochure (SRMH), Spanish | SRMH Print Shop | 1/1/2300 12:00 | N | |||
| Imaging | Local | Breast Imaging | MammogramSchedulingPads_Pink.pdf | Mammogram Scheduling Pads (50 sheets p/pad) | 4 up cut to 4.25 x 5.5 | 1/1/2300 12:00 | N | |||
| Imaging | Local | Breast Imaging | SHRM_WOM-AbbreviatedBreastMRIrackcard-0521.pdf | SHRM Abbreviated Breast MRI Rack Card | 05/2021 Rev. | Becky Nicely | N | |||
| Imaging | Local | Breast Imaging | SRMH_BreastCancer_ScreeningBrochure.pdf | SRMH Funkhouser WC Breast Cancer Screening Brochure #1797 | 06/19 Reviewed/Revised | 1/1/2300 12:00 | Tami Eppard | N | ||
| Epic Uptime Forms | Local | ASSESS | SleepCenterPre_PostSleepQuestionnaire_ASSESS111.pdf | Pre and Post Sleep Questionnaire ASSESS111 | 07/2021 Rev. | Tonya Ford | N | |||
| Imaging | Local | Breast Imaging | WOM-Mammogrambrochure-0118.pdf | SRMH Screening Mammography Brochure | 1/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Tami Eppard, Imaging Manager | SRMH Print Shop | N |
| Imaging | Local | Breast Imaging | 4404_Biopsy_Brochure_Update_-_print.pdf | How To Prepare For A Breast Biopsy | 1/2021 Rev. | Susan Hunt/Mammo Ops Coordinator | N | |||
| Imaging | Local | Breast Imaging | SNV_MammoImagingCards_Rebrand.pdf | SNV Comprehensive Breast Center Mammo Imaging Cards | 12/20Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | N | ||
| Imaging | Local | Breast Imaging | Uninsured_Mammogram_Program_Rack_Card.pdf | Uninsured Mammogram Program Rack Card | 2/2020 Rev. | 1/1/2300 12:00 | Erika Hodge | N | ||
| Imaging | Local | Breast Imaging | SMJH_HighRiskBreastProg_Brochure_3_2021.pdf | SMJH High Risk Breast Program Brochure | 3/2021 Rev. | Diane DiCarlo | SRMH Print Shop | N | ||
| Imaging | Local | Breast Imaging | WIP_MammogramMagnet_1557.pdf | Women's Imaging Pavilion Mammogram Magnet #1557 | 4/2018 Rev. | Magnet send to Bizport | 1/1/2300 12:00 | Donna Dettloff | Bizport | N |
| Imaging | Local | Breast Imaging | WOM-BreastPainflyer-0420.pdf | SRMH Breast Pain Flyer | 4/2020 Rev. | 1/1/2300 12:00 | Tami Eppard, Imaging Manager | N | ||
| Imaging | Local | Breast Imaging | WOM-BreastPainflyer-0420_Spanish_High_Resolution.pdf | SRMH Breast Pain Spanish Flyer | 4/2020 Rev. | 1/1/2300 12:00 | Tami Eppard, Imaging Manager | N | ||
| Imaging | Local | Breast Imaging | AICStLukes_MammoImagingCards_Rebrand.pdf | AIC St. Lukes Mammo Imaging Cards | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | Mammo Operations/POC Amy Wise | N | ||
| Imaging | Local | Breast Imaging | BelleH_MammoImaging_Rebrand.pdf | BelleHarbour Breast Center Mammo Imaging Cards | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Mammo Operations/Amy Wise | N | |
| Imaging | Local | Breast Imaging | Obici_MammoImagingCards_Rebrand.pdf | Obici Comprehensive Breast Center Mammo Imaging Cards | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Amy Wise | N | |
| Imaging | Local | Breast Imaging | SCH_patientcards_5x5.pdf | SCH Imaging Services Reception Patient Card #1612 | 6/2018 Rev. | 1/1/2300 12:00 | Melissa Glave | N | ||
| Imaging | Local | Breast Imaging | SRMHFunkhouser_MammoImagingCards.pdf | SRMH Funkhouser Mammo Imaging Cards | 6/2019 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Tami Eppard/SRMH Radiology Managner | N | |
| Imaging | Local | Breast Imaging | AICGreenbrier_MammoImagingCards.pdf | AIC Greenbrier Mammo Imaging Cards | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | Mammo Operations | N | ||
| Imaging | Local | Breast Imaging | AICLakeRidge_MammoImagingCards_Rebrand.pdf | AIC Lake Ridge Mammo Imaging Cards | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | Mammo Operations | N | ||
| Imaging | Local | Breast Imaging | AIC-Springfield_MammoImagingCards_Rebrand.pdf | AIC Springfield Mammo Imaging Cards | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | Mammo Operations | N | ||
| Imaging | Local | Breast Imaging | Breast_ImagingOrderGuide_2020.pdf | Breast Imaging Order Guide #1375, 2 sided, Laminated | 6/2020 Rev. | Please have laminated. | 1/1/2300 12:00 | Process Owner: Erika Hodge/Susan Hunt | N | |
| Imaging | Local | Breast Imaging | DGH_SCH_MammoImagingCards_Rebrand.pdf | DGH Comprehensive Breast Center Mammo Imaging Cards | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | Mammo Operations | N | ||
| Imaging | Local | Breast Imaging | FortNorfolk_MammoImagingCards_Rebrand.pdf | Fort Norfolk Diagnostic Center Mammo Imaging Cards | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | Mammo Operations | N | ||
| Imaging | Local | Breast Imaging | LortonStation_MammoImagingCards_Rebrand.pdf | Lorton Station Mammo Imaging Cards | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | Mammo Operations | N | ||
| Imaging | Local | Breast Imaging | Mt.VernonIC_MammoImagingCards_Rebrand.pdf | Mt. Vernon Imaging Center Mammo Imaging Cards | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | N | |||
| Imaging | Local | Breast Imaging | Pratt_MammoImagingCards_Rebrand.pdf | Pratt Imaging Center Mammo Imaging Cards | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | N | |||
| Imaging | Local | Breast Imaging | SAMC_MammoImagingCards_Rebrand.pdf | SAMC Mammo Imaging Cards | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | N | |||
| Imaging | Local | Breast Imaging | SNG_MammoImagingCards_Rebrand.pdf | SNG Comprehensive Breast Center Mammo Imaging Cards | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | N | |||
| Imaging | Local | Breast Imaging | SNVMC_High_Risk_Breast_Cancer_Screening.pdf | SNVMC High Risk Breast Cancer Screening #1255 | 6/2020 Rev. | Process Owner: Melissa S. Botelho | N | |||
| Imaging | Local | Breast Imaging | UltrasoundAssoc_MammoImagingCards_Rebrand.pdf | UltrasoundAssoc Mammo Imaging Cards | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | N | ||
| Imaging | Local | Breast Imaging | WilliamsburgCompBreastCenter_MammoImagingCards_Rebrand.pdf | WilliamsburgCompBreastCenter Mammo Imaging Cards | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Mammo Operations | N | |
| Imaging | Local | Breast Imaging | MammoBrochure2021.pdf | Mammography Brochure #2300 | 7/021 Rev. | 1/1/2300 12:00 | Chelsie Williams | N | ||
| Imaging | Local | Breast Imaging | 190502_Mammovan_9x6_F.pdf | SNVMC 3D Digital Mobile Mammography Card | 7/2019 Rev. | 1/1/2300 12:00 | Elizabeth Rodgers | N | ||
| Imaging | Local | Breast Imaging | NV_3D_Mammo_Brochure_Redesign_-_print.pdf | SNVMC 3D Mammography Tomosynthesis Brochure | 7/2019 Rev. | 1/1/2300 12:00 | Elizabeth Rogers/Marketing | N | ||
| Imaging | Local | Breast Imaging | Breast_MRI_Blueridge.pdf | Breast MRI Brochure (BLUERIDGE) | 7/2020 Rev. | Susan Hunt/Mammo Operations | N | |||
| Imaging | Local | Breast Imaging | Breast_MRI_Halifax.pdf | Breast MRI Brochure (HALIFAX) | 7/2020 Rev. | Susan Hunt/Mammo Operations | N | |||
| Imaging | Local | Breast Imaging | Breast_MRI_NOVA.pdf | Breast MRI Brochure (NOVA) | 7/2020 Rev. | Susan Hunt/Mammo Operations | N | |||
| Imaging | Local | Breast Imaging | How_To_Prepare_Biopsy_SMJH.pdf | SMJH How To Prepare For A Breast Biopsy | 7/2020 Rev. | Susan Hunt/Mammo Ops Coordinator | N | |||
| Imaging | Local | Breast Imaging | How_To_Prepare_Biopsy_SMJH_Spanish_High_Resolution.pdf | SMJH How To Prepare For A Breast Biopsy Spanish | 7/2020 Rev. | Susan Hunt/Mammo Ops Coordinator | N | |||
| Imaging | Local | Breast Imaging | SRMHFunkhouser_MammoImaging_Card.pdf | SRMH Funkhouser Mammo Imaging 4.25 x 5.50 Cards | 7/2020 Rev. | 8up, 11 x 17 card stock, THIS ITEM DOES NOT BLEED | Tami Eppard/SRMH Radiology Managner | N | ||
| Imaging | Local | Breast Imaging | 3D_Mammo_Brochure_Redesign_-_print.pdf | 3D Mammography Tomosynthesis Brochure | 7/2021 Rev. | 1/1/2300 12:00 | Chelsie Williams | N | ||
| Imaging | Local | Breast Imaging | Breast_MRI_HamptonRoads_2021.pdf | Breast MRI Brochure (HAMPTON ROADS) | 7/2021 Rev. | Susan Hunt/Mammo Operations | N | |||
| Imaging | Local | Breast Imaging | SentaraMcLeskeyCompBreastCenter_MammoImagingCards_Rebrand.pdf | Sentara McLeskey Comprehensive Breast Center Mammo Imaging Cards | 7/2021Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | Mammo Operations | N | ||
| Imaging | Local | Breast Imaging | NEW_3699_Mammo_Flyer_Template_-_print.pdf | SNGH Free Mammogram Screening Flyer | 8/2019 Rev. | 1/1/2300 12:00 | Angela Duke/Sentara Cancer Program/Community Health Educator | N | ||
| Imaging | Local | Breast Imaging | SPA_MammoImagingCards.pdf | SPA Comprehensive Breast Center Mammo Imaging Cards | 8/2019 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Erika Hodge | N | |
| Imaging | Local | Breast Imaging | SVB_MammoImagingCards_8_2019.pdf | SVB Mammo Imaging Cards | 8/2019 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | Erika Hodge/Manager, SVB Radiology | N | ||
| Imaging | Local | Breast Imaging | SNV_Comprehensive_Breast_Center_-_Overview_surgeons_2018_2.pdf | SNV Comprehensive Breast Center Flyer | 9/2018 Rev. | 1/1/2300 12:00 | Process Owner: Heather Causseaux/Oncology | N | ||
| Imaging | Local | Concierge Services (RMS) | RMSDiagnosticRequestFormFamilyHealthConnection.pdf | Diagnostic Request Form Family Health Connection #0104 | 10/2018 Rev. | 1/1/2300 12:00 | Michele Humphreys | N | ||
| Imaging | Local | Concierge Services (RMS) | SNVMC_Conceirge_Card.pdf | SNVMC Conceirge Card #1515 | 2/2018 Rev. | 1/1/2300 12:00 | Michele Humphreys | N | ||
| Imaging | Local | Concierge Services (RMS) | SNVMC_OutpatientMedicalTestingSlip_4_25x5_5_100ppad.pdf | SNVMC Concierge Outpatient Medical Testing Slip #1514 (Pads of 100) | 2/2018 Rev. | 1/1/2300 12:00 | Michele Humphreys | N | ||
| Imaging | Local | Concierge Services (RMS) | SNVMC_RMSDiagnosticRequestForm.pdf | SNVMC Diagnostic Request Form SNVMC 4621-10-002 | 2/2018 Rev. | 1/1/2300 12:00 | Michele Humphreys | N | ||
| Imaging | Local | Concierge Services (RMS) | SNVMC-RMSConciergeDiagnosticRequestForm-FreeClinic.pdf | SNVMC-PWFC RMS Concierge Diagnostic Request Form - Free Clinic #0115 (Padded in 100s) | 2/2018 Rev. | 1/1/2300 12:00 | Michele Humphreys | N | ||
| Imaging | Local | Concierge Services (RMS) | SPH_RMS_Diagnostic_Request_Form.pdf | Diagnostic Request Form (RMS) - Western Tidewater / Peninsula #0670, Padded in 100s | 9/2018 Rev. | 1/1/2300 12:00 | Melony Garrison | N | ||
| Imaging | Local | General Information | SRMH_AIC_FollowupCard.pdf | AIC Follow up Card (SRMH) #1135 | 4 up on card stock | 1/1/2300 12:00 | SRMH Print Shop | N | ||
| Imaging | Local | General Information | 3_language_tagline_strips.pdf | Language/Non-Discrimination Tagline slips, 3 up | 1/1/2300 12:00 | N | ||||
| Imaging | Local | General Information | Radiology CD's - Blank - 125 per box | 1/1/2300 12:00 | Rachel Rowe/Radiology | N | ||||
| Imaging | Local | General Information | Mailing_Label_2.pdf | SNVMC Radiology Mailing Label (Roll of 2500 labels) | BCT 2500, the size is 1 x 3. Blue & black ink white gloss paper | Christopher Gregory/SNVMC Radiology | BCT | N | ||
| Imaging | Local | General Information | SLakeRidge_SNVMC_AIC_CT_Calcium_Score_Exam_Flyer.pdf | SLR/SNVMC IC CT Calcium Score Exam Flyer #1911 | 01/2020 Rev. | 1/1/2300 12:00 | Alayna Johnson | N | ||
| Imaging | Local | General Information | ImagingRecoveryCenter_Services_TriFold.pdf | SRMH Imaging Recovery Center Services Brochure #1785 | 05/2019 Reviewed/Revised | 1/1/2300 12:00 | Cheryl K Karns | N | ||
| Epic Uptime Forms | Local | HIMROI | DocumentRetired.pdf | ***RETIRED PER CYNTHIA HILL *** SRMG Release of Verbal Information HIMROI012, Russian | 07/2021 Rev. | Cynthia Hill | N | |||
| Imaging | Local | General Information | SHSMammoQuestionnaireandConsent.pdf | Mammography Questionnaire (ALL SITES) - #0105 (previously SHS 4620-10-007) | 1/2019 Rev. | Flat Sheet, No Holes, 2 sided | 1/1/2300 12:00 | Process Owner: Mammo Operations/POC Mindy Russell | N | |
| Imaging | Local | General Information | SHSMammoQuestionnaireandConsent_ES.pdf | Mammography Questionnaire (ALL SITES) - #0105 (previously SHS 4620-10-007), SPANISH | 1/2019 Rev. | Flat Sheet, No Holes, 2 sided | 1/1/2300 12:00 | Process Owner: Mammo Operations/POC Mindy Russell | N | |
| Imaging | Local | General Information | SRT_RadTechBrochure.pdf | SRMH Radiologic Technology Brochure #1861 | 10/2019 Rev. | 1/1/2300 12:00 | Radiologic School/TJ Noser | N | ||
| Imaging | Local | General Information | HighRadiationExposureChecklist.pdf | Interventional Radiology High Radiation Exposure Patient Follow Up Checklist #1671 | 10/2020 Rev. | 1/1/2300 12:00 | Thelma Papini/Imaging Operations | N | ||
| Imaging | Local | General Information | OutpatientCTOralReadiCat2ContrastAdminGuidelines.pdf | Outpatient CT Oral Contrast (Barium) Administration Guidelines #1711 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Imaging Operations/Teri Bibeault | N | ||
| Imaging | Local | General Information | OutpatientMedicalTestingSlip_4_25x5_5_100ppad.pdf | Outpatient Medical Testing Slip #0665, 4.25 x 5.5 - Pads of 100 | 11/2018 Rev. | Cut to 4.25 x 5.5; pad 100 p/pad | 1/1/2300 12:00 | Process Owner: Linda Vaughn | N | |
| Imaging | Local | General Information | CleanSterile_radiopharmaceutical_signage_8.5x11.pdf | Clean Sterile Area Radiopharmaceutical Sign (Laminated) #2120 | 11/2020 Rev. | Alayna Johnson/Teri Bibeault | N | |||
| Imaging | Local | General Information | IMG-locationsflyer-0318.pdf | Imaging Services Flyer (Harrisonburg Locations) | 3/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Sarah Wichael | N | |
| Imaging | Local | General Information | IMG-locationsflyer-0318.pdf | SRMH Outpatient Imaging Services Convenient Locations to Better Serve You Flyer | 3/2018 Rev. | 1/1/2300 12:00 | Core Shiflett | SRMH Print Shop | N | |
| Imaging | Local | General Information | SRMH_RequestMedicalClearancetoholdAnticoag.pdf | SRMH Request for Medical Clearance to Hold Anticoagulation Medication #1523 | 3/2018 Rev. | 1/1/2300 12:00 | N | |||
| Imaging | Local | General Information | DiagnosticRequestFormRMSSouthside0424.pdf | Diagnostic Request Form (RMS) - Southside #0424, Pad(s) of 100 | 3/2020 Rev. | 1/1/2300 12:00 | Process Owner: Linda G Vaughn | N | ||
| Imaging | Local | General Information | ExternalMedicationDeviceUserSign.pdf | SCH External Medication Device User Sign #1151 | 4/2020 Rev. | SCH Radiology Education/Benita Carson/Amber Lamison | N | |||
| Imaging | Local | General Information | InterventionalRadiology_12x9_Trifold_Spanish_High_Resolution.pdf | SNVMC Interventional Radiology Brochure, SPANISH | 5/2019 Rev. | 1/1/2300 12:00 | Deidre Thomas/SNVMC Cardiac Admin | N | ||
| Imaging | Local | General Information | SVBGH_RadiologyFilmRequestCard.pdf | SVBGH Radiology Film Request Card #1449 | 6/2018 Rev. | 1/1/2300 12:00 | Dianne Drake | N | ||
| Imaging | Local | General Information | SAMC_OutpatientMedicalTest.pdf | SAMC Outpatient Medical Testing Slip #1613, 4.25 x 5.5 - Pads of 100 | 6/2021 Rev. | Cut to 4.25 x 5.5; pad 100 p/pad | 1/1/2300 12:00 | Process Owner: Anna Lambert | N | |
| Imaging | Local | General Information | Bone_Density_Brochure_NOVA.pdf | Bone Density Screening Brochure (NOVA) | 7/2020 Rev. | Susan Hunt/ Mammo Ops Coordinator | N | |||
| Imaging | Local | General Information | Bone_Density_Brochure_SMJH.pdf | Bone Density Screening Brochure (SMJH) | 7/2020 Rev. | Susan Hunt/ Mammo Ops Coordinator | N | |||
| Imaging | Local | General Information | Bone_Density_Brochure_Blueridge.pdf | Bone Density Screening Brochure (BLUERIDGE) | 7/2020 Rev. | 1/1/2300 12:00 | Susan Hunt/ Mammo Ops Coordinator | N | ||
| Imaging | Local | General Information | Bone_Density_Brochure_Halifax.pdf | Bone Density Screening Brochure (HALIFAX) | 7/2020 Rev. | Susan Hunt/ Mammo Ops Coordinator | N | |||
| Imaging | Local | General Information | Bone_Density_Brochure_HamptonRoads.pdf | Bone Density Screening Brochure (HAMPTON ROADS) | 7/2020 Rev. | Susan Hunt/ Mammo Ops Coordinator | N | |||
| Imaging | Local | General Information | SWRMC_BoneDensityQuestionairre.pdf | SWRMC Bone Density Questionnaire SWRMC 4620-10-002 | 8/2018 Rev. | 1/1/2300 12:00 | Donna Detloff /Imaging | N | ||
| Imaging | Local | General Information | SNGH_Radiology_Equipment_Malfunction_Form.pdf | SNGH Radiology Equipment Malfunction Form SNGH 8850-50-005 | 8/2021 Rev. | SNGH Radiology/Robert Rusnak | N | |||
| Imaging | Local | General Information | Imaging CD Holder - SHS 4650-70-001 (Packaged 25 p/pack) | 9/2017 Rev. | PDF Artwork saved in S:\PRINTSERVICES\MiscellaneousArtwork\RadiologyCD_Cover_12442proof.pdf | Sentara Belleharbour AIC Radiology/Daryl Minggia | N | |||
| Imaging | Local | General Information | ImagingSurvey_HowDidYouHearAboutUs-2.pdf | Imaging Survey - How Did You Hear About Us? #1685 (Padded in 100s) | 9/2018 Rev. | 1/1/2300 12:00 | Elizabeth Rogers/Helen Linton | N | ||
| Imaging | Local | General Information | SNVMC_ImagingServicesBRO_09_18_IMG306.pdf | SNVMC Sentara Imaging Services Brochure IMG-304-05-17-SC | 9/2018 Rev. | 1/1/2300 12:00 | Michele Eckhardt | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | SLH_ImagingCard.pdf | Advanced Imaging Center - Leigh, Imaging Card | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | N | |||
| Imaging | Local | MRI/US/CT/X-Ray | Oral Omnipaque 24 Green Labels, 500 p/roll | BCT | 1/1/2300 12:00 | N | ||||
| Imaging | Local | MRI/US/CT/X-Ray | ORALOMNIPAQUE-WATER-CRYSTALLIGHT_FLGreenLabel.pdf | Oral Omnipaque 240/Water/Crystal Light for CT Patients Label (Rolls of 500) | Outsourced, Fluorescent Green Label, Black Print | 1/1/2300 12:00 | N | |||
| Imaging | Local | MRI/US/CT/X-Ray | ORALOMNIPAQUELabel.pdf | Oral Omnipaque for CT Patients Label (Rolls of 500) | Outsourced, Fluorescent Green Label, Black Print | 1/1/2300 12:00 | N | |||
| Imaging | Local | MRI/US/CT/X-Ray | Sentara Princess Anne Hospital, Imaging Card | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | N | ||||
| Imaging | Local | MRI/US/CT/X-Ray | SI_ImagingCard_Rebrand.pdf | Sentara Independence, Imaging Card | 05/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Sandra Evans/Judi Baker | N | |
| Epic Uptime Forms | Local | HIMROI | PhysClinics_VerbalReleaseofInformation.pdf | ***RETIRED PER CYNTHIA HILL*** SRMG Release of Verbal Information HIMROI012 | 07/2021 Rev. | Cynthia Hill | N | |||
| Imaging | Local | MRI/US/CT/X-Ray | SNVMC_PET_CT_Bone_Imagine_4panel.pdf | SNVMC PET CT Bone Imaging Brochure #2066 | 07/2020 Rev. | 1/1/2300 12:00 | Laurie Dumais | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | SNVMC_PET_CT_Imaging_4panel.pdf | SNVMC PET CT Imaging Brochure #2067 | 07/2020 Rev. | 1/1/2300 12:00 | Laurie Dumais | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | SNVMC_PET_CT_Neurology_4panel.pdf | SNVMC PET CT Neurology Brochure #2068 | 07/2020 Rev. | 1/1/2300 12:00 | Laurie Dumais | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | PET-CTBoneImagingBrochureJAYCEN__1_.pdf | PET CT Bone Imaging Brochure | 08/2019 Rev. | 1/1/2300 12:00 | N | |||
| Imaging | Local | MRI/US/CT/X-Ray | PET-CTImagingSentaraCancerNetworkBrochureJAYCEN__1_.pdf | PET CT Imaging Sentara Cancer Network Brochure | 08/2019 Rev. | 1/1/2300 12:00 | N | |||
| Imaging | Local | MRI/US/CT/X-Ray | PET-CTNeurologyImagingBrochureJAYCEN__1_.pdf | PET CT Neurology Imaging Brochure | 08/2019 Rev. | 1/1/2300 12:00 | N | |||
| Imaging | Local | MRI/US/CT/X-Ray | SENT-2324_SNVMC_Advanced_Imaging_PET_Scan_Brochure_FINAL.pdf | SNVMC PET About Scan #2065 | 09/2020 Rev. | 1/1/2300 12:00 | Melissa Botelho | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | MJH-ThankYouCard-1019.pdf | SMJH Imaging Card | 10/2019 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | SMJH Imaging/POC Susan Hunt | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | SRMH_InpatientandED_ImagingCard_Rebrand.pdf | SRMH Inpatient and ED Imaging Card #1870 | 10/2019 Rev. | Corie Shifflett/SRMH Imaging Director/Manager | N | |||
| Imaging | Local | MRI/US/CT/X-Ray | SRMH_PET_CT_ImagingBRO.pdf | SRMH PET/CT Imaging Brochure #1879 | 10/2019 Rev. | SRMH Imaging/Debra Bashlor | N | |||
| Imaging | Local | MRI/US/CT/X-Ray | AIC_Imaging_Order_Form_NoCrop.pdf | SNVMC Advanced Imaging Order Form #2101, Pads of 50 | 10/2020 Rev. | Melissa Botelho | N | |||
| Imaging | Local | MRI/US/CT/X-Ray | SPWAIC_ImagingCard_Rebrand.pdf | Advanced Imaging Center - Port Warwick, Imaging Card | 11/2019 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | PW AIC Manager/POC Jimi Mingee | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | SCH_Mingee_ImagingCard_Rebrand.pdf | Sentara CarePlex Hospital (Mingee), Imaging Card | 11/2019 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | N | |||
| Imaging | Local | MRI/US/CT/X-Ray | SCH_Sotoma_ImagingCard_Rebrand.pdf | Sentara CarePlex Hospital (Sotoma), Imaging Card | 11/2019 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | Oscar Sotomayor, SCH Imaging | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | GloucesterIC_ImagingCard_REBRAND.pdf | Gloucester Imaging Center, Imaging Card | 12/2019 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Donna Dettloff/Manager Radiology SWRMC | N | |
| Imaging | Local | MRI/US/CT/X-Ray | NewtownDiagnositc_ImagingCard_REBRAND.pdf | Newtown Diagnostic Center, Imaging Card | 12/2019 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Maureen Green/Director Radiology SWRMC | N | |
| Imaging | Local | MRI/US/CT/X-Ray | SWRMC_ImagingCard_REBRAND.pdf | Sentara Williamsburg Regional Medical Center, Imaging Card | 12/2019 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Maureen Green/Director Radiology SWRMC | N | |
| Imaging | Local | MRI/US/CT/X-Ray | AIC_LakeRidge_ImagingCard_Rebrand.pdf | Advanced Imaging Center -Sentara Lake Ridge, Imaging Card | 3/2018 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Process Owner: Laurie Dumais | N | |
| Imaging | Local | MRI/US/CT/X-Ray | Calcium_Scoring_Rack_Broc_-_HiRes.pdf | SHRH CT Calcium Scoring Brochure | 4/2018 Rev. | 1/1/2300 12:00 | Faith O'Neil | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | InterventionalRadiology_12x9_D_FINAL.pdf | SNVMC Interventional Radiology Brochure | 5/2019 Rev. | 1/1/2300 12:00 | Deidre Thomas/SNVMC Cardiac Admin | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | AIC_SRMH_ImagingCard_Rebrand.pdf | Advanced Imaging Center SRMH, Imaging Card | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Penny Cline/Corie Shiflett | N | |
| Imaging | Local | MRI/US/CT/X-Ray | AIC_SRMH_ImagingCard_SP_Rebrand.pdf | Advanced Imaging Center SRMH, Imaging Card, SPANISH | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Penny Cline/Corie Shiflett | N | |
| Imaging | Local | MRI/US/CT/X-Ray | SAMC_ImagingCard_Rebrand.pdf | Sentara Albemarle Medical Center, Imaging Card | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Michael Chalot | N | |
| Imaging | Local | MRI/US/CT/X-Ray | BellH_ImagingCard_Rebrand.pdf | Sentara BelleHarbour, Imaging Card | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Daryl Minggia | N | |
| Imaging | Local | MRI/US/CT/X-Ray | SLH_ImagingCard_Rebrand.pdf | Sentara Leigh Hospital, Imaging Card | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | SNGH_ImagingCard_Rebrand.pdf | Sentara Norfolk General Hospital, Imaging Card | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Jennifer Roland | N | |
| Imaging | Local | MRI/US/CT/X-Ray | SNVMC_ImagingCard_Rebrand.pdf | Sentara Northern Virginia Medical Center, Imaging Card | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Melisa Botelho | N | |
| Imaging | Local | MRI/US/CT/X-Ray | SNGH_ImagingCard_Rebrand.pdf | Sentara Obici Hospital, Imaging Card | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Susan Slagle | N | |
| Imaging | Local | MRI/US/CT/X-Ray | SRMH_ImagingCard_Rebrand.pdf | Sentara RMH Medical Center, Imaging Card | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Corie Shiflett | N | |
| Imaging | Local | MRI/US/CT/X-Ray | SRMH_ImagingCard_SP_Rebrand.pdf | Sentara RMH Medical Center, Imaging Card, SPANISH | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Corie Shiflett | N | |
| Imaging | Local | MRI/US/CT/X-Ray | SVBGH_ImagingCard_Rebrand.pdf | Sentara Virginia Beach General Hospital, Imaging Card | 5/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Mark Nehlen | N | |
| Imaging | Local | MRI/US/CT/X-Ray | AIC_FirstColonial_ImagingCard_Rebrand.pdf | Advanced Imaging Center - First Colonial, Imaging Card | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Mark Nehlen | N | |
| Imaging | Local | MRI/US/CT/X-Ray | GBAIC_ImagingCard_Rebrand.pdf | Advanced Imaging Center - Greenbrier, Imaging Card | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | CardiovascularandInterventionalServices_ImagingCard_Rebrand.pdf | Cardiovascular and Interventional Services, Imaging Card | 6/2020 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | Imaging Manager | N | |
| Imaging | Local | MRI/US/CT/X-Ray | 1898PETCTMapandDirections__1_.pdf | (PET) PET/CT Mobile Locations & Directions Sheet | 8/2019 Rev. | 1/1/2300 12:00 | N | |||
| Imaging | Local | MRI/US/CT/X-Ray | PET-CTBoneImagingBrochureJAYCEN__1_.pdf | PET/CT Bone Imaging Brochure | 8/2019 Rev. | Shelf/Signature Prints | 1/1/2300 12:00 | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | PET-CTImagingSentaraCancerNetworkBrochureJAYCEN__1_.pdf | PET/CT Imaging Sentara Cancer Network Brochure | 8/2019 Rev. | Shelf/Signature Prints | 1/1/2300 12:00 | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | PET-CTNeurologyImagingBrochureJAYCEN__1_.pdf | PET/CT Neurology Imaging Brochure | 8/2019 Rev. | Shelf/Signature Prints | 1/1/2300 12:00 | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | SCH_Lamiso_ImagingCard.pdf | Sentara CarePlex Hospital (Lamiso), Imaging Card | 9/2019 Rev. | 4 up, 13 x 19 card stock, cut to 8.5 x 5.5 BLEED, 2 sided, color print | 1/1/2300 12:00 | N | ||
| Imaging | Local | Women's Imaging | WOM-MammographyInsertCard3up-1119.pdf | SRMH (Funkhouser) Mammograpy Rack Card | 11/2019 Rev. | N | ||||
| Imaging | Local | Women's Imaging | WOM-mammovanflyer-FILLABLE.pdf | SRMH Funkhouser Mobile Mammography Van Flyer | 11/2019 Rev. | Leslie Sullivan/Sarah Wichael | N | |||
| Imaging | Local | Women's Imaging | 3857_Biopsy_Brochure_Update_-_Harrisonburg_-_print.pdf | SRMH How to Prepare for A Breast Biopsy Brochure | 12/2019 Rev. | Jaycen LeBlanc is designer | Tami Eppard/Chelsie Williams | N | ||
| Imaging | Local | Women's Imaging | SRMH_WomensCenterLetter.pdf | SRMH Funkhouser Women's Center Letter #2050 | 6/2020 Rev. | Tami Eppard/Sentara RMH Funkhouser Mammo Manager | N | |||
| Imaging | Local | Women's Imaging | Wom_IMG-304_WIC-09-18-FINAL.pdf | SNVMC Women's Imaging Services Brochure IMG-304 WIC- 05-17-MB | 9/2018 Rev. | 1/1/2300 12:00 | Michele Eckhardt | N | ||
| Infection Control | pf.sentara.com | General Information | SOH_HandWashingMagnet2x10.pdf | SOH Hand Washing Magnet 2 x 10 | Magnet; Send to Bizport | Process Owner: Karen J. Zastrow/Infection Prevention/Obici | Bizport | N | ||
| Infection Control | pf.sentara.com | General Information | STOPSignSentaraLogo.pdf | STOP Have You Washed Your Hands Sign | Infection Prevention/Linda Estep | N | ||||
| Epic Uptime Forms | Local | HIMROI | DocumentRetired.pdf | ***RETIRED PER CYNTHIA HILL*** SRMG Release of Verbal Information HIMROI012, Arabic | 07/2021 Rev. | Cynthia Hill | N | |||
| Infection Control | pf.sentara.com | General Information | CdiffBrochure.pdf | C. difficile Brochure #1081 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Linda Estep/Infection Prevention | N | ||
| Infection Control | pf.sentara.com | General Information | CLABSI_StaffReferenceSet.pdf | CLABSI Clinical Cliff Notes - Instructions for Daily CHG #1672, Central Line Occlusion Escalation #1673, Central Line Dressing Changes #1674 Set, Includes Ring | 11/2018 Rev. | Bizport; Synthetic PVC Material/SNAPS; Single Hole Drilled top left corner; Include Ring for hanging | 1/1/2300 12:00 | Process Owner: CLABSI Team/Contact Linda Estep | N | |
| Infection Control | pf.sentara.com | General Information | HandHygieneBRO.pdf | Hand Hygiene Brochure #0183 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Infection Prevention/Linda Estep | Signature Printing | N | |
| Infection Control | pf.sentara.com | General Information | KeepingOurVisitorsSafeBRO.pdf | Keeping Our Visitors Safe Brochure #0179 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Infection Prevention/Linda Estep | Signature Printing | N | |
| Infection Control | pf.sentara.com | General Information | MRSA_Brochure.pdf | MRSA Brochure #0182 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Infection Prevention/Linda Estep | Signature Printing | N | |
| Infection Control | pf.sentara.com | General Information | MDRO_Brochure.pdf | Multidrug-Resistant Organisms (MDROs) Brochure #0178 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Infection Prevention/Linda Estep | Signature Printing | N | |
| Infection Control | pf.sentara.com | General Information | VisitorAirbornPrecaution_Brochure.pdf | Visitor Information on Airborne Precautions Brochure #0180 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Infection Prevention/Linda Estep | Signature Printing | N | |
| Infection Control | pf.sentara.com | General Information | VisitorContactPrecaution_Brochure.pdf | Visitor Information on Contact Precautions Brochure #0177 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Infection Prevention/Linda Estep | Signature Printing | N | |
| Infection Control | pf.sentara.com | General Information | VisitorDropletPrecaution_Brochure.pdf | Visitor Information on Droplet Precautions Brochure #0192 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Infection Prevention/Linda Estep | Signature Printing | N | |
| Infection Control | pf.sentara.com | General Information | C.Diff_Toolkit_Combined_Files.pdf | C. Diff. Toolkit, Clostridium difficile Infection (CDI), #0638 | 12/2020 Rev. | Allegra Inventory 10 x 13 Envelope Pen Booklet with Pocket in Back Fresh as a Daisy Tent Card 4 x 6 Stop Cling (Comes from Bizport and send to Allegra) 8.25 x 6 Laminated Stop Contact Enteric Precautions 8.5 x 11 Laminated Stop Contact Enteric Precautions 8.5 x 11 Flyer True or False 8.5 x 11 Hospital Staff Checklist |
Process Owner: Linda Estep/Infection Prevention | N | ||
| Infection Control | pf.sentara.com | General Information | Sentara_EBOLA_Prevention_8.5x11_Employee_Travel_2021.pdf | Ebola Prevention - Employee Sign #2208, 8.5 x 11, Laminated | 3/18/2021 Rev. | N | ||||
| Infection Control | pf.sentara.com | General Information | Sentara_EBOLA_Prevention_8.5x11_Patient_Travel_2021.pdf | Ebola Prevention - Patient Travel Sign #2210, 8.5 x 11, Laminated | 3/18/2021 Rev. | N | ||||
| Infection Control | pf.sentara.com | General Information | Sentara_EBOLA_Prevention_24x36_Patient_Travel_Poster_2021.pdf | Ebola Prevention - Patient Travel Sign #2211, 24 x 36, Gator Board, Laminated | 3/18/2021 Rev. | N | ||||
| Infection Control | pf.sentara.com | General Information | Sentara_EBOLA_Prevention_24x36_Patient_Travel_Poster_Combined.pdf | Ebola Prevention - Patient Travel Sign ENG/SP Combined #2209, 24 x 36, Gator Board, Laminated | 3/18/2021 Rev. | N | ||||
| Infection Control | pf.sentara.com | General Information | BundlePosterVAP.pdf | Image of Bundle Poster Critical Care #0205, 8.5 x 11, Laminated | 3/2017 Rev. | Lois Andrews | N | |||
| Infection Control | pf.sentara.com | General Information | AllHandsOnDeckSEN-144-VISUAL.pdf | All Hands On Deck - Washing hands saves lives., 8.5 x 11 Laminated | 5/2018 Rev. | Laminated | 1/1/2300 12:00 | Infection Prevention/Kathy McCoy | N | |
| Infection Control | pf.sentara.com | General Information | HandwashCling.pdf | C. Diff Handwash/Hand Hygeine Saves Lives Cling Vinyl Cling #1573 | 5/2018 Rev. | Send to Bizport | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler, Linda Estep | Bizport | N |
| Infection Control | pf.sentara.com | General Information | Hand_Washing_Sign_8_511_SC.pdf | Infection Prevention It's In Your hands (hand Washing) Sign - SCH 8250-31-011 | 5/2018 Rev. | 1/1/2300 12:00 | Infection Prevention/Linda Estep | N | ||
| Infection Control | pf.sentara.com | General Information | WashYourHands2021_11x8_5.pdf | Please Wash Your hands with Soap and Water Sign | 5/2021 Rev. | N | ||||
| Infection Control | pf.sentara.com | General Information | Nurse_Sepsis_Screening_Reference_Tool_8_18_bleed.pdf | Nurse Sepsis Screening Reference Tool | 8/2018 Rev. | Scott Stewart | N | |||
| Infection Control | pf.sentara.com | General Information | PatientEducforCHGTreatment_Rebrand.pdf | CLABSI - Patient Education Preventing Central Line Associated Blood Stream Infections #1675 | 8/2019 Rev. | 1/1/2300 12:00 | Process Owner: CLABSI Team/Contact Linda Estep | N | ||
| Infection Control | pf.sentara.com | General Information | Sepsis_Booklet_Toolkit_0590_8-2021_BOOKLET.pdf | Sepsis Booklet (Toolkit Book Only) #0590 | 8/2021 Rev. | Scott Stewart/Clinical Process Improvement (Critical Care) | N | |||
| Infection Control | pf.sentara.com | General Information | Sepsis_Brochure_1665_8-2021.pdf | Sepsis Brochure #1665 | 8/2021 Rev. | 1/1/2300 12:00 | Scott Stewart Critical Care HPT | N | ||
| Infection Control | pf.sentara.com | Isolation Signs | DocumentRetired.pdf | **RETIRED** Protective Precautions #1732, Light Blue | 03/2021 Rev. | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep (retired per Scott Stewart, 3/2021) | N | ||
| Infection Control | pf.sentara.com | Isolation Signs | DocumentRetired.pdf | **RETIRED** Protective Precautions #1732, PORTRAIT, Light Blue | 03/2021 Rev. | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep (retired per Scott Stewart, 3/2021) | N | ||
| Infection Control | pf.sentara.com | Isolation Signs | DocumentRetired.pdf | **RETIRED**Protective Precautions #1732, 8.25 x 6, Light Blue | 03/2021 Rev. | Laminated | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep (retired per Scott Stewart, 3/2021) | N | |
| Epic Uptime Forms | Local | HIMROI | DocumentRetired.pdf | ***RETIRED PER CYNTHIA HILL*** SRMG Release of Verbal Information HIMROI012, Spanish | 07/2021 Rev. | N | ||||
| Epic Uptime Forms | Local | HIMROI | DocumentRetired.pdf | ***RETIRED per Cynthia Hill*** Release of Verbal Information HIMROI008, Flat Sheet | 07/2021 Rev. | Nancy Blankenship/Health Information Management | N | |||
| Infection Control | pf.sentara.com | Isolation Signs | ContactEntericPrecautionsSign8_5x11_2sided.pdf | Contact Enteric Precautions #0410 | 1/2019 Rev. | 2 sided, Laminated | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | ContactEntericPrecautionsSign8_25x6.pdf | Contact Enteric Precautions #0410, 8.25 x 6 | 1/2019 Rev. | 2 sided, Laminated | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | ContactEntericPrecautionsSign8_5x11PortraitSRMH.pdf | Contact Enteric Precautions #0410, PORTRAIT 8.5 x 11 | 1/2019 Rev. | 2 sided, color print, Laminated; SRMH Print Shop | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | IsolationSignsAIRBORNE_8.5X11_Landscape.pdf | Airborne Precautions #0407, Neon Pink | 11/2017 Rev. | Neon Pink Paper, Laminated | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | SRMCIsolationSignsAIRBORNE_8.5X11_Portrait.pdf | Airborne Precautions #0407, PORTRAIT, Neon Pink | 11/2017 Rev. | Neon Pink Paper, Laminated; SRMH Print Shop | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | IsolationSignsAIRBORNE_8_25x6_Chicklet.pdf | Airborne Precautions #0538, 8.25 x 6, Neon Pink | 11/2017 Rev. | Neon Pink Paper, Laminated | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | IsolationSignsCONTACT_8.5X11_Landscape.pdf | Contact Precautions #0408, Neon Green | 11/2017 Rev. | Neon Green Paper, Laminated | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | SRMCIsolationSignsCONTACT_8.5X11_Portrait.pdf | Contact Precautions #0408, PORTRAIT, Neon Green | 11/2017 Rev. | Neon Green Paper, Laminated; SRMH Print Shop | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | IsolationSignsCONTACT_8_25x6_Chicklet.pdf | Contact Precautions #0539, 8.25 x 6, Neon Green | 11/2017 Rev. | Neon Green Paper, Laminated, 2 sided | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | IsolationSignsDROPLET_8.5X11_Landscape.pdf | Droplet Precautions #0409, Orange | 11/2017 Rev. | Orange paper, Laminated | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | SRMCIsolationSignsDROPLET_8.5X11_Portrait.pdf | Droplet Precautions #0409, PORTRAIT, Orange | 11/2017 Rev. | Orange paper, Laminated; SRMH Print Shop | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | IsolationSignsDROPLET_8_25x6_Chicklet.pdf | Droplet Precautions #0540, 8.25 x 6, Orange | 11/2017 Rev. | Orange paper, Laminated | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | IsolationSignsNEUTROPENIC_8.5X11_Landscape.pdf | Neutropenic Precautions #1233 | 11/2017 Rev. | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | ||
| Infection Control | pf.sentara.com | Isolation Signs | IsolationSignsNEUTROPENIC_8_25X6_Chicklet.pdf | Neutropenic Precautions #1233, 8.25 x 6 | 11/2017 Rev. | Impose 2 up | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | |
| Infection Control | pf.sentara.com | Isolation Signs | IsolationSignsNEUTROPENIC_8.5X11_Portrait.pdf | Neutropenic Precautions #1233, PORTRAIT | 11/2017 Rev. | 1/1/2300 12:00 | Infection Prevention/Jacqueline Butler/Linda Estep | N | ||
| Infection Control | pf.sentara.com | Isolation Signs | COVID-19 Special Respiratory Precautions Sign | Infection Prevention/Linda Estep | Click to View on {popup=https://wavenet.sentara.com/channels/clinical/COVID-19/COVID19MarketingMaterials/COVID-19%20Droplet%20Contact%20Aerosolizing%20Procedures%20Eye%20Protection%205-26-2020.pdf} Wavenet{/popup} | N | ||||
| Lets Talk/Patient Rights | Local | ACP Book | ACPBOOK_2019_Rebrand_SP.pdf | My Advance Care Planning Guide Booklet, SPANISH | 8/019 Rev. | Cover full color cmyk satin
aqueous, silk cover 12 Page text, 8.5 x 11 flat size 11 x 17, cmyk, soporset offset text 70wt 6 page fold out insert 8.5x11 black spoporset offset text 70w trim score fold and stitch; boxed |
Ethics and Patient Rights/Katy Trapp/David Cochran | N | ||
| Lets Talk/Patient Rights | Local | ACP Book | ACPBOOK_2019.pdf | My Advance Care Planning Guide Booklet, ENGLISH | 8/2019 Rev. | Ethics and Patient Rights/Katy Trapp/David Cochran | N | |||
| Lets Talk/Patient Rights | Local | ACP Book | NC_ACPBOOK_Rebrand_2019.pdf | My Advance Care Planning Guide Booklet (North Carolina) | 9/2019 Rev. | Ethics and Patient Rights/Katy Trapp/David Cochran | N | |||
| Lets Talk/Patient Rights | Local | ACP Book | NC_ACPBOOK_Rebrand_2019_SP.pdf | My Advance Care Planning Guide Booklet (North Carolina), SPANISH | 9/2019 Rev. | Ethics and Patient Rights/Katy Trapp/David Cochran | N | |||
| Lets Talk/Patient Rights | Local | Banners/Posters/Signs | Slide In Frame, Black, 20 x 30 #1278 | #1278 | N | |||||
| Lets Talk/Patient Rights | Local | Banners/Posters/Signs | PtRightsNonDiscLan_Signs__1_.pdf | Patient Rights / Nondiscrimination / Language Assistance Poster Sets INCLUDES 20 x 30 Frames, Includes ENGLISH and SPANISH #5000 | #5000 | This set contains all 5 Posters and 5 SLIDE IN FRAMES | N | |||
| Lets Talk/Patient Rights | Local | Banners/Posters/Signs | PtRightsNonDiscLan_Signs__1_.pdf | Patient Rights / Nondiscrimination / Language Assistance Poster Sets ONLY (NO FRAMES), Includes ENGLISH and SPANISH #5000 | #5000 | NO FRAMES | N | |||
| Lets Talk/Patient Rights | Local | Banners/Posters/Signs | LanguageAssistanceServicesPoster20x30_Rebrand.pdf | Language Assistance Services Poster 20x30 Insert | 12/2019 Rev. | N | ||||
| Lets Talk/Patient Rights | Local | Banners/Posters/Signs | NondiscriminationPoster20x30_Rebrand2019_ver2.pdf | Nondiscrimination Sign (insert), 20x30, ENGLISH. DOES NOT INCLUDE FRAME. Fits in 20 x 30 acrylic frame. | 12/2019 Rev. | David Cochran | N | |||
| Lets Talk/Patient Rights | Local | Banners/Posters/Signs | NondiscriminationPoster20x30_SP_Rebrand2019.pdf | Nondiscrimination Sign (insert), 20x30, SPANISH. DOES NOT INCLUDE FRAME. Fits in 20 x 30 acrylic frame. | 12/2019 Rev. | David Cochran | N | |||
| Lets Talk/Patient Rights | Local | Banners/Posters/Signs | PatientRightsandRespPoster20x30_Rebrand2019.pdf | Patient Rights and Responsibility Sign (insert), 20x30, ENGLISH | 12/2019 Rev. | DOES NOT INCLUDE FRAME. Fits in 20 x 30 acrylic frame. | N | |||
| Lets Talk/Patient Rights | Local | Banners/Posters/Signs | PatientRightsandRespPoster20x30_SPANISH_Rebrand2019.pdf | Patient Rights and Responsibility Sign (insert), 20x30, SPANISH | 12/2019 Rev. | DOES NOT INCLUDE FRAME. Fits in 20 x 30 acrylic frame. | N | |||
| Lets Talk/Patient Rights | Local | Banners/Posters/Signs | ACP_Poster_2019_8_5x11.revpdf.pdf | Advance Care Planning - Have the Talk... 8 1/2 x 11 Poster, Laminated | 8/2019 Rev. | 1/1/2300 12:00 | N | |||
| Lets Talk/Patient Rights | Local | Brochure | Let's TALK about...Patient Rights and Responsibilities Brochure (BRAILLE), Spiral Bound | The Language Group | 1/1/2300 12:00 | N | ||||
| Lets Talk/Patient Rights | Local | Brochure | PA_ASC_PtRights.pdf | PA-ASC Patient Rights Brochure SPAH 3180-80-001 | 04/2021 Rev. | 1/1/2300 12:00 | Patricia Messerian | N | ||
| Lets Talk/Patient Rights | Local | Brochure | DTPPA_ASC_PtRightsBRO_SPANISH.pdf | PA-ASC Patient Rights Brochure, SPANISH SPA 3180-80-001 | 04/2021 Rev. | Patricia Messerian | N | |||
| Lets Talk/Patient Rights | Local | Brochure | LetsTALK_Breathing_Machines.pdf | Let's TALK about... Breathing Machines Brochure #1688 | 10/2020 Rev. | Ethics and Patient Rights/Katy Trapp/David Cochran | N | |||
| Lets Talk/Patient Rights | Local | Brochure | LetsTALK_CPR.pdf | Let's TALK about... CPR Brochure | 10/2020 Rev. | Ethics and Patient Rights/Katy Trapp/David Cochran | N | |||
| Lets Talk/Patient Rights | Local | Brochure | LetsTALK_Feeding_Tubes.pdf | Let's TALK about... Feeding Tubes #1669 | 10/2020 Rev. | Ethics and Patient Rights/Katy Trapp/David Cochran | N | |||
| Lets Talk/Patient Rights | Local | Brochure | LetsTALK_Planning_Conference.pdf | Let's TALK about...Your Advance Care Planning Conference | 10/2020 Rev. | Ethics and Patient Rights/Katy Trapp/David Cochran | N | |||
| Lets Talk/Patient Rights | Local | Brochure | ACP_healthyadult_brochure_11.08.18__002_.pdf | Advance Care Planning For Healthy Adults Brochure | 11/2018 Rev. | 1/1/2300 12:00 | Ethics and Patient Rights/Katy Trapp/David Cochran | N | ||
| Lets Talk/Patient Rights | Local | Brochure | PatientRightsandResponsibilities_REBRAND.pdf | Let's TALK about...Patient Rights and Responsibilities Brochure #1896 (English) | 2/2020 Rev. | Ethics and Patient Rights/Katy Trapp/David Cochran | N | |||
| Lets Talk/Patient Rights | Local | Brochure | PatientRightsandResponsibilities_REBRAND_SP.pdf | Let's TALK about...Patient Rights and Responsibilities Brochure #1896 (Spanish) | 2/2020 Rev. | Ethics and Patient Rights/Katy Trapp/David Cochran | N | |||
| Lets Talk/Patient Rights | Local | Brochure | LetsTALK_Palliative_Care_Medicine.pdf | Let's TALK about... Palliative Care Medicine #1248 | 3/2021Rev. | Ethics and Patient Rights/Katy Trapp/David Cochran | N | |||
| Lets Talk/Patient Rights | Local | Brochure | LetsTALK_Hospice.pdf | Let's TALK about... Hospice | 5/2020 Rev. | 1/1/2300 12:00 | Ethics and Patient Rights/Katy Trapp/David Cochran | N | ||
| Lets Talk/Patient Rights | Local | Brochure | ACP_chronicdisease_brochure.pdf | Advance Care Planning for Seniors & Those With Chronic Disease BROCHURE #1666 | 8/2018 Rev. | 1/1/2300 12:00 | Ethics and Patient Rights/Katy Trapp/David Cochran | N | ||
| Lets Talk/Patient Rights | Local | Brochure | ACP_BrainDeath_brochure2018.pdf | Let's Talk about... Brain Death #1667 | 8/2018 Rev. | 1/1/2300 12:00 | Ethics and Patient Rights/Katy Trapp/David Cochran | N | ||
| Maternity | pf.sentara.com | Forms | NICUCensusQuarterlyLog.pdf | SPAH NICU Census Quarterly Log | Insert Color sheet of paper where blank pages are to divide quarters. | Lori Holleman/SPAH Family Maternity Center | N | |||
| Epic Uptime Forms | Local | MDORD | CTLungScreeningOrderForm_HamptonRoads_MDORD537_2021.pdf | Hampton Roads Low-Dose CT Lung Screening Order Form MDORD537 | 07/2021 Rev. | 2 sided, padded 25 sheets p/pad | 1/1/2300 12:00 | Melissa Bell/Hampton Roads Nurse Navigator | N | |
| Maternity | pf.sentara.com | Forms | SNVMC_Labor_and_Delivery_Pre-Admission_Form__1736.pdf | SNVMC Labor and Delivery Pre-Admission Form #1736, Pads of 100 sheets | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: Helen Linton | N | ||
| Maternity | pf.sentara.com | Forms | SNGH_Special_Care_Nursery_Parking_Validation_Card__1435.pdf | SNGH Special Care Nursery Parking Validation Card #1435 | 10/2017 Rev. | Process Owner: Brenda Ronan | N | |||
| Maternity | pf.sentara.com | Forms | SPAH_NewbornAssessmentSheet_0647.pdf | SPAH Newborn Assessment Sheet #0647, 100 sheets p/pad | 10/2019 Rev. | SPAH L&D/Nursing Administration/POC Susan Portillo | N | |||
| Maternity | pf.sentara.com | Forms | ObstetricProcedureRequestForm.pdf | Obstetric Procedure Request Form #1712 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Women's Health HPT/Debi Bucci | N | ||
| Maternity | pf.sentara.com | Forms | SRMH_BirthCertificateQuestionnaire_1538.pdf | SRMH Birth Certificate Questionnaire #1538 | 11/2019 Rev. | 1/1/2300 12:00 | ANITA B PELLERIN | SRMH Print Shop | N | |
| Maternity | pf.sentara.com | Forms | Obstetric_Hemorrhage_Record.pdf | Obstetric Hemorrhage Record.pdf | 12/2019 Rev. | Debi Bucci/WHHPT | N | |||
| Maternity | pf.sentara.com | Forms | SOH_Labor_and_Delivery_PreAdmission_Form.pdf | SOH Labor and Delivery PreAdmission Form #2114, Pads of 100 Sheets | 12/2020 Rev. | Padded in Units of 100 | Lisa Milburn | N | ||
| Maternity | pf.sentara.com | Forms | Neonatal_Abstinence_Syndrome_JA_Monitoring_Diary_FINAL.pdf | Neonatal Abstinence Syndrome Monitoring Diary #1741 | 2/2019 Rev. | 1/1/2300 12:00 | Process Owner: MINPF/POC Terri Horst | N | ||
| Maternity | pf.sentara.com | General Information | NICU_Baby_Boy_Card.pdf | Crib Card (BLUE) - Boy | 1/1/2300 12:00 | N | ||||
| Maternity | pf.sentara.com | General Information | NICU_Baby_Girl_Card.pdf | Crib Card (PINK) - Girl | 1/1/2300 12:00 | N | ||||
| Maternity | pf.sentara.com | General Information | CDC_breast-pump-fact-sheet.pdf | How To Keep Your Breast Pump Clean - CDC breast-pump-fact-sheet, 2 page laminated set | DO NOT PRINT 2 Sided Verify version: https://www.cdc.gov/healthywater/hygiene/healthychildcare/infantfeeding/breastpump.html |
1/1/2300 12:00 | Breastfeeding Task Force/Allyson Michaels | N | ||
| Maternity | pf.sentara.com | General Information | SMJH_OBPreadmitPacket.pdf | SMJH OB Pre-Admission Packet #1131 | N | |||||
| Maternity | pf.sentara.com | General Information | 3489_Sympathy_Card_-_5x7_flat_-_print.pdf | SNGH Family Maternity Center Sympathy Card | A7 Envelope Print Card 2 up on 11 x 17 and cut |
Deborah Dougherty | N | |||
| Maternity | pf.sentara.com | General Information | SNGH_PostPartumPacket.pdf | SNGH Postpartum Admission Packet, Spanish Packet | Sentara Pocket Folder; All B&W except Whooping Cough; setup to run 2 sided except Whooping cough | 1/1/2300 12:00 | Heike Nicks/SNGH Family Maternity Center | N | ||
| Maternity | pf.sentara.com | General Information | SNVMC_Door_Hanger_2up.pdf | SNVMC Baby/Mommy Sleeping Door Hanger | 1/1/2300 12:00 | N | ||||
| Maternity | pf.sentara.com | General Information | CSectionPacket.pdf | SRMH C-Section Packet | MDOPNT039, CNSNT001, SRMH FAQ SURGICAL SITE INFECTIONS BROCHURE, BLOODCNSNT002 | 1/1/2300 12:00 | SRMH Print Shop | N | ||
| Maternity | pf.sentara.com | General Information | SRMHWomensHealthDoctorsOfficePacket.pdf | Women's Health Doctors Office Packet | Fulfilled in Sentara Pocket Folder | 1/1/2300 12:00 | SRMH Print Shop | N | ||
| Maternity | pf.sentara.com | General Information | 379162_CaringForYourChild_Blue_Nimmo.pdf | Caring For Your Child (Blue/Nimmo) | 01/2021 Rev. | Erin Walke | N | |||
| Maternity | pf.sentara.com | General Information | PacketFilesCombined.pdf | SRMH L & D Packet | 01/2021 Rev. | 1/1/2300 12:00 | Erin Knapik | SRMH Print Shop | N | |
| Maternity | pf.sentara.com | General Information | SCH_FMC_trifold_1950.pdf | SCH FMC Brochure #1950 | 02/2020 Rev. | 1/1/2300 12:00 | Jacquelyn D Jones | N | ||
| Maternity | pf.sentara.com | General Information | SPAH_FMC_Welcome_L_D.pdf | SPAH FMC Welcome Labor and Delivery | 02/2020 Rev. | 1/1/2300 12:00 | Jennifer Toombs | N | ||
| Maternity | pf.sentara.com | General Information | SPAH_FMC_Welcome_Mother_and_Baby.pdf | SPAH FMC Welcome Mother and Baby | 02/2020 Rev. | 1/1/2300 12:00 | Jennifer Toombs | N | ||
| Maternity | pf.sentara.com | General Information | SNVMC_CelebrationMenu.pdf | SNVMC Celebration Menu #2184 | 02/2021 Rev. | Robin Staton/Beverly Wainman | N | |||
| Maternity | pf.sentara.com | General Information | SNVMC_CelebrationMenu_Spanish_High_Resolution.pdf | SNVMC Celebration Menu #2184 (Spanish) | 02/2021 Rev. | Robin Staton/Beverly Wainman | N | |||
| Maternity | pf.sentara.com | General Information | SOH_Outpatient_Lactation_Consults_Flyer.pdf | SOH Outpatient Lactation Consults Flyer | 02/2021 Rev. | Julie Suedmeyer-Buller/Stephanie Clements | N | |||
| Maternity | pf.sentara.com | General Information | SCH_OBandSiblingTour_flyer_2020.pdf | SCH OB and Sibling Tour Flyer #1949 | 03/2020 Rev. | Flyer | 1/1/2300 12:00 | Jacquelyn D Jones | N | |
| Maternity | pf.sentara.com | General Information | CaringforYourChild_orange_Edinburgh_updated.pdf | Caring for Your Child (Orange/Edinburgh) | 04/2021 Rev. | Nikki Johnson | N | |||
| Maternity | pf.sentara.com | General Information | 3448_Doula_Rack_-_A1_-_print.pdf | SPAH Doula Rack Card | 06/2019 Reviewed/Revised | 1/1/2300 12:00 | Courtney Martone | N | ||
| Maternity | pf.sentara.com | General Information | SNVMC_BreastfeedingSupportGroupFlyer.pdf | SNVMC Breastfeeding Support Group Flyer #2033 | 06/2020 Rev. | 1/1/2300 12:00 | Paige Zuniga | N | ||
| Epic Uptime Forms | Local | MDORD | SNVMC_PETCTSchedulingRequisition_MDORD532update.pdf | SNVMC PET/CT Scheduling Requisition MDORD0532 | 07/2021 Rev. | Melissa Botelho | N | |||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_FactSheet_BloodPressure_8.5x11_v0721_Spanish_High_Resolution.pdf | MLMP Fact Sheet Blood Pressure 8.5x11 (Spanish) Pads of 50 pgs | 07/2021 Rev. | 8/13/2021 9:10 | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_FactSheet_Cholesterol_8.5x11_v0721_Spanish_High_Resolution.pdf | MLMP Managing Your Cholesterol 8.5x11 (Spanish), pads of 50 | 07/2021 Rev. | 8/13/2021 9:09 | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_FactSheet_Cholesterol_v0721.pdf | MLMP Managing Your Cholesterol, Pads of 50 | 07/2021 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | 1/1/2300 12:00 | Rosalinda Babilonia | N | |
| Maternity | pf.sentara.com | General Information | DonorHumanMilkBrochure_updated.pdf | Donor Human Milk Brochure #0209 | 08/2020 Rev. | 1/1/2300 12:00 | Christina Zimmer/Brenda Ronan | N | ||
| Maternity | pf.sentara.com | General Information | Labor_Birth_Postpartum_PT_Preferences_trifold_Spanish_High_Resolution1182.pdf | Labor Birth Postpartum Patient Preferences Brochure Spanish (Systemwide) #1882 | 08/2020 Rev. | Women's High Performance Team/Donna O Patno | N | |||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_FactSheet_BloodPressure_8.5x11_v0721_bleeds.pdf | MLMP Managing Your High Blood Pressure, Pads of 50 | 07/2021 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | 1/1/2300 12:00 | Rosalinda Babilonia | N | |
| Health and Wellness | Local | General Health and Wellness Info | MLMP_FactSheet_Cholesterol_8.5x11_v0721_Spanish_High_Resolution.pdf | MLMP SPANISH Managing Your Cholesterol, Pads of 50 | 07/2021 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | Rosalinda Babilonia | N | ||
| Health and Wellness | Local | General Health and Wellness Info | MLMP_FactSheet_BloodPressure_8.5x11_v0721_Spanish_High_Resolution.pdf | MLMP SPANISH Managing Your High Blood Pressure, Pads of 50 | 07/2021 Rev. | 2 up 13 x 19 cut to 8.5 x 11, pad 50 p/pad | Rosalinda Babilonia | N | ||
| Imaging | Local | Breast Imaging | Mammo_Reminder_Card_-_Central_Scheduling_21.pdf | Mammo Reminder Card - Central Scheduling Card | 07/2021 Rev. | Melony Garrison | N | |||
| Maternity | pf.sentara.com | General Information | SNGH_EVMS_MaternalTransportProgramPHYSICIANS_v2.pdf | SNGH-EVMS Maternal Transport Program (PHYSICIANS) #1489 | 1/2018 Rev. | 1/1/2300 12:00 | Megan Bennett | N | ||
| Maternity | pf.sentara.com | General Information | SLH_MomtoMomSupportGroupFLY.pdf | SLH Mom to Mom Support Group Flyer #1153 | 1/2020 Rev. | Leah Tribus | N | |||
| Maternity | pf.sentara.com | General Information | 500023_WHC_OP_Lactation_4x9_F_FINAL.pdf | SNVMC Breastfeeding Support Group Card | 1/2020 Rev. | Beverly Wainman/Womens Health Center | N | |||
| Maternity | pf.sentara.com | General Information | 379162_Baby_Book-Blue_Camelot_Location.pdf | Caring for Your Child Booklet (Blue/Camelot) | 1/2021 Rev. | Erin Walke | N | |||
| Maternity | pf.sentara.com | General Information | ERAS_Cesarean_Section_Patient_Information_Flyer.pdf | ERAS Cesarean Section Patient Information Flyer #2170 | 1/2021 Rev. | Debi Bucci/Women's Health FPAC | N | |||
| Maternity | pf.sentara.com | General Information | ERAS_Cesarean_Section_Patient_Information_Flyer_Spanish_High_Resolution.pdf | ERAS Cesarean Section Patient Information Flyer #2170, SPANISH | 1/2021 Rev. | Debi Bucci/Women's Health FPAC | N | |||
| Maternity | pf.sentara.com | General Information | SOH_TheWomen_sCenter_classesoffered_trifold.pdf | SOH The Women's Center Classes Offered Trifold #1782 | 10/19 Rev. | 1/1/2300 12:00 | Lisa C Milburn | N | ||
| Maternity | pf.sentara.com | General Information | SNGHPostPartumAdmPacket2018.pdf | SNGH Postpartum Admission Packet | 10/2018 Rev. | Sentara Pocket Folder; All B&W except TIGR; setup to run 2 sided | 1/1/2300 12:00 | Heike Nicks/SNGH Family Maternity Center | N | |
| Maternity | pf.sentara.com | General Information | WH_MomandBabyBasics_Booklet2019_8.5x5.5_PRINT.pdf | Mom & Baby Basics | 10/2019 Rev. | Allegra Prints 80# Gloss Cover and 80# Gloss Text |
Process Owner: MINPF | N | ||
| Maternity | pf.sentara.com | General Information | MomandBabyBasics_SP_INHOUSE_Setup.pdf | Mom & Baby Basics, Spanish | 10/2019 Rev. | Saddle Stitch Print In House |
Process Owner: MINPF | N | ||
| Maternity | pf.sentara.com | General Information | SOH_WomenCenter_FREEmaternitytour_flyer.pdf | SOH The Women Center Maternity Tour Flyer #1796 | 10/2019 Rev. | 8.5x11 two sided flyer | 1/1/2300 12:00 | Lisa C Milburn | N | |
| Maternity | pf.sentara.com | General Information | COM-HandInHandcard-1019.pdf | SRMH Hand-in-Hand Cards | 10/2019 Rev. | impose 6 up on 13 x 19 | Ashley Cromer | N | ||
| Maternity | pf.sentara.com | General Information | COM-HandInHandcard-1019_Spanish_High_Resolution.pdf | SRMH Hand-in-Hand Cards, SPANISH | 10/2019 Rev. | impose 6 up on 13 x 19 | Ashley Cromer | N | ||
| Maternity | pf.sentara.com | General Information | Were_Listening_flyer_SNGH_FMC_Melissa.pdf | Were Listening Flyer SNGH FMC #1866 | 10/2019 Rev. | 1/1/2300 12:00 | Melissa D Farley | N | ||
| Maternity | pf.sentara.com | General Information | Were_Listening_flyer_SCH_FMC_JacquelineJones.pdf | SCH FMC - We're Listening (Jacqueline Jones) #2109 | 10/2020 Rev. | Jacqueline Jones | N | |||
| Maternity | pf.sentara.com | General Information | Circumcison_Plastibell_Method.pdf | SRMH Circumcison Plastibell Method #0513 | 10/2020 Rev. | Terri Horst | N | |||
| Maternity | pf.sentara.com | General Information | Labor_Birth_Postpartum_PT_Preferences_trifold.pdf | Labor Birth Postpartum Patient Preferences #1882 (systemwide) | 11/2019 Rev. | 12/30/2299 12:00 | Women's High Performance Team/Donna O Patno | N | ||
| Maternity | pf.sentara.com | General Information | 3690_Post_Partum_Flyer___print__002_.pdf | SCH Postpartum Anxiety and Depression Support Group Flyer | 12/2019 Rev. | Caitlyn Worner | N | |||
| Maternity | pf.sentara.com | General Information | FBP-NewMomsSuppGrpPcard2print-1219.pdf | SRMH Support Group for New Moms Postcard | 12/2019 Rev. | Terri Horst/SRMH FBP Manager | N | |||
| Maternity | pf.sentara.com | General Information | BreastfeedingGuide_Nov2020_halfpage.pdf | Guide for Successful Breastfeeding (50 p/box) | 12/2020 Rev. | MINPF | N | |||
| Maternity | pf.sentara.com | General Information | BreastfeedingGuide_Nov2020_halfpage_Spanish_booklet_inhouse.pdf | Guide for Successful Breastfeeding, SPANISH | 12/2020 Rev. | Saddle Stitch Print In House |
MINPF | N | ||
| Maternity | pf.sentara.com | General Information | 500006_MaternityClasses_Bleeds_8.5x11_H_FINAL.pdf | SNVMC Women's Health Center Maternity Classes Flyer | 2/2020 Rev. | Helen Linton | N | |||
| Maternity | pf.sentara.com | General Information | SOH_BreastfeedingSupportGroupRackCard.pdf | SOH Breastfeeding Support Group Rack Card #0607 | 2/2020 Rev. | Coated Card Stock, 6 up on 13 x 19, 2 sided | 1/1/2300 12:00 | Process Owner: Paula Casper | N | |
| Maternity | pf.sentara.com | General Information | SLH_Family_Maternity_Center_Broch.pdf | SLH Family Maternity Center Tri Fold Brochure #1699 | 2/2021 Rev. | two sided, tri fold brochure | 1/1/2300 12:00 | Marybeth Baber/ Jennifer Heigl | N | |
| Maternity | pf.sentara.com | General Information | FBP-NewMomsAskNurseflyer-0319.pdf | SRMH New Moms Ask A Nurse Flyer | 3/2019 Rev. | 1/1/2300 12:00 | Rebecca McCutcheon/SRMH FBP Education | SRMH Print Shop | N | |
| Maternity | pf.sentara.com | General Information | SWRMC_FamilyMaternityCenterBrochure_2019_8_5x11_PRINT.pdf | SWRMC Family Maternity Center Handout #0105 | 3/2019 Rev. | Cut to 8.5 x 11; fold to 8.5 x 5.5 | 1/1/2300 12:00 | Deborah Extine/Donna Patino SWRMC Family Maternity Center | N | |
| Maternity | pf.sentara.com | General Information | PTAfterPregnancy_PrincessAnne.pdf | Sentara Therapy Center Princess Anne PT After Pregnancy #1746 | 3/2019 Rev. | 1/1/2300 12:00 | Julie E Nathaniel | N | ||
| Maternity | pf.sentara.com | General Information | FBP-BirthplaceClassesbroch-0320.pdf | SRMH Family Birthplace Classes Brochure | 3/2020 Rev. | 1/1/2300 12:00 | Terri Horst | SRMH Print Shop | N | |
| Maternity | pf.sentara.com | General Information | SCH_CelebrationMenu.pdf | SCH Celebration Menu #1994 | 4/2020 Rev. | SCH Family Maternity Center/Jacquelyn Jones | N | |||
| Maternity | pf.sentara.com | General Information | MJH-NewMomcouponcard-1216.pdf | The Lactation Corner Card- Good for $25 off any purchase | 5/2018 Rev. | 1/1/2300 12:00 | Catherine Hughes | N | ||
| Maternity | pf.sentara.com | General Information | FamBirthing_16x9Quadfold_English_C_FINAL.pdf | SNVMC Family Birthing Services Women's Health Brochure | 5/2019 Rev. | 1/1/2300 12:00 | Beverly Wainman/Women's Health Center | N | ||
| Maternity | pf.sentara.com | General Information | FamBirthing_16x9Qualdfold_Spanish_Low_Resolution.pdf | SNVMC Family Birthing Services Women's Health Brochure, SPANISH | 5/2019 Rev. | LO RES FILE ATTACHED Hi Res
exceeded size limit for the site
GO TO S:\PRINTSERVICES\SNVMC FBP Quad Brochure FOR THE HI RES FILE TO PRINT |
1/1/2300 12:00 | Beverly Wainman/Women's Health Center | N | |
| Maternity | pf.sentara.com | General Information | You_Can_Prevent_Infant_Falls_Flyer__1353_11x17SPANISH.pdf | You Can Prevent Infant Falls #1353 Spanish, 11x17, Laminated | 5/2020 Rev. | Laminated | MINPF POC Heike Nicks/Terri Horst | N | ||
| Maternity | pf.sentara.com | General Information | YouCanPreventInfantFalls_11x17.pdf | You Can Prevent Infant Falls #1353, 11x17, Laminated | 5/2020 Rev. | Laminated | MINPF POC Heike Nicks/Terri Horst | N | ||
| Maternity | pf.sentara.com | General Information | YouCanPreventInfantFalls_8_5x11.pdf | You Can Prevent Infant Falls Flyer #1353 | 5/2020 Rev. | MINPF POC Heike Nicks/Terri Horst | N | |||
| Maternity | pf.sentara.com | General Information | YouCanPreventInfantFalls_8_5x11_SP.pdf | You Can Prevent Infant Falls Flyer #1353, SPANISH | 5/2020 Rev. | MINPF POC Heike Nicks/Terri Horst | N | |||
| Maternity | pf.sentara.com | General Information | SNGH_EVMS_HighRiskObstetrics.pdf | SNGH/EVMS High Risk Obstetrics Brochure #1490 | 6/2019 Reviewed/Revised | 1/1/2300 12:00 | Megan Bennett | N | ||
| Maternity | pf.sentara.com | General Information | postpartum_depression_Fact_Sheet_2-sided_Sentara_Princess_Anne.pdf | SPAH Mother Baby Unit Postpartum Depression Fact Sheet | 6/2021 Rev. | Process Owner: Jennifer Toombs | N | |||
| Maternity | pf.sentara.com | General Information | WH_BirthdaySnuggleFlyer.pdf | Give Your Newborn a Birthday Snuggle! #0693 | 7/2019 Rev. | 1/1/2300 12:00 | Terri Horst/MINPF | N | ||
| Maternity | pf.sentara.com | General Information | SAMC_CelebrationMenu_2019.pdf | SAMC Celebration Menu for New Parents #1213 | 7/2019 Rev. | 1/1/2300 12:00 | Cheryl Simpson | N | ||
| Maternity | pf.sentara.com | General Information | PregnancyPointers_STC_PA.pdf | STC PA Pregnancy Pointers #1800 | 7/2019 Reviewed/Revised | 1/1/2300 12:00 | Julie Nathaniel | N | ||
| Maternity | pf.sentara.com | General Information | Child-ID-Blood-Spot-Collection-Information-for-Parents.pdf | Child ID Blood Spot FAQ s VDH | 8/2021 Rev. | MINPF/Jennifer Toombs | N | |||
| Maternity | pf.sentara.com | General Information | SCH_breasfeedingflyer.pdf | SCH Breastfeeding Flyer | 9/2018 Rev. | 1/1/2300 12:00 | N | |||
| Maternity | pf.sentara.com | General Information | Sleeptight_Poster_24x36.pdf | Sleeptight Safe Sleep Poster 24x36 | 9/2018 Rev. | 24x36 poster Foam core, laminated, framed and with hook. |
1/1/2300 12:00 | Lori Holleman | BizPort | N |
| Maternity | pf.sentara.com | General Information | Rack_card_safe_sleep_proof.pdf | Sleeptight Safe Sleep Rack Card 4x9 | 9/2018 Rev. | 4x9 2 sided rack card | 1/1/2300 12:00 | Lori Holleman | N | |
| Maternity | pf.sentara.com | General Information | Spanish_Sleeptight_Poster_24x36.pdf | Sleeptight Safe Sleep Spanish Poster 24x36 | 9/2018 Rev. | 24x36 Foam core, laminated, framed and with hook. |
1/1/2300 12:00 | Lori Holleman | BizPort | N |
| Maternity | pf.sentara.com | General Information | Spanish_Cobranded_Rack_card_safe_sleep.pdf | Sleeptight Safe Sleep Spanish Rack Card | 9/2018 Rev. | 4x9 rack card | 1/1/2300 12:00 | Lori Holleman | N | |
| Maternity | pf.sentara.com | General Information | SOH_BreastfeedingSupportGroupFlyer.pdf | SOH Breastfeeding Support Group Flyer #0603 | 9/2019 Rev. | 1/1/2300 12:00 | Paula Casper/SOH Women's Health Education | N | ||
| Maternity | pf.sentara.com | General Information | STC_PT_DuringandAfterPregnancyFlyer.pdf | Physical Therapy During and After Pregnancy Flyer #0663 (Obici) | 9/2020 Rev. | Process Owner: Rita Brereton | N | |||
| Maternity | pf.sentara.com | General Information | 6-Fact_Sheet_2-sided_October_2018_Hampton_Roads.pdf | Do you know the #1 complication of pregnancy and childbirth? Anxiety and Depression #0227 | Postpartum Support Virginia Publication | Not a Sentara Piece. Verify most current email Adrienne Griffen (adrienne.griffen@gmail.com) | 1/1/2300 12:00 | Process Owner: MINPF/Heike Nicks | N | |
| Maternity | pf.sentara.com | Newborn | ChildIDProgramParentsInformation.pdf | Child ID Program Information for Parents (2 sided) | 1/1/2300 12:00 | N | ||||
| Maternity | pf.sentara.com | Newborn | ChildIDProgramParentsInformationSpanish.pdf | Child ID Program Information for Parents, Spanish (2 sided) | 1/1/2300 12:00 | N | ||||
| Maternity | pf.sentara.com | Newborn | NO LONGER USED 8/2019 (BW): The Joy of Parenthood Your Personal Journey Through Newborn Care - 50 p/box | Shelf Item | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Maternity | pf.sentara.com | Newborn | SRMHNewbornInfoPacket.pdf | Newborn Information Packet | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Maternity | pf.sentara.com | Newborn | SRMHNewbornInfoPacket.pdf | Newborn Information Packet, Spanish | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Maternity | pf.sentara.com | Newborn | SRMH_NEWBORNPACKET.pdf | Newborn Packet (SRMH) | HEARING002,HEARING003, LEGAL002, VACCINE001, LAB001 | 1/1/2300 12:00 | SRMH Print Shop | N | ||
| Maternity | pf.sentara.com | Newborn | SAMC_NewBabyCardBoy_LeeEnv.pdf | SAMC Congratulations On Your New Baby! (Boy) | Include blank Lee
Envelopes Print Card 2 up on 11 x 17 cover and cut |
1/1/2300 12:00 | Joanna Kuhn | N | ||
| Maternity | pf.sentara.com | Newborn | SAMC_NewBabyGirl_LeeEnv.pdf | SAMC Congratulations On Your New Baby! (Girl) | Include blank Lee
Envelopes Print Card 2 up on 11 x 17 cover and cut |
1/1/2300 12:00 | Joanna Kuhn | N | ||
| Maternity | pf.sentara.com | Newborn | SCHNewBabyCardBoy.pdf | SCH Congratulations On Your New Baby! (Boy) | Blank Lee Env Print Card 2 up on 11 x 17 cover and cut |
1/1/2300 12:00 | N | |||
| Maternity | pf.sentara.com | Newborn | SCHNewBabyGirl.pdf | SCH Congratulations On Your New Baby! (Girl) | Blank Lee Env Print Card 2 up on 11 x 17 cover and cut |
1/1/2300 12:00 | N | |||
| Maternity | pf.sentara.com | Newborn | SLHNewBabyCardNeutral.pdf | SLH Congratulations On Your New Baby! | Print Card 2 up on 11 x 17 cover and cut | 1/1/2300 12:00 | N | |||
| Maternity | pf.sentara.com | Newborn | SNGHNewBabyCardBoy.pdf | SNGH Congratulations On Your New Baby! (Boy) | Print Card 2 up on 11 x 17 cover and cut | 1/1/2300 12:00 | N | |||
| Maternity | pf.sentara.com | Newborn | SNGHNewBabyGirl.pdf | SNGH Congratulations On Your New Baby! (Girl) | Print Card 2 up on 11 x 17 cover and cut | 1/1/2300 12:00 | N | |||
| Maternity | pf.sentara.com | Newborn | SNGH_Healthy_Baby_Card_-_SNGH_4050-31-005.pdf | SNGH Healthy Baby Card - SNGH 4050-31-005 | 1/1/2300 12:00 | N | ||||
| Maternity | pf.sentara.com | Newborn | SNVMCBabyCard.pdf | SNVMC Congratulations! footprint Baby Card with Blank Envelope | Print Card 2 up on 11 x 17 cover and cut | 1/1/2300 12:00 | N | |||
| Maternity | pf.sentara.com | Newborn | 366103_SENTARA_CERTIFICATE.pdf | SOH Birth Announcement - SOH 4020-10-001 | print 2 up on 11 x 17 cover and cut to 8.5 x 11 | 1/1/2300 12:00 | N | |||
| Maternity | pf.sentara.com | Newborn | SRMCNewBabyCardBoy.pdf | SRMH Congratulations On Your New Baby! (Boy) | Include blank Lee Envelope | 1/1/2300 12:00 | N | |||
| Maternity | pf.sentara.com | Newborn | SRMCNewBabyGirl.pdf | SRMH Congratulations On Your New Baby! (Girl) | 1/1/2300 12:00 | N | ||||
| Maternity | pf.sentara.com | Newborn | 368870_SWRMC_Birth_Announcement.pdf | SWRMC Birth Announcement | print 2 up on 11 x 17 cover and cut to 8.5 x 11 | N | ||||
| Maternity | pf.sentara.com | Newborn | IMG_8185.pdf | PKU Slips / PKU NBS Test Card Slips (Pack of 10) | #16261 Use by 8/31/2020 | 1/1/2300 12:00 | Commonwealth of Virginia | N | ||
| Maternity | pf.sentara.com | Newborn | SPAH_M_B_and_L_D_Homeword_Bound_Piece_updated.pdf | SPAH M&B and L&D Homeward Bound Journey Map #1884 | 01/2020 Rev. | 1/1/2300 12:00 | Jennifer J Toombs | N | ||
| Maternity | pf.sentara.com | Newborn | 384609_Baby_Book_Green_Camelot.pdf | Caring for Your Newborn Booklet (Green/Camelot) | 02/2021 Rev. | Erin Walke | N | |||
| Maternity | pf.sentara.com | Newborn | CaringforYourNewborn_yellow_Edinburgh_updated.pdf | Caring for Your Newborn Booklet (Yellow/Edinburgh) | 04/2021 Rev. | Nikki Johnson | N | |||
| Maternity | pf.sentara.com | Newborn | SPAH_Maternal_Child_Safety_Plan_Flyer.pdf | Maternal Child Safety Plan Flyer #2243 | 04/2021 Rev. | JJ Toombs/Sandra Rhodes/MINPF | N | |||
| Maternity | pf.sentara.com | Newborn | SNVMC_Prenatal_PostNatal_4_5x2_5_magnet_Spanish_High_Resolution.pdf | SNVMC Prenatal Postnatal 4.5" x 2.5" Magnet (Qty 500) (Spanish) | 04/2021 Rev. | Beverly J Wainman | BizPort | N | ||
| Maternity | pf.sentara.com | Newborn | SNVMC_Prenatal_PostNatal_4_5x2_5_magnet.pdf | SNVMC Prenatal Postnatal 4.5" x 2.5" Magnet (Qty. 500) | 04/2021 Rev. | 4.5 x 2.5 4/0 16pt magnet 250 = $157 *500 = $242 (selected) |
Beverly J Wainman | BizPort | N | |
| Maternity | pf.sentara.com | Newborn | SRMH_M_B_and_L_D_Homeword_Bound_Piece_updated.pdf | SRMH M&B and L&D Homeward Bound Journey Map #2250 | 05/2021 Rev. | Rebecca C McCutcheon | N | |||
| Maternity | pf.sentara.com | Newborn | SNGH_SCN_Journey_final.pdf | SNGH SCN Journey #1885 | 06/2020 Rev. | 1/1/2300 12:00 | Christina Zimmer | N | ||
| Maternity | pf.sentara.com | Forms | VS6B_Birth-application.pdf | VDH Official Birth Application Form #2100 | 07/2021 Rev. | prints front and back | Susan Portillo | N | ||
| Maternity | pf.sentara.com | Newborn | SPAH_BABY_Packet_9_20.pdf | SPAH Baby Packet | 09/2020 Rev. | Print page 1 & 2 - two
sided Pieces that are 2 or 4 up need to go in packet cut to size |
1/1/2300 12:00 | Jennifer (JJ) Toombs | N | |
| Maternity | pf.sentara.com | Newborn | SPAH_NICU_ChargeSheet_0393A.pdf | SPAH NICU Charge Nurse Report Sheet #0393A | 1/2020 Rev. | Cut to 8 1/2 x 14, 2 sided, head to toe, 3 hole punch centered on 14" side | Process Owner: Susan Portillo | N | ||
| Maternity | pf.sentara.com | Newborn | SPAH_NICU_ChargeSheet_0393B.pdf | SPAH NICU Charge Nurse Report Sheet #0393B | 1/2020 Rev. | Cut to 8 1/2 x 14, 2 sided, head to toe, 3 hole punch centered on 14" side | Process Owner: Susan Portillo | N | ||
| Maternity | pf.sentara.com | Newborn | Sentara_NICU_RackCard.pdf | SNVMC NICU Handout | 10/2020 Rev. | 1/1/2300 12:00 | Stacy Rounds/ Helen Linton | N | ||
| Maternity | pf.sentara.com | Newborn | Sentara_NICU_RackCard_Spanish_High_Resolution.pdf | SNVMC NICU Handout SPANISH | 10/2020 Rev. | 1/1/2300 12:00 | Stacy Rounds/ Helen Linton | N | ||
| Maternity | pf.sentara.com | Newborn | SPAH_NICU_Journey_final.pdf | SPAH NICU Journey #1885 | 11/2019 Rev. | 1/1/2300 12:00 | SPAH NICU/JJ Toombs | N | ||
| Maternity | pf.sentara.com | Newborn | SCH_FMC_CertificateOfLifeLoss_halfpage_2up.pdf | SCH FMC Certificate Of Life Loss | 11/2020 Rev. | Angela Randolph | N | |||
| Maternity | pf.sentara.com | Newborn | Circumcison_brochure_0225_updated.pdf | Circumcision Brochure #0225 | 12/2019 Rev. | 1/1/2300 12:00 | MINPF | N | ||
| Maternity | pf.sentara.com | Newborn | 384609_CaringForYourNewborn_Green_Nimmo.pdf | Caring For Your Newborn Booklet (Green/Nimmo) | 12/2020 Rev. | Erin Walke | N | |||
| Maternity | pf.sentara.com | Newborn | SNVMC_M_B_and_L_D_Homeword_Bound_Piece_updated.pdf | SNVMC M/B and L/D Homeward Bound Piece #2152 | 12/2020 Rev. | Ermi Tisak | N | |||
| Maternity | pf.sentara.com | Newborn | SNVMC_M_B_and_L_D_Homeword_Bound_Piece_updated_Spanish_High_Resolution.pdf | SNVMC Mom & Baby and Labor & Delivery Homeward Bound (Spanish) #2152 | 12/2020 Rev. | Ermi Tisak | N | |||
| Maternity | pf.sentara.com | Newborn | FBP-NASbroch-0421.pdf | Neonate Opioid Withdrawal Syndrome (NOWS) Brochure | 5/2021 Rev. | Designed by SRMH Marketing Sarah Wichael | MINPF and PFAC/POC Terri Horst | N | ||
| Maternity | pf.sentara.com | Newborn | SCNBooklet_1083_BOOKSETUP.pdf | SNGH Special Care Nursery Booklet #1083 | 7/2017 Rev. | Brenda Ronan | N | |||
| Maternity | pf.sentara.com | Newborn | SpecialCareNurseryBooklet_Spanish.pdf | SNGH Special Care Nursery Booklet #1083, SPANISH | 7/2017 Rev. | Brenda Ronan | N | |||
| Maternity | pf.sentara.com | Newborn | SCH_FamilyMaternityCenter_NurseryService_brochure.pdf | SCH Family Maternity Center Nursery Service Brochure #1618 | 7/2018 Rev. | 2 sided color, tri-fold brochure | 1/1/2300 12:00 | Sandra Rhodes | N | |
| Maternity | pf.sentara.com | Newborn | SCH_Maternity_Nursery_Letter.pdf | SCH Maternity Nursery Letter #1617 | 7/2021 Rev. | 1/1/2300 12:00 | Sandra Rhodes | N | ||
| Maternity | pf.sentara.com | Newborn | SPAH_NICUPacket.pdf | SPAH NICU Packet | 8/2018 Rev. | Pieces that are 2 or 4 up need to go in packet cut to size | 1/1/2300 12:00 | Monique "Nikki" Lowery | N | |
| Maternity | pf.sentara.com | Newborn | SPAH_FMC_ROP_FirstLetter_1417.pdf | SPAH Retinopathy of Prematurity (ROP) Initial Letter #1417 | 8/2020 Rev. | Lori Holleman | N | |||
| Maternity | pf.sentara.com | Newborn | SPAH_FMC_ROP_Repeat_Letter_1416.pdf | SPAH Retinopathy of Prematurity (ROP) Repeat Letter #1416 | 8/2020 Rev. | Lori Holleman | N | |||
| Maternity | pf.sentara.com | Newborn | SCNBrochure.pdf | SNGH Special Care Nursery Brochure #0489 | 9/2018 Rev. | 1/1/2300 12:00 | Dorothy Garrison | N | ||
| Maternity | pf.sentara.com | Newborn | IMG_8186.pdf | PK Card DNA Nursery WHOC (1 Kit per order) #159368 | FITZCO | 1/1/2300 12:00 | Order is for a single kit (pictured). If you want an entire box, you need to order 100. | N | ||
| Maternity | pf.sentara.com | Newborn | Newborn Screening Transmittal Form ONLY | Must order Envelope and Flyer separately. | 1/1/2300 12:00 | Paige Crunk | N | |||
| Maternity | pf.sentara.com | Newborn | Newborn Screening Flyer ONLY | Must order Envelope and Transmittal form seprately | 1/1/2300 12:00 | N | ||||
| Maternity | pf.sentara.com | Newborn | Newborn Screening Tyvek Envelope ONLY | Must order Transmittal form and Flyer separately. | 1/1/2300 12:00 | N | ||||
| Maternity | pf.sentara.com | Newborn | 1Your-Babys-Hearing-Results-Pass-CardENG-2020Pass.pdf | Can Your Baby Hear? - VDH ENGLISH and SPANISH | These are supplied directly to the hospitals from the VDH. | VEHDI, 1-866-493-1090 (Daphne Miller) | Please email va_ehdi@vdh.virginia.gov. Alternative Contact 1-804-864-8199 (Daphne Miller) | N | ||
| Maternity | pf.sentara.com | Packets | SMJH_Birth_Certificate_Packet.pdf | SMJH Birth Certificate Packet | 1/2020 Rev. | How Do I Obtain a Birth
Certificate Handout In Hospital (printed on green paper) stapled to Birth
Certificate Worksheet only How Do I Obtain a Birth Certificate Handout at Home (printed on yellow paper) stapled to Application for Certification of Vital Record only (application printed double sided) |
1/1/2300 12:00 | Process Owner: Lorrie Bricker | N | |
| Maternity | pf.sentara.com | Packets | SAMC_MotherBabyPacketContentList.pdf | SAMC Mother Baby Packet | 12/2017 Rev. | 1/1/2300 12:00 | Cheryl Simpson/Michelle Jackson | N | ||
| MyChart | Local | MyChart | MyChartHospitalRackCard.pdf | MyChart Hospital Rack Card | 2/2017 Rev. | Not in inventory at this time. Print on demand. Priced accordingly. | Sarah Dacey | N | ||
| MyChart | Local | MyChart | MyChart_Adult_Broc_11__HiRes.pdf | MyChart Adult Brochure | 5/2017 Rev. | Not in inventory at this time. Print on demand. Priced accordingly. | Sarah Dacey | N | ||
| MyChart | Local | MyChart | MyChartTeenAccess.pdf | MyChart Teen Insert | 5/2017 Rev. | Not in inventory at this time. Print on demand. Priced accordingly. | Sarah Dacey | N | ||
| MyChart | Local | MyChart | MyChartNewbornBrochure.pdf | MyChart Newborn Brochure | 6/2017 Rev. | Not in inventory at this time. Print on demand. Priced accordingly. | Sarah Dacey | N | ||
| MyChart | Local | MyChart | MyChartQuest.pdf | MyChart Questionnaire | 6/2017 Rev. | Not in inventory at this time. Print on demand. Priced accordingly. | Sarah Dacey | N | ||
| MyChart | Local | MyChart | MyChartPediatricBrochure.pdf | MyChart Pediatric Brochure | 8/2015 Rev. | Not in inventory at this time. Print on demand. Priced accordingly. | Sarah Dacey | N | ||
| MyChart | Local | MyChart | 3750_MyChart_Results_Flyer_-print.pdf | MyChart Results Flyer | 8/2019 Rev. | 1/1/2300 12:00 | Courtney Doyle POC | N | ||
| MyChart | Local | eVisits | eVisitsFlyer.pdf | eVisits Flyer | 1/1/2300 12:00 | Sarah Dacey | N | |||
| MyChart | Local | eVisits | 2716_eVisit_SNS_Flyer_-_print.pdf | Sentara Neurology Specialists eVisit Flyer | 11/2017 Rev. | 1/1/2300 12:00 | Bethany Allen | N | ||
| Neurosciences | pf.sentara.com | General Information | MS_Support_Group_updated_5.9.19_PRINT.pdf | Multiple Sclerosis Support Group Flyer #1900 | 2 up on 13 x 19 | 1/1/2300 12:00 | Julie Suedmeyer-Buller | N | ||
| Neurosciences | pf.sentara.com | General Information | 500173_Neuro_Trifold_12x9_13_ARTWORK.pdf | Sentara Advanced Care For The Brain & Nervous System Brochure (Northern VA) | 1/1/2300 12:00 | Process Owners Elizabeth Rogers & Julie Billingsley | N | |||
| Neurosciences | pf.sentara.com | General Information | SentaraCognitiveNeurologyProgramBRO.pdf | Sentara Cognitive Neurology Program Brochure | 1/1/2300 12:00 | N | ||||
| Neurosciences | pf.sentara.com | General Information | VitalSigns_NeuroChecks_SOH_SBLH_11x8_5_sign.pdf | Vital Signs & Neuro Checks (11" x 8.5") Sign #2257 | 05/2021 Rev. | Finished size - 11" x 8.5" | Nicole Stewart | N | ||
| Neurosciences | pf.sentara.com | General Information | Epilepsy_Support_Group_2020_Flyer-PRINT.pdf | Epilepsy Support Group Flyer | 06/2020 Rev. | Julie Suedmeyer-Buller | N | |||
| Nursing Units | Local | Daisy Award | DAISY_magnet_2_5x2_5_final.pdf | DAISY Magnet, 2.5" x 2.5" | 2.5" x 2.5" Magnet,
Circle Cut Send to Bizport |
1/1/2300 12:00 | Jessica McHone/Susan Winslow Daisy Award Process Owner | Bizport | N | |
| Nursing Units | Local | Daisy Award | DAISY_magnet_5x5_final.pdf | DAISY Magnet, 5" x 5" | 5" x 5" Magnet,
Circle Cut Send to Bizport |
1/1/2300 12:00 | Jessica McHone/Susan Winslow Daisy Award Process Owner | Bizport | N | |
| Nursing Units | Local | Daisy Award | SCHDaisyAwardCongratsCard.pdf | SCH Daisy Award Congrats Embossed Logo Notecard | Embossed Logo Notecard w/envelope | Karen M. Richendollar/SCH Daisy Coordinator | N | |||
| Nursing Units | Local | Daisy Award | SPAHDaisyAwardCongratsCard.pdf | SPAH Daisy Award Congrats Embossed Logo Notecard | Embossed Logo Notecard w/env | Kelly Winslow/SPAH Daisy Coordinator | N | |||
| Nursing Units | Local | Daisy Award | SLC_DaisyBrochure_TinaWaring.pdf | SLC Daisy Award Brochure | 09/2019 Rev. | Tina Waring/Susan Winslow Daisy Award Process Owner | N | |||
| Nursing Units | Local | Daisy Award | SVBGH_DaisyBrochure.pdf | SVBGH Daisy Award Brochure | 1/2020 Rev. | 1/1/2300 12:00 | Susan Winslow Daisy Award Process Owner/ SVBGH POC: Zenaida Flores | N | ||
| Nursing Units | Local | Daisy Award | SNGH_DaisyBrochure.pdf | SNGH Daisy Award Brochure | 10/2017 Rev. | 1/1/2300 12:00 | Susan Winslow Daisy Award Process Owner | N | ||
| Nursing Units | Local | Daisy Award | SWRMC_DaisyBrochure.pdf | SWRMC Daisy Award Brochure | 12/2020 Rev. | 1/1/2300 12:00 | Susan Winslow Daisy Award Process Owner | N | ||
| Nursing Units | Local | Daisy Award | SHCS_DaisyBrochureTemplate.pdf | SHCS Daisy Award Brochure | 3/2020 Rev. | Susan Winslow Daisy Award Process Owner | N | |||
| Nursing Units | Local | Daisy Award | SLH_DaisyBrochure.pdf | SLH Daisy Award Brochure #2235 | 4/2021 Rev. | Susan Winslow Daisy Award Process Owner | N | |||
| Nursing Units | Local | Daisy Award | SRMH_DaisyBrochure_4-2021.pdf | SRMH Daisy Award Brochure #2235 | 4/2021 Rev. | 1/1/2300 12:00 | Susan Winslow Process Owner/SRMH POC Dana Gibson | N | ||
| Nursing Units | Local | Daisy Award | SMJH_DaisyBrochure.pdf | SMJH Daisy Award Brochure #1325 | 5/2021 Rev. | Susan Winslow Daisy Award Process Owner | N | |||
| Nursing Units | Local | Daisy Award | SNVMC_DaisyBrochure.pdf | SNVMC Daisy Award Brochure | 5/2021 Rev. | Susan Winslow Daisy Award Process Owner | N | |||
| Nursing Units | Local | Daisy Award | SOH_DaisyBrochure.pdf | SOH Daisy Award Brochure | 5/2021 Rev. | 1/1/2300 12:00 | Sharon Bunn/Nursing Administration | N | ||
| Nursing Units | Local | Daisy Award | Daisy_Flyer_QR_Code.pdf | Daisy Flyer with QR Code, Laminated | 6/2021 Rev. | Susan Winslow/System Daisy Program Coordinator | N | |||
| Nursing Units | Local | Daisy Award | SAMC_DaisyBrochure.pdf | SAMC Daisy Award Brochure | 6/2021 Rev. | 1/1/2300 12:00 | Susan Winslow Daisy Award Process Owner/Jessica McHone SAMC POC | N | ||
| Nursing Units | Local | Daisy Award | SCH_DaisyBrochure.pdf | SCH Daisy Award Brochure | 6/2021 Rev. | 1/1/2300 12:00 | Karen Richendollar | N | ||
| Nursing Units | Local | Daisy Award | SPAH_DaisyBrochure.pdf | SPAH Daisy Award Brochure | 6/2021 Rev. | 1/1/2300 12:00 | Kelly Winslow/Nursing Administration | N | ||
| Nursing Units | Local | General Information | SNGH_HuddleHereCard.pdf | SNGH Huddle Hero Card | Jennifer Muffler/Tawana Edwards - SHH Human Resources | N | ||||
| Nursing Units | Local | General Information | CNA_Sunshine_trifold.pdf | CNA Sunshine Tri-fold Brochure #1953 | 02/2020 Rev. | tri fold brochure | 1/1/2300 12:00 | Tina Waring | N | |
| Nursing Units | Local | General Information | SNVMC_Rose_Award_brochure.pdf | SNVMC Rose Award Brochure #1212 | 03/2020 Rev. | tri fold brochure | 1/1/2300 12:00 | Marjorie Ellis/Mandy Gensimore | N | |
| Nursing Units | Local | General Information | SNGH_DaffodilAwardNominationBRO.pdf | SNGH Daffodil Award Nomination Brochure #2138 | 03/2021 Rev. | SNGH Human Resources Director/POC Carissa Chesnut | N | |||
| Nursing Units | Local | General Information | SVBGH_4_East_Foldover_Card.pdf | SVBGH 4 East Foldover Card #2167, scored and laminated | 1/2021 Rev. | Foldover Card; copy is outward
facing Cut to 5.5 x 8.5 Fold to 5.5 x 4.25 Send to Richards to laminate |
4 East Manager/POC Faith Nichols-Shelton | N | ||
| Nursing Units | Local | General Information | Binder1.pdf | Legacy Mapping for Sentara Nursing Staffing #1473 | 11/2017 Rev. | 1/1/2300 12:00 | Phyllis Stoneburner | N | ||
| Nursing Units | Local | General Information | SOH_DaffodilAwardNominationBRO.pdf | SOH Daffodil Award Nomination Brochure #2143 | 12/20 Rev. | Stacy Jordan | N | |||
| Nursing Units | Local | General Information | SVBGH_DaffodilAwardNominationTRIFOLD.pdf | SVBGH Daffodil Award Nomination Brochure #1983 | 4/2020 Rev. | Human Resources/Michelle Meekins | N | |||
| Nursing Units | Local | General Information | SLHMentorshipProgramBrochure.pdf | SLH Emergency Department Mentorship Program Brochure #1580 | 5/2018 Rev. | 1/1/2300 12:00 | Amy Smith-Peard | N | ||
| Nursing Units | Local | Packets | SVBGH_PatientAdmissionPacketLabel.pdf | SVBGH Patient Admission Packet Label | Colleen Leary | N | ||||
| Nursing Units | Local | Packets | 3NorthCombinedPrintPieces.pdf | SWRMC 3 North Packet | 1/1/2300 12:00 | N | ||||
| Nursing Units | Local | Packets | PROOF.pdf | SOH Neo Packet | 1/16/2020 Updated | GO TO: S:\PRINTSERVICES\Packets\SOH Neo
Packet Pocket Folder subfolder, contents are to be printed and collated and sent for customer to assemble in Sentara Pocket Folder Separate Packet subfolder, contents are printed in color Entire instructions are in attached pdf |
Bonnie Smith | N | ||
| Nursing Units | Local | Staff Education | 2018_SVBGH_Orientation_2.pdf | SVBGH Orientation Book | 2/2018 Rev. | Saved on Xerox A Archived | N | |||
| Nursing Units | Local | default | 10x13_Albemarle_Envelope.pdf | Hospital, Prescriptions, Appointments, and Discharge Information Packet, 10x13 NEON (Liftoff Lemon) Envelope (SAMC) | Neon Liftoff Lemon 10x13 vertical envelope, B&W | 1/1/2300 12:00 | N | |||
| Nursing Units | Local | default | 10x13_SMJH_Envelope.pdf | Hospital, Prescriptions, Appointments, and Discharge Information, 10x13 NEON (Liftoff Lemon) Envelope (SMJH) | Neon Liftoff Lemon 10x13 vertical envelope, B&W | 1/1/2300 12:00 | N | |||
| Nursing Units | Local | default | Nursing_Worksheet_4Pager_HiRes.pdf | Nursing Leadership Academy - Healthy Work Environments May 2017 | 1/1/2300 12:00 | Rev. 5/2017 | N | |||
| Nursing Units | Local | default | SWRMCDischargeEnvelope.pdf | SWRMC Nursing Unit Discharge Envelopes - 500 p/box | 1/2019 Rev. | 9x12 28# OECS White Wove Catalog, standard gum, printed black 2 side | 1/1/2300 12:00 | Process Owner: Kathy Nestor | Lindenmeyer | N |
| Nursing Units | Local | default | SLHDischargeEnvelopeNursingUnit2020.pdf | SLH Nursing Unit Gold Standard, Discharge Envelopes - 500 p/box | 2/2020 Rev. | 9x12 28# OECS White Wove Catalog, standard gum, printed black 2 side | Donna Baybay/SLH Nursing Unit (2West) | Lindenmeyer | N | |
| Oncology | Local | Forms | SCN_PeerMentorApplication_7_29.pdf | SCN Peer Support Application Imerian Angel Co-Branded | 7/2020 Rev. | Sentara Cancer Network/Arkeisha Smith | N | |||
| Oncology | Local | General Information | CancerCenterPacket.pdf | Cancer Center Packet | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Oncology | Local | General Information | SBCCPatientGuide_ReallyFinal_7.16.20__003_.pdf | SBCC Patient Guide, 3 HP Binder Insert | Priced to print 2 up on 11 x
17, no bleed, cut to 8.5 x 11, 3 hole punched left for 3 ring binders (.446 x 57 sheets/2 = 12.711) Tabs (charge for 10, 9 printed on) - $1.00 for tabs and .315 to print black ink on 9) 14.03 per/book Those ordering will obtain binders from Chelsie Williams. It will need to be decided after those are used up what they will put them in. |
Meredith Strand | N | |||
| Oncology | Local | General Information | Ongology_Prescription_5x4_D__002_.pdf | SCN Prescription for Wellness, 50 sheets p/pad | Priced 4 up on 8.5 x 11 color copier paper | Heather Causseaux/Elizabeth Rogers | N | |||
| Oncology | Local | General Information | SMJH_GeneticCounselingBroch_1_2020.pdf | SMJH Cancer Genetic Counseling Brochure | 01/2020 Rev. | 1/1/2300 12:00 | Diane DiCarlo | N | ||
| Oncology | Local | General Information | SMJH_ColorectalBrochure_1_2020.pdf | SMJH Colorectal Brochure | 01/2020 Rev. | 1/1/2300 12:00 | Diane DiCarlo | N | ||
| Oncology | Local | General Information | LivingBeyondCancerBrochure_jan2021.pdf | Living Beyond Cancer Survivorship Program Brochure | 01/2021 Rev. | Double fold | Chelsie Williams/Kerry Clay | N | ||
| Oncology | Local | General Information | SRMH_HahnCancerCtr_Rackcard.pdf | SRMH Hahn Cancer Ctr Support Group Rackcard #2171 | 01/2021 Rev. | Maxine Jean-Louis | N | |||
| Oncology | Local | General Information | SCN_ArtTherapy_flyer.pdf | SCN Art Therapy Flyer | 02/2021 Rev. | Arkeisha Smith | N | |||
| Oncology | Local | General Information | SCN_Garden_Meditation_flyer.pdf | SCN Garden Meditation Flyer | 02/2021 Rev. | Arkeisha C Smith | N | |||
| Oncology | Local | General Information | SCN_PFAC_bifold_brochure.pdf | SCN PFAC Bi-fold Brochure #2183 | 02/2021 Rev. | Arkeisha C Smith | N | |||
| Oncology | Local | General Information | 4432_SCN_Yoga_Flyer_-_Sept_2021_-_print.pdf | SCN Wellness Beyond Cancer Flyer | 02/2021 Rev. | Arkeisha Smith | N | |||
| Oncology | Local | General Information | SNGH_Mazzurco_OncologySupportiveCareMedClinic.pdf | SNGH Oncology Supportive Care Medicine Clinic, Dr. Mazzurco #1996 | 02/2021 Rev. | SNGH Sentara Cancer Institute/Christine Ladd | N | |||
| Oncology | Local | General Information | life_after_treatment_booklet.pdf | Life After Treatment Booklet (prints BW) | Mar-18 | Jennifer L Hutchinson | N | |||
| Oncology | Local | General Information | Radiation_Oncology_PT_Edu_Acknow_pregn_2214.pdf | Radiation Oncology - PT Acknowledgement of Pregnancy Education Form #2214 | Mar-21 | Lisa Moore | N | |||
| Oncology | Local | General Information | ProstateCancerSupportGroup_flyer.pdf | Prostate Cancer Support Group Flyer | 03/2021 Rev. | Angela Duke | N | |||
| Oncology | Local | General Information | Cancer_Patient_Education_20pg_booklet_Final.pdf | Cancer Patient Education Booklet | 04/2020 Rev. | 20 page booklet | Kerry Clay/Maggie Chenault | N | ||
| Oncology | Local | General Information | WOM-HighRiskBreastProgBroch-0421.pdf | High Risk Breast Program Brochure (Harrisonburg) | 04/2021 Rev. | 4/27/2021 8:46 | Sherry Braithwaite | N | ||
| Oncology | Local | General Information | Pain_Management_Flyer.pdf | Pain Management Flyer #0351 (SRHM Cancer Ctr.) | 04/2021 Rev. | N | ||||
| Oncology | Local | General Information | WOM-BreastClinicBrochure-0421.pdf | Sentara Breast Surgery Specialists: Breast Clinic Brochure | 04/2021 Rev. | 4/27/2021 8:57 | Sherry Braithwaite | N | ||
| Oncology | Local | General Information | SRMH_GeneticCounselBrochRMH_5_2017.pdf | SRMH Cancer Genetic Counseling Brochure | 05/2017 Rev. | 1/1/2300 12:00 | Diane DiCarlo | N | ||
| Oncology | Local | General Information | NeutropenicFever_11x19_1432.pdf | Neutropenic Fever #1432, 11 x 17 Banner Up | 05/2020 Rev. | 1/1/2300 12:00 | Chelsie Williams | Bizport | N | |
| Oncology | Local | General Information | 3768_Cancer_Screening_Guidelines_Brochure_2021.pdf | Cancer Screening Guidelines Brochure | 05/2021 Rev. | Kerry Clay | N | |||
| Oncology | Local | General Information | 3742_Lung_Shared_Decision_Making_Tool_2021.pdf | SCN Lung Cancer Screening Shared Decision Making Tool | 05/2021 Rev. | 1/1/2300 12:00 | Melissa Bell/Radiology | N | ||
| Oncology | Local | General Information | CYBERKNIFE_FOLDER_updated.pdf | CyberKnife Folder, no spine #1609 | 06/2020 Rev. | Sent to Jones Printing for production in quantities of 300. Price from Jones for 300 is $884 (quoted 6/25) . | 1/1/2300 12:00 | Lisa L Moore | Jones Printing | N |
| Oncology | Local | General Information | D_Med_Onc_HPT_5_5x8_5.pdf | D-MedOnc 5.5"x8.5" | 06/2020 Rev. | 1/1/2300 12:00 | Claudia Bowling | N | ||
| Oncology | Local | General Information | Lung_Cancer_Screening_FAQ_SNVMC.pdf | SNVMC CT Lung Cancer Screening Shared Decision Making Tool #1472, Pads of 50 | 06/2020 Rev. | 1/1/2300 12:00 | Heather Causseaux | N | ||
| Oncology | Local | General Information | SNVMC_Lung_CT_Screening_Tri_Broc_1451_updated.pdf | SNVMC Lung Cancer Screening Brochure #1451 | 06/2020 Rev. | 1/1/2300 12:00 | Heather B Causseaux/Melissa S Botelho/Laurie L Dumais | N | ||
| Oncology | Local | General Information | 1392_SVBGH_Lymphoma_flyer.pdf | SVBGH Lymphoma Support Group Flyer #1392 | 06/2020 Rev. | 1/1/2300 12:00 | Kerry Clay | N | ||
| Oncology | Local | General Information | SSS_SurgicalOncologyBro2020.pdf | Surgical Oncology Brochure #0686 | 06/2020 Rev. | 1/1/2300 12:00 | Dawn Killilea | N | ||
| Maternity | pf.sentara.com | General Information | SLH_Maternity_In_Person_flyer.pdf | SLH Maternity In Person Flyer | 07/2021 Rev. | Ashley Kelly-Barnes | N | |||
| Oncology | Local | General Information | 4034_Blood_Cancer_Support_Group_Flyer_-_print.pdf | Blood Cancer Support Group Flyer | 07/2020 Rev. | Kerry Clay | N | |||
| Oncology | Local | General Information | BreastCancer_ScreeningBrochure_blueridge.pdf | Breast Cancer Screening Brochure Blueridge | 07/2020 Rev. | 1/1/2300 12:00 | Chelsie Williams | N | ||
| Oncology | Local | General Information | BreastCancer_ScreeningBrochure_halifax.pdf | Breast Cancer Screening Brochure Halifax | 07/2020 Rev. | 1/1/2300 12:00 | Chelsie Williams | N | ||
| Oncology | Local | General Information | BreastCancer_Screening_Flyer_blueridge.pdf | Breast Cancer Screening Flyer Blueridge | 07/2020 Rev. | 1/1/2300 12:00 | Chelsie Williams | N | ||
| Oncology | Local | General Information | BreastCancer_Screening_Flyer_halifax.pdf | Breast Cancer Screening Flyer Halifax | 07/2020 Rev. | 1/1/2300 12:00 | Chelsie Williams | N | ||
| Maternity | pf.sentara.com | Newborn | SPAH_NICUSupportGroup_Rackcard.pdf | SPAH NICU Support Group Rack Card #2245 | 07/2021 Rev. | JJ Toombs | N | |||
| Oncology | Local | General Information | BreastCancer_Screening_Flyer.pdf | Breast Cancer Screening Guidelines Flyer #2301 | 07/2021 Rev. | Rosemarie West | 1/1/2300 12:00 | Chelsie Williams | N | |
| Oncology | Local | General Information | 3671B_CT_Lung_Screening_Brochure_2021__1_.pdf | Lung Cancer Screening, Low-Dose CT Scan (LDCT) Brochure | 07/2021 Rev. | 1/1/2300 12:00 | Integrated Care Management/Melissa Bell/Chelsie Williams/Angela Duke | N | ||
| Oncology | Local | General Information | PhysicistSurveyPreliminaryForm_1560_updated.pdf | Physicist Survey Preliminary Results Form #1560 | 07/2021 Rev. | 1/1/2300 12:00 | Thelma Papini | N | ||
| Oncology | Local | General Information | 4319_Sen_EVMS_Herad_Neck_Rack_wQRCode_rackcard.pdf | Sentara EVMS Head & Neck Rack - Tracheostomy | 07/2021 Rev. | Celeste Youngblood Bodenbender | N | |||
| Oncology | Local | General Information | Prostate_Cancer_Screening_Questionnaire_3pt.pdf | Prostate Cancer Screening Questionnaire SHS 4750-50-001 | 08/2020 Rev. | 1/1/2300 12:00 | Connie Bush | N | ||
| Oncology | Local | General Information | SMJH_MedOnc_InfCtr_5x7_bone_strengthener.pdf | SMJH Med. Onc. Inf Ctr 5"x7" Bone Strengthener #2104 | 09/2020 Rev. | Danielle Schrader | N | |||
| Oncology | Local | General Information | 3461_HIPEC_Brochure_-_print.pdf | Hyperthermic Intraperitoneal Chemotherapy Treatment (HIPEC) SCN #0691 | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: Arkeisha Smith | N | ||
| Oncology | Local | General Information | RadiationOncology_ParkingPass.pdf | Radiation Oncology - Patient Parking Pass #1733 | 1/2019 Rev. | Cut to 8.5 x 5.5 | 1/1/2300 12:00 | Process Owner: Radiation Oncology/Denise Holland | N | |
| Oncology | Local | General Information | SVBGH_RadiationOncologyApptSlip.pdf | SVBGH Radiation Oncology Appointment Slip SVBGH 4750-31-003 | 1/2020 Rev. | Radiation Oncology/POC Sarah Easter | N | |||
| Oncology | Local | General Information | ChemotherapyPrecautions.pdf | Chemotherapy Precautions Sign #0400 | 1/2021 Rev. | 2 up on 13 x 19 and cut to
8.5x11 with bleed Color Print Laminated |
OncologyNurse Practice Forum/Abby Dalton | N | ||
| Oncology | Local | General Information | ChemotherapyPrecaution_8_25_x_6.pdf | Chemotherapy Precautions Sign #0400, 8.25 x 6 | 1/2021 Rev. | 2 up on 13 x 19 cut to 8.5 x
11 with bleed Color Print Laminated |
OncologyNurse Practice Forum/Abby Dalton | N | ||
| Oncology | Local | General Information | Appt_Slip_NoMarks-imp.pdf | SMJH Radiology Appointment Slip #2166 (50 pgs per pad) | 1/2021 Rev. | padded in units of 50 pages | 1/1/2300 12:00 | Nikki Ostrowski /SMJH Radiology | N | |
| Oncology | Local | General Information | CAN-CoolingCapsBrochInsert-0121.pdf | SRMH Scalp Cooling Rack Card | 1/2021 Rev. | Lisa Shank | N | |||
| Oncology | Local | General Information | 3049_Radiation_Oncology_Brochure_-_print.pdf | SCN Comprehensive Radiation Oncology Centers Brochure | 10/2018 Rev. | 1/1/2300 12:00 | Process Owner: Jenna Curnes | N | ||
| Oncology | Local | General Information | SRMHMC_Catheterization_FEMALE_Booklet_no_crops.pdf | SRMHMC Catheterization FEMALE Booklet #1706 | 11/2018 Rev. | 8.5x11 - folded in half, center staple bound, BOOKLET | 1/1/2300 12:00 | Caroline M Spiers | N | |
| Oncology | Local | General Information | SLH_Comp_Breast_Cover_8_5x11.pdf | Breast Cancer Patient Guide - Sentara Leigh Comprehensive Breast Center | 11/2020 Rev. | Guts of the book are saved on
printer C. Book is coil bound and has tabs 106 pages- $4.24 Color cover- .24 10 Tabs - 1.22 Coil- .40 $6.10 per book |
1/1/2300 12:00 | Shantel A Wright, Clayres D Johnson | N | |
| Oncology | Local | General Information | SMJH_MedOnc_InfCtr_5x7_diarrhea.pdf | SMJH Med. Onc. Inf Ctr 5"x7" Diarrhea #2105 | 11/2020 Rev. | Danielle Schrader | N | |||
| Oncology | Local | General Information | CAN_CoolingCapsBroch_1020.pdf | Sentara Cancer Network Cooling Caps Brochure #2126 | 11/2020 Rev. | Tracey Gentry | N | |||
| Oncology | Local | General Information | SentaraCancerNetwork_2021_Conferences.pdf | 2021 Sentara Cancer Network Conferences | 12/2020 Rev. | 1/1/2300 12:00 | Claudia Bowling | N | ||
| Oncology | Local | General Information | SRMH_CancerTreatmentClass.pdf | SRMH Hahn Cancer Center Treatment Class Flyer | 12/2020 rev. | Robin Atwood | N | |||
| Oncology | Local | General Information | FeverFlyerNeutropenicRiskCard.pdf | What To Do If You Get A Fever While On Chemotherapy (Neutropenic Fever), Includes removable Hospital Medical Alert Card #1791 | 2/2019 Rev. | Allegra Prints | Meredith Strand | Allegra Printing | N | |
| Oncology | Local | General Information | PatientPathwayforFebrileNeutropenia.pdf | Patient Pathway for Febrile Neutropenia #1956 | 2/2020 Rev. | Meredith Strand/Claudia Bowling | N | |||
| Oncology | Local | General Information | 3579_SCN_Thoracic_Rack_Card_-_NEWPrint.pdf | SCN Fast Track Thoracic Clinic Rack Card | 2/2020 Rev. | Meredith Strand | N | |||
| Oncology | Local | General Information | SHRH_Lung_Cancer_Screening_Flyer.pdf | SHRH CT Lung Cancer Screening Shared Decision Making Tool, Pads of 25 #1327 | 2/2021 Rev. | Samantha Thompson | N | |||
| Oncology | Local | General Information | 2785_Sentara_Cancer_Resources_Schedule_-_print.pdf | Sentara Cancer Resources #0911 | 2018 | Claudia Bowling | N | |||
| Oncology | Local | General Information | 2760_Cancer_Research_Brochure_-_print-v2.pdf | Sentara Cancer Research Brochure | 3/2018 Rev. | 1/1/2300 12:00 | Ruth Manlove | N | ||
| Oncology | Local | General Information | 3963_SCN_Map_Brochure_2020_Update_-_open2020_-_print.pdf | SCN Map Brochure | 3/2020 Rev. | Chelsie Williams Marketing/Meredith Strand SCN | N | |||
| Oncology | Local | General Information | PrintShopVersion-SupportGroupUpdate.pdf | SCN Support Groups Flyer | 3/2020 Rev. | N | ||||
| Oncology | Local | General Information | SCN_VirtualCancerandCaregiverSupportGroup.pdf | SCN Virtual Cancer and Caregiver Support Group #2188 | 3/2021 Rev. | Elizabeth Rogers/SNVMC Marketing | N | |||
| Oncology | Local | General Information | SRMH_CancerRehabProgram_Bifold_Brochure.pdf | SRMH Cancer Rehabilitation Program #2202 | 3/2021 Rev. | 1/1/2300 12:00 | Judy Jenkins | N | ||
| Oncology | Local | General Information | RadiationOncologyProceduralBoard_12x18.pdf | Radiation Oncology Procedural Board #1305, 12x18, Laminated | 4/2018 Rev. | 1/1/2300 12:00 | Denise Holland/Radiation Oncology | N | ||
| Oncology | Local | General Information | SCC_VolunteersFlyer.pdf | SCC Volunteers Flyer #1984 | 4/2020 Rev. | Sentara Cancer Center/POC Meredith Strand | N | |||
| Oncology | Local | General Information | 4036_Peer_Mentor_Update_040220_-_print.pdf | SCN Peer Support Program Brochure | 4/2020 Rev. | Meredith Strand | N | |||
| Oncology | Local | General Information | 4249_Skin_Cancer_Prevention_Brochure-_print.pdf | SCN Teen Skin Cancer Prevention & Detection Brochure #2233 | 4/2021 Rev. | 1/1/2300 12:00 | Kerry Clay | Allegra | N | |
| Oncology | Local | General Information | 4247_Teen_Skin_Rack_Card_-_print.pdf | SCN Teen Skin Cancer Prevention & Detection Rack Card #2234 | 4/2021 Rev. | Kerry Clay | N | |||
| Oncology | Local | General Information | SRMH_Hahn_Cancer_Center_Zoom_Chair_Yoga_Flyer.pdf | SRMH Hahn Cancer Center Zoom Chair Yoga Flyer #2215 | 4/2021 Rev. | Robin Atwood/SRMH Hahn Cancer Center | N | |||
| Oncology | Local | General Information | MJH_CancerRehabBrochure_5_2019.pdf | SMJH Cancer Rehabilitation: Beyone the "New Normal" Brochure | 5/2019 Rev. | Designer MARK C BORZELLECA | 1/1/2300 12:00 | Valerie Wright/Diane DiCarlo | SRMH Print Shop | N |
| Oncology | Local | General Information | MJH-CancerResearchBroch-0519.pdf | SMJH Cancer Research Brochure | 5/2019 Rev. | Designer MARK C BORZELLECA | 1/1/2300 12:00 | Valerie Wright/Diane DiCarlo | SRMH Print Shop | N |
| Oncology | Local | General Information | MJH-OncologyProgNavBroch-0519.pdf | SMJH Oncology Patient Navigators Brochure | 5/2019 Rev. | Designer MARK C BORZELLECA | 1/1/2300 12:00 | Valerie Wright/Diane DiCarlo | SRMH Print Shop | N |
| Oncology | Local | General Information | ColorectalScreening_8.5x11_C_FINAL.pdf | SNVMC Digestive Program Colorectal Cancer Screening Flyer | 5/2019 Rev. | 1/1/2300 12:00 | Helen Linton | N | ||
| Oncology | Local | General Information | CAN-ImageRecovCtrSurveyBroch-0519.pdf | SRMH Image Recovery Center (DME) Your Opinion Counts Brochure | 5/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill | SRMH Print Shop | N | |
| Oncology | Local | General Information | Colorectal_Cancer_and_Ostomy_Support_Group_Flyer.pdf | SLH SCN Colorectal Cancer & Ostomy Support Group Flyer | 5/2021 Rev. | Angela Duke/Catherine Finuliar | N | |||
| Oncology | Local | General Information | 4108_Sentara_EVMS_Worksheet_-_print.pdf | Sentara - EVMS Comprehensive Head and Neck Center Appointment Schedule | 5/21/2020 Rev. | Arkeisha Smith/Chelsie Williams | N | |||
| Oncology | Local | General Information | MLMP_FactSheet_CancerTips_8.5x11_v0618_print.pdf | MLMP Cancer Tips, Pads of 50 | 6/2018 Rev. | 1/1/2300 12:00 | Rosalinda Babilonia | N | ||
| Oncology | Local | General Information | CancerRehabProgram_Bifold_Brochure.pdf | Cancer Rehabilitation Program #0425 | 6/2019 Rev. | 1/1/2300 12:00 | Becca Straseskie | N | ||
| Oncology | Local | General Information | SCN_OncologyPatientNavigator.pdf | SCN Cancer Nurse Navigator Brochure | 6/2019 Rev. | 1/1/2300 12:00 | Catherine Finuliar/SCN | N | ||
| Oncology | Local | General Information | CAN-CaringForWholePersonBroch-0619.pdf | SRMH Caring For the Whole Person Brochure | 6/2019 Rev. | 1/1/2300 12:00 | SRMH Print Shop | N | ||
| Oncology | Local | General Information | CYBERKNIFE_2page_whatiscbyerknife.pdf | What Is CyberKnife 2pg #1610 | 6/2020 Rev. | 1/1/2300 12:00 | Lisa L Moore | N | ||
| Oncology | Local | General Information | SCN_English_Spanish_Flyer_-_8.5x11_FINAL-HI_RES.pdf | SCN No One's Prepared for Cancer Flyer, 2 sided English-Spanish, padded | 6/2021 Rev. | Elizabeth Rogers/SNVMC Marketing | N | |||
| Oncology | Local | General Information | SNVMC_SCN_NOVA_2018.pdf | Sentara Cancer Network (Northern Virginia) Flyer | 7/2018 Rev. | 1/1/2300 12:00 | Helen Linton | N | ||
| Oncology | Local | General Information | DistressThermometerandProblemChecklist_ASSESS173.pdf | Distress Thermometer and Problem Checklist ASSESS173 | 7/2019 Rev. | 1/1/2300 12:00 | Oncology HPT/POC Elana Campbell | N | ||
| Oncology | Local | General Information | BreastCancer_ScreeningBrochure.pdf | Breast Cancer Screening Guidelines Brochure | 7/2020 Rev. | 1/1/2300 12:00 | Chelsie Williams | N | ||
| Oncology | Local | General Information | 4714_Living_Beyond_Cancer_2021_Update-_print.pdf | Living Beyond Cancer Schedule 2021 Edition | 7/2021 Rev. | 1/1/2300 12:00 | Angela Duke | N | ||
| Oncology | Local | General Information | 4714_LBC_2021_Additional_Support_Insert-_print.pdf | SCN Additional Support Groups Insert Flyer 2021 Edition | 7/2021 Rev. | N | ||||
| Oncology | Local | General Information | CAN-physicianbiosflyer-0721.pdf | The Physicians of the Sentara RMH Hahn Cancer Center Flyer | 7/2021 Rev. | Tracey Gentry/Sentara RMH Hahn Medical Oncology | N | |||
| Oncology | Local | General Information | SNGH_Rad_Onc_Multiple_Site_Treatment_form_2sided_11x17_0632.pdf | Multiple Site Treatment Form, SNGH Radiation Oncology #0632 | 8/2018 Rev. | ALLEGRA PRINTS 11 x 17; 2 sided; left hole punch, fold @ 9 in; PDF COMMENTS indicate inst |
1/1/2300 12:00 | Denise Holland | N | |
| Oncology | Local | General Information | SRMHMC_Catheterization_MALE_BookletPRINT.pdf | SRMH Catheterization MALE Booklet #1705 | 8/2019 Rev. | 8.5x11 - folded in half, center staple bound, BOOKLET | 1/1/2300 12:00 | Caroline M Spiers | N | |
| Oncology | Local | General Information | SRMH_3671B_CT_Lung_Screening_Brochure_-_Print.pdf | SRMH Lung Cancer Screening, Low-Dose CT Scan (LDCT) Brochure | 8/2019 Rev. | 1/1/2300 12:00 | Integrated Care Management/Sarah Wichael | N | ||
| Oncology | Local | General Information | CAN-NutritionCounselingflyer-0819.pdf | SRMH Nutrition Counseling for Cancer Patients Flyer | 8/2019 Rev. | Sarah Wichael/Tracey Gentry | SRMH Print Shop | N | ||
| Oncology | Local | General Information | 3544_SRS_Brochure_-_8.8.19_Print.pdf | Stereotactic Brochure | 8/2019 Rev. | 1/1/2300 12:00 | Jenna Curnes/Marketing | N | ||
| Oncology | Local | General Information | SNGH_single_tx_form.pdf | SNGH Single Site Treatment Form #1318 | 9/2017 Rev. | 1/1/2300 12:00 | N | |||
| Oncology | Local | General Information | DocumentRetired.pdf | OLD 2018 SCN Conferences Flyer | 9/2018 Rev. | 1/1/2300 12:00 | Process Owner: Claudia Bowling | N | ||
| Oncology | Local | General Information | MJH-CancerRehabRenewalBroch-0919.pdf | SMJH Cancer Rehab & Renewal Program | 9/2019 Rev. | Diane DiCarlo | SRMH Print Shop | N | ||
| Oncology | Local | General Information | Eating_Hints__Before__during_and_after_Cancer_Treatment.pdf | Eating Hints (Before, During , and After Cancer Treatment), Black and White | NIH National Cancer Institute 1/2018 | Check version before printing or reprinting inventory. https://www.cancer.gov/publications/patient-education/eating-hints | 1/1/2300 12:00 | To request Color Print, once inside your cart, choose Change Print Options and change the Output to Color. | N | |
| Oncology | Local | General Information | Radiation_Therapy_and_You.pdf | Radiation Therapy and You, Black and White | NIH National Cancer Institute 10/2016 | Verify version prior to printing or reprinting inventory: https://www.cancer.gov/publications/patient-education/radiation-therapy-and-you | 1/1/2300 12:00 | To request Color Print, once inside your cart, choose Change Print Options and change the Output to Color. | N | |
| Oncology | Local | General Information | Chemotherapy_and_You.pdf | Chemotherapy and You, Black & White | NIH National Cancer Institute 9/2018 | Verify version before printing: https://www.cancer.gov/publications/patient-education/chemo-and-you | 1/1/2300 12:00 | To request Color Print, once inside your cart, choose Change Print Options and change the Output to Color. | N | |
| Oncology | Local | SBCC | Sentara_Account.pdf | SBCC A Guide to Your Sentara Account Handout | 8/2020 Rev. | Meredith Strand SCN/Chelsie Williams Marketing | N | |||
| Oncology | Local | SBCC | Sentara_Brock_Cancer_Center_Campus_Map.pdf | SBCC Campus Map Handout | 8/2020 Rev. | Meredith Strand SCN/Chelsie Williams Marketing | N | |||
| Oncology | Local | SBCC | Sentara_Cancer_Diagnosis.pdf | SBCC How To Tell Friends and Family Handout | 8/2020 Rev. | Meredith Strand SCN/Chelsie Williams Marketing | N | |||
| Oncology | Local | SBCC | Sentara_Local_National_Resources.pdf | SBCC Local and National Resources Handout | 8/2020 Rev. | Meredith Strand SCN/Chelsie Williams Marketing | N | |||
| Oncology | Local | SBCC | Sentara_Anxiety.pdf | SBCC Recognizing and Managing Anxiety, Fear and Emotional Distress Handout | 8/2020 Rev. | Meredith Strand SCN/Chelsie Williams Marketing | N | |||
| Oncology | Local | SBCC | Sentara_Cancer_Tests.pdf | SBCC Tests Your Doctor May Order Handout | 8/2020 Rev. | Meredith Strand SCN/Chelsie Williams Marketing | N | |||
| Oncology | Local | SBCC | Sentara_Financial_Issues.pdf | SBCC Top 8 Things A Newly Diagnosed Cancer Patient Needs to Know Handout | 8/2020 Rev. | Meredith Strand SCN/Chelsie Williams Marketing | N | |||
| Oncology | Local | SBCC | Sentara_Transportation.pdf | SBCC Transportation Resources Handout | 8/2020 Rev. | Meredith Strand SCN/Chelsie Williams Marketing | N | |||
| Oncology | Local | SBCC | Sentara_Treatment_Options.pdf | SBCC Treatment Options Handout | 8/2020 Rev. | Meredith Strand SCN/Chelsie Williams Marketing | N | |||
| Oncology | Local | SBCC | Sentara_Health_Insurance.pdf | SBCC Understanding your Health Insurance Handout | 8/2020 Rev. | Meredith Strand SCN/Chelsie Williams Marketing | N | |||
| Optima Health | Local | Commercial | 2020_SG_POS-Equity-Design-Direct.pdf | 2020 POS Plans | 2 up on 11 x 17 | Kimberly Deal | N | |||
| Optima Health | Local | Commercial | 2020_SG_Plus-Direct.pdf | 2020 Plus Plans | 2 up on 11 x 17 | Kimberly Deal | N | |||
| Optima Health | Local | Commercial | 2020_SG_Plan_Grids_Vantage-Direct.pdf | 2020 Vantage Plans | 2 up on 11 x 17 | Kimberly Deal | N | |||
| Optima Health | Local | Commercial | 2020_SG_Vantage_Select.pdf | 2020 Vantage Select Plans | 2 up on 11 x 17 | Kimberly Deal | N | |||
| Optima Health | Local | Commercial | Riverside_Flyer.pdf | Now You Have More Ways to Use Your Optima Health Coverage Flyer | 3/2019 Rev. | 1/1/2300 12:00 | Kimberly Deal | N | ||
| Optima Health | Local | Commercial | OptimaAtAGlance.pdf | Optima Health At A Glance 2019 | 3/2019 Rev. | 1/1/2300 12:00 | Kimberly Deal | N | ||
| Optima Health | Local | General Info | H2563_SEN_Post_Discharge_Benefits_Providers_DSNP_sentara_0720_C_crops.pdf | H2563 SEN Post Discharge Benefits Providers DSNP Sentara | 09/2020 Rev. | Kelly Pineda | N | |||
| Optima Health | Local | General Info | H2563_SEN_Post_Discharge_Benefits_Providers_MA_HR_0720_C_crops.pdf | H2563 SEN Post Discharge Benefits Providers MA HR | 09/2020 Rev. | Kelly Pineda | N | |||
| Optima Health | Local | General Info | H2563_SEN_Post_Discharge_Benefits_Providers_sentara_MA_NoVA_FF_0520_C_crops.pdf | H2563 SEN Post Discharge Benefits Providers Sentara MA NoVA FF | 09/2020 Rev. | Kelly Pineda | N | |||
| Optima Health | Local | Medicaid Programs | 2018_OFC_brochure.pdf | 2018 OFC brochure.pdf | N | |||||
| Optima Health | Local | Medicaid Programs | OHCC_NF_Brochure_v4.pdf | Optima Health Community Care NF LTC Transition Brochure | Jamie Gautier | N | ||||
| Optima Health | Local | Medicaid Programs | FamilyCare_-_HEAP__ALT_-_RacBro-0118__HiRes.pdf | Health Education & Awareness Progarm (H.E.A.P.) Brochure | 1/2018 Rev. | 1/1/2300 12:00 | Ruth Manlove | N | ||
| Optima Health | Local | Medicaid Programs | FamilyCare_-_SOC_-_RacBrochure___HiRes.pdf | Supporting Our Communities Brochure | 1/2018 Rev. | 1/1/2300 12:00 | Ruth Manlove | N | ||
| Orthopedic | Local | All other Ortho | Hand_Therapy__Rack_Card__f.pdf | Certified Hand Therapy, Cox Rehabilitation Center, Jackie Sides Rack Card | Faith O'Neil | N | ||||
| Orthopedic | Local | All other Ortho | LumbarDrainInPlace__1_.pdf | Lumbar Drain In Place, Laminated | 1/1/2300 12:00 | N | ||||
| Orthopedic | Local | All other Ortho | PPM-JointSurgeryLuncheon.pdf | SRMH Joint Surgery Luncheon Postcard | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Orthopedic | Local | All other Ortho | PPM-OrthoBuildingflyer.pdf | SRMH Orthopedic Center Flyer | SRMH Print Shop | 1/1/2300 12:00 | N | |||
| Orthopedic | Local | All other Ortho | CopyofHEAR-CORLOG__3_.pdf | SWRMC HEAR/COR Communications Log Book | Cover Stock Front and Back | 1/1/2300 12:00 | Sharon Givens | N | ||
| Orthopedic | Local | All other Ortho | PPM-OrthoResultsCard4500.pdf | Thank You for choosing Sentara RMH Back and neck, orthopedic Results Card 4500 | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Orthopedic | Local | All other Ortho | THRExercises.pdf | Total Hip Replacement Exercise Sheets, Laminated | Yellow Paper, Laminated | 1/1/2300 12:00 | N | |||
| Orthopedic | Local | All other Ortho | SRMH_THRInstructions_Sp.pdf | Total Hip Replacement Guidelines #0905, SPANISH | SRMH Print Shop | 1/1/2300 12:00 | N | |||
| Orthopedic | Local | All other Ortho | TKRExercises.pdf | Total Knee Replacement Exercise Sheets, Laminated | Blue Paper, Laminated | 1/1/2300 12:00 | N | |||
| Orthopedic | Local | All other Ortho | 500005_VegaDiamantis_4x9_C_FINAL_Bleeds.pdf | Vega-Diamantis, Ada Rack Card | Helen Linton | N | ||||
| Orthopedic | Local | All other Ortho | 4KWelcomeLetter.pdf | SNGH 4K Welcome Letter #0068 | #0068 | 8.5 x 11 white paper, front-to-back, color, stapled in upper left corne | 1/1/2300 12:00 | N | ||
| Orthopedic | Local | All other Ortho | PPM-OrthoShoulderBooklet-0118.pdf | SRMH A Guide to Your Shoulder Replacement Surgery | 1/2017 Rev. | Send to Printing Express Spiral Bound; Pocket front/back with slits for business cards Bill Customer |
Tonya R. Turner | Printing Express | N | |
| Orthopedic | Local | All other Ortho | Ortho_TKR_Exercises_1.pdf | SRMH Total Knee Replacement Exercise Program (Flyer) | 10/2020 Rev. | BW to print on green paper | Chad Gathers | N | ||
| Orthopedic | Local | All other Ortho | OrthoStoplight_2020_Flyer.pdf | When You Are Home After Your Surgery/Stoplight Flyer #2112 | 10/2020 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | All other Ortho | THR__Cuce__Ant-Lat_Exercises.pdf | SRMH Total Hip Replacement Ant-Lat Exercises Program | 11/2019 Rev. | VDH Permission for use. | 1/1/2300 12:00 | Chad M. Gathers SRMH Therapy Services | N | |
| Orthopedic | Local | All other Ortho | THR__Zimmerman__Anterior_Exercises.pdf | SRMH Total Hip Replacement Anterior Exercise Program | 11/2019 Rev. | VDH Permission for use. | 1/1/2300 12:00 | Chad M Gathers SRMH Therapy Services | N | |
| Orthopedic | Local | All other Ortho | THR__Kime__Posterior_Exercises.pdf | SRMH Total Hip Replacement Posterior Exercises Program | 11/2019 Rev. | VDH Permission for use. | 1/1/2300 12:00 | Chad M. Gathers SRMH Therapy Services | N | |
| Orthopedic | Local | All other Ortho | SRMH_THRPosteriorExercises.pdf | Total Hip Replacement Exercise Program (Posterior Approach) | 11/2019 Rev. | Yellow Paper | 1/1/2300 12:00 | Chad M. Gathers SRMH Therapy Services | SRMH Print Shop | N |
| Orthopedic | Local | All other Ortho | TOTAL_KNEE_GUIDE_BKLT__3_.pdf | SE Total Knee Replacement Patient Teaching Guide - SE 5480-80-003 | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: Grace Little/Jennifer Hays | N | ||
| Orthopedic | Local | All other Ortho | TOTAL_HIP_REPLACEMENT_BKLT__1_.pdf | Total Hip Replacement Patient Teaching Guide - SE 5480-80-002 | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: Grace Little/Jennifer Hays | N | ||
| Orthopedic | Local | All other Ortho | PPM-JointServBrochPartialKnee-0218.pdf | SRMH Joint Services: Partial Knee Replacement | 2/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | N | ||
| Orthopedic | Local | All other Ortho | PPM-JointServBrochTotalHip-0218.pdf | SRMH Joint Services: Total Hip Replacement | 2/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | N | ||
| Orthopedic | Local | All other Ortho | PPM-JointServBrochTotalKnee-0218.pdf | SRMH Joint Services: Total Knee Replacement | 2/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | N | ||
| Orthopedic | Local | All other Ortho | PPM-JointServBrochShoulderProb-0218.pdf | SRMH Joint Services: Treatment of Shoulder Problems | 2/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | N | ||
| Orthopedic | Local | All other Ortho | PPM-SpineSurgeryLuncheon-0319.pdf | SRMH Spine Services Surgery Reunion Luncheon Invite | 3/2019 Rev. | 1/1/2300 12:00 | Tonya Turner | N | ||
| Orthopedic | Local | All other Ortho | PPM-Neck_BackPainbroch-0418.pdf | SRMH Neck and Back Pain/HOw can physical therapy help? | 4/2018 Rev. | 1/1/2300 12:00 | Sarah Wichael | SRMH Print Shop | N | |
| Orthopedic | Local | All other Ortho | OSM-PhysiatryInjectionCard4-0619.pdf | SRMH Epidural Injections Card | 6/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill | SRMH Print Shop | N | |
| Orthopedic | Local | All other Ortho | SRMH_OSM-EpiduraInjectionCard4-0619_SP.pdf | SRMH Epidural Injections Card, SPANISH | 6/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill | SRMH Print Shop | N | |
| Orthopedic | Local | All other Ortho | OSM-PhysiatryInjectionCard2-0619.pdf | SRMH Facet Joint Injection Card | 6/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill | SRMH Print Shop | N | |
| Orthopedic | Local | All other Ortho | SRMH_OSM-FacetJointInjectionCard2-0619_SP.pdf | SRMH Facet Joint Injection Card, SPANISH | 6/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill | SRMH Print Shop | N | |
| Orthopedic | Local | All other Ortho | OSM-PhysiatryInjectionCard3-0619.pdf | SRMH Medial Branch Blocks and Neurolysis Card | 6/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill | SRMH Print Shop | N | |
| Orthopedic | Local | All other Ortho | SRMH_OSM-MedialBranchBlocksandNeurolysisInjectionCard3-0619.pdf | SRMH Medial Branch Blocks and Neurolysis Injection Card | 6/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill | SRMH Print Shop | N | |
| Orthopedic | Local | All other Ortho | SRMH_OSM-MedialBranchBlocksandNeurolysisInjectionCard3-0619_SP.pdf | SRMH Medial Branch Blocks and Neurolysis Injection Card, SPANISH | 6/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill | SRMH Print Shop | N | |
| Orthopedic | Local | All other Ortho | OSM-PhysiatryInjectionCard1-0619.pdf | SRMH Sacroiliac Joint Injection Card | 6/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill | SRMH Print Shop | N | |
| Orthopedic | Local | All other Ortho | SRMH_OSM-SacroiliacJointInjectionCard1-0619_SP.pdf | SRMH Sacroiliac Joint Injection Card, SPANISH | 6/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill | SRMH Print Shop | N | |
| Orthopedic | Local | All other Ortho | OSM-ShoulderReplacementBroch-0619.pdf | SRMH Shoulder Replacement Surgery Brochure | 6/2019 Rev. | 1/1/2300 12:00 | Tonya Turner | SRMH Print Shop | N | |
| Orthopedic | Local | All other Ortho | OSM-PlateletBroch-0819.pdf | SRMH PRP Injection Brochure | 8/2019 Rev. | 1/1/2300 12:00 | Scott Allyn | SRMH Print Shop | N | |
| Orthopedic | Local | Express Track | SHRH_OrthoJointCenter_ExpressTrack_CoachsChecklist.pdf | SHRH ExpressTrack Coach's Checklist | 1/1/2300 12:00 | N | ||||
| Orthopedic | Local | Express Track | SHRH_OrthoJointCenter_ExpressTrack_DailyHomework.pdf | SHRH ExpressTrack Daily Homework | 1/1/2300 12:00 | N | ||||
| Orthopedic | Local | Express Track | SAMC__ExpressTrack_-_Hip_Hints_-_WELCOME_Crops.pdf | SAMC Express Track Hip Hints | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Lisa Schulwolf | N | ||
| Orthopedic | Local | Express Track | SAMC_ExpressTrack_-_KNEE_NEWS_-_WELCOME_Crops.pdf | SAMC Express Track Knee Knews | 11/2018 Rev. | 1/1/2300 12:00 | Lisa Schulwolf | N | ||
| Orthopedic | Local | Express Track | SRMHMC_ExpressTrack_-_Hip_Hints_Welcome_c.pdf | SRMH Express Track Hip Hints | 2/2019 Rev. | 1/1/2300 12:00 | Process Owner: Lisa Schulwolf | N | ||
| Orthopedic | Local | Express Track | SRMH_Express_Track_Knee_Knews.pdf | SRMH Express Track Knee Knews | 2/2019 Rev. | 1/1/2300 12:00 | Lisa Schulwolf | N | ||
| Orthopedic | Local | Express Track | OrthoJoint_ExpressTrack_RackBroc-0518_HiRes.pdf | Express Track, Sentara OrthoJoint Center | 5/2018 Rev. | 1/1/2300 12:00 | Process Owner: Robin Crane | N | ||
| Orthopedic | Local | Express Track | SLH_ExpressTrack-HipHints-Welcome_2_PagesC.pdf | SLH Express Track Hip Hints | 9/2018 Rev. | 1/1/2300 12:00 | Lisa Schulwolf | N | ||
| Orthopedic | Local | Express Track | SLH_ExpressTrack--KneeNews-Welcome_2_PagesC.pdf | SLH Express Track Knee News | 9/2018 Rev. | 1/1/2300 12:00 | Lisa Schulwolf | N | ||
| Orthopedic | Local | Sentara Foot & Ankle Center | 2018_Foot___Ankle_Rack_Broc_0917_HiRes.pdf | Sentara Foot & Ankle Center Brochure | 2/2018 Rev. | 1/1/2300 12:00 | Robin Crane | N | ||
| Orthopedic | Local | Sentara Foot & Ankle Center | Total_Ankle_3.23.21-_500330_TotalAnkleRep_8.5x11_4_ARTWORK.pdf | Total Ankle Replacement Surgery Flyer (Northern VA) | 3/2021 Rev. | Elizabeth Rogers/Marketing | N | |||
| Orthopedic | Local | Sentara Foot & Ankle Center | AnkleFusionandHindfoot.pdf | Ankle Fusion & Hindfoot Fusion Flyer | 4/2018 Rev. | 1/1/2300 12:00 | Robin Crane | N | ||
| Orthopedic | Local | Sentara Foot & Ankle Center | Bunion.pdf | Bunion Surgery Flyer | 4/2018 Rev. | 1/1/2300 12:00 | Robin Crane | N | ||
| Orthopedic | Local | Sentara Foot & Ankle Center | 2018_Updated_Foot_Ankle_4-Page_Surgery_Broc_-_0318__C.pdf | Foot and Ankle Surgical Care | 4/2018 Rev. | 1/1/2300 12:00 | Robin Crane | N | ||
| Orthopedic | Local | Sentara Foot & Ankle Center | GreatToeJointRest.pdf | Great Toe Joint Restoration Flyer | 4/2018 Rev. | 1/1/2300 12:00 | Robin Crane | N | ||
| Orthopedic | Local | Sentara Foot & Ankle Center | LateralAnkleStabilizationSurgery.pdf | Lateral Ankle Stabilization Surgery Flyer | 4/2018 Rev. | 1/1/2300 12:00 | Robin Crane | N | ||
| Orthopedic | Local | Sentara Foot & Ankle Center | MetatarasalFlyers.pdf | Metatarsophalangeal (MTP) Fusion Flyer | 4/2018 Rev. | 1/1/2300 12:00 | Robin Crane | N | ||
| Orthopedic | Local | Sentara Foot & Ankle Center | PlantarFascialSurgery.pdf | Plantar Fascial Surgery Flyer | 4/2018 Rev. | 1/1/2300 12:00 | Robin Crane | N | ||
| Orthopedic | Local | Sentara Foot & Ankle Center | TotalAnkleReplFlyer.pdf | Total Ankle Replacement Surgery Flyer | 4/2018 Rev. | 1/1/2300 12:00 | Robin Crane | N | ||
| Orthopedic | Local | Sentara Foot & Ankle Center | FootAnkle_12x9TrifoldBrochure_C_wBleed__002_.pdf | SNVMC Foot & Ankle Center Brochure | 9/2019 Rev. | Julie Billingsley/Elizabeth Rogers, Marketing | N | |||
| Orthopedic | Local | Sentara Foot & Ankle Center | FootAnklePatientGuide_8.5x11_Bleeds_D.pdf | SNVMC Foot & Ankle Center Diagnosis and Treatment of Foot and Ankle Conditions Flyer | 9/2019 Rev. | Julie Billingsley/Elizabeth Rogers, Marketing | N | |||
| Orthopedic | Local | Sentara Hand Specialty Center | SEN_Hand_Specialty_Center_Brochure_Oct_2019.pdf | Hand Specialty Center Brochure | 10/2019 Rev. | Jenna Curnes, Marketing | N | |||
| Orthopedic | Local | Sentara Hand Specialty Center | SENT-2047-Hand-Surgery_FINAL.pdf | Hand Surgery Postoperative Instructions | 4/2020 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara Hand Specialty Center | CarpalTunnelRelease.pdf | Carpal Tunnel Release Postoperative Instructions | 8/2018 Rev. | 1/1/2300 12:00 | Contact/Owner: Lisa Schulwolf | N | ||
| Orthopedic | Local | Sentara Hand Specialty Center | CubitalTunnelRel.pdf | Cubital Tunnel Release Postoperative Instructions | 8/2018 Rev. | 1/1/2300 12:00 | Contact/Owner: Lisa Schulwolf | N | ||
| Orthopedic | Local | Sentara Hand Specialty Center | DeQuervains.pdf | DeQuervain's Release Postoperative Instructions | 8/2018 Rev. | 1/1/2300 12:00 | Contact/Owner: Lisa Schulwolf | N | ||
| Orthopedic | Local | Sentara Hand Specialty Center | ExcisionalBiopsy.pdf | Excisional Biopsy of Mass Postoperative Instructions | 8/2018 Rev. | 1/1/2300 12:00 | Contact/Owner: Lisa Schulwolf | N | ||
| Orthopedic | Local | Sentara Hand Specialty Center | GeneralPostOpFollowingHand.pdf | General Postoperative Instructions Following your Hand Surgery | 8/2018 Rev. | 1/1/2300 12:00 | Contact/Owner: Lisa Schulwolf | N | ||
| Orthopedic | Local | Sentara Hand Specialty Center | TriggerFingerRelease.pdf | Trigger Finger Release Postoperative Instructions | 8/2018 Rev. | 1/1/2300 12:00 | Contact/Owner: Lisa Schulwolf | N | ||
| Orthopedic | Local | Sentara Hand Specialty Center | WoundCarePostOp.pdf | Wound Care Postoperative Instructions | 8/2018 Rev. | 1/1/2300 12:00 | Contact/Owner: Lisa Schulwolf | N | ||
| Orthopedic | Local | Sentara Hand Specialty Center | WristMassRemoval.pdf | Wrist Mass Removal Postoperative Instructions | 8/2018 Rev. | 1/1/2300 12:00 | Contact/Owner: Lisa Schulwolf | N | ||
| Orthopedic | Local | Sentara OrthoJoint Center | 2018OrthoJointReunionLunchInvite_BlankEnv.pdf | OrthoJoint Center Reunion Luncheon Invite and Blank Envelope | Cover Stock Color Print Invite; print 2 up on 8.5 x 11; Cut to 5 W x 7 H Lee Env (5 1/4 x 7 1/4) - BLANK |
Lisa Schulwolf | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | 2018OrthoJointReunionLunchInvite_PreprintedEnv.pdf | OrthoJoint Center Reunion Luncheon Invite and Preprinted with Logo Envelope | Cover Stock Color Print Invite, 2 up on 8.5 x 11 cover; Cut to 5 W x 7 H Lee Env (5 1/4 x 7 1/4) Preprinted with SOJC |
Lisa Schulwolf | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | Preoperative_Flyer-OrthoJoint-SCH_2020.pdf | SCH 2020 Pre-Operative Joint Replacement Classes | 1/1/2300 12:00 | Kristen Morrisett/Customer Development & Marketing Consultant | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | SMJH_ReunionLunchInvite.pdf | SMJH OrthoJoint Center Reunion Luncheon Invite | Lee Envelope | 1/1/2300 12:00 | Diane DiCarlo/Connie Summy | N | ||
| Orthopedic | Local | Sentara OrthoJoint Center | Preoperative_Flyer-OrthoJoint-SOH_2020.pdf | SOH 2020 Pre-Operative Joint Replactment Classes | 1/1/2300 12:00 | Kristen Morrisett/Customer Development & Marketing Consultant | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | SOJC_SPAH_PreOpJointReplacement_Flyer.pdf | SOJC SPAH Preoperative Joint Replacement Flyer #2139 | Kristen Morrisett Marketing/Christina Barrett SPAH Neuro Navigator | N | ||||
| Orthopedic | Local | Sentara OrthoJoint Center | Preoperative_Flyer-OrthoJoint-SPAH_2020.pdf | SPAH 2020 Pre-Operative Joint Replactment Classes | 1/1/2300 12:00 | Kristen Morrisett/Customer Development & Marketing Consultant | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | Preoperative_Flyer-OrthoJoint-SVBGH_2020.pdf | SVBGH 2020 Pre-Operative Joint Replactment Classes | 1/1/2300 12:00 | Kristen Morrisett/Customer Development & Marketing Consultant | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | Preoperative_Flyer-OrthoJoint-SWRMC_2020.pdf | SWRMC 2020 Pre-Operative Joint Replactment Classes | 1/1/2300 12:00 | Kristen Morrisett/Customer Development & Marketing Consultant | N | |||
| Oncology | Local | General Information | SentaraHahnCancerCenter_BreastCancerSupportGroup_flyer.pdf | Sentara Hahn Cancer Center Breast Cancer Support Group Flyer | 07/2021 Rev. | Maxine Jean-Louis/Deanna Lam | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | MJH_OrthoJoint_InPtntNL_HIP_2018.pdf | SMJH Hip Clips | 1/2018 Rev. | 1/1/2300 12:00 | Diane DiCarlo | N | ||
| Orthopedic | Local | Sentara OrthoJoint Center | MJH_OrthoJoint_InPtntNL_KNEE_2018.pdf | SMJH Knee Notes | 1/2018 Rev. | 1/1/2300 12:00 | Diane DiCarlo | N | ||
| Orthopedic | Local | Sentara OrthoJoint Center | SENT-1712-Orthojoint-Booklet_PRINT.pdf | OrthoJoint Center Booklet | 1/2020 Rev. | Professional Printing Ortho Joint Book: 44 Page + Cover Trim, Collate, Fold and Stitch Box Conveniently *Local Delivery Cover Lynx Cover CMYK White BWT: 100 9 x 12 Flat Size: 12 x 18 Bleeds: Yes Inks Side B (4): CMYK *1 Delivery per estimate unless otherwise noted Trim, Collate, Fold and Stitch 44 Page Text Soporset Offset Text CMYK White BWT: 80 |
Any edits to the content must be approved by Marketing (Lisa Schulwolf/Kristen Morrisett) | Professional Printing | N | |
| Orthopedic | Local | Sentara OrthoJoint Center | SENT-1712-Orthojoint-Booklet_FINAL_Spanish_INHOUSE.pdf | OrthoJoint Center Booklet, SPANISH | 1/2020 Rev. | 12/31/2299 12:00 | Lisa Schulwolf/Kristen Morrisett | N | ||
| Orthopedic | Local | Sentara OrthoJoint Center | OrthoJoint_2021_Virtual_Class_Flyer.pdf | SOJC Virtual Joint Replacement Preoperative Class Flyer | 1/2021 Rev. | 1/1/2300 12:00 | Julie Suedmeyer-Buller | N | ||
| Orthopedic | Local | Sentara OrthoJoint Center | SMJH_JRCJointBook_HandoutEquip2018.pdf | SMJH Adaptive Equipment Handout | 10/2018 Rev. | 1/1/2300 12:00 | Diane DiCarlo | N | ||
| Orthopedic | Local | Sentara OrthoJoint Center | SLH_OrthoJointCenterPreparingYouForYourTotalJointReplacementSurger.pdf | SLH OrthoJoint Center Preparing You For Your Total Joint Replacement Surgery #1455 | 11/2017 Rev. | Process Owner: Ann Phillips | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | SAMC__Daily_Homework_Crops.pdf | SAMC OrthoJoint Center - Daily Homework | 11/2018 Rev. | 1/1/2300 12:00 | Lisa Schulwolf | N | ||
| Orthopedic | Local | Sentara OrthoJoint Center | OrthoJoint_kneeexercises_8_5x11.pdf | OrthoJoint Knee PT Exercises 8.5"x11" #1727 (In Packs of 10) | 12/2018 Rev. | BizPort to produce on their
synthetic material, 10 mil. In orders of 10 quantity, the price from Allen is $25 (12/14/18). |
1/1/2300 12:00 | Kari V. Voll | BizPort | N |
| Orthopedic | Local | Sentara OrthoJoint Center | OrthoJoint_hipexercises_8_5x11.pdf | OrthoJoint Hip PT Exercises 8.5"x11" #1726 (In Packs 10) | 2/2019 Rev. | BizPort to produce on their
synthetic material, 10 mil. In orders of 10 quantity, the price from Allen is $25 (12/14/18). |
1/1/2300 12:00 | Kari V. Voll | BizPort | N |
| Orthopedic | Local | Sentara OrthoJoint Center | SRMH_OrthoJoint_Key_Stats_and_Outcomes__002_.pdf | SRMH Key Stats and Quality Outcomes 2019 | 2019 | Sierra Bigler/SRMH Orthopedic Service Line/Operations | SRMH Print Shop | N | ||
| Orthopedic | Local | Sentara OrthoJoint Center | SMJH_JRCJointBook_HandoutLetter2020.pdf | SMJH OrthoJoint Center Letter | 3/2020 Rev. | 1/1/2300 12:00 | Diane DiCarlo | N | ||
| Orthopedic | Local | Sentara OrthoJoint Center | SENT-2047-OJ-CoachesChecklist_FINAL.pdf | SOJC Coach's Checklist | 4/2020 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | SENT-2047-OJ-DailyHomework_FINAL.pdf | SOJC Daily Homework | 4/2020 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | SENT-2047-OJ-PatientCoachCommitment_FINAL.pdf | SOJC Patient and Coach Commitment | 4/2020 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | SENT-2047-OJ-HipHintsDayofSurgery_FINAL.pdf | SOJC Total Hip Recovery Day of Surgery | 4/2020 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | SENT-2047-OJ-HipHintsPostOpRecovery_FILLABLE.pdf | SOJC Total Hip Replacement Postoperative Recovery FILLABLE.pdf | 4/2020 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | SENT-2047-OJ-KneeHintsDayofSurgery_FNAL.pdf | SOJC Total Knee Replacement Day of Surgery | 4/2020 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | SENT-2047-OJ-KneeHintsPostOpRecovery_FILLABLE.pdf | SOJC Total Knee Replacement Postoperative Recovery FILLABLE | 4/2020 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | OSM-HipReplacementbroch-0619.pdf | SRMH Direct Anterior Approach to Hip Replacement Brochure | 6/2019 Rev. | 1/1/2300 12:00 | Tonya Turner/SRMH Ortho Services | SRMH Print Shop | N | |
| Orthopedic | Local | Sentara OrthoJoint Center | Transition_Planning_Flyer0916_HiRes.pdf | SLH Transition Planning Flyer | 9/2018 Rev. | 1/1/2300 12:00 | Anna Donahoe-Mick/Robin Crane | N | ||
| Orthopedic | Local | Sentara Spine Center | SENT-2532-Cervical_Spine_SurgeryDay_FINAL.pdf | SBN Cervical Spine Day of Surgery | 02/2021 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara Spine Center | SENT-2532-CoachesChecklist_FINAL.pdf | SBN Coach's Checklist | 02/2021 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara Spine Center | SENT-2532-BN-CoachesChecklist_Spanish_High_Resolution.pdf | SBN Coaches Checklist Flyer (Spanish) | 02/2021 Rev. | Julie Suedmeyer-Buller | N | |||
| Orthopedic | Local | Sentara Spine Center | SENT-2532-DailyHomework_FINAL.pdf | SBN Daily Homework | 02/2021 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara Spine Center | SENT-2532-BN-DailyHomework_Spanish_High_Resolution.pdf | SBN Daily Homework Flyer (Spanish) | 02/2021 Rev. | Julie Suedmeyer-Buller | N | |||
| Orthopedic | Local | Sentara Spine Center | SENT-2532-Lumbar-Laminectomy-Discectomy_SurgeryDay_FINAL.pdf | SBN Lumbar Laminectomy & Discharge Day of Surgery | 02/2021 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara Spine Center | SENT-2532-PatientCoachCommitment_FINAL.pdf | SBN Patient and Coach Commitment | 02/2021 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara Spine Center | SENT-2532-ThoracicLumbarFusion_PostOpDay1_FINAL.pdf | SBN Thoracic/Lumbar Fusion Post-Op Day 1 | 02/2021 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara OrthoJoint Center | Top_10_Reasons_to_Heal_at_Home_2021_Orthopedics.pdf | Top 10 Reasons to Heal at Home (Orthopedics) | 07/2021 Rev. | Julie Suedmeyer-Buller | N | |||
| Orthopedic | Local | Sentara Spine Center | SENT-2533-Spine_Booklet_w_crops.pdf | Sentara Spine Center Booklet | 2/2021 Rev. | Professional Printing | Professional Printing | N | ||
| Orthopedic | Local | Sentara Spine Center | PPM-OrthoTeamCard-Coggins-0418.pdf | Your Care Team Card - Coggins | 4/2018 Rev. | 6 up Card 13 x 19 Card Stock, 2 sided, Cut to crops | 1/1/2300 12:00 | SRMH Print Shop | N | |
| Orthopedic | Local | Sentara Spine Center | PPM-OrthoTeamCard-Hess-0418.pdf | Your Care Team Card - Hess | 4/2018 Rev. | 6 up Card 13 x 19 Card Stock, 2 sided, Cut to crops | 1/1/2300 12:00 | SRMH Print Shop | N | |
| Orthopedic | Local | Sentara Spine Center | SENT-2047-BN-Lumbar-Laminectomy-Discectomy_PostoperativeRecoveryTransitionPlanning_FILLABLE.pdf | SBN Lumbar Laminectomy & Discectomy Postoperative Recovery FILLABLE | 4/2020 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara Spine Center | SENT-2047-BN-ThoracicLumbarFusion_DischargeDay_FILLABLE.pdf | SBN Thoracic/Lumbar Fusion Discharge Day FILLABLE | 4/2020 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara Spine Center | SENT-2047-BN-ThoracicLumbarFusion_SurgeryDay_FINAL.pdf | SBN Throacic/Lumbar Fusion Surgery Day | 4/2020 Rev. | Kristen Morrisett | N | |||
| Orthopedic | Local | Sentara Spine Center | SENT-2679-BN-CoachesChecklist_FINAL__3_.pdf | SNGH Spine Center Coaches Checklist | 5/2021 Rev. | Julie Suedmeyer-Buller/Marketing | N | |||
| Orthopedic | Local | Sentara Spine Center | MED-SpineServLumbarFusionBroch-0619.pdf | SRMH Lumbar Fusion Brochure | 6/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | SRMH Print Shop | N | |
| Orthopedic | Local | Sentara Spine Center | MED-SpineServicesBroch-0619.pdf | SRMH Sentara Back & Neck Center Brochure | 6/2019 Rev. | 1/1/2300 12:00 | Tonya Turner | SRMH Print Shop | N | |
| Orthopedic | Local | Sentara Spine Center | SENT-2594-Spine-SNGHStoplight_FINAL.pdf | SNGH Spine After Your Surgery/Stoplight Flyer #2279 | 6/2021 Rev. | Julie Suedmeyer-Buller | N | |||
| Orthopedic | Local | Sentara Spine Center | Sentara_Spine_Center_Back_On_Track_Flyer.pdf | SNGH Spine Center Back On Track Flyer #2207 | 6/2021 Rev. | Julie Suedmeyer-Buller/Marketing | N | |||
| Orthopedic | Local | Sentara Spine Center | Sentara_Spine_Center_Back_To_Basics_Flyer.pdf | SNGH Spine Center Back To Basics Flyer #2206 | 6/2021 Rev. | Julie Suedmeyer-Buller/Marketing | N | |||
| Orthopedic | Local | Sentara Spine Center | Sentara_Spine_Center_Neck_News_Flyer.pdf | SNGH Spine Center Neck News #2199 | 6/2021 Rev. | Julie Suedmeyer-Buller/Marketing | N | |||
| Orthopedic | Local | Sentara Sports Medicine | SLH_KneeNews_POD2.pdf | SLH Knee News POD2 | 1/2018 Rev. | 1/1/2300 12:00 | Lisa Schulwolf | N | ||
| Orthopedic | Local | Sentara Sports Medicine | PPM-OrthoTeamCard-Cucé-0418.pdf | Your Care Team Card - Cuce | 4/2018 Rev. | 6 up Card 13 x 19 Card Stock, 2 sided, Cut to crops | 1/1/2300 12:00 | SRMH Print Shop | N | |
| Orthopedic | Local | Sentara Sports Medicine | PPM-OrthoTeamCard-Dipasquale-0418.pdf | Your Care Team Card - Dipasquale | 4/2018 Rev. | 6 up Card 13 x 19 Card Stock, 2 sided, Cut to crops | 1/1/2300 12:00 | SRMH Print Shop | N | |
| Orthopedic | Local | Sentara Sports Medicine | PPM-OrthoTeamCard-Leung-0418.pdf | Your Care Team Card - Leung | 4/2018 Rev. | 6 up Card 13 x 19 Card Stock, 2 sided, Cut to crops | 1/1/2300 12:00 | SRMH Print Shop | N | |
| Orthopedic | Local | Sentara Sports Medicine | PPM-OrthoTeamCard-Muxlow-0418.pdf | Your Care Team Card - Muxlow | 4/2018 Rev. | 6 up Card 13 x 19 Card Stock, 2 sided, Cut to crops | 1/1/2300 12:00 | SRMH Print Shop | N | |
| Orthopedic | Local | Sentara Sports Medicine | PPM-OrthoTeamCard-Mwanika-0418.pdf | Your Care Team Card - Mwanika | 4/2018 Rev. | 6 up Card 13 x 19 Card Stock, 2 sided, Cut to crops | 1/1/2300 12:00 | SRMH Print Shop | N | |
| Orthopedic | Local | Sentara Sports Medicine | PPM-OrthoTeamCard-Staff-0418.pdf | Your Care Team Card - Staff | 4/2018 Rev. | 6 up Card 13 x 19 Card Stock, 2 sided, Cut to crops | 1/1/2300 12:00 | SRMH Print Shop | N | |
| Orthopedic | Local | Sentara Sports Medicine | PPM-OrthoTeamCard-Weber-0418.pdf | Your Care Team Card - Weber | 4/2018 Rev. | 6 up Card 13 x 19 Card Stock, 2 sided, Cut to crops | 1/1/2300 12:00 | SRMH Print Shop | N | |
| Orthopedic | Local | Sentara Therapy Center | Retired.pdf | RETIRE- 4/2020 RB: Sentara Therapy Center - Hilltop Relocation Flyer | Rita Brereton/Missy Folta | N | ||||
| Orthopedic | Local | Sentara Therapy Center | STC_CancerRehab_Postcard.pdf | STC Cancer Rehab Postcard | Rita Brereton Rehab Services Adminiatration Manager/Kristen Morrisett Marketing | N | ||||
| Orthopedic | Local | Sentara Therapy Center | STC_ComprehensiveNeuroRehab_Postcard-2.pdf | STC Comprehensive Neuro Rehab Postcard | Rita Brereton Rehab Services Adminiatration Manager/Kristen Morrisett Marketing | N | ||||
| Orthopedic | Local | Sentara Therapy Center | STC_HandTherapy_Postcard.pdf | STC Hand Therapy Postcard | Rita Brereton Rehab Services Adminiatration Manager/Kristen Morrisett Marketing | N | ||||
| Orthopedic | Local | Sentara Therapy Center | STC_OrthopedicsandSportsPerf_Postcard.pdf | STC Orthopedics & Sports Performance Therapy Postcard | Rita Brereton Rehab Services Adminiatration Manager/Kristen Morrisett Marketing | N | ||||
| Orthopedic | Local | Sentara Therapy Center | Sentara_Therapy_Colisem_RunningProgramRackCard_Oct_2019.pdf | Sentara Therapy Center - Coliseum, Running Program Rack Card | Jenna Curnes/Marketing | N | ||||
| Orthopedic | Local | Sentara Therapy Center | NOVA_SentaraTherapyCenter_Chiropractic_Wellness_Bifold_Brochure.pdf | NOVA STC Chiropractic Wellness Bifold Brochure #1943 | 01/2020 Rev. | 2 panel brochure | 1/1/2300 12:00 | Rachel N Tyler/Becca Straseskie | N | |
| Orthopedic | Local | Sentara Therapy Center | Sentara_Therapy_Center_Century_InfoSheet_2020.pdf | STC Century Flyer #1937 | 01/2020 Rev. | 1/1/2300 12:00 | Rachel Tyler | N | ||
| Orthopedic | Local | Sentara Therapy Center | PediatricServicesBrochures_2020.pdf | STC Treyburn Pediatric Therapy Services Brochure #0296 | 01/2020 Rev. | Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | Sentara_Therapy_Center_PA_InfoSheet_2020.pdf | Sentara Therapy Center - Princess Anne Info Sheet #1734 | 01/2020 Rev. | 1/1/2300 12:00 | Julie E Nathaniel | N | ||
| Orthopedic | Local | Sentara Therapy Center | PediatricServicesBrochures_Century.pdf | STC Century Pediatric Therapy Services Brochure #1951 | 02/2020 Rev. | 2 sided 2 panel brochure | 1/1/2300 12:00 | Rachel N Tyler/Rita Brereton | N | |
| Orthopedic | Local | Sentara Therapy Center | STC_GreatBridge_Pediatric.pdf | STC Great Bridge Pediatric Flyer #1964 | 02/2020 Rev. | Color flyer | 1/1/2300 12:00 | Robert J Riek | N | |
| Orthopedic | Local | Sentara Therapy Center | SentaraTherapyCenter_GreatBridge_Rackcard_new.pdf | STC Great Bridge Sports Medicine Card #1969 | 03/2020 Rev. | 1/1/2300 12:00 | Robert Riek | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_GreatBridge_Rack_Card.pdf | Sentara Therapy Center Great Bridge Rack Card #1764 | 03/2020 Rev. | Coated card stock, 4 up on a 13x19, 2 sided | 1/1/2300 12:00 | Tonia M Burke | N | |
| Orthopedic | Local | Sentara Therapy Center | PlanofCareforHandTherapy0095.pdf | Plan of Care for Hand Therapy, #0095 - 100 sheets p/pad | 03/2021 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_Edinburgh_Flyer.pdf | STC Edinburgh Flyer #2025 | 03/2021 Rev. | 1/1/2300 12:00 | Kyla Kraft | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_Hand_Therapy_Flyer.pdf | Sentara Therapy Center - Hand Therapy Programs Flyer #1597 | 03/2021 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_PA_massage_gift_card.pdf | Sentara Therapy Center - Princess Anne Massage Gift Card (Laminated, 3.5"x2") | 03/2021 Rev. | Julie Nathaniel | N | |||
| Orthopedic | Local | Sentara Therapy Center | SentaraTherapyCenter_Grassfield_Rackcard.pdf | Sentara Therapy Center - Grassfield Rack Card #1763 | 04/2019 Reviewed/Revised | 1/1/2300 12:00 | Tonia M Burke | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_FirstColonial_location.pdf | Sentera Therapy Center First Colonial Location #1773 | 04/2019 Reviewed/Revised | 1/1/2300 12:00 | Missy Folta | N | ||
| Orthopedic | Local | Sentara Therapy Center | PlanofCareOutpatientTherapyCENTURY.pdf | Plan of Care Outpatient STC CENTURY #1947 NOTEPAD/25pp | 04/2020 Rev. | Impose 2 up and cut | 1/1/2300 12:00 | Sarah Sidar | N | |
| Orthopedic | Local | Sentara Therapy Center | STCDryNeedlingBrochure_04_2021_0522.pdf | Dry Needling Brochure #0522 | 04/2021 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_Diabetes_Fitness_Program.pdf | STC - Diabetes Fitness Program Flyer #2141 | 04/2021 Rev. | Rita Brereton/Rehab Services | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_Diabetes_Fitness_Program_RackCard.pdf | STC Diabetes Fitness Program Rack Card #2142 | 04/2021 Rev. | 1/1/2300 12:00 | Rita Brereton/Rehab Services | N | ||
| Orthopedic | Local | Sentara Therapy Center | SentaraTherapyCenter_Wellness_Bifold_Brochure.pdf | Sentara Therapy Center Wellness Brochure #1776 | 05/19 Reviewed/Revised | 13x19 100# text | 1/1/2300 12:00 | Becca Straseskie | N | |
| Orthopedic | Local | Sentara Therapy Center | SentaraTherapyCenter_RunningProgram_rackcard.pdf | Sentara Therapy Center - Greenbrier, Running Program Rack Card #1788 | 05/2019 Rev. | Peggy L Galdini | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_Acupuncture_Brochure_SNVMC_2244.pdf | Acupuncture Brochure SNVMC #2244 | 05/2021 Rev. | Arkena Dailey (SNVMC)/ Rita Brereton (STC) | N | |||
| Orthopedic | Local | Sentara Therapy Center | STCDryNeedlingBrochure_SNVMC_2246.pdf | Dry Needling Brochure SNVMC #2246 | 05/2021 Rev. | Arkena Dailey (SNVMC)/ Rita Brereton (STC) | N | |||
| Orthopedic | Local | Sentara Therapy Center | PlanofCareOutpatientTherapyREID.pdf | Plan of Care Outpatient STC REID #1925 NOTEPAD/25pp (map on back) | 06/2020 Rev. | Impose 2 up and cut 2 sided |
1/1/2300 12:00 | Sarah Sidar | N | |
| Orthopedic | Local | Sentara Spine Center | Top_10_Reasons_to_Heal_at_Home_2021.pdf | Top 10 Reasons to Heal at Home after Spine Surgery | 07/2021 Rev. | Julie Suedmeyer-Buller | N | |||
| Orthopedic | Local | Sentara Therapy Center | SentaraTherapyCenter_Blocker_Rackcard.pdf | Sentara Therapy Center - Blocker Rack Card #1766 | 07/2021 Rev. | Coated card stock, 6 up on a 13x19, 2 sided | 1/1/2300 12:00 | April Harrington/Team Coordinator | N | |
| Orthopedic | Local | Sentara Therapy Center | STC_PelvicFloorBrochure_Harrisonburg.pdf | STC East Market Street Continence and Pelvic Floor BROCHURE #1827 | 07/2019 Rev. | Rita Brereton/Tara C Fulk/Judy Jenkins | N | |||
| Orthopedic | Local | Sentara Therapy Center | PhysicalTherapyAfterPregnancy_STC_Harrisonburg.pdf | STC Physical Therapy After Pregnancy (Harrisonburg) #1828 | 07/2019 Rev. | 1/1/2300 12:00 | Tara C Fulk/Judy Jenkins | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_PelvicFloorBrochure_NOVA.pdf | STC Reid Continence and Pelvic Floor BROCHURE #1829 | 07/2019 Rev. | 1/1/2300 12:00 | Sarah Sidar | N | ||
| Orthopedic | Local | Sentara Therapy Center | LymphedemaBrochure_NOVA_2019.pdf | Sentara Therapy Centers Lymphedema Brochure NOVA #1745 | 07/2019 Reviewed/Revised | 1/1/2300 12:00 | Rachel N Tyler | N | ||
| Outpatient Services | pf.sentara.com | Sleep Centers | Sleep_Center_Patient_Satisfaction_Survey_1365.pdf | Sleep Center Patient Satisfaction Survey Out of Center Sleep Testing #1365 | 07/2021 Rev. | 1/1/2300 12:00 | Tonya Ford | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_GreatBridge_now_chiro_services_updated.pdf | STC Great Bridge Chiropractic Services #1758 | 08/2019 Rev. | 1/1/2300 12:00 | Tonia M Burke/ Robert J Riek | N | ||
| Physician Practices | Local | General Information | SAMC_Sentara_Specialist_Rack_Card.pdf | SAMC Sentara Specialist Rack Card | 07/2021 Rev. | Teresa White | N | |||
| Physician Practices | Local | General Information | SentaraCardiologySpecialists_Referral_Card_Locations.pdf | SCS Advanced Heart Failure Rack Card with Locations | 07/2021 Rev. | Bethany Wyatt/Tiffany Douville | N | |||
| Orthopedic | Local | Sentara Therapy Center | SentaraTherapyCenter_Chiropractic_Wellness_Bifold_Brochure.pdf | STC Chiropractic Wellness Bifold Brochure #1842 | 09/2019 Rev. | 1/1/2300 12:00 | Becca Straseskie | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_Century_flyer_PHYSICIANS.CONSUMERS_-_8.5x11-_bleeds.pdf | Sentara Therapy Center - Century Flyer | 1/2020 Rev. | Elizabeth Rogers/Rachel Tyler | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_Coliseum_PT_DuringandAfterPregFLYER_Rebrand.pdf | STC - Coliseum PT During and After Pregnancy Flyer #1864 | 10/2019 Rev. | Jenna Curnes/Marketing | N | |||
| Orthopedic | Local | Sentara Therapy Center | Sentara_Therapy_Coliseum_Center_Flyer_Oct_2019__003_.pdf | Sentara Therapy Center - Coliseum Flyer | 10/2019 Rev. | Jenna Curnes/Marketing | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_HamptonYMCAFLYER_Rebrand.pdf | Sentara Therapy Center - Hampton YMCA Flyer #1863 | 10/2019 Rev. | Jenna Curnes/Marketing | N | |||
| Orthopedic | Local | Sentara Therapy Center | Sentara_Therapy_Suffolk_YMCA_Flyer_Oct_2019.pdf | Sentara Therapy Center - Suffolk YMCA Flyer | 10/2019 Rev. | Jenna Curnes/Marketing | N | |||
| Orthopedic | Local | Sentara Therapy Center | SentaraTherapyCenter_SFIMP_rackcard.pdf | Sentara Therapy Center SFIMP Rack Card #1865 | 10/2019 Rev. | 1/1/2300 12:00 | April K Harrington | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_PostOp_Postcard.pdf | STC Cancer Rehab PostOp Postcard | 10/2020 Rev. | Rita Brereton Rehab Services Adminiatration Manager/Kristen Morrisett Marketing | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_PrincessAnne_MassageTherapyServicesBROCHURE.pdf | STC Princess Anne Massage Therapy Services Brochure #2107 | 10/2020 Rev. | Becca Straseskie | N | |||
| Orthopedic | Local | Sentara Therapy Center | 4243_NoVa_STC_2_Locations__Flyer.pdf | STC Reid's Prospect and Century Locations Flyer | 10/2020 Rev. | Elizabeth Rogers/SNVMC Marketing | N | |||
| Orthopedic | Local | Sentara Therapy Center | Retired.pdf | RETIRE 4/2020 RB: Sentara Therapy Center - Leigh Flyer #1456 | 11/2017 Rev. | Process Owner: Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | PediatricTherapyFlyer_NewportNewsYMCA_Nov._2019.pdf | Sentara Therapy Center - Newport News YMCA Flyer | 11/2019 Rev. | artwork from Michelle Park/Bart Morris | Process Owner: Rita Brereton/Jenna Curnes, Marketing | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_MiddlePeninsula_BiFold.pdf | Sentara Therapy Centers - Middle Peninsula Brochure #0680 | 11/2019 Rev. | Process Owner: Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | SentaraTherapyCenter_UpperPeninsulaBrochure.pdf | Sentara Therapy Centers - Upper Peninsula Brochure #0298 | 11/2019 Rev. | Process Owner: Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_WardsCornerFlyer.pdf | STC - Wards Corner Flyer #1598 | 12/2020 Rev. | Rita Brereton/Rehab Services | N | |||
| Orthopedic | Local | Sentara Therapy Center | 500191_DrMay_Bifold_4x9_11_FINAL.pdf | STC Century ? Chiropractic Care & Dr. Kenneth May Brochure | 12/2020 Rev. | Process Owner: Elizabeth Rogers/Rachel Tyler | N | |||
| Orthopedic | Local | Sentara Therapy Center | SENT-2443_07_Ambulatory_Services_Rack_Card-PRINT.pdf | Sentara Primary Care & Therapy Center Rack Card | 12/2020 Rev. | Sarah Dacey | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_Greenbrier_Pulmonary_Rehab_Rackcard.pdf | Sentara Therapy Center - Greenbrier, Pulmonary Program Rack Card #2148 | 12/2020 Rev. | Peggy L Galdini | N | |||
| Orthopedic | Local | Sentara Therapy Center | VestibularEarRehabilitation_Rackcard.pdf | Vestibular Ear Rehabilitation Rack Card #2151 | 12/2020 Rev. | STC Caci Gilden | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_HealthyWay_Hybrid_Flyer.pdf | Sentara Therapy Center - Healthy Way Hybrid Flyer | 2/2019 Rev. | 1/1/2300 12:00 | Becca Straseskie | N | ||
| Orthopedic | Local | Sentara Therapy Center | PediatricServicesBrochures_Newtown.pdf | STC Newtown Pediatric Therapy Services Brochure #1587 | 2/2020 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | SentaraTherapyCenter_Orthopedics_and_Sports_Performance_Therapy_Brochure.pdf | STC Personal Training Brochure #2181 | 2/2021 Rev. | Rita Brereton/STC Admininstration | N | |||
| Orthopedic | Local | Sentara Therapy Center | SentaraTherapyCenter_Greenbrier_Rackcard_REBRANDver2.pdf | Sentara Therapy Center - Greenbrier Rack Card #1664 | 2/2021 Rev. | Coated card stock, 4 up on a 13x19, 2 sided | 1/1/2300 12:00 | Peggy L Galdini | N | |
| Orthopedic | Local | Sentara Therapy Center | Peninsula_Therapy_Centers_Flyer_0318_HiRes_FINAL.pdf | Sentara Therapy Centers on the Peninsula Flyer | 3/2018 Rev. | 1/1/2300 12:00 | Lisa Schulwolf | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_SRMH_LymphedemaFlyer.pdf | STC RMH Breast Cancer Rehab Lymphedema Management Flyer #2204 | 3/2021 Rev. | Judy Jenkins/Rita Brereton original content owner | N | |||
| Orthopedic | Local | Sentara Therapy Center | SentaraTherapyCenter_Granby_Rackcard.pdf | Sentara Therapy Center - Granby Rack Card #1767 | 4/2019 Rev. | Coated card stock, 6 up on a 13x19, 2 sided | 1/1/2300 12:00 | April Harrington/Team Coordinator | N | |
| Orthopedic | Local | Sentara Therapy Center | PhysicalTherapyOrderforPulmonaryPatients0592_2.pdf | Physical Therapy Order for Pulmonary Patients #0592 - Pads of 100 | 4/2020 Rev. | Rita Brereton/Sentara Therapy Center Admin | N | |||
| Orthopedic | Local | Sentara Therapy Center | PlanofCareDiabetesFitness.pdf | Plan of Care Diabetes Fitness Program #2001 - 100 p/pad | 4/2020 Rev. | print 2 up, Cut to 8.5 x 5.5, Pad 100 p/pad | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_EnergryConservationTechniquesforFatigeManagement_Flyer.pdf | STC Energy Conservation Techniques for Fatigue Management #0453 | 4/2020 Rev. | Process Owner: Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_PediatricServicesBrochures.pdf | STC Pediatric Therapy Services Brochure #1976 | 4/2020 Rev. | STC Rita Brereton/Becca Staseskie | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_Posture_Body_Mechanics_LiftingPrinciplesBrochure.pdf | STC Posture Body Mechanics Lifting Principles Brochure #1427 | 4/2020 Rev. | Rita Brereton/STC Administration and Becca Straseskie | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_SpeechTherapyVoiceSwallowingRespREBRAND.pdf | STC Speech Therapy (Voice, Swallowing, Respiratory) #0534 | 4/2020 Rev. | Process Owner: Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_PortWarwick_Flyer.pdf | Sentara Therapy Center - Port Warwick Flyer | 4/2020 Rev. | artwork from Robin Crane | 1/1/2300 12:00 | Rita Brereton/Melissa Waugh | N | |
| Orthopedic | Local | Sentara Therapy Center | STC_RedMill_Flyer.pdf | Sentara Therpay Center - RedMill Flyer #1999 | 4/2020 Rev. | Sentara Therapy Center/POC David Streett/Becca Straseskie/Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | RHB-Therapistflyer-0421.pdf | STC RMH Therapist List | 4/2021 Rev. | Process Owner: Judy Jenkins | N | |||
| Orthopedic | Local | Sentara Therapy Center | Reid_Speech_Head__Neck_Cancer_Flyer.pdf | STC Reid Speech Language Pathology Flyer #2223 | 4/2021 Rev. | Sarah Sidar | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_ReidSpeechTherapyBrochure_REBRAND.pdf | STC- Reid Speech Therapy (Neurological, Cognitive, Augmentative) #2231 | 4/2021 Rev. | Sarah Sidar | N | |||
| Orthopedic | Local | Sentara Therapy Center | FunctionalQuestionnaireForPatientsWithCancer.pdf | Functional Questionnaire For Patients With Cancer #0477 | 5/2019 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_LymphedemaTherapyBRO.pdf | Lymphedema Therapy Brochure #0276 | 5/2020 Rev. | Process Owner: Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | PlanofCareforLymphedema_1314_2020.pdf | Plan of Care for Lymphedema #1314 - 100 sheets p/pad | 5/2020 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_LymphedemaFlyer.pdf | STC Breast Cancer Rehab Lymphedema Management Flyer #0340 | 5/2020 Rev. | Rita Brereton/STC Administration | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_WheelchairClinic_Flyer_REBRAND.pdf | STC Comprehensive Neuro Rehab Wheelchair Clinic Flyer #2000 | 5/2020 Rev. | 1/1/2300 12:00 | STC Administration/Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_Newtown_PediatricWheelchairClinic_FlyerFINAL.pdf | STC Newtown Pediatric Wheelchair Clinic Flyer #2034 | 5/2020 Rev. | STC Administration/Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_MessageToSurgeonsFlyer.pdf | STC Our Centers Remain Open! Flyer #2006 | 5/2020 Rev. | Rita Brereton/STC Administration | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_PelvicHealthTherapy_edit.pdf | STC Pelvic Health Therapy #2020 | 5/2020 Rev. | STC Administration/Rita Brereton/Becca Straseskie | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_ParkinsonsProgram_FlyerREBRAND.pdf | Sentara Therapy Center - Parkinson Program Flyer #0536 | 5/2020 Rev. | Rita Brereton/Rehab Services Administration Manager | N | |||
| Orthopedic | Local | Sentara Therapy Center | STCOfficeGuidelinesAcknowledgementForm.pdf | Office Guidelines Acknowledgement Form #0153 | 6/2018 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | STCOfficeGuidelinesAcknowledgementForm_ES.pdf | Office Guidelines Acknowledgement Form #0153, SPANISH | 6/2018 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | PulmonaryRehabBrochureSTC.pdf | Physical Therapy for Pulmonary Rehabilitation Brochure (STC) #0243 #0243 | 6/2018 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | RHB-Therapybroch-0619.pdf | SRMH Therapy Services Brochure | 6/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_IndianRiver_FlyerFINAL.pdf | Sentara Therapy Center - Indian River Therapy Center Flyer #1737 | 6/2020 Rev. | Rita Brereton/Rehab Services Administration Manager | N | |||
| Orthopedic | Local | Sentara Therapy Center | UPDATED_CANCER_HEP_MAY_2019__00000002_.pdf | Cancer Daily Routine Exercise Sheets | 6/3/2019 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_PEDIATRIC_AQUATIC_THERAPY.pdf | STC Newtown Pediatric Aquatic Therapy Brochure #1825 | 7/2021 Rev. | 1/1/2300 12:00 | Leigh Anne Schierer/Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | BillingPatientWaiverofHealthInsuranceLiability_08-19.pdf | Patient Waiver of Health Insurance Liability #0497 | 8/2019 Rev. | Flat Sheet | Rita Brereton/Rehad Services Administration Manager | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_EmployeeWaiverExerciseEquipment.pdf | STC Employee Waiver and Guidelines for Use Exercise Equipment, FORM #2064 | 8/2020 Rev. | Rita Brereton/STC Administration | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_DirectAccessRackCard.pdf | Direct Access to Physical Therapy Services Rack Card #2309 | 8/2021 Rev. | Coated Card Stock, 6 up on 13 x 19, 1 sided | Rita Brereton/STC Admininstration | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_DirectAccessMedicalScreen.pdf | STC Direct Access Medical Screen #0659 | 8/2021 Rev. | 1/1/2300 12:00 | Rita Brereton/Manager Sentara Therapy Centers | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_Wesleyan_Flyer.pdf | STC Wesleyan Flyer #1936 | 8/2021 Rev. | Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_St_Lukes_Flyer.pdf | Sentara Therapy Center - St Lukes Flyer | 8/2021 Rev. | 1/1/2300 12:00 | Lisa Schulwolf/Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | SLP-OT_screening_results.pdf | Speech-Language/Hearing and Occupational Therapy Screening Results #1698 | 8/2021 Rev. | 1/1/2300 12:00 | Process Owner: Courtney Livesay | N | ||
| Orthopedic | Local | Sentara Therapy Center | SentaraTherapyCenter_NorthernVABrochure.pdf | Sentara Therapy Center - NOVA Brochure #1772 | 9/2019 Rev. | 2 sided 3 panel brochure | 1/1/2300 12:00 | Sarah Sidar/Team Coordinator STC Reid Prospect | N | |
| Orthopedic | Local | Sentara Therapy Center | STC_ReidsProspectFlyer.pdf | Sentara Therapy Center - Reid's Prospect Flyer | 9/2019 Rev. | Process Owner: Sarah Sidar/Elizabeth Rogers | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_Blocker_MassageTherapyServicesBRO.pdf | Blocker Massage Therapy Services Brochure #1596 | 9/2020 Rev. | Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | PlanofCareOutpatientTherapyNC_1702.pdf | Plan of Care for Outpatient Therapy, NC #1702 - 100 sheets p/pad | 9/2020 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | PlanofCareOutpatientTherapySouthside0284.pdf | Plan of Care for Outpatient Therapy, Southside #0284 - 100 sheets p/pad | 9/2020 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | PlanofCareOutpatientTherapyWesternTidewater0591.pdf | Plan of Care for Outpatient Therapy, Western Tidewater #0591 - 100 sheets p/pad | 9/2020 Rev. | Rita Brereton/Rehab Services Adminiatration Manager | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_HealthyWay_Flyer.pdf | STC Healthy Way Flyer #2081 | 9/2020 Rev. | Becca Straseskie | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_SpeechPathology_Flyer.pdf | STC Speech Language Pathology Flyer #2080 | 9/2020 Rev. | Becca Straseskie | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_SentaraAwarenessforFallsEducationSAFE_Bifold.pdf | Sentara Awareness for Falls Education (S.A.F.E.) Brochure | 9/2020 Rev. | Process Owner: Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | STC_LocationsList_0524.pdf | Sentara Therapy Centers Locations Flyer #0524 | 9/2020 Rev. | 1/1/2300 12:00 | Rita Brereton | N | ||
| Orthopedic | Local | Sentara Therapy Center | STC_SpeechTherapyBrochure_REBRAND.pdf | Speech Therapy (Neurological, Cognitive, Augmentative) #0535 | 9/2020 Rev. | Rita Brereton | N | |||
| Outpatient Services | pf.sentara.com | All Other | SRMH_Therapistflyer_0421.pdf | Sentara RMH Therapy Services - Physical Therapy, Occupational Therapy, and Speech-Language Pathology | 04/2021 Rev. | 1/1/2300 12:00 | Judy Jenkins | N | ||
| Outpatient Services | pf.sentara.com | All Other | MKD-ImagLabRehabLocationsflyer-1019.pdf | SRMH Imaging, Lab and Therapy Locations Flyer | 10/2019 Rev. | Sarah Wichael | N | |||
| Outpatient Services | pf.sentara.com | All Other | PPM-Orthoflyer-0318.pdf | SRMH Orthopedic Center Flyer (includes Imaging and Therapy Locations) | 3/2018 Rev. | 1/1/2300 12:00 | Sarah Wichael | SRMH Print Shop | N | |
| Outpatient Services | pf.sentara.com | All Other | CounselingServBrochure-0620.pdf | SRMH Counseling Services Brochure #2288 | Jun-20 | 9/1/2021 12:00 | Bea Spitler | N | ||
| Outpatient Services | pf.sentara.com | All Other | DocumentRetired.pdf | RETIRED 11/2019: Outpatient Observation Services Brochure (SAMC) | NOT ORDERED | N | ||||
| Outpatient Services | pf.sentara.com | Family Health Connection | SNVMCFamilyHealthConnectionCharityCareCard8up.pdf | SNVMC Family Health Connection Charity CareCard #0551 | 11/2019 Rev. | Esteban Sandi/SNVMC Central Registration | N | |||
| Outpatient Services | pf.sentara.com | Family Health Connection | 500105_FHC_8x9_Bifold_Spanish_B.pdf | Family Health Connection Mobile Van Clinic Services Brochure, SPANISH | 2/2021 Rev. | Helen Linton/SNVMC Marketing | N | |||
| Outpatient Services | pf.sentara.com | Family Health Connection | 500105_FHC_8x9_Bifold_English_B_FINAL.pdf | Family Health Connection Mobile Van Clinic Services Brochure | 3/2020 Rev. | Helen Linton/SNVMC Marketing | N | |||
| Outpatient Services | pf.sentara.com | Family Health Connection | FamilyHealthConnectionMedicationPickUpcard.pdf | Family Health Connection Medication Pick Up Card #0423 | 7/19 Reviewed/Revised | 1/1/2300 12:00 | Megan Clay | N | ||
| Outpatient Services | pf.sentara.com | Infusion | SNVMC_Outpatient_Infusion_Center_Brochure.pdf | SNVMC Outpatient Infusion Center Brochure #1395 | 10/2018 Rev. | 1/1/2300 12:00 | Heather Causseaux | N | ||
| Outpatient Services | pf.sentara.com | Infusion | SOH_Outpatient_Infusion_Center_brochure.pdf | SOH Outpatient Infusion Center Brochure #0605 | 10/2020 Rev. | Christy Lynch | N | |||
| Outpatient Services | pf.sentara.com | Infusion | Infusion_Services_Broc4_2019.pdf | Infusion Services Brochure (Southside) #1548 | 3/2018 Rev. | 1/1/2300 12:00 | Arkeisha Smith | N | ||
| Outpatient Services | pf.sentara.com | Infusion | SWMRC_Outpatient_Infusion_Center_Brochure__1512.pdf | SWMRC Outpatient Infusion Center Brochure #1512 | 3/2021 Rev. | 1/1/2300 12:00 | Jill Yates | N | ||
| Outpatient Services | pf.sentara.com | Infusion | InfusionServicesBroc-f.pdf | SI/SNGH Outpatient Infusion Center Brochure - Southside | 8/2018 Rev. | Outsource, Prints on 80# Cover - Dull Coated | 1/1/2300 12:00 | N | ||
| Outpatient Services | pf.sentara.com | Laboratory | LAB-locationsflyer-1019.pdf | Do You Need Lab Tests? Flyers | 10/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Sarah Wichael | N | |
| Outpatient Services | pf.sentara.com | Nutrition and Wellness Services | COM-PEASBroch-0519.pdf | Parenting Education and Support (PEAS) Brochure (SRMH) | 1/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | N | ||
| Outpatient Services | pf.sentara.com | Nutrition and Wellness Services | WLC-ProExbrochure-1219.pdf | SRMH ProEx Brochure | 1/2020 Rev. | SRMH Print Shop | Heather Moneymaker | N | ||
| Outpatient Services | pf.sentara.com | Nutrition and Wellness Services | WLC-ProExPlusbrochure-1219.pdf | SRMH ProEx Plus Brochure | 1/2020 Rev. | SRMH Print Shop | Alison Snook | N | ||
| Outpatient Services | pf.sentara.com | Nutrition and Wellness Services | COM-HealthyFamBlueRidgeBroch-0519.pdf | SRMH Healthy Families of the Blue Ridge Brochure | 5/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Brooke Garcia | N | |
| Outpatient Services | pf.sentara.com | Nutrition and Wellness Services | COM-HealthyFamBlueRidgeBroch-0519_SP.pdf | SRMH Healthy Families of the Blue Ridge Brochure, SPANISH | 5/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Brooke Garcia | N | |
| Outpatient Services | pf.sentara.com | Rehabilitation | SMJH_BreastCancerRehabBroch_1_2020.pdf | Breast Cancer Rehabilitation #1938 | 1/2020 Rev. | 1/1/2300 12:00 | Michele Howe | N | ||
| Outpatient Services | pf.sentara.com | Rehabilitation | RHB-SpecialtyEarbroch-0418.pdf | SRMH Vestibular (Ear) Rehabilitation Brochure | 4/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | N | ||
| Outpatient Services | pf.sentara.com | Rehabilitation | CoxRehabilitationCenter_MessageToSurgeonsFlyer.pdf | Cox Rehabilitation Center Update for Providers Flyer #2014 | 5/2020 Rev. | Jimmy Childrey/Katherine Waltman/SHRH Outpatient Therapy Services | N | |||
| Physician Practices | Local | General Information | SMG_Ped_vaccines.pdf | SMG Pediatric Vaccines (Education, Protect, Vaccinate Your Child) #2259 | 07/2021 Rev. | Vanessa Hill | N | |||
| Outpatient Services | pf.sentara.com | Sleep Centers | PortableMonitoringPostSleepQuestionnaire_1363.pdf | Portable Monitoring Post Sleep Questionnaire #1363 | 1/2019 Rev. | 1/1/2300 12:00 | Tonya Ford | N | ||
| Outpatient Services | pf.sentara.com | Sleep Centers | PortableMonitoringPostSleepQuestionnaire_1363_ES-2.pdf | Portable Monitoring Post Sleep Questionnaire #1363, SPANISH | 1/2019 Rev. | 1/1/2300 12:00 | Tonya Ford | N | ||
| Outpatient Services | pf.sentara.com | Sleep Centers | DaytimeSleepTestingBrochure.pdf | Daytime Sleep Testing Brochure #0390 | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: Leah Pixley | N | ||
| Outpatient Services | pf.sentara.com | Sleep Centers | HomeSleepTestingBrochure.pdf | Home Sleep Testing Brochure #0391 | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: Leah Pixley | N | ||
| Outpatient Services | pf.sentara.com | Sleep Centers | OvernightSleepTestingBrochure.pdf | Overnight Sleep Testing Brochure #0389 | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: Leah Pixley | N | ||
| Outpatient Services | pf.sentara.com | Sleep Centers | PortableMonitoringPatientInstructions_1364.pdf | Portable Monitoring Patient Instructions #1364 | 2/2017 Rev. | 1/1/2300 12:00 | Tonya Ford | N | ||
| Outpatient Services | pf.sentara.com | Sleep Centers | CSM-SleepDisordersSupGrpcd-0218.pdf | Sleep Disorders Support Group Rack Card | 2/2018 Rev. | 1/1/2300 12:00 | Sarah Wichael | SRMH Print Shop | N | |
| Patient Resources | Local | General Information | DrivingandParkingDirectionsSI.pdf | Driving and Parking Directions (SI) | Run on 11 x 17, B&W Cut to 8.75 x 3.75 | 1/1/2300 12:00 | N | |||
| Patient Resources | Local | General Information | DrivingandParkingDirectionsSNGH.pdf | Driving and Parking Directions (SNGH) | Print on 11 x 17, B&W Cut to 8.75 x 3.75, 2 sided | 1/1/2300 12:00 | N | |||
| Patient Resources | Local | General Information | DrivingandParkingDirectionsSPAH.pdf | Driving and Parking Directions (SPAH) | Run on 11 x 17, B&W Cut to 8.75 x 3.75, 2 sided | 1/1/2300 12:00 | N | |||
| Patient Resources | Local | General Information | DrivingandParkingDirectionsSVBGH.pdf | Driving and Parking Directions (SVBGH) | Run on 11 x 17, B&W Cut to 8.75 x 3.75, 2 sided | 1/1/2300 12:00 | N | |||
| Physician Practices | Local | Physician Office Forms | SentaraSurgerySpecialists_Woodbridge_Stafford_portrait.pdf | Sentara Surgery Specialists Woodbridge & Stafford Notepad (25 pages per pad) #0305 | 07/2021 Rev. | Diane Kerrick | N | |||
| Patient Resources | Local | General Information | SNGHCallTelemetryStation1Cards6up.pdf | SNGH Call Telemetry Station 1 Cards | 1/2019 Rev. | 1/1/2300 12:00 | Janika E Congdon | N | ||
| Patient Resources | Local | General Information | SNGHCallTelemetryStation2Cards6up.pdf | SNGH Call Telemetry Station 2 Cards | 1/2019 Rev. | 1/1/2300 12:00 | Janika E Congdon | N | ||
| Patient Resources | Local | General Information | SNGHCallTelemetryStation3Cards6up.pdf | SNGH Call Telemetry Station 3 Cards | 1/2019 Rev. | 1/1/2300 12:00 | N | |||
| Patient Resources | Local | General Information | SNGHCallTelemetryStation4Cards6up.pdf | SNGH Call Telemetry Station 4 Cards | 1/2019 Rev. | 1/1/2300 12:00 | Janika E Congdon | N | ||
| Patient Resources | Local | General Information | SNGHCallTelemetryStation6Cards6up.pdf | SNGH Call Telemetry Station 6 Cards | 1/2019 Rev. | Janika E Congdon | N | |||
| Patient Resources | Local | General Information | MED-ERHCprovidersFlyer-1019.pdf | SRMH East Rockingham Health Center Provider Flyer | 10/2019 Rev. | Lori Shifflett/SRMH East Rockingham Health Center | SRMH Print Shop | N | ||
| Patient Resources | Local | General Information | TelemetryCard_Station5.pdf | SNGH Call Telemetry Station 5 Cards | 11/2020 Rev. | 1/1/2300 12:00 | Audrey Johnson | N | ||
| Patient Resources | Local | General Information | 50007_StopTheBleed_8.5x11_D.pdf | SNVMC STOP The Bleed Flyer | 2020 Version | Stacy Rounds/Marketing | N | |||
| Patient Resources | Local | General Information | Clinical_Appropriateness_NameTags_6_up.pdf | SLH Telemetry Service Tag 3"x3" #1751 | 3/2019 Rev. | 1/1/2300 12:00 | Ericka L Dates | N | ||
| Patient Resources | Local | General Information | 4071_SMG_Coloring_Sheet_-_print.pdf | SMG Coloring Sheet | 4/2020 Rev. | Sarah Dacey | N | |||
| Patient Resources | Local | General Information | SNGH_EndoscopyFlyer.pdf | SNGH Endoscopy Flyer #2048 | 6/2020 Rev. | Monica Sumler/SNGH Surgical Services | N | |||
| Patient Resources | Local | General Information | SNGH-SHH_FirstFloorMap_EVMS_Campus_handout2020.pdf | SNGH-SHH First Floor Map/EVMS Campus Handout #2060 | 7/2020 Rev. | PRICED 2 UP ON 11 X 17. NO BLEED | Rachel Bostwick/Transplant Clinic | N | ||
| Patient Resources | Local | General Information | How_Request_Photos_0683.pdf | How Request Photos Flyer #0683 | 9/2020 Rev. | DAWN EURE EURE/SOH Nursing Unit | N | |||
| Patient Resources | Local | General Information | SRMH_DontForget_RackCard.pdf | SRMH Don't Forget Rack Card #2086 | 9/2020 Rev. | Abigail Breeden/CLERICAL SUPPORT | SRMH Print Shop | N | ||
| Patient Resources | Local | General Information | SRMH_ParkingGuide_Map.pdf | SRMH Parking Guide Map/Flyer #2085 | 9/2020 Rev. | Abigail Breeden/CLERICAL SUPPORT | N | |||
| Patient Resources | Local | Patient Guidebook | SENT-1761-01_SHH_Patient_Guidebook_COVER.pdf | SHRH Patient Guidebook | Professional Printing | Professional Printing | N | |||
| Patient Resources | Local | Patient Guidebook | SENT-1743-01_SNVMC_Patient_Guidebook_COMPLETE.pdf | SNVMC Patient Guidebook | Professional Printing | N | ||||
| Patient Resources | Local | Patient Guidebook | SENT-1793-01_SVBGH_Patient_Guidebook_InHouse_6_12_2020.pdf | SVBGH Patient Guidebook, No Pocket folder | 6/2020 Rev. | In house print Setup to print on 12 x 18 |
Julie Suedmeyer-Buller/Margaret C Chenault | Professional Printing | N | |
| Patient Resources | Local | Patient Guidebook | SAMC_Patient_Guidebook_FINAL.pdf | SAMC Patient Guidebook | Price TBD | Professional Printing | Professional Printing | N | ||
| Patient Resources | Local | Patient Guidebook | SENT-1875-01_SLH_Patient_Guidebook_PRINT.pdf | SLH Patient Guidebook | Price TBD | Professional Printing | Professional Printing | N | ||
| Patient Resources | Local | Patient Guidebook | SENT-1289-01_SNGH_Patient_Guidebook_COVER.pdf | SNGH Patient Guidebook | Price TBD | Professional Printing | Professional Printing | N | ||
| Patient Resources | Local | Sentara App | SEN-743.9-AppCampaign_Poster_v1_r2_printready.pdf | SENTARA APP Poster #1849, 22 X 28, Foam Board, Laminated, Ready to Hang | Send to Bizport 22 X 28, Foam Board, Laminated, Ready to Hang |
Sarah Dacey/Marketing | Bizport | N | ||
| Patient Resources | Local | Sentara App | SEN-743.14-AppCampaign_PromoCard_r2_printready.pdf | SENTARA APP Promo Card #1850 | Sarah Dacey/Marketing | N | ||||
| Patient Resources | Local | Sentara App | SEN-743.10-AppCampaign_Wall_FloorCling_1525x1525_V1_r5.pdf | SENTARA APP Wall Cling #1851, 15.25 x 15.25, 14 - 16 Business Day Lead Time | 15.25 x 15.25, Vinyl Cling, to
affix to outside of glass (adhesive back side) Send to Bizport |
Sarah Dacey/Marketing | Bizport | N | ||
| Patient Resources | Local | Sentara App | 3911_Halifax_Sentara_App_Rack_Icons_-print.pdf | Sentara App - Halifax Rack Card | 1/2020 Rev. | Sarah Dacey | N | |||
| Patient Resources | Local | Sentara App | 3947_Sentara_App_2020_-_print__002_.pdf | SENTARA APP Your Next Appointment Video Visit Rack Card | 2/2020 Rev. | Bethany Allen, Marketing | N | |||
| Patient Resources | Local | Sentara App | 4076_Video_Visit_Rack_Card_Updates_-_Hospitals_-_print.pdf | Sentara Virtual Care Rack Card - Hospitals | 4/2020 Rev. | Bethany Allen | N | |||
| Patient Resources | Local | Sentara App | 4076_Video_Visit_Rack_Card_Updates_-_Providers_-_print.pdf | Video Visits Rack Card - Providers | 4/2020 Rev. | Bethany Allen | N | |||
| Patient Resources | Local | Sentara App | 4076_Video_Visit_Triage_Card_-_print.pdf | Virtual Triage Card | 4/2020 Rev. | Bethany Allen | N | |||
| Physician Practices | Local | General Information | SUC_HowtoReserveYourSpotClockwise9x6-print.pdf | How To Reserve Your Spot In Line at Sentara Urgent Care | Courtney Martone/Matt Serino; Jaycen LeBlanc -2 up on 13 x 19 cover stock, 2 sided, color print | 1/1/2300 12:00 | N | |||
| Physician Practices | Local | General Information | PediatricPhysiciansInfoCard_update2.pdf | Pediatric Physicians Info Card | N | |||||
| Physician Practices | Local | General Information | 3916_SCS_Referral_Cards_-_AHF_UPDATE_-_print.pdf | SCS Advanced Heart Failure Rack Card | Bethany Allen | N | ||||
| Physician Practices | Local | General Information | SMJ_NeurosciencesLabel.pdf | SMJ Neurosciences Label | Ellen Burke, Operations SMJMG | N | ||||
| Physician Practices | Local | General Information | 3548_SCS_Williamsburg_New_Rack_-_print.pdf | Sentara Cardiology Specialists - Williamsburg Rack Card | Lynn Massie/Bethany Allen | N | ||||
| Physician Practices | Local | General Information | 3644_Southside_Pediatricians_Rack__-_print.pdf | Sentara Pediatric Physicians Back-to-School Physicals (Southside) Bio Card | Sarah Dacey | N | ||||
| Physician Practices | Local | General Information | SRMHwomFunkhouser-directionsflyer.pdf | Sentara RMH Funkhouser Women's Center Map/Directions | 2 sided, color flyer; SRMH Print Shop | 1/1/2300 12:00 | N | |||
| Physician Practices | Local | General Information | Refrigerate_3x1_5_label.pdf | SMG Refrigerate 3"x1.5" Label (2 rolls, 500 each) | 01/2021 Rev. | 2 rolls of 500 labels Fluorescent YELLOW |
Barbara Lunn | BCT | N | |
| Physician Practices | Local | General Information | SharedSpecimen_2_5x1_label.pdf | SMG Shared Specimen 2.5"x1" Label (2 rolls, 500 each) | 01/2021 Rev. | 2 rolls of 500 Fluorescent ORANGE |
Barbara Lunn | BCT | N | |
| Physician Practices | Local | General Information | DocumentRetired.pdf | **RETIRED - NEW FORM TO USE #2196** Top HCC Coding Opportunities #1921 | 03/2021 Rev. | 1/1/2300 12:00 | Per Stephanie Zeiber/Beth St. Laurent document retired 3/2021 | N | ||
| Physician Practices | Local | General Information | DocumentRetired.pdf | **RETIRED - NEW FORM TO USE #2196** Top HCC Coding Opportunities Mental Health Subs. Abuse #1961 | 03/2021 Rev. | 1/1/2300 12:00 | Per Stephanie Zeiber/Beth St. Laurent document retired 3/2021 | N | ||
| Physician Practices | Local | General Information | Top_HCC_Coding_Opportunities_2sided_Hematology_Oncology.pdf | Top HCC Coding Opportunities Hematology & Oncology #2191 | 03/2021 Rev. | Stephanie Zeiber/Beth St. Laurent | N | |||
| Physician Practices | Local | General Information | Top_HCC_Coding_Opportunities_2sided_PRIMARYCARE_BEHAVIORAL.pdf | Top HCC Coding Opportunities Primary Care & Behavioral #2196 | 03/2021 Rev. | Stephanie Zeiber/Beth St. Laurent | N | |||
| Physician Practices | Local | General Information | Top_HCC_Coding_Opportunities_2sided_rheumatology_ortho.pdf | Top HCC Coding Opportunities Rheumatology & Orthopedic #2190 | 03/2021 Rev. | Stephanie Zeiber/Beth St. Laurent | N | |||
| Physician Practices | Local | General Information | WOM-BreastClinicBrochure-0421.pdf | SRMH Sentara Breast Surgery Specialists Brochure | 04/2021 Rev. | 1/1/2300 12:00 | POC: Sherry Braithwaite (Sarah Wichael/Marketing) | N | ||
| Physician Practices | Local | General Information | WOM-HighRiskBreastProgBroch-0421.pdf | SRMH Sentara Breast Surgery Specialists High Risk Breast Program Brochure | 04/2021 Rev. | 1/1/2300 12:00 | POC: Sherry Braithwaite (Sarah Wichael/Marketing) | N | ||
| Physician Practices | Local | General Information | Top_HCC_Coding_Opportunities_2sided_cardio.pdf | Top HCC Coding Opportunities Cardio #2011 | 05/2020 Rev. | 1/1/2300 12:00 | Stephanie Zieber/Beth St. Laurent | N | ||
| Physician Practices | Local | General Information | Top_HCC_Coding_Opportunities_2sided_endo_diabetes.pdf | Top HCC Coding Opportunities Endo/Diabetes #2010 | 05/2020 Rev. | 1/1/2300 12:00 | Stephanie Zieber/Beth St. Laurent | N | ||
| Physician Practices | Local | General Information | Top_HCC_Coding_Opportunities_2sided_vascular.pdf | Top HCC Coding Opportunities Vascular #2012 | 05/2020 Rev. | 1/1/2300 12:00 | Stephanie Zieber/Beth St. Laurent | N | ||
| Physician Practices | Local | General Information | SSS_Moore_Jacqueline_flyer_English_and_Spanish_High_Resolution.pdf | SSS Moore, Jacqueline Flyer (English & Spanish) NOVA | 05/2021 Rev. | Elizabeth Rogers | N | |||
| Physician Practices | Local | General Information | SMG_Cardio_Specialists_PT_Results_Signage_8_5x11.pdf | Cardiology Specialists PT Results Signage (SCS) #2039 | 06/2020 Rev. | Laminated 8.5"x11" sheet, one-sided | 1/1/2300 12:00 | Regina Bonds | N | |
| Quality-Safety | Local | COVID-19 | 4708_Employee_Visitation_Update-_16x20_-_print.pdf | Employee Visitation (16" x 20") Foam Core | 07/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | 4708_Employee_Visitation_Update-_24x36_-_071521_-_print.pdf | Employee Visitation (24" x 36") Foam Core | 07/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | 4708_Employee_Visitation_Update-_24x36_-_071521_-_print.pdf | Employee Visitation 24" x 36" (Wall Cling) | 07/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | HopeCard_Sympathy_Hospice_Toni.pdf | Hope Card with Preprinted Envelope, Chesapeake Hospice #1657 | 07/2021 Rev. | WHITE Card Stock, 2 up on 11 x 17, Fold to 8.5 x 5.5, 9 x 6 Blank Env. | 1/1/2300 12:00 | Toni V. Mayes | N | |
| Physician Practices | Local | General Information | Top_HCC_Coding_Opportunities_2sided_general_surgery.pdf | Top HCC Coding Opportunities General Surgery #2071 | 08/2020 Rev. | Stephanie Zeiber/Beth St. Laurent | N | |||
| Physician Practices | Local | General Information | EvelynByrdSuprepInstructions.pdf | RETIRED 6/2019 Abigail Breeden; Suprep Prep Instructions Evelyn Byrd #1408 | 1/2019 Rev. | Process Owner: Danise Hottinger | SRMH Print Shop | N | ||
| Physician Practices | Local | General Information | 3220_eCheck-in_Rack_-_print.pdf | eCheck-in Rack Card | 1/2019 Rev. | Process Owner: Bethany Allen/Alisha Dore' | N | |||
| Physician Practices | Local | General Information | 3220_eCheck-in_Rack_-_PreludePract_-_print.pdf | eCheck-in Rack Card (PRELUDE) | 1/2019 Rev. | Process Owner: Bethany Allen/Alisha Dore' | N | |||
| Physician Practices | Local | General Information | MED-SurgeryDocCard-0120.pdf | Sentara Surgery Specialists, Harrisonburg - Rack Card | 1/2020 Rev. | Sarah Wichael/Sherry Braithwaite | N | |||
| Physician Practices | Local | General Information | YourGuidetoMedicareAnnualWellnessBRO_PROOF4.pdf | Your Guide to Medicare Annual Wellness Brochure #1917 | 1/2020 Rev. | SMG Complex Care Solutions/POC Britt Gnilka | N | |||
| Physician Practices | Local | General Information | MKD-TimberWaybroch-0121.pdf | Sentara RMH Timber Way Health Center Brochure (SRMH) | 1/2021 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Heather Miller | N | |
| Physician Practices | Local | General Information | SNVMC_HospitalMedicinePhysicians_Flyer.pdf | Sentara Hospital Medicine Physicians - Northern Virginia Flyer | 10/2018 Rev. | 1/1/2300 12:00 | Elizabeth Rogers | N | ||
| Physician Practices | Local | General Information | OSM-OrthoBrochure-1118.pdf | Sentara Orthopedic & Sports Medicine Specialists Brochure | 10/2018 Rev. | 1/1/2300 12:00 | Process Owner: Tonya Turner | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | SMG_Need_PCP_Pediatrician_7x5_2sided.pdf | SMG Need PCP Pediatrician Card 7"x5" | 10/2019 Rev. | 1/1/2300 12:00 | Sarah Dacey | N | ||
| Physician Practices | Local | General Information | MED-IntegrativeMedBroch-1019.pdf | SRMH Sentara Integrative Medicine Physicians Brochure | 10/2019 Rev. | Danise Hottinger/Practice Manager | N | |||
| Physician Practices | Local | General Information | SMG_AdvancedPracticeProvidersBRO.pdf | Advanced Practice Providers Brochure #2113 | 10/2020 Rev. | SMG Practice Support/POC Eriqua Rudolph | N | |||
| Physician Practices | Local | General Information | 3916_SCS_Referral_Cards_-_AHF_UPDATE_-_print.pdf | SCS Referral Cards - AHF Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Physician Practices | Local | General Information | 3916_SCS_Referral_Cards_-_Locations_UPDATE2_-_print.pdf | SCS Referral Cards - Locations Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Physician Practices | Local | General Information | 3548_SCS_Williamsburg_New_Rack_-_print.pdf | SCS Williamsburg New Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Physician Practices | Local | General Information | 3924_SFIMP_Yorktown_Towne_Rack__-_print.pdf | SFIMP Yorktown Towne Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Physician Practices | Local | General Information | 3194_SFMP_Gloucester_Rack_-_print.pdf | SFMP Gloucester Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Physician Practices | Local | General Information | 3852_SFMP_Penn_Towne_Rack_-_print.pdf | SFMP Peninsula Towne Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Physician Practices | Local | General Information | 3851_SFMP_Port_Warwick_Rack_-_print.pdf | SFMP Port Warwick Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Physician Practices | Local | General Information | 3196_SIMP_NN_Rack_-_print.pdf | SIMP NN Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Physician Practices | Local | General Information | 3195_SIMP_Williamsburg_Rack_-_print.pdf | SIMP Williamsburg Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Physician Practices | Local | General Information | 3589-B_Back_to_School_Physical_Rack-art-print.pdf | SPP Back to School Physicals (Peninsula) Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Physician Practices | Local | General Information | 3452_SSS_Oncology_Rack_-_print.pdf | SSS Oncology Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Physician Practices | Local | General Information | 3127_SSS_SWRMC_Rack_-_print.pdf | SSS SWRMC Rack Card | 10/2020 Rev. | Sarah Dacey | N | |||
| Physician Practices | Local | General Information | 2853_SVS_Peninsula_Rack-print.pdf | SVS Peninsula Rack Card | 10/2020 Rev. | Sarah Darcey | N | |||
| Physician Practices | Local | General Information | OSM-OrthoCommunicationCard-1118.pdf | Sentara Back & Neck Specialists Communication Card | 11/2018 Rev. | 1/1/2300 12:00 | Sarah Wichael | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | 3830_Video_Visit_Rack_QR_-_Update_-_Blue_-_print.pdf | Video Visit Rack Card (Maloney, Orciga, Haggerty) | 11/2019 Rev. | Bethany Allen | N | |||
| Physician Practices | Local | General Information | SFMP_wayfinding_notepad_CARDINAL.pdf | SFMP Wayfinding Notepad CARDINAL #1429, Pads of 50 | 11/2020 Rev. | Sarah Dacey/Eriqua Rudolph | N | |||
| Physician Practices | Local | General Information | SFMP_wayfinding_notepad_DOGWOOD.pdf | SFMP Wayfinding Notepad DOGWOOD #1428, Pads of 50 | 11/2020 Rev. | Sarah Dacey/Eriqua Rudolph | N | |||
| Physician Practices | Local | General Information | SFMP_wayfinding_notepad_PEANUT.pdf | SFMP Wayfinding Notepad PEANUT #1430, Pads of 50 | 11/2020 Rev. | Sarah Dacey/Eriqua Rudolph | N | |||
| Physician Practices | Local | General Information | SRMH_Infectious_Specialists_Brochure.pdf | SRMG Sentara Infectious Disease Specialists Brochure | 11/2020 Rev. | 1/1/2300 12:00 | Noella Manns | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | SRMH_Neurology_Specialists_Brochure.pdf | SRMG Sentara Neurology Specialists Brochure | 11/2020 Rev. | 1/1/2300 12:00 | Noella Manns | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | SRMH_Pulmonary_Critical_Care_Specialists_Brochure.pdf | SRMG Sentara Pulmonary & Critical Care Speciailists Brochure | 11/2020 Rev. | 1/1/2300 12:00 | Noella Manns | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | SRMH_Rheumatology_Specialists_Brochure.pdf | SRMG Sentara Rheumatology Specialists Brochure | 11/2020 Rev. | 1/1/2300 12:00 | Noella Manns | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | OSM-EastRockPatienthandout-1120.pdf | Sentara Orthopedic & Sports Medicine Specialists, Sentara East Rockingham Health Center, Appointment Flyer | 11/2020 Rev. | 1/1/2300 12:00 | Sherry Braithwaite/SRMH Orthopedic Center | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | OSM-OrthoPatienthandout-1120.pdf | Sentara Orthopedic & Sports Medicine Specialists, Sentara Orthopedic Center, Appointment Flyer | 11/2020 Rev. | 1/1/2300 12:00 | Sherry Braithwaite/SRMH Orthopedic Center | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | SentaraSurgerySpecialists_ReminderCard_6x9.pdf | Sentara Surgery Specialists (Northern Va) Reminder Card 6 x 9 | 11/2020 Rev. | N | ||||
| Physician Practices | Local | General Information | SentaraSurgerySpecialists_SLH_rackcard_general_ALL_2020.pdf | Sentara Surgery Specialists SLH | 11/2020 Rev. | Lee Jackson | N | |||
| Physician Practices | Local | General Information | 3777_SCS_Guide_December_2019_Update_-_print.pdf | Sentara Cardiology Specialists (SCS) Provider Guide Flyer | 12/2019 Rev. | Bethany Allen, Marketing | N | |||
| Physician Practices | Local | General Information | SentaraPediatricPhysicians_wknd_afterhours_rackcard.pdf | Sentara Pediatric Physicians Weekend & After Hours Care Rack Card #1922 | 12/2019 Rev. | 1/1/2300 12:00 | Sarah Dacey | N | ||
| Physician Practices | Local | General Information | SentaraProviderBilling_brochure.pdf | Sentara Provider Billing Brochure #1905 | 12/2019 Rev. | 1/1/2300 12:00 | Process Owner: Bethany Allen/Shannon Hunnicutt | N | ||
| Physician Practices | Local | General Information | Cashier_Settlement_Sheet_SHS_2140-50-008_UPDATED.pdf | Cashier Settlement Sheet | 12/2020 Rev. | N | ||||
| Physician Practices | Local | General Information | 3769_NoVa_SMG_Updates_-_Practice_Provider-Dec020.pdf | NoVa SMG Practice & Provider Information Flyer | 12/2020 Rev. | 1/1/2300 12:00 | Elizabeth Rogers | N | ||
| Physician Practices | Local | General Information | SSS_Stafford_Woodbridge_BRO.pdf | Sentara Surgery Specialists Brochure (Northern Virginia) #1995 | 12/2020 Rev. | Diane Kerrick/Elizabeth Rogers | N | |||
| Physician Practices | Local | General Information | Top_HCC_Coding_Opportunities_2sided_neurology.pdf | Top HCC Coding Opportunities Neurology #2144 | 12/2020 Rev. | Stephanie Zeiber/Beth St. Laurent | N | |||
| Physician Practices | Local | General Information | Top_HCC_Coding_Opportunities_2sided_pulmonary.pdf | Top HCC Coding Opportunities Pulmonary #2156 | 12/2020 Rev. | Stephanie Zieber/Beth St. Laurent | N | |||
| Physician Practices | Local | General Information | 2829_Neuropsychologist_Flyer-print.pdf | Sentara Neurology Specialists Neuropsychologist Flyer | 2/2018 Rev. | 1/1/2300 12:00 | Bethany Allen | N | ||
| Physician Practices | Local | General Information | SCS_Med_Renewal_Letter_2018.pdf | SCS Medication Renewal Letter | 2/2019 Rev. | Run on Gold Logo Letterhead paper | 1/1/2300 12:00 | Jenn Woodard | N | |
| Physician Practices | Local | General Information | 2421_Bowel_Incontinence_Brochure_-_print.pdf | Solutions for Bowel Incontinence Brochure (Sentara Surgery Specialists Dr. FitzHarris) | 2/2019 Rev. | 1/1/2300 12:00 | Bethany Allen/Sara Jane Kelly | N | ||
| Physician Practices | Local | General Information | OrthoReferralCard-0318.pdf | Sentara Orthopedic & Sports Medicine Specialists Referral Card | 3/2018 Rev. | 1/1/2300 12:00 | Katrina Lintz | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | SRMG_PCC_Diet_and_Liquid_Instructions.pdf | SRMG Sentara Gastroenterology Specialist PCC Diet and Liquid Instructions #1405 | 3/2019 Rev. | Cynthia Hill | SRMH Print Shop | N | ||
| Physician Practices | Local | General Information | SRMG_PCC_LiquidInstructionsOnly.pdf | SRMG Sentara Gastroenterology Specialist PCC Liquid Instructions #1406 | 3/2019 Rev. | Cynthia Hill | SRMH Print Shop | N | ||
| Physician Practices | Local | General Information | BleachGermicidalCleaner_5_5x4_25.pdf | Bleach Germicidal Cleaner 5.5 x 4.25 Label, #1982 | 3/2020 Rev. | Waterproof Material from
Lindenmeyer 12 x 18 Digital White Matte Vinyl Adhesive LL43842 Priced 8 up to a sheet |
Melanie Englen/SMG Quality Management/Clinical Education | N | ||
| Physician Practices | Local | General Information | NewTownDiag_InfoCard.pdf | New Town Diagnostic Center Info Card #1975 | 3/2020 Rev. | New Town Diagnostic Center/Trish Davis | N | |||
| Physician Practices | Local | General Information | DocumentRetired.pdf | RETIRE 11/2019 Shannon Hunnicutt: Your Guide to Hospital-Based Practices #1729 | 4/2019 Rev. | 1/1/2300 12:00 | Process Owner: Shannon Hunnicutt/SMG Patient Accounting | N | ||
| Physician Practices | Local | General Information | STIHL_Health___Wellness_BRO.pdf | STIHL Health & Wellness Center Brochure #2239 | 4/2021 Rev. | Courtney Martone Marketing/Katherine Bush SMG | N | |||
| Physician Practices | Local | General Information | Sentara_Halifax_Pediatrics_Flyer_2220.pdf | Sentara Halifax Pediatrics Flyer #2220 | 4/2021 Rev. | 1/1/2300 12:00 | Christy Newton/Practice Manager | N | ||
| Physician Practices | Local | General Information | Top_HCC_Coding_Opportunities_InfectiousDisease.pdf | Top HCC Coding Opportunities Infectious Disease Card (3pgs)#2222 | 4/2021 Rev. | Stephanie Zeiber/Beth St. Laurent | N | |||
| Physician Practices | Local | General Information | SentaraFamilyMed_Ped__AnticipatoryGuidanceForYourNewbornRussell.pdf | Sentara Family Medicine and Pediatrics Physicians Anticipatory Guidance for Your Newborn, Dr. Russell #1784 | 5/2019 Rev. | 1/1/2300 12:00 | LaTonya Russell/Victoria Roche | N | ||
| Physician Practices | Local | General Information | SentaraFamilyMed_Ped__AnticipatoryGuidanceForYourNewbornRussell_ES.pdf | Sentara Family Medicine and Pediatrics Physicians Anticipatory Guidance for Your Newborn, Dr. Russell #1784, SPANISH | 5/2019 Rev. | 1/1/2300 12:00 | LaTonya Russell/Victoria Roche | N | ||
| Physician Practices | Local | General Information | 4149_3_Ways_SMG_Video_Visit_Flyer_-_print.pdf | 3 Ways SMG Video Visits Benefit Our Providers Flyer | 5/2020 Rev. | Bethany Allen/Marketing | N | |||
| Physician Practices | Local | General Information | HalifaxOccMed_ScreeningResultsCard.pdf | Halifax Occupational Medicine Screening Results Card #2017 | 5/2020 Rev. | SDHMA/Charlotte Davis | N | |||
| Physician Practices | Local | General Information | InNeedofPCPorPediatrician_3_5x2_2sided.pdf | In Need of a PCP or Pediatrician - half page | 6/2018 Rev. | 1/1/2300 12:00 | Sarah Haber | N | ||
| Physician Practices | Local | General Information | 2970_2018_Triage_Poster_-_Employee_-_print.pdf | Nurse Advice Line Triage Poster - EMPLOYEE - Self Adhesive Vinyl Wall Cling | 6/2018 Rev. | Send to Bizport; Self Adhesive
Vinyl Wall Cling Jaycen LeBlanc creative |
1/1/2300 12:00 | Sarah Haber | Bizport | N |
| Physician Practices | Local | General Information | 2970_2018_Triage_Poster_-_Patient_-_Print.pdf | Nurse Advice Line Triage Poster - PATIENT - Self Adhesive Vinyl Wall Cling | 6/2018 Rev. | Send to Bizport; Self Adhesive
Vinyl Wall Cling Jaycen LeBlanc creative |
1/1/2300 12:00 | Sarah Haber | Bizport | N |
| Physician Practices | Local | General Information | PPM-PodiatristsFlyer-0618.pdf | Podiatrists in the Harrisonburg Area Flyer | 6/2018 Rev. | Margaret Roy | N | |||
| Physician Practices | Local | General Information | SRMG_WHAT_TO_EXPECT_Supraorbital_Nerve_Block.pdf | SRMG WHAT TO EXPECT Supraorbital Nerve Block | 6/2020 Rev. | Cynthia Hill/SRMG Patient Safety & Accred. | N | |||
| Physician Practices | Local | General Information | COVID-19_Vaccination_Consent.pdf | COVID-19 Vaccination Consent #2277 | 6/2021 Rev. | SMG Practice Support | N | |||
| Physician Practices | Local | General Information | OrthoSurveyBrochure.pdf | Sentara Orthopedic SMS (DME) Your Opinion Counts Brochure #2289 | 6/2021 Rev. | 1/1/2300 12:00 | Cynthia Hill | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | 2970_2018_RN__Advice_Line.pdf | Nurse Advice Line Rack Card | 7/2019 Rev. | Jaycen LeBlanc creative | 1/1/2300 12:00 | Sarah Haber | N | |
| Physician Practices | Local | General Information | MJH-FindADocRackCard-0719.pdf | SMJH Need a Doctor? Rack Card | 7/2019 Rev. | 1/1/2300 12:00 | Diane DiCarlo | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | MJH-FindADocRackCardSPAN-0719.pdf | SMJH Need a Doctor? Rack Card SPANISH | 7/2019 Rev. | 1/1/2300 12:00 | Diane DiCarlo | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | SRMG_URO_VasectomyReversal_1803.pdf | SRMG Sentara Urology Specialists Vasectomy Reversal #1803 | 7/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill/SRMH Quality/Admin | N | ||
| Physician Practices | Local | General Information | 3641_Video_Visit_Flyer_Redesign_-_print.pdf | Video Visit Flyer | 7/2019 Rev. | 1/1/2300 12:00 | Bethany Allen | N | ||
| Physician Practices | Local | General Information | UrgentCare_vs_EmergencyCareFlyer.pdf | UNDER REVIEW Urgent Care vs. Emergency Care - 3 Simple Steps Flyer #1129 | 8/2016 Rev. | N | ||||
| Physician Practices | Local | General Information | Sentara-ABX_Resistance_11x17_2018.pdf | Do You Need An Antibiotic (SENTARA) #1171, 11x17, Laminated | 8/2018 Rev. | 1/1/2300 12:00 | Infection Prevention/Linda Estep/Jacqueline Butler SQCN Chris Tagliente and Bogdan Neughebauer | N | ||
| Physician Practices | Local | General Information | SQCN-ABX_Resistance_11x17_2018.pdf | Do You Need An Antibiotic (SQCN) #1172, 11x17, Laminated | 8/2018 Rev. | 1/1/2300 12:00 | Infection Prevention/Linda Estep/Jacqueline Butler SQCN Chris Tagliente and Bogdan Neughebauer | N | ||
| Physician Practices | Local | General Information | Sentara-ABX_Resistance_TriFold_2018.pdf | Do You Need An Antibiotic Brochure (SENTARA) #1169 | 8/2018 Rev. | 1/1/2300 12:00 | Infection Prevention/Linda Estep/Jacqueline Butler SQCN Chris Tagliente and Bogdan Neughebauer | N | ||
| Physician Practices | Local | General Information | SQCN-ABX_Resistance_TriFold_2018.pdf | Do You Need An Antibiotic Brochure (SQCN) #1170 | 8/2018 Rev. | 1/1/2300 12:00 | Infection Prevention/Linda Estep/Jacqueline Butler SQCN Chris Tagliente and Bogdan Neughebauer | N | ||
| Physician Practices | Local | General Information | Baritastic_Referral_Card_crop_marks.pdf | SMJMG Bariatric Care Center Card | 8/2018 Rev. | 1/1/2300 12:00 | Gina Mitchell/Sentara Martha Jefferson Medical And Surgical Associates | N | ||
| Physician Practices | Local | General Information | 2843_RCRN_Flyer-11x14_wall_cling_-_print.pdf | Your Guide to Selecting the Right Care at the Right Time - Self Adhesive Vinyl Wall Cling | 8/2018 Rev. | Send to Bizport; Self Adhesive
Vinyl Wall Cling Jaycen LeBlanc creative |
1/1/2300 12:00 | Sarah Haber/SMG Practice Support | Bizport | N |
| Physician Practices | Local | General Information | 2843_RCRN_Flyer-062218.pdf | Your Guide to Selecting the Right Care at the Right Time Double Sided Flyer | 8/2018 Rev. | 1/1/2300 12:00 | Sarah Haber/SMG Practice Support | N | ||
| Physician Practices | Local | General Information | OSM-OrthoProgramflyer-0819.pdf | Sentara Orthopedic & Sports Medicine Specialists Flyer | 8/2019 Rev. | 1/1/2300 12:00 | Process Owner: Tonya Turner | SRMH Print Shop | N | |
| Physician Practices | Local | General Information | SSS_AskAboutTelehealthFlyer.pdf | SSS Virtual Visits Flyer #2070 | 8/2020 Rev. | Sentara Surgery Specialists/Marketing/POC Julia Lohmann/Bethany Allen | N | |||
| Physician Practices | Local | General Information | 3143_Pediatrics_Flyer_Update_-_print.pdf | Sentara Pediatric Physicians Flyer | 9/2018 Rev. | Jaycen LeBlanc | 1/1/2300 12:00 | Sarah Dacey | N | |
| Physician Practices | Local | General Information | MED-patienthandout-0918.pdf | Sentara RMH Medical Group and Medical Center Parking Guide (Map) Flyer | 9/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Karen Pruitt | N | |
| Physician Practices | Local | General Information | ControlledSubstanceTreatmentAgreement_ES.pdf | Controlled Substance Treatment Agreement #1605, SPANISH | 9/2019 Rev. | 1/1/2300 12:00 | Candace Minter/SMG Pharmacy Administration | N | ||
| Physician Practices | Local | General Information | SMG_EMCodesCardBadge_4x4.pdf | SMG EM Codes 4 x 4 Badge SMG 6550-31-005 | 9/2019 Rev. | 1/1/2300 12:00 | Physician Billing/POC Gwen Van Heest | N | ||
| Physician Practices | Local | General Information | SMG_InitialHospitalCareBadge_5x3.pdf | SMG Initial Hospital Care, 5 x 3 Badge SMG 6550-31-006 | 9/2019 Rev. | 1/1/2300 12:00 | Physician Billing/POC Gwen Van Heest | N | ||
| Physician Practices | Local | General Information | SMG_SubsequentHospitalVisitsBadge5x3.pdf | SMG Subsequent Hospital Visits, 5 x 3 Badge SMG 6550-31-003 | 9/2019 Rev. | 1/1/2300 12:00 | Physician Billing/POC Gwen Van Heest | N | ||
| Physician Practices | Local | General Information | DocumentRetired.pdf | RETIRE 11/2019: Sentara RMH East Rockingham Health Center Providers Flyer | NOT ORDERED | SRMH Print Shop | N | |||
| Physician Practices | Local | Hospitalists | MKD-HospitalistServicesBroch-0619.pdf | SRMH Hospitalist Services Brochure | 6/2019 Rev. | 1/1/2300 12:00 | SRMH Print Shop | N | ||
| Physician Practices | Local | Hospitalists | MED-PedHospitalistBroch-0819.pdf | SRMH Pediatric Hospitalist Brochure | 8/2019 Rev. | Sarah Wichael | N | |||
| Physician Practices | Local | Occupational Medicine | DocumentRetired.pdf | Occupational Medicine Informed Consent for Administration of Influenza Virus Vaccine #1700, 2 part W/Y | 09/2020 Retired | 1/1/2300 12:00 | Mgr. Occ. Medicine/SMG Practice Support | N | ||
| Physician Practices | Local | Occupational Medicine | OccMed_EmployerReportMedicalClearanceCertificate_1453_2pt.pdf | Occupational Medicine Employer Report Medical Clearance Certificate #1453 | 10/2018 Rev. | 1/1/2300 12:00 | SMG Practice Support/Kimberly Morris | N | ||
| Physician Practices | Local | Occupational Medicine | OccMed_PhysicianExamandHealthHistory_2pt.pdf | Occupational Medicine Physical Examination/Health History #1517 | 10/2018 Rev. | 1/1/2300 12:00 | N | |||
| Physician Practices | Local | Occupational Medicine | OccMed_SpecializedPhysicalExamForm__2pt.pdf | Occuptional Medicince Specialized Physical Exam Form #1504 | 10/2018 Rev. | 1/1/2300 12:00 | SMG Practice Support/Kimberly Morris | N | ||
| Physician Practices | Local | Occupational Medicine | SOM_RapidUrineDrugScreenForm_2018.pdf | Occupational Medicince Rapid Instant Urine Drug Screen Results Form #1501, 2 part W/Y | 2/2018 Rev. | 1/1/2300 12:00 | Kimberly Morris/SMG Practice Support | N | ||
| Physician Practices | Local | Occupational Medicine | OccMed_FinancialAgreementandReleaseofInformation.pdf | Occupational Medicine Financial Agreement and Release of Information #0122 | 2/2018 Rev. | 1/1/2300 12:00 | SMG Practice Support/Kimberly Morris | N | ||
| Physician Practices | Local | Occupational Medicine | OccMed_PhysicianPAProviderChartNotes_2pt.pdf | Occupational Medicine Physician/PA/Provider Chart Notes #1503 | 2/2018 Rev. | 1/1/2300 12:00 | SMG Practice Support/Kimberly Morris | N | ||
| Physician Practices | Local | Occupational Medicine | OccMed_WorkersCompensationIntakeForm__2pt.pdf | Occupational Medicine Workers' Compensation Intake Form #1502 | 2/2018 Rev. | 1/1/2300 12:00 | SMG Practice Support/Kimberly Morris | N | ||
| Physician Practices | Local | Occupational Medicine | OccMed_RespiratorQuestionnaire.pdf | Occuupational Medicine Standard Respirator Questionnaire #1635 | 8/2018 Rev. | 1/1/2300 12:00 | SMG Practice Support/Kimberly Morris | N | ||
| Physician Practices | Local | Occupational Medicine | OccMed_TBTestingQuestionnaire.pdf | Occuupational Medicine TB Testing Questionnaire #1634 | 8/2018 Rev. | 1/1/2300 12:00 | SMG Practice Support/Kimberly Morris | N | ||
| Physician Practices | Local | Physician Office Forms | SMG_BilPayCard.pdf | Bill Pay Card (SMG) | Shannon Hunnicutt/Sentara Physician Billing | N | ||||
| Physician Practices | Local | Physician Office Forms | Medicare Patient: Notice of Estimated Beneficiary Co-Insurance Letter | Prints on Gold Logo Paper | N | |||||
| Physician Practices | Local | Physician Office Forms | DocumentRetired.pdf | RETIRED 7/2019 Cynthia Hill: Acknowledgment Form (SRMH Medical Group) | 2 part NCR; Benton Thomas | SMG Practice Support | N | |||
| Physician Practices | Local | Physician Office Forms | DocumentRetired.pdf | RETIRED 7/2019 Cynthia Hill: Sentara Evelyn Byrd Hospital Billing Card | 1/1/2300 12:00 | Cynthia HIll | SRMH Print Shop | N | ||
| Physician Practices | Local | Physician Office Forms | SentaraCardiologySpecialistWelcomeLetter.pdf | Sentara Cardiology Specialists Welcome Letter | 1/1/2300 12:00 | N | ||||
| Physician Practices | Local | Physician Office Forms | TEST Medicare Patient: MPNOEBCI Color R3 date | N | ||||||
| Physician Practices | Local | Physician Office Forms | DocumentRetired.pdf | ***RETIRED by Cynthia Hill*** SRMG/SCS Pacemaker-ICD Follow Up Notification Card | 05/2021 Rev. | Card Stock, fold with Return Address on the outside | 1/1/2300 12:00 | Cynthia Hill/Erica Huffman | N | |
| Physician Practices | Local | Physician Office Forms | DocumentRetired.pdf | ***RETIRED by Cynthia Hill*** SRMG/SCS Pacemaker-ICD Follow Up Notification Card, SPANISH | 05/2021 Rev. | Card Stock, fold with Return Address on the outside | 1/1/2300 12:00 | Cynthia Hill/Erica Huffman | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | WeRememberCard_Anniversary_Hospice_Chesapeake_Toni.pdf | We Remember Card with Preprinted Envelope, Chesapeake Hospice #1656 | 07/2021 Rev. | WHITE Card Stock, 2 up on 11 x 17, Fold to 8.5 x 5.5, 9 x 6 Blank Env. | 1/1/2300 12:00 | Toni V. Mayes | N | |
| Physician Practices | Local | Physician Office Forms | SMG_Front_Desk_Manual_Payment_Log_downtime.pdf | SMG Front Desk Manual Payment Log - Downtime | 08/2019 Rev. | 1/1/2300 12:00 | SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | SVSNEWPATIENTHISTORY.pdf | SVS New Patient History #2094 | 09/2020 Rev. | 2 pages, front to back | Brittany Diaz | N | ||
| Physician Practices | Local | Physician Office Forms | Epic_AMB_Downtime_Nurse_Lab_Rad_Form_2021.pdf | SMG Epic AMB Downtime Nurse/Lab/Rad Visit Encounter Form | 1/2021 Rev. | 1/1/2300 12:00 | Elka Taylor | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_BehavioralHealthWelcomeLetter_ES_updated.pdf | SRMG Behavioral Health Welcome Letter #1410, SPANISH | 10/2018 Rev. | 1/1/2300 12:00 | Cynthia Hill/Danita Adamson | N | ||
| Physician Practices | Local | Physician Office Forms | SRMH_SampleMedSignOut.pdf | SRMH Sample Medication Sign Out Slip, 2 part | 10/2018 Rev. | 1/1/2300 12:00 | Cynthia Hill | SRMH Print Shop | N | |
| Physician Practices | Local | Physician Office Forms | SMGPulmonaryAssociatesServicesRendered.pdf | Sentara Pulmonary Associates - Services Rendered #0157 | 10/2019 Rev. | White Card Stock, 2 sided, Cut to 8.5 x 4.25 | 1/1/2300 12:00 | Laura Kins/SMG Practice Support | N | |
| Physician Practices | Local | Physician Office Forms | CashDrawerLog_0696.pdf | Cash Drawer Log #0696 | 10/2020 Rev. | Flat Sheet; no hole punch | SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | DepositDropLog2ptWY.pdf | Deposit Drop Log - Physician Practices 2150-50-001 | 10/2020 Rev. | SMG Practice Support | N | |||
| Physician Practices | Local | Physician Office Forms | DepositPick-UpLog.pdf | Deposit Pick-Up Log - SMG 2150-10-001 | 10/2020 Rev. | 1/1/2300 12:00 | SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | PhysPracticesMSPQ.pdf | Medicare Secondary Payor Questionnaire 2150-50-002 | 10/2020 Rev. | 2 Part W/Y | Owner: SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | PhysPracticesMSPQ_Russian.pdf | Medicare Secondary Payor Questionnaire 2150-50-002, RUSSIAN | 10/2020 Rev. | 2 Part W/Y | Owner: SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | PhysPracticesMSPQ_Spanish.pdf | Medicare Secondary Payor Questionnaire 2150-50-002, SPANISH | 10/2020 Rev. | 2 Part W/Y | Owner: SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | PhysPracticesPatientWaiver.pdf | Patient Waiver Of Liability 5421-50-001 | 10/2020 Rev. | SMG Practice Support | N | |||
| Physician Practices | Local | Physician Office Forms | PhysPracticesPatientWaiverRussian.pdf | Patient Waiver Of Liability RUSSIAN 5421-50-001 | 10/2020 Rev. | SMG Practice Support | N | |||
| Physician Practices | Local | Physician Office Forms | PhysPracticesPatientWaiver_spanish.pdf | Patient Waiver Of Liability, SPANISH 5421-50-001 | 10/2020 Rev. | SMG Practice Support | N | |||
| Physician Practices | Local | Physician Office Forms | WorkersCompInjuryStatusReport.pdf | Physician Practices Workers? Compensation Injury Status Report #1243 | 10/2020 Rev. | 1/1/2300 12:00 | SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_PatientchecklistDMEstickerroom_2pt.pdf | SRMG Assignment of Benefits/Education Checklist | 10/2020 Rev. | 1/1/2300 12:00 | Cynthia Hill/Scott Allyn | N | ||
| Physician Practices | Local | Physician Office Forms | SRMH_BenefitsNotificationandReceiptofServicesstickerroom.pdf | SRMG Benefits Notification and Receipt of Services | 10/2020 Rev. | 1/1/2300 12:00 | Cynthia Hill/Scott Allyn | N | ||
| Physician Practices | Local | Physician Office Forms | SCSNEWPATIENTHISTORY.pdf | Cardiology Specialists New Patient History #0499 | 11/2017 Rev. | 1/1/2300 12:00 | SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | SHRH_Obstetrics_CONSENTS.pdf | Important Information Regarding Biopsies/Cryotherapy Consent #1457 | 11/2017 Rev. | 1/1/2300 12:00 | Christy Newton | N | ||
| Physician Practices | Local | Physician Office Forms | Downtime_Form_AMB_Office_Visit_Procedure_Enc_Nov_2020.pdf | SMG AMB Downtime Office Visit/Procedure Encounter Short Form #2131 | 11/2020 Rev. | 2 page | 1/1/2300 12:00 | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_BehavioralHealthWelcomeLetter.pdf | SRMG Behavioral Health Welcome Letter #1410 | 11/2020 Rev. | 1/1/2300 12:00 | Cynthia Hill/Danita Adamson | N | ||
| Physician Practices | Local | Physician Office Forms | SASD_Medical_Emergency_Doc_SBAR.pdf | Medical Emergency Documentation Form #2145 | 12/2020 Rev. | SMG Practice Support/Kim Sipos | N | |||
| Physician Practices | Local | Physician Office Forms | PhysPractices_SCWLS_Lab_Slip.pdf | Lab Slip (SCWLS) #1373 | 2/2018 Rev. | 1/1/2300 12:00 | Process Owner: Kristy R Brow-Battalio | N | ||
| Physician Practices | Local | Physician Office Forms | PhysPracticesMiscPaymentandOverageLog.pdf | Miscellaneous Payment and Overage Log - Physician Practice 2150-50-003 | 2/2019 Rev. | 1/1/2300 12:00 | Process Owner: SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_ABNPrivate_Insurance.pdf | SRMG ABN Patient Waiver for Non-Covered Services | 2/2020 Rev. | Cynthia Hill/Scott Allyn | SRMH Print Shop | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_ABNPrivate_Insurance_ES.pdf | SRMG ABN Patient Waiver for Non-Covered Services, SPANISH | 2/2020 Rev. | Cynthia Hill/Scott Allyn | SRMH Print Shop | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_BehavioralHealthMedic_1411.pdf | SRMG Behavioral Health Medical Form #1411 | 2/2020 Rev. | Danita Adamson | N | |||
| Physician Practices | Local | Physician Office Forms | SRMG_WhatToExpectSphenopalatineGanglionNerveBlock.pdf | SRMG What To Expect Sphenopalatine Ganglion Nerve Block #1955 | 2/2020 Rev. | Cynthia Hill/SRMG | N | |||
| Physician Practices | Local | Physician Office Forms | Epic_AMB_Downtime_Telephone_Refill_Enc_2021.pdf | SMG Epic AMB Downtime Telephone/Refill Encounter Form | 2/2021 Rev. | 1/1/2300 12:00 | Elka Taylor | N | ||
| Physician Practices | Local | Physician Office Forms | HuddleWorksheet_1574.pdf | Huddle Worksheet #1574 | 3/2018 Rev. | 1/1/2300 12:00 | SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_GI_Procedure_Instructions.pdf | SRMG Gastroenterology Procedure Instructions #1692 | 3/2019 Rev. | Cynthia Hill/Danise Hottinger | N | |||
| Physician Practices | Local | Physician Office Forms | MSPQ-Prelude_Spanish_FINAL.pdf | Medicare Secondary Payor Questionnaire - Prelude Spanish #1682 | 3/2021 Rev. | 2 Part W/Y | 1/1/2300 12:00 | Owner: SMG Practice Support | N | |
| Physician Practices | Local | Physician Office Forms | SentaraOBGYNBillingCard.pdf | Sentara OB/GYN Billing Card #1302 | 4/2017 Rev. | N | ||||
| Physician Practices | Local | Physician Office Forms | PhysPracticesPedsProxyNon-UrgentCare.pdf | Consent by Proxy for Non-Urgent Pediatric Care #0473 | 4/2019 Rev. | 1/1/2300 12:00 | SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | PhysPracticesPedsProxyNon-UrgentCareRussian.pdf | Consent by Proxy for Non-Urgent Pediatric Care #0473, RUSSIAN | 4/2019 Rev. | 1/1/2300 12:00 | SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | PhysPracticesPedsProxyNon-UrgentCare_spanish.pdf | Consent by Proxy for Non-Urgent Pediatric Care #0473, SPANISH | 4/2019 Rev. | 2 page | 1/1/2300 12:00 | N | ||
| Physician Practices | Local | Physician Office Forms | MSPQ-Prelude.pdf | Medicare Secondary Payor Questionnaire - Prelude #1682 | 4/2019 Rev. | 2 Part W/Y | 1/1/2300 12:00 | Owner: SMG Practice Support | N | |
| Physician Practices | Local | Physician Office Forms | MSPQ-Prelude.pdf | Medicare Secondary Payor Questionnaire - Prelude #1682, LAMINATED | 4/2019 Rev. | 1/1/2300 12:00 | Owner: SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_PatientHistoryProblemList.pdf | Patient History/Problem Summary List #0872 | 4/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill | N | ||
| Physician Practices | Local | Physician Office Forms | SFMNotificationofResults1080Bldg_CardStock.pdf | Sentara Family Medicine Physicians (1080 Medical Office Building) - Notification of Results | 4/2019 Rev. | 1/1/2300 12:00 | SMG Practice Support/SFMP Barbara Lunn | N | ||
| Physician Practices | Local | Physician Office Forms | SentaraFamilyMed_Ped_Prenatal_Visit.pdf | Sentara Family Medicine and Pediatrics Physicians Prenatal Visit #1783 | 5/2019 Rev. | 1/1/2300 12:00 | LaTonya Russell/Victoria Roche | N | ||
| Physician Practices | Local | Physician Office Forms | SentaraFamilyMed_Ped_Prenatal_Visit_ES.pdf | Sentara Family Medicine and Pediatrics Physicians Prenatal Visit #1783, SPANISH | 5/2019 Rev. | 1/1/2300 12:00 | LaTonya Russell/Victoria Roche | N | ||
| Physician Practices | Local | Physician Office Forms | SMG_HandP_form_11x17_2020.pdf | Patient Personal History Form #1399 (Previously form #1344) | 5/2020 Rev. | SMG Practice Support | N | |||
| Physician Practices | Local | Physician Office Forms | PhysPracticesRegistrationForm.pdf | Patient Registration Form #0133 | 5/2020 Rev. | SMG Practice Support/POC Eriqua Rudolph | N | |||
| Physician Practices | Local | Physician Office Forms | PhysPracticesRegistrationForm_Russian.pdf | Patient Registration Form, Russian #0133 | 5/2020 Rev. | SMG Practice Support/POC Eriqua Rudolph | N | |||
| Physician Practices | Local | Physician Office Forms | PhysPracticesRegistrationForm_Spanish.pdf | Patient Registration Form, Spanish #0133 | 5/2020 Rev. | SMG Practice Support/POC Eriqua Rudolph | N | |||
| Physician Practices | Local | Physician Office Forms | SentaraFootandAnkleSpecDischargeInstructions_edits.pdf | Sentara Foot and Ankle Discharge Instructions #2036 | 5/2020 Rev. | Karen Cumber/Sentara Foot and Ankle Specialists | N | |||
| Physician Practices | Local | Physician Office Forms | SentaraFootandAnklePreOpInstructions_edits.pdf | Sentara Foot and Ankle Pre-Op Instructions #2035 | 5/2020 Rev. | Karen Cumber/Sentara Foot and Ankle Specialists | N | |||
| Physician Practices | Local | Physician Office Forms | Thermal Infrared Custom White Label SCM15552 | 5000 Labels (2 rolls) per box | Inventory item. Sandra Eanes Orders | 1/1/2300 12:00 | Nancy Martini | N | ||
| Physician Practices | Local | Physician Office Forms | SRMGEmployerPhyExamReport.pdf | Employer's Physical Examination Report #0870 | 6/2019 Rev. | Single sided white paper | 1/1/2300 12:00 | Cynthia Hill | N | |
| Physician Practices | Local | Physician Office Forms | PhysPracticesInjuryQuestionnaire_2ptWY.pdf | Injury Questionnaire - Physician Practice 3120-50-008 | 6/2019 Rev. | 2 Part W/Y | 1/1/2300 12:00 | SMG Practice Support | N | |
| Physician Practices | Local | Physician Office Forms | PhysPracticesInjuryQuestionnaire_2ptWY_Russian.pdf | Injury Questionnaire - Physician Practice 3120-50-008, RUSSIAN | 6/2019 Rev. | 2 part | 1/1/2300 12:00 | SMG Practice Support | N | |
| Physician Practices | Local | Physician Office Forms | PhysPracticesInjuryQuestionnaire_2ptWY_spanish.pdf | Injury Questionnaire - Physician Practice 3120-50-008, SPANISH | 6/2019 Rev. | 2 part | 1/1/2300 12:00 | SMG Practice Support | N | |
| Physician Practices | Local | Physician Office Forms | SRMG_OrthoPatientHistory.pdf | Patient History, Sentara RMH Orthopedics & Sports Medicine #1192 | 6/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_SalivaAlcoholTestingForm.pdf | SRMG Saliva Alcohol Testing Form #0873 | 6/2019 Rev. | Single sided white paper | 1/1/2300 12:00 | Cynthia Hill | N | |
| Physician Practices | Local | Physician Office Forms | SRMG_PreplacementPhysicalExaminationRecord_1380.pdf | SRMG Sentara Occupational Health Specialists Preplacement Physical Examination Record #1380 | 6/2019 Rev. | 1/1/2300 12:00 | Cynthia Hill/Sue Custoer | N | ||
| Physician Practices | Local | Physician Office Forms | SRMGTBScreeningForm.pdf | SRMG Tuberculosis Screening #0874 | 6/2019 Rev. | Single sided white paper | 1/1/2300 12:00 | Cynthia Hill | N | |
| Physician Practices | Local | Physician Office Forms | SRMGWCFollowUpIntakeSheet.pdf | Follow Up Intake Sheet #0875 | 6/2021 Rev. | Two sided buff paper | Cynthia Hill | N | ||
| Physician Practices | Local | Physician Office Forms | SRMGGreenIntakeSheet.pdf | Intake Form #0871 | 6/2021 Rev. | Two sided Green Paper | Cynthia Hill | N | ||
| Physician Practices | Local | Physician Office Forms | PhysPracticesAutomobileInjuryQuestionnaire.pdf | Automobile Injury Questionnaire #0358 | 7/2019 Rev. | Flat Sheet B&W | 1/1/2300 12:00 | N | ||
| Physician Practices | Local | Physician Office Forms | Offsite_RCRA_Label_5x2_8up.pdf | Hazardous Pharm Waste Label 5x2, #1805 | 7/2019 Rev. | 1/1/2300 12:00 | Candace Minter/SMG Pharmacy Administration | N | ||
| Physician Practices | Local | Physician Office Forms | PhysClinics_VerbalReleaseofInformation.pdf | Physician Clinics Verbal Release of Information #2302 | 7/2021 Rev. | Eriqua Rudolph/SMG Practice Support | N | |||
| Physician Practices | Local | Physician Office Forms | OccMed_RequestforTreatmentandServices.pdf | Occuupational Medicine Request for Treatment/Services #0435 | 8/2018 Rev. | 1/1/2300 12:00 | SMG Practice Support/Kimberly Morris | N | ||
| Physician Practices | Local | Physician Office Forms | SFMP_1380TuscanyDrive_ReferralForm_halfsheetpadded.pdf | SFMP 1380 Tuscany Drive Referral Form SMG 5450-50-002, 100 p/pad | 8/2019 Rev. | 1/1/2300 12:00 | N | |||
| Physician Practices | Local | Physician Office Forms | SRMG_UROLOGY_NEW_PATIENT_HISTORY_AND_ROS__002_.pdf | SRMG Urology New Patient History and Physical UR0100 | 8/2019 Rev. | Cynthia Hill/SRMG | N | |||
| Physician Practices | Local | Physician Office Forms | Prelude_Registration_Form_Revised_8-2020.pdf | Patient Registration Form - Prelude #1683 | 8/2020 Rev. | 1/1/2300 12:00 | Owner: SMG Practice Support | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_Gastroenterology_Patient_History_1691.pdf | SRMG Gastroenterology Patient History Form #1691 | 8/2021 Rev. | 1/1/2300 12:00 | Cynthia Hill/Danise Hottinger | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_Nephrology_Patient_History_Form_1690.pdf | SRMG Nephrology Patient History Form #1690 | 8/2021 Rev. | 1/1/2300 12:00 | Cynthia Hill/Danise Hottinger | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_Neurology_Patient_History_Form_1689.pdf | SRMG Neurology Patient History Form #1689 | 8/2021 Rev. | 1/1/2300 12:00 | Cynthia Hill/Danise Hottinger | N | ||
| Physician Practices | Local | Physician Office Forms | SRMG_SleepMedicine_MSLTquestionnaire.pdf | SRMG Sleep Specialists MSLT/MWT Questionnaire #1660 | 9/2018 Rev. | 1/1/2300 12:00 | N | |||
| Physician Practices | Local | Physician Office Forms | ControlledSubstanceTreatmentAgreement.pdf | Controlled Substance Treatment Agreement #1605 | 9/2019 Rev. | 1/1/2300 12:00 | Candace Minter/SMG Pharmacy Administration | N | ||
| Physician Practices | Local | Physician Office Forms | SentaraPodiatrySpecInstafternailsurg_100ppad.pdf | Sentara Podiatry Specialists Instructions After Nail Surgery SMG 4180-10-001, 100 p/pad | 9/2019 Rev. | Cut to 4.25 x 5.5 | 1/1/2300 12:00 | Process Owner: SMG Practice Support/POC Karen Cumber | N | |
| Physician Practices | Local | Physician Office Forms | VEINCENTERNEWPATIENTHISTORY.pdf | Vein Center New Patient History #2093 | 9/2020 Rev. | 3 pages, front to back | Brittany Diaz | N | ||
| Physician Practices | Local | Physician Office Forms | ABNEnglish2023v508.pdf | Advance Beneficiary Notice of Non-Coverage ABN CMS-R-131 English | Exp. 6/30/2023 | N | ||||
| Physician Practices | Local | Physician Office Forms | ABNSpanish2023v508.pdf | Advance Beneficiary Notice of Non-Coverage ABN CMS-R-131 Spanish | Exp. 6/30/2023 | N | ||||
| Physician Practices | Local | Rx Pads | Albemarle Physician Services (APS) RX Pad Template (Pads of 100 scripts) | Print on Rx Paper | 1/1/2300 12:00 | N | ||||
| Physician Practices | Local | Rx Pads | Physician Clinic Rx Pad | N | ||||||
| Physician Practices | Local | Rx Pads | PPM-PrescPads-EB-Cardiology.pdf | Sentara RMH Evelyn Byrd Health Center Cardiology Rx - 100 scripts per pad | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Physician Practices | Local | Rx Pads | PPM-PrescPads-EB-Gastroenterology.pdf | Sentara RMH Evelyn Byrd Health Center Gastroenterology Rx - 100 scripts per pad | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Physician Practices | Local | Rx Pads | PPM-PrescPads-EB-Nephrology.pdf | Sentara RMH Evelyn Byrd Health Center Nephrology Rx - 100 scripts per pad | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Physician Practices | Local | Rx Pads | SRMHOccHealthCenterRx.pdf | Sentara RMH Occupational Health Specialists Rx Pad - 100 scripts per pad | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Physician Practices | Local | SACO | CMS_Beneficiary_Notice.pdf | CMS Beneficiary Notice | Alex Bai | N | ||||
| Physician Practices | Local | SACO | CMS_Poster.pdf | CMS Poster, 8.5 x 11 | Alex Bai | N | ||||
| Physician Practices | Local | SACO | SACO_Letter_to_Beneficiary.pdf | SACO Letter to Beneficiary | Alex Bai | N | ||||
| Physician Practices | Local | SAPS | APS_CashDrawerLog.pdf | Cash Drawer Log (APS) | 10/2020 Rev. | Flat Sheet; no hole punch | N | |||
| Physician Practices | Local | SAPS | APS_MSPQ.pdf | Medicare Secondary Payor Questionnaire APS 2150-50-002 | 10/20202 Rev. | Flat Sheet; no hole punch | Process Owner: SMG Practice Support | N | ||
| Physician Practices | Local | SDHMA | HSA_ChargeCard_4up.pdf | SDHMA Charge Card #1460 | 11/2017 Rev. | 1/1/2300 12:00 | Process Owner: Cecil Hazelwood | Benton Thomas | N | |
| Physician Practices | Local | SDHMA | NoShowPolicyDentalClinic_-_July_2018.pdf | SDHMA No Show Policy Dental Clinic | 11/2018 Rev. | Flat Sheet, Single Sided, No Holes, No Staple; Benton Thomas | 1/1/2300 12:00 | Cherie B. Madison/Practice Liaison | Benton Thomas | N |
| Physician Practices | Local | SDHMA | DentalPatientAcknowledgement_-_July_2018.pdf | SDHMA Patient Acknowledgement Dental | 11/2018 Rev. | Flat Sheet, Single Sided, No Holes, No Staple; Benton Thomas | 1/1/2300 12:00 | Charlotte Davis/ Cherie B. Madison/Practice Liaison | Benton Thomas | N |
| Physician Practices | Local | SDHMA | DentalConsenttoTreatForm_July_2018.pdf | SDHMA Consent to Treat Form Dental | 7/2018 Rev. | Flat Sheet, Single Sided, No Holes, No Staple; Benton Thomas | 1/1/2300 12:00 | Cherie B. Madison/Practice Liaison | Benton Thomas | N |
| Physician Practices | Local | SDHMA | HealthHistoryForm_July_2018.pdf | SDHMA Health History Form | 7/2018 Rev. | Flat Sheet, Single Sided, No Holes, No Staple; Benton Thomas | 1/1/2300 12:00 | Cherie B. Madison/Practice Liaison | Benton Thomas | N |
| Physician Practices | Local | SDHMA | DentalMedicalHistory_July_2018.pdf | SDHMA Medical History Dental Clinic | 7/2018 Rev. | Flat Sheet, Single Sided, No Holes, No Staple; Benton Thomas | 1/1/2300 12:00 | Cherie B. Madison/Practice Liaison | N | |
| Physician Practices | Local | SDHMA | DentalClinicPatientInformation-Registration_July_2018.pdf | SDHMA Patient Information-Registration Dental Clinic | 7/2018 Rev. | Flat Sheet, Single Sided, No Holes, No Staple; Benton Thomas | 1/1/2300 12:00 | Cherie B. Madison/Practice Liaison | N | |
| Physician Practices | Local | SDHMA | RecordofHospitalVisit.pdf | SDHMA Record of Hospital Visit #1616 | 7/2018 Rev. | 1/1/2300 12:00 | Christy Newton | Benton Thomas | N | |
| Physician Practices | Local | SDHMA | My_Halifax_Medical_Record_RelayHealth_signupsheet_July_2018.pdf | SDHMA RelayHealth Sign-up Sheet | 7/2018 Rev. | Flat Sheet, Single Sided, No Holes, No Staple; Benton Thomas | 1/1/2300 12:00 | Cherie B. Madison/Practice Liaison | Benton Thomas | N |
| Physician Practices | Local | SQCN | Care_Management_Tip_Sheet_SMG.pdf | Care Management Tip Sheet SQCN #2253 | 05/2021 Rev. | Ashton Sibley | N | |||
| Physician Practices | Local | SQCN | Caregiver_Tips_SMG_v2.pdf | Caregiver Tips SMG #2254 | 05/2021 Rev. | Ashton Sibley | N | |||
| Physician Practices | Local | SQCN | Fall_Prevention_Tip_Sheet_SMG.pdf | Fall Prevention Tip Sheet SQCN #2252 | 05/2021 Rev. | Ashton Sibley | N | |||
| Physician Practices | Local | SQCN | Care_Management_Rack_Broc_-_0518_HiRes.pdf | SQCN Care Management Trifold | 18-May | 1/1/2300 12:00 | Paulette Carson | N | ||
| Physician Practices | Local | Support Services | MJH-Recruiterpcard-0718_edited.pdf | SMJMG We are growing our team... Postcard | 8/2018 Rev. | 1/1/2300 12:00 | Deanna Barbeau-Scott/Diane Dicarlo | SRMH Print Shop | N | |
| Physician Practices | Local | Support Services | MJH-Recruiterposter-0718.pdf | SMJMG We are growing our team... Poster, 11 x 17 | 8/2018 Rev. | 1/1/2300 12:00 | Deanna Barbeau-Scott/Diane Dicarlo | SRMH Print Shop | N | |
| Physician Practices | Local | Support Services | SMG CIOX Labels | Previously SMG ROI Label | SMG Practice Support/Beth Barnes | N | ||||
| Physician Practices | Local | Virtual Care | 3678_eConsult_BiFold-_print.pdf | eConsult Brochure | 10/2019 Rev. | Courtney Martone/Alisha Dore' | N | |||
| Physician Practices | Local | Virtual Care | 3731_Sentara_App_Rack_-_print-final.pdf | Sentara Virtual Care Rack Card | 9/2019 Rev. | 1/1/2300 12:00 | Bethany Allen/Marketing | N | ||
| Physician Practices | Local | default | OccHealthRapidUrineDrugScreenForm.pdf | Occupational Medicine - Rapid Instant Urine Drug Screen Results Form SOH 2530-50-001 (12/12) | 2/2018 Rev. | 1/1/2300 12:00 | Pack(s)-250 Sets p/pack | N | ||
| Quality-Safety | Local | COVID-19 | 4022_COVID19_Call_Center_BCs_Bullets_-_print__002_.pdf | COVID-19 Coronavirus Call Center Card, 3.5 x 2 | Chelsie Williams | N | ||||
| Quality-Safety | Local | COVID-19 | SocialDistancing_FloorSticker_8x8.pdf | Social Distancing Floor Sticker 8 x 8 (CARPETED FLOORING) | Removable Vinyl Adhesive for
use on carpeting Bizport |
N | ||||
| Quality-Safety | Local | COVID-19 | SocialDistancing_FloorSticker_8x8.pdf | Social Distancing Floor Sticker 8 x 8 (FLOORING NOT CARPET) | Removable Vinyl Adhesive for
use on flooring Bizport |
N | ||||
| Quality-Safety | Local | COVID-19 | Moderna_Bud_Tracking_Label_CDC.pdf | Moderna Bud Tracking Label CDC Labels (6 up, 24 labels per order) | 01/2021 Rev. | Candace Minter | N | |||
| Quality-Safety | Local | COVID-19 | Moderna_syringe_sticker_14up.pdf | Moderna Syringe Sticker (14 up, 100 labels per order) | 01/2021 Rev. | Candace Minter | N | |||
| Quality-Safety | Local | COVID-19 | 4418_COVID19_Vaccine_Side_Effects_-_print.pdf | COVID-19 Vaccine Side Effects Flyer | 02/2021 Rev. | Kelly Kennedy | N | |||
| Quality-Safety | Local | COVID-19 | 4418_COVID19_Vaccine_Side_Effects_Spanish_-_print.pdf | COVID-19 Vaccine Side Effects Flyer (Spanish) | 02/2021 Rev. | Kelly Kennedy | N | |||
| Quality-Safety | Local | COVID-19 | 4199_SNGH_Radio_Signage_-_Contagion_-_11x14_-_print2.pdf | COVID-19 Probability of Contagion (Wall Cling, 11" x 14") | 04/2021 Rev. | BizPort | N | |||
| Quality-Safety | Local | COVID-19 | 4199_SNGH_Radio_Signage_-_Elevator_DISTANCING_-_11x14_-_print2.pdf | COVID-19 Elevator Distancing (Wall Cling, 11" x 14") | 04/2021 Rev. | BizPort | N | |||
| Quality-Safety | Local | COVID-19 | 4199_SNGH_Radio_Signage_-_DISTANCING_-_11x14_-_print2.pdf | COVID-19 Maintain Social Distancing (Wall Cling, 11" x 14") | 04/2021 Rev. | BizPort | N | |||
| Quality-Safety | Local | COVID-19 | 4199_SNGH_Radio_Signage_-_Safety_-_11x14_-_TLG_-_print2.pdf | COVID-19 Masks Required - Bilingual (Wall Cling 11" x 14") | 04/2021 Rev. | BizPort | N | |||
| Quality-Safety | Local | COVID-19 | Covid_Clinic_trifold_brochure.pdf | Covid Clinic Tri-fold Brochure #2232 | 04/2021 Rev. | Reem B Yousif/Julia R Lohmann | N | |||
| Quality-Safety | Local | COVID-19 | 2x2_round_social_distancing_sticker_FINAL.pdf | 2"x2" Round Social Distancing Sticker (250/roll) | 06/2020 Rev. | 1/1/2300 12:00 | Brian York/Julie A Suedmeyer-Buller | BCT | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Infusion Pharmacy | InfusionPharmacyServices_AmbulatoryPumpStatement_1704.pdf | Infusion Pharmacy Services Ambulatory Pump Statement #1704 | 07/2021 Rev. | 1/1/2300 12:00 | Laura Borowski | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Infusion Pharmacy | InfusionPharmacyServices_AmbulatoryPumpStatement_Sapphire_2294.pdf | Infusion Pharmacy Services Ambulatory Pump Statement Sapphire #2294 | 07/2021 Rev. | Laura Borowski, Dontel Morris | N | |||
| Stationery | Local | Cards (Stationery) | SNGH_6K_Nursing_ThankYouCard.pdf | SNGH 6K Nursing Thank You Card w/ Preprinted Envelope | 07/2021 Rev. | Nyasia Z Harrell | N | |||
| Stationery | Local | Cards (Stationery) | SNGH_8River.pdf | SNGH 8 River Thank You Card, Embossed Logo Notecard with preprinted Envelope | 07/2021 Rev. | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | Anita Jordan-Williams | N | |
| Support Services | Local | Bereavement | SNVMC_NextStepsBereavementBook_booklet_COMPLETE.pdf | SNVMC Next Steps Bereavement Booklet #0252 | 07/2021 Rev. | Cindy Hardy | N | |||
| Support Services | Local | General Services/Information | SHRH_Chaplaincy_Thumbprint_Business_Card.pdf | SHRH Chaplaincy Thumbprint Card (3.5" x 2") | 07/2021 Rev. | Vance Midgett | N | |||
| Support Services | Local | Laboratory | SAMC_SelfTest_brochure_8_5x14_4panel.pdf | SAMC SelfTest Brochure #2197 Please contact Kathy Prussock at KAPRUSSO@sentara.com for this brochure. | 07/2021 Rev. | Kathy Prussock/Central Testing | N | |||
| Support Services | Local | Laboratory | Halifax_SelfTest_brochure_8_5x14_4panel_12_2019.pdf | SHRH SelfTest Brochure #1924 Please contact Kathy Prussock at KAPRUSSO@sentara.com for this brochure. | 07/2021 Rev. | Kathy Prussock/Central Testing | N | |||
| Support Services | Local | Laboratory | SMJH_SelfTest_brochure_8_5x14_4panel.pdf | SMJH SelfTest Brochure #2198 (Please contact Kathy Prussock at KAPRUSSO@sentara.com for this brochure) | 07/2021 Rev. | 1/1/2300 12:00 | Kathy Prussock/Central Testing | N | ||
| Support Services | Local | Laboratory | SNVMC_SelfTest_brochure_8_5x14_4panel.pdf | SNVMC SelfTest Brochure #2192 Please contact Kathy Prussock at KAPRUSSO@sentara.com for this brochure. | 07/2021 Rev. | Kathy Prussock/Central Testing | N | |||
| Support Services | Local | Laboratory | SRMH_SelfTest_brochure_8_5x14_4panel_NO_CROP.pdf | SRMH SelfTest Brochure #2193 Please contact Kathy Prussock at KAPRUSSO@sentara.com for this brochure. | 07/2021 Rev. | Kathy Prussock/Central Testing | N | |||
| Support Services | Local | Laboratory | SelfTest_brochure2020_8_5x14_4panel.pdf | Sentara SelfTest Brochure #1923 (Please contact Kathy Prussock at KAPRUSSO@sentara.com for this brochure) | 07/2021 Rev. | 1/1/2300 12:00 | Kathy Prussock/Central Testing | N | ||
| Weight Loss | Local | General Information | SNVMC_BMI_Chart_11x8.5_4FINAL.pdf | SNVMC BMI Chart 11" x 8.5" Notepad (50 pages per pad) | 07/2021 Rev. | 50 pages per pad | Stacy Rounds | N | ||
| Weight Loss | Local | General Information | 500379_WLS_Exercise_8.5x11_5FINAL.pdf | SNVMC Weight Loss Exercise Resource Flyer (8.5"x11.5") | 07/2021 Rev. | Stacy Rounds | N | |||
| Epic Uptime Forms | Local | CNSNT | DonorHumanMilkProducts_CNSNT141.pdf | Donor Human Milk Products CNSNT141 | 06/2021 Rev. | 1/1/2300 12:00 | MINPF | N | ||
| Epic Uptime Forms | Local | FIN | DocumentRetired.pdf | ***RETIRED*** Hampton Roads & SMG Consent for Treatment & Financial Agreement (Virginia) - - Prelude FIN001, LAMINATED | 06/2021 Rev. | Owner: SMG Practice Support/Bobby Richman | N | |||
| Epic Uptime Forms | Local | MDOPNT | SPAHORCountRecordMDOPNT006.pdf | SPAH Family Maternity Center - C-Section Count Record MDOPNT006 | 06/2021 Rev. | 1/1/2300 12:00 | Reagan Boomer (MINPF/SPAH) | N | ||
| Epic Uptime Forms | Local | MDORD | Iodine_125_RSL_Written_Directive_MDORD567.pdf | Iodine 125 RSL Written Directive MDORD567 (2 pages) | 06/2021 Rev. | Thelma Papini | N | |||
| Heart/Vascular | Local | Forms | 3926_Structural_Heart_Testing_Scheule_Redesign_-_collected.pdf | Sentara Cardiology Specialists - Structural Heart Testing Schedule #2276 | 06/2021 Rev. | Rosaura Gonzalez | N | |||
| Quality-Safety | Local | COVID-19 | 7x7_6ftsocialdistant_floordecal.pdf | 7"x7" Social Distancing Flooring Cue (Square) | 07/2020 Rev. | Harrington Graphics to print
Email Contact for Jobs: rob@harringtongraphics.com |
Julie Suedmeyer-Buller/Brian York | Harrington Graphics | N | |
| Heart/Vascular | Local | General Information | DocumentRetired.pdf | ***RETIRED, per Brian York*** Heart Failure Zones Magnet | 06/2021 Rev. | Send to Bizport | 1/1/2300 12:00 | Brian York | Bizport | N |
| Heart/Vascular | Local | General Information | SentaraAnticoagulationServices_Brochure_1289_2021.pdf | Sentara Anticoagulation Services Coumadin/Warfarin Brochure #1289 | 06/2021 Rev. | Jones Printing | Process Owner: Bethany Allen | N | ||
| Heart/Vascular | Local | General Information | SentaraCardioSpecialists_StructuralHeartCenter_folder.pdf | Sentara Cardiology Specialists - Structural Heart Center Pocketfolder | 06/2021 Rev. | Rosaura Gonzalez | Allegra | N | ||
| Quality-Safety | Local | COVID-19 | SLH_ICU_WaitingRoomClosed_22x28.pdf | ICU Waiting Room Closed 22" x 28" Foam Core | 09/2020 Rev. | 22" x 28" foam core | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | PhysicalDistance_12inDecal_RED.pdf | COVID-19 Physical Distance 12" Square Decal RED (Sets of 10) | 10/2020 REv. | Stacy Rounds | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | COVID19_SentaraScreeningPoster_11x17.pdf | COVID-19 Employee Screening Poster 11" x 17" (Laminated) | 10/2020 Rev. | Laminating | Kelly Kennedy | N | ||
| Quality-Safety | Local | COVID-19 | COVID19_SentaraScreeningPoster_13x19.pdf | COVID-19 Employee Screening Poster 13" x 19" (Laminated) | 10/2020 Rev. | Laminated | Kelly Kennedy | N | ||
| Quality-Safety | Local | COVID-19 | COVID19_SentaraScreeningPoster_24x36.pdf | COVID-19 Employee Screening Poster 24" x 36" (Laminated) | 10/2020 Rev. | Laminated | Kelly Kennedy | BizPort | N | |
| Quality-Safety | Local | COVID-19 | Covid_19_EmployeeScreening_8_5x11.pdf | COVID-19 Employee Screening Poster 8.5" x 11" (Laminated) | 10/2020 Rev. | Laminated | Kelly Kennedy | BizPort | N | |
| Quality-Safety | Local | COVID-19 | PhysicalDistance_12inDecal_BLUE_wFPO.pdf | COVID-19 Physical Distance 12" Circle Decal BLUE (Sets of 10) | 10/2020 Rev. | Stacy Rounds | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | PhysicalDistance_12inDecal_RED_wFPO.pdf | COVID-19 Physical Distance 12" Circle Decal RED (Sets of 10) | 10/2020 Rev. | Stacy Rounds | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | PhysicalDistance_12inDecal_BLUE.pdf | COVID-19 Physical Distance 12" Square Decal BLUE (Sets of 10) | 10/2020 Rev. | Stacy Rounds | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | 4329_SH_Masking11x14Sign_room_nov20_2128.pdf | COVID-19 Coronavirus Safety Signage, Please Wear A Mask (PT Room) 11 x14 (Wall Cling) #2128 | 11/2020 Rev. | BizPort | N | |||
| Quality-Safety | Local | COVID-19 | 4329_SH_Masking_11x14_Sign_-_111320.pdf | COVID-19 Coronavirus Safety Signage, Please Wear A Mask 11 x14 (Laminated) #2124 | 11/2020 Rev. | N | ||||
| Quality-Safety | Local | COVID-19 | 4329_SH_Masking11x14Sign_nov20_2124.pdf | COVID-19 Coronavirus Safety Signage, Please Wear A Mask 11 x14 (Wall Cling) #2124 | 11/2020 Rev. | BizPort | N | |||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_CDC_Three_Reasons_Why_Wall_Clings_11x14.pdf | COVID-19 Vaccine Clinic_CDC_Three_Reasons_Why, 11 x 14 Wall Cling | 12/2020 11:20 am Rev. | Wall Cling Send to Bizport |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_CDC_Tools_Wall_Clings_11x14.pdf | COVID-19 Vaccine Clinic_CDC_Tools, 11 x 14 Wall Cling | 12/2020 11:20 am Rev. | Wall Cling Send to Bizport |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_CDC_Vsafe_Wall_Clings_11x14.pdf | COVID-19 Vaccine Clinic_CDC_Vsafe, 11 x 14 Wall Cling | 12/2020 11:20 am Rev. | Wall Cling Send to Bizport |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_CDC_Why_Get_Vaccinated_Wall_Clings_11x14.pdf | COVID-19 Vaccine Clinic_CDC_Why_Get_Vaccinated, 11 x 14 Wall Cling | 12/2020 11:20 am Rev. | Wall Cling Send to Bizport |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_Poster.pdf | COVID-19 Vaccine Clinic Poster 22 x 28 Foam Board | 12/2020 11:25 am Rev. | Send to Bizport Foam Board, Laminate, Ready to Hang NO FRAME |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_Poster_15_Minute_Monitoring_Station.pdf | COVID-19 Vaccine Clinic Poster_15_Minute_Monitoring_Station 22 x 28 Foam Board | 12/2020 11:25 am Rev. | Send to Bizport Foam Board, Laminate, Ready to Hang NO FRAME |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_Poster_CDC_Three_Reasons_Why.pdf | COVID-19 Vaccine Clinic Poster_CDC_Three_Reasons_Why 22 x 28 Foam Board | 12/2020 11:25 am Rev. | Send to Bizport Foam Board, Laminate, Ready to Hang NO FRAME |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_Poster_CDC_Tools.pdf | COVID-19 Vaccine Clinic Poster_CDC_Tools 22 x 28 Foam Board | 12/2020 11:25 am Rev. | Send to Bizport Foam Board, Laminate, Ready to Hang NO FRAME |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_Poster_CDC_Vsafe.pdf | COVID-19 Vaccine Clinic Poster_CDC_Vsafe 22 x 28 Foam Board | 12/2020 11:25 am Rev. | Send to Bizport Foam Board, Laminate, Ready to Hang NO FRAME |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_Poster_CDC_Why_Get_Vaccinated.pdf | COVID-19 Vaccine Clinic Poster_CDC_Why_Get_Vaccinated 22 x 28 Foam Board | 12/2020 11:25 am Rev. | Send to Bizport Foam Board, Laminate, Ready to Hang NO FRAME |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_Poster_Check_In.pdf | COVID-19 Vaccine Clinic Poster_Check_In 22 x 28 Foam Board | 12/2020 11:25 am Rev. | Send to Bizport Foam Board, Laminate, Ready to Hang NO FRAME |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_Poster_Check_Out.pdf | COVID-19 Vaccine Clinic Poster_Check_Out 22 x 28 Foam Board | 12/2020 11:25 am Rev. | Send to Bizport Foam Board, Laminate, Ready to Hang NO FRAME |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Vaccine_Clinic_Poster_Vaccination_Station.pdf | COVID-19 Vaccine Clinic Poster_Vaccination_Station 22 x 28 Foam Board | 12/2020 11:25 am Rev. | Send to Bizport Foam Board, Laminate, Ready to Hang NO FRAME |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | 4258_Ped_Masking_Flyer_-_print.pdf | COVID-19 Masking Guidelines For Children #2150 | 12/2020 Rev. | Chelsie Williams | N | |||
| Quality-Safety | Local | COVID-19 | SHC-COVID19SeatingFlyer-1220.pdf | SHC COVID19 Seating Flyer | 12/2020 Rev. | Betsy Holzworth | N | |||
| Quality-Safety | Local | COVID-19 | 4006_Office_Safety_Guidelines_COVID-19_-_16x20-print.pdf | COVID-19 Coronavirus Safety Guidelines, 16 x 20 Wall Cling | 3/19/2020 1150 Rev. | Wall Cling Send to Bizport |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | CleanHandsCountBrochure.pdf | CDC Clean Hands Count Brochure | 3/2021 Rev. | 1/1/2300 12:00 | Gail Sherman | N | ||
| Quality-Safety | Local | COVID-19 | Clean_Hands_Count_Reminder_2x3.5-imp.pdf | CDC Clean Hands Count Cards | 3/2021 Rev. | 1/1/2300 12:00 | Color Print, Cut to 2.0 x 3.50 | N | ||
| Quality-Safety | Local | COVID-19 | Staff_Screening_Door_and_Self_Quarentine_COVID-19-print2.pdf | COVID-19 Coronavirus Door Screen Follow Up | 4/13/2020 1220 Rev. | Chelsie Williams | N | |||
| Quality-Safety | Local | COVID-19 | Staff_Screening_Log_COVID-19_-_print.pdf | COVID-19 Coronavirus Positive Symptom Screening Log for Door Monitoring | 4/13/2020 1220 Rev. | Chelsie Williams | N | |||
| Quality-Safety | Local | COVID-19 | Staff_Screening_Door_and_Self_Quarentine_COVID-19-print3.pdf | COVID-19 Coronavirus Staff Screening Process | 4/15/2020 Rev. | Chelsie Williams | N | |||
| Quality-Safety | Local | COVID-19 | 4065_SBAR_Infared_Thermometer_Flyer_-_print__002_.pdf | COVID-19 Coronavirus Non-Contact Infrared Body Thermometer Calibration Steps Flyer | 4/15/2020 Rev. | Chelsie Williams | N | |||
| Quality-Safety | Local | COVID-19 | 4025_Virtual_Visitors_Flyer_-_print.pdf | Staying Connected Tips for Video Chat During COVID-19 Flyer | 4/16/2020 Rev. | Chelsie Williams | N | |||
| Quality-Safety | Local | COVID-19 | 4025_Virtual_Visitors_Flyer_-_v2_Spanish_High_Resolution__002_.pdf | Staying Connected Tips for Video Chat During COVID-19 Flyer, SPANISH | 4/16/2020 Rev. | Chelsie Williams | N | |||
| Quality-Safety | Local | COVID-19 | HomeCareAdviceforSuspectedCOVID.CaregiverInstructions.pdf | COVID-19 Coronavirus Home Care Caregiver Recommendations #1990 | 4/2020 Rev. | Jenay Mason/COVID-19 Task Force | N | |||
| Quality-Safety | Local | COVID-19 | HomeCareAdviceforSuspectedCOVID.CaregiverInstructions_ES.pdf | COVID-19 Coronavirus Home Care Caregiver Recommendations #1990, SPANISH | 4/2020 Rev. | Jenay Mason/COVID-19 Task Force | N | |||
| Quality-Safety | Local | COVID-19 | Home_Care_Advice_for_Suspected_or_Confirmed_COVID_Discharge.pdf | COVID-19 Coronavirus Home Care Patient Discharge Instructions #1991 | 4/2020 Rev. | Jenay Mason/COVID-19 Task Force | N | |||
| Quality-Safety | Local | COVID-19 | Home_Care_Advice_for_Suspected_or_Confirmed_COVID_Discharge_ES.pdf | COVID-19 Coronavirus Home Care Patient Discharge Instructions #1991, SPANISH | 4/2020 Rev. | Jenay Mason/COVID-19 Task Force | N | |||
| Quality-Safety | Local | COVID-19 | COVID-Socialdistancing.pdf | COVID-19 Coronavirus Home Care Social Distancing #1989 | 4/2020 Rev. | Jenay Mason/COVID-19 Task Force | N | |||
| Quality-Safety | Local | COVID-19 | COVID-Socialdistancing_ES.pdf | COVID-19 Coronavirus Home Care Social Distancing #1989, SPANISH | 4/2020 Rev. | Jenay Mason/COVID-19 Task Force | N | |||
| Quality-Safety | Local | COVID-19 | 4017-B_SNVMC_COVID19_Coping_Brochure_-_print.pdf | SNVMC Coping with COVID-19 Brochure | 4/2020 Rev. | Chelsie Willliams/Meredith Strand | N | |||
| Quality-Safety | Local | COVID-19 | MKD-Covid-EmplScreeningLog-0420_BLEEDS.pdf | SRMH COVID-19 Coronavirus Employee Screening Logs | 4/2020 Rev. | Sarah Wichael | N | |||
| Quality-Safety | Local | COVID-19 | MKD-Covid-EmplScreeningSymptomsFlyerBLEEDS.pdf | SRMH COVID-19 Coronavirus Employee Self-Quarantine Instructions | 4/2020 Rev. | Sarah Wichael | N | |||
| Quality-Safety | Local | COVID-19 | MKD-Covid-EmplScreenFlowChart-0420_BLEEDS.pdf | SRMH COVID-19 Coronavirus Staff Screening Process Flowchart | 4/2020 Rev. | Sarah Wichael | N | |||
| Quality-Safety | Local | COVID-19 | 4017-C_RMH_COVID19_Coping_Brochure_-_print.pdf | SRMH Coping with COVID-19 Brochure | 4/2020 Rev. | Chelsie Willliams/Meredith Strand | N | |||
| Quality-Safety | Local | COVID-19 | 4017_COVID19_Coping_Brochure_-_print.pdf | Sentara Hampton Roads Coping with COVID-19 Brochure | 4/2020 Rev. | Chelsie Willliams/Meredith Strand | N | |||
| Quality-Safety | Local | COVID-19 | 4046_SBAR_Respirator_Fit_Flyer_-_print__002_.pdf | COVID-19 Coronavirus Respirator Fit Testing Flyer | 4/3/2020 1705 Rev. | Chelsie Williams | N | |||
| Quality-Safety | Local | COVID-19 | 4090B_SMG_Safety_Signage_Updates_-_11x14_print__002_.pdf | COVID-19 Coronavirus Safety Signage, Please Wear A Mask 11 x 14 Wall Cling | 5/13/2020 Rev. | Wall Cling Send to Bizport |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | 4080_SMG_Employee_Screening_Posters_-_print.pdf | COVID-19 Employee Screening Inserts, 22 x 28 foam board | 5/2020 Rev. | Bizport 22 x 28 foamcore |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | 4080_SMG_Employee_Screening_Inserts_-_print.pdf | COVID-19 Employee Screening Inserts, 24 x 36 foam board | 5/2020 Rev. | Bizport 24 x 36 foamcore |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | 4080_SMG_Employee_Screening_Inserts_-_print.pdf | COVID-19 Employee Screening Inserts, 24 x 36 matte paper | 5/2020 Rev. | Bizport 24 x 36 matte paper |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | 4080_SMG_Employee_Screening_Posters_-_print.pdf | COVID-19 Employee Screening Poster, 22 x 28 matte paper | 5/2020 Rev. | Bizport 22 x 28 matte paper |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | Visitation_Guidlines_COVID-21_-_22x28_-print.pdf | COVID-19 Sentara Cancer Network Resource Center Visitor Guidelines 22 x 28 Foam Board | 5/2021 Rev. | Send to Bizport Foam Board, Laminate, Ready to Hang NO FRAME |
Elizabeth Rogers | N | ||
| Quality-Safety | Local | COVID-19 | MJH-COVID19SeatingFlyer-0720.pdf | SMJH COVID19 Seating Flyer | 7/2020 Rev. | Diane DiCarlo | N | |||
| Quality-Safety | Local | COVID-19 | MJH-COVID19SeatingFlyer-0720_Spanish_High_Resolution.pdf | SMJH COVID19 Seating Flyer, SPANISH | 7/2020 Rev. | Diane DiCarlo | N | |||
| Quality-Safety | Local | COVID-19 | Mask_Sign.pdf | Wear A Mask Sign #2059 | 7/2020 Rev. | N | ||||
| Quality-Safety | Local | COVID-19 | 4706_COVID_Myths_-_v2f_-_11x17_spreads_-_print2.pdf | COVID Myths (Short Version), 8.5 x 11 Booklet Handout | 7/2021 Rev. | Jaycen LeBlanc Designer | Kelly Kennedy POC | N | ||
| Quality-Safety | Local | COVID-19 | 4706_COVID_Myths_-_flyer_-_final_-_print2.pdf | COVID Myths (short version), 8.5 x 11 Stapled Packet | 7/2021 Rev. | Kelly Kennedy POC | N | |||
| Quality-Safety | Local | COVID-19 | 4706_COVID_Myths_-_11x17_-_print_mockup_-_print2.pdf | COVID Myths, 8.5 x 11 Booklet Handout | 7/2021 Rev. | Jaycen LeBlanc Designer | Kelly Kennedy POC | N | ||
| Quality-Safety | Local | COVID-19 | 4706_COVID_Myths_-_booklet-single_pages_-_print2.pdf | COVID Myths, 8.5 x 11 Stapled Packet | 7/2021 Rev. | Kelly Kennedy POC | N | |||
| Quality-Safety | Local | COVID-19 | SNVMC_temp_check_24x36_foamboard_Spanish_updated.pdf | Bilingual Temperature Screening Poster | 8/2020 Rev. | Send to Bizport Foam Board, Laminate, With Hanging Hook, Ready to Hang NO FRAME |
Chelsie Williams | N | ||
| Quality-Safety | Local | COVID-19 | COVID-19_Masking_and_Social_Distancing_Sign.pdf | COVID-19 Masking and Social Distancing Sign #2305 | 8/2021 Rev. | Brian Gadsby | N | |||
| Quality-Safety | Local | COVID-19 | COVID-19_Maximum_Occupancy_Sign.pdf | COVID-19 Maximum Occupancy Sign #2306 | 8/2021 Rev. | Brian Gadsby | N | |||
| Quality-Safety | Local | COVID-19 | SocialDistancing_FloorSticker_4x4.pdf | Social Distancing Floor Sticker 4 x 4 (CARPETED FLOORING) | 9/2020 Rev. | Removable Vinyl Adhesive for
use on carpeting Bizport |
N | |||
| Quality-Safety | Local | COVID-19 | SocialDistancing_FloorSticker_4x4.pdf | Social Distancing Floor Sticker 4 x 4 (FLOORING NOT CARPET) | 9/2020 Rev. | Removable Vinyl Adhesive for
use on flooring Bizport |
N | |||
| Quality-Safety | Local | COVID-19 | 4165_Hospice_Visitation_July_-_16x20_-_print.pdf | COVID-19 Hospice Visitation 16"x20" Wall Cling | 20-Jul | Email print jobs to Rob
Harrington @ rob@harringtongraphics.com quote from Rob, 7/20/2020, order of 2 for $34 |
Chelsie Williams/Kim S. Bradley | Harrington | N | |
| Quality-Safety | Local | Fall Safety | FallSign_2sided_6x6.pdf | Fall 7 X 7 Sign, 2 sided (Yellow and Red) #0199 | Laminated | 1/1/2300 12:00 | N | |||
| Quality-Safety | Local | Fall Safety | FallSign_8_25x6.pdf | Fall 8.25 X 6 Sign, 2 sided (Yellow and Red) #0199 | 8.25 x 6 | 1/1/2300 12:00 | N | |||
| Quality-Safety | Local | Fall Safety | FallDoorFrameMagnet.pdf | Fall Door Frame Magnet 2 x 8, 2-Sided, #0265 | Process Owner: Falls Collaborative Team/POC Lee Knill | Bizport | N | |||
| Quality-Safety | Local | Fall Safety | BedExitDoorFrameMagnet.pdf | Bed Exit Door Frame 2 x 8 Magnet #0266 | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: Falls Collaborative Team/POC Lee Knill | Bizport | N | |
| Quality-Safety | Local | Fall Safety | Bed_Exit_Card-imp.pdf | Bed Exit Card 2 x 3.5 #2136 | 11/2020 Rev. | 1/1/2300 12:00 | Process Owner: Falls Collaborative Team/POC Lee Knill | Bizport | N | |
| Quality-Safety | Local | Fall Safety | Call_Dont_Fall.pdf | Call Don't Fall 11 x 17 Poster #2260 | 5/2021 Rev. | Wallicia Chavis | N | |||
| Quality-Safety | Local | Fall Safety | Fall_Safety_Education_Brochure.pdf | Fall Safety Education for Patients and Their Families Brochure #1226 | 7/2019 Rev. | On Shelf; Allega; 2 panel 80lb gloss text | 1/1/2300 12:00 | Process Owner: Fall Collaborative Team/POC Lee Knill | N | |
| Quality-Safety | Local | General Information | 8.25 x 6 Sign Template, Laminated | N | ||||||
| Quality-Safety | Local | General Information | 8.5 x 11 Sign Template, Laminated | N | ||||||
| Quality-Safety | Local | General Information | air-head-profile-gre.pdf | Airway Precaution Sign (Green), Laminated | 1/1/2300 12:00 | N | ||||
| Quality-Safety | Local | General Information | BecauseWeCareCommitmentPoster_24x36.pdf | Because We Care Commitment Board #1755, 24 x 36, Foam Board, Laminated, Framed | Send to BIZPORT 24 x 36, Foam Board, Laminated, Framed, Ready to Hang |
1/1/2300 12:00 | Patient Experience/POC Cherika Britt | Bizport | N | |
| Quality-Safety | Local | General Information | BecauseWeCareCommitmentPoster_36x48.pdf | Because We Care Commitment Board #1755, 36 x 48, Foam Board, Laminated, Framed | Send to BIZPORT 36 x 48, Foam Board, Laminated, Framed, Ready to Hang |
1/1/2300 12:00 | Patient Experience/POC Cherika Britt | Bizport | N | |
| Quality-Safety | Local | General Information | BecauseWeCareCommitmentPoster_48x60.pdf | Because We Care Commitment Board #1755, 48 x 60, Foam Board, Laminated, Framed | Send to BIZPORT 48 x 60, Foam Board, Laminated, Framed, Ready to Hang |
1/1/2300 12:00 | Patient Experience/POC Cherika Britt | Bizport | N | |
| Quality-Safety | Local | General Information | CommitmentsBoard_PRINT.pdf | Commitment Board, 39" x 36" Scooter Board w/ 6 Silver Frame Pockets for 8.5 x 11 Inserts | Hackworth Color@hackworth.co | 1/1/2300 12:00 | Hackworth | N | ||
| Quality-Safety | Local | General Information | SMGCoverYourCoughposter1-2-12.pdf | Cover Your Cough Sign, Laminated | 1/1/2300 12:00 | N | ||||
| Quality-Safety | Local | General Information | DiureticProtocolSign.pdf | Diuretic Protocol Sign | Color Print; Laminated | 1/1/2300 12:00 | N | |||
| Quality-Safety | Local | General Information | FluidRestrictionmLs12hrs.pdf | Fluid Restriction Sign, 12hrs | 1/1/2300 12:00 | N | ||||
| Quality-Safety | Local | General Information | FluidRestrictionmLs.pdf | Fluid Restriction Sign, 8hrs | 1/1/2300 12:00 | N | ||||
| Quality-Safety | Local | General Information | HighReliabilityBoard2x3_Vert.pdf | High Reliability Board, Foam Core, Dry Erase Laminate, Black Plastic Frame, 2'h x 3'w, Vertical | 1/1/2300 12:00 | Bizport | N | |||
| Quality-Safety | Local | General Information | HighReliabilityBoard2x3_Horiz.pdf | High Reliability Board, Foam Core, Dry Erase Laminate, Black Plastic Frame, 3'w x 2'h, Horizontal | 1/1/2300 12:00 | Bizport | N | |||
| Quality-Safety | Local | General Information | HighReliabilityBoard4x5_Horiz.pdf | High Reliability Board, Foam Core, Dry Erase Laminate, Black Plastic Frame, 5'w x 4'h, Horizontal | 1/1/2300 12:00 | Bizport | N | |||
| Quality-Safety | Local | General Information | HighReliabilityBoard2x3_Vert.pdf | High Reliability Board, Magnetic, Dry Erase Whiteboard with Frame and Pen Tray, 2'w x 3'h, Vertical | 1/1/2300 12:00 | Please Note, these boards will take between 4-7 weeks for delivery. | Signature | N | ||
| Quality-Safety | Local | General Information | HighReliabilityBoard2x3_Horiz.pdf | High Reliability Board, Magnetic, Dry Erase Whiteboard with Frame and Pen Tray, 3'w x 2'h, Horizontal | 1/1/2300 12:00 | Please Note, these boards will take between 4-7 weeks for delivery. | Signature | N | ||
| Quality-Safety | Local | General Information | HighReliabilityBoard4x5_Horiz.pdf | High Reliability Board, Magnetic, Dry Erase Whiteboard with Frame and Pen Tray, 5'w x 4'h, Horizontal | 1/1/2300 12:00 | Please Note, these boards will take between 4-7 weeks for delivery. | Signature | N | ||
| Quality-Safety | Local | General Information | LatexAllergySignGreenPaper8_25x6.pdf | Latex Allergy Green Laminated Sign, 8.25 x 6 | Green paper (Christmas Green), laminated | 1/1/2300 12:00 | N | |||
| Quality-Safety | Local | General Information | Household_Sharps_Flyer.pdf | Management of Household Sharps | Priced 2 up on 11 x 17 Verify version at Click to View: http://www.deq.virginia.gov/Portals/0/DEQ/Land/Guidance/Household_Sharps_Flyer.pdf |
1/1/2300 12:00 | Click to View: {popup=http://www.deq.virginia.gov/Portals/0/DEQ/Land/Guidance/Household_Sharps_Flyer.pdf}Household Sharps Flyer{/popup} Process Owner: Amber M. Richardson | N | ||
| Quality-Safety | Local | General Information | MaximumOccupancy_Sign_Fillable.pdf | Maximum Occupancy Sign, Fillable | N | |||||
| Quality-Safety | Local | General Information | QPI-patientsafetypad4up-1217.pdf | Patient Safety First Notepad (PADS) | N | |||||
| Quality-Safety | Local | General Information | YellowTriangleMagnet-2.pdf | Potentially Violent Patient Magnet, Yellow Triangle #1794 | Sent to Bizport See Specs and
quoted pricing below 6x6 Magnet material 4/0 Bleed Zund special cut 10 = $136 20 = $152 30 = $167 40 = $183 50 = $199 |
Maggie Whaley/SLH ED | Bizport | N | ||
| Quality-Safety | Local | General Information | SMGrespiratoryhygienestationposterPrimaryCare.pdf | Respiratory Hygiene Station Poster, Protect Yourself, Laminated | 1/1/2300 12:00 | N | ||||
| Quality-Safety | Local | General Information | SOH_HighReliabilityBoard2x3_Horiz.pdf | SOH High Reliability Board, Foam Core, Dry Erase Laminate, Black Plastic Frame, 3'w x 2'h, Horizontal | Bizport | N | ||||
| Quality-Safety | Local | General Information | SRMH_HighReliabilityBoard2x3_Vert.pdf | SRMH High Reliability Board, Foam Core, Dry Erase Laminate, Black Plastic Frame, 2'h x 3'w, Vertical | 1/1/2300 12:00 | Bizport | N | |||
| Quality-Safety | Local | General Information | SRMH_HighReliabilityBoard2x3_Horiz.pdf | SRMH High Reliability Board, Foam Core, Dry Erase Laminate, Black Plastic Frame, 3'w x 2'h, Horizontal | 1/1/2300 12:00 | Bizport | N | |||
| Quality-Safety | Local | General Information | SRMH_HighReliabilityBoard2x3_Vert.pdf | SRMH High Reliability Board, Magnetic, Dry Erase Whiteboard with Frame and Pen Tray, 2'w x 3'h, Vertical | 1/1/2300 12:00 | Please Note, these boards will take between 4-7 weeks for delivery. | Signature | N | ||
| Quality-Safety | Local | General Information | SRMH_HighReliabilityBoard2x3_Horiz.pdf | SRMH High Reliability Board, Magnetic, Dry Erase Whiteboard with Frame and Pen Tray, 3'w x 2'h, Horizontal | 1/1/2300 12:00 | Please Note, these boards will take between 4-7 weeks for delivery. | Signature | N | ||
| Quality-Safety | Local | General Information | StopProcedureInProgress2019.pdf | STOP Procedure In Progress Sign | 8 1/2 x 11, Color, Laminated | 1/1/2300 12:00 | N | |||
| Quality-Safety | Local | General Information | SWRMCServiceExcellenceCardsSWRMC8210-31-001.pdf | Service Excellence Cards - SWRMC 8210-31-001 - Packs of 40 | Packs of 40 | 1/1/2300 12:00 | N | |||
| Quality-Safety | Local | General Information | FinalTimeoutboard10-2013.pdf | Time Out Board, 16 x 24, Foam Board, Laminated, Framed | Bizport | 1/1/2300 12:00 | N | |||
| Quality-Safety | Local | General Information | SMJH_Adult_Code_Cart_Checklist_20190124.pdf | SMJH ADULT Code Cart Checklist | 01/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: SMJH Code Blue Committee/POC Kelly Via | SRMH Print Shop | N |
| Quality-Safety | Local | General Information | SMJH_PEDIATRIC_Code_Cart_Checklist__01_24_2019.pdf | SMJH PEDIATRIC Code Cart Checklist | 01/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: SMJH Code Blue Committee/POC Kelly Via | SRMH Print Shop | N |
| Quality-Safety | Local | General Information | BehavioralHealth_AssaultPrevention_Peer_Checking_Form_3_25x10.pdf | MDI BEHAVIORAL HEALTH ASSAULT PREVENTION Peer Checking Cards, Laminated | 02/2021 Rev. | Kristen Legg | N | |||
| Quality-Safety | Local | General Information | BehavioralHealth_FallPrevention_Peer_Checking_Form_3_25x10.pdf | MDI BEHAVIORAL HEALTH FALL PREVENTION Peer Checking Card, Laminated | 02/2021 Rev. | Kristen Legg | N | |||
| Quality-Safety | Local | General Information | PeerCheckingCards_MDI_3_25x10.pdf | MDI Peer Checking Cards, Set of (7) 2-sided cards, Laminated | 02/2021 Rev. | Christopher Smith/Process Improvement | N | |||
| Quality-Safety | Local | General Information | CDI_Peer_Checking_Form.pdf | MDI CDI PREVENTION Peer Checking Cards, Laminated | 03/2020 Rev. | 1/1/2300 12:00 | Christopher Smith/Process Improvement | N | ||
| Imaging | Local | General Information | SPAH_IC_CT_Calcium_Score_Exam_Flyer.pdf | SPAH IC CT Calcium Score Exam Flyer #1910 | 06/2021 Rev. | 1/1/2300 12:00 | Alayna Johnson | N | ||
| Imaging | Local | MRI/US/CT/X-Ray | AdvancedImagingGuide_FAQ_Locations.pdf | Advanced Imaging Guide FAQ Locations #2283 | 06/2021 Rev. | Bruce Morgan | N | |||
| Infection Control | pf.sentara.com | General Information | LookBeforeYouFlush_tellRN_11x8_5.pdf | Look Before You Flush Tell RN/Bathroom Sign/CDI (11"x8.5") #2272 | 06/2021 Rev. | Tracey R Odachowski | N | |||
| Infection Control | pf.sentara.com | Isolation Signs | AGP_STOP_Sign_YELLOW.pdf | AGP STOP Sign (YELLOW, Laminated, 2 sided) | 06/2021 Rev. | BRIGHT YELLOW, LAMINATED | Caldwell Lewin, Tracey Odachowski, & Linda Estep | N | ||
| Infection Control | pf.sentara.com | Isolation Signs | AGP_YIELD_Sign_YELLOW.pdf | AGP YIELD Sign (YELLOW, Laminated, 2 sided) | 06/2021 Rev. | BRIGHT YELLOW, LAMINATED | Caldwell Lewin, Tracey Odachowski, & Linda Estep | N | ||
| Maternity | pf.sentara.com | General Information | LDPedslist2021.pdf | SPAH Labor and Delivery Pediatrician List | 06/2021 Rev. | 1/1/2300 12:00 | JJ Toombs | N | ||
| Quality-Safety | Local | General Information | Hand_Hygiene_Peer_Checking_Form.pdf | MDI HAND HYGIENE Peer Checking Card, Laminated | 07/2020 Rev. | 1/1/2300 12:00 | Christopher Smith/Process Improvement | N | ||
| Quality-Safety | Local | General Information | 11X8_5_LATEX_ALLERGY_SIGN.pdf | Latex Allergy Green Laminated Sign | 08/2019 Rev. | Green paper (Christmas Green), laminated | 1/1/2300 12:00 | N | ||
| Quality-Safety | Local | General Information | Room_Organization_Patient_Cleanliness_Form_3_25x10.pdf | Room Organization Patient Cleanliness Laminated Card, #2083 | 09/2020 Rev. | Cut to 3.25"x10" | Sarah Barcomb | N | ||
| Quality-Safety | Local | General Information | SMJH_CodeCart_Drawer2.pdf | SMJH Code Cart Inventory Record Drawer 2 | 1/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: SMJH Code Blue Committee/POC Kelly Via | SRMH Print Shop | N |
| Quality-Safety | Local | General Information | SMJH_CodeCart_Drawer3.pdf | SMJH Code Cart Inventory Record Drawer 3 | 1/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: SMJH Code Blue Committee/POC Kelly Via | SRMH Print Shop | N |
| Quality-Safety | Local | General Information | SMJH_CodeCart_Drawer4.pdf | SMJH Code Cart Inventory Record Drawer 4 | 1/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: SMJH Code Blue Committee/POC Kelly Via | SRMH Print Shop | N |
| Quality-Safety | Local | General Information | Drawer_5_20190122.pdf | SMJH Code Cart Inventory Record Drawer 5 | 1/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: SMJH Code Blue Committee/POC Kelly Via | SRMH Print Shop | N |
| Quality-Safety | Local | General Information | SMJH_CodeCart_Drawer6.pdf | SMJH Code Cart Inventory Record Drawer 6 | 1/2019 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Process Owner: SMJH Code Blue Committee/POC Kelly Via | SRMH Print Shop | N |
| Quality-Safety | Local | General Information | OpportunityIdentificationCard.pdf | Opportunity Identification Card #1942 | 1/2020 Rev. | Patient Safety/Kathy McCoy/Sarah Darwin | N | |||
| Quality-Safety | Local | General Information | CodeCartChecklist2017.pdf | Code Cart Checklist | 10/2017 Rev. | System Code Blue Committee/MRT Committee Compliance 360 | N | |||
| Quality-Safety | Local | General Information | SLC_BedrailConsent.pdf | SLC Bedrail Consent Form #1458 | 11/2017 Rev. | 1/1/2300 12:00 | Process Owner: Bernadette Varnes | N | ||
| Quality-Safety | Local | General Information | KnowWhereToThrowFlyer_Rebrand.pdf | Know Where to Throw Flyer/Sign #1191, Laminated | 11/2019 Rev. | SAMC Environmental Servivces/POC Torey Kee | N | |||
| Quality-Safety | Local | General Information | TheseDoNotGoInTheTrashFlyer.pdf | These Do Not Go In The Trash Flyer/Sign #1189, Laminated | 11/2019 Rev. | SAMC Environmental Servivces/POC Torey Kee | N | |||
| Quality-Safety | Local | General Information | Code_Cart_Stop_Sign.pdf | Code Cart Sign SHS 8250-10-012 | 11/2020 Rev. | Process Owner: Code Blue Committee/Sherri Caldwell | N | |||
| Quality-Safety | Local | General Information | GermicidalWipes_Sign_8_5x11.pdf | Germicidal Wipes 8.5"x11" Sign #2129 | 11/2020 Rev. | Robert Firestone | N | |||
| Quality-Safety | Local | General Information | GermicidalWipes_Sign_8_5x11_Spanish_High_Resolution.pdf | Germicidal Wipes 8.5"x11" Sign #2129 (Spanish) | 11/2020 Rev. | Robert Firestone | N | |||
| Quality-Safety | Local | General Information | GermicidalWipes_Sign_8_5x11_English_Spanish.pdf | Germicidal Wipes Sign 8.5"x11" 2 Sided English & Spanish #2129 | 11/2020 Rev. | Robert Firestone | N | |||
| Quality-Safety | Local | General Information | HandHygiene_tentcard.pdf | Hand Hygiene Tent Card #2135 | 11/2020 Rev. | Tent Card, no bottom flaps | Linda Estep | N | ||
| Quality-Safety | Local | General Information | SOH_Oxygen_Sign.pdf | SOH Oxygen Sign #2132 | 11/2020 Rev. | SOH Director Patient Care Services/Medicine Unit 1/POC Sharon Bunn | N | |||
| Quality-Safety | Local | General Information | FIRRST_Brochure.pdf | F.I.R.R.S.T. (Family Initiated Rapid Response Safety Team) Brochure - SHS 3180-80-008 | 12/2018 Rev. | On shelf; Signature | 1/1/2300 12:00 | STEPHANIE A RUEN/RALPH R ROSIGNOLO JR | N | |
| Quality-Safety | Local | General Information | BraveZone-PRINT.pdf | Brave Zone Poster | 12/2020 Rev. | Julie Suedmeyer-Buller/Beth Johnson | N | |||
| Quality-Safety | Local | General Information | CPI_Guidebook_031521_4456_2021.pdf | CPI Capacity Management Implementation Guidebook | 12/2020 Rev. | Diane DiCarlo | N | |||
| Quality-Safety | Local | General Information | SHRH_SALAD_2020.pdf | SHRH SALAD Poster #2147 | 12/2020 Rev. | Candace Minter | N | |||
| Quality-Safety | Local | General Information | SafetyHabits_ARCC_CommitmentsBadge_2019.pdf | Get In The Habit of Safety, Patient Safety Badge, #0571 | 2/2019 Rev. | Allegra 4/4 3 x 4 .030 White Plastic Round Corner with tag punch |
1/1/2300 12:00 | Process Owner: Patient Safety/POC Kathy McCoy/Sarah Darwin | N | |
| Quality-Safety | Local | General Information | Cauti_Peer_Checking_Form.pdf | MDI CAUTI PREVENTION Peer Checking Cards, Laminated | 2/2020 Rev. | Christopher Smith/Process Improvement | N | |||
| Quality-Safety | Local | General Information | Clabsi_Peer_Checking_Form.pdf | MDI CLABSI PREVENTION Peer Checking Cards, Laminated | 2/2020 Rev. | Christopher Smith/Process Improvement | N | |||
| Quality-Safety | Local | General Information | Fall_Peer_Checking_Form.pdf | MDI FALL PREVENTION Peer Checking Cards, Laminated | 2/2020 Rev. | Christopher Smith/Process Improvement | N | |||
| Quality-Safety | Local | General Information | Hapi_Peer_Checking_Form.pdf | MDI HAPI PREVENTION Peer Checking Cards, Laminated | 2/2020 Rev. | Christopher Smith/Process Improvement | N | |||
| Quality-Safety | Local | General Information | VTE_Peer_Checking_Form.pdf | MDI VTE PREVENTION Peer Checking Cards, Laminated | 2/2020 Rev. | Christopher Smith/Process Improvement | N | |||
| Quality-Safety | Local | General Information | BecauseWeCareOurCommitmenttoImprovingHealthEveryDay_11x17.pdf | Our Commitment to Improving Health Every Day #1753, 11 x 17 Laminated Sign | 3/2019 Rev. | Color Print, Laminated, 11 x 17 | 1/1/2300 12:00 | Patient Experience/POC Cherika Britt | N | |
| Quality-Safety | Local | General Information | SBAR5x7Notepad50ppad.pdf | SBAR Notepad #0496, 5 x 7 Pads/50 sheets p/pad - Larger quantities may need to be outsourced | 3/2019 Rev. | 1/1/2300 12:00 | SOH Administration/POC Susan McFatter | N | ||
| Quality-Safety | Local | General Information | BecauseWeCare_Behaviors_11x17_v4.pdf | Because We Care - Behaviors #1770, 11 x 17 Laminated Sign | 4/2019 Rev. | Color Print, Laminated, 11 x 17 | 1/1/2300 12:00 | Patient Experience/POC Cherika Britt | N | |
| Quality-Safety | Local | General Information | MedicalOffices_RedRulesforSafetySign_11x17.pdf | Red Rules for Safety Sign #1759, 11 x 17 Laminated | 4/2019 Rev. | Color Print, Laminated, 11 x 17 | 1/1/2300 12:00 | Quality Management/Patient Safety - Kathy Mccoy/Sarah Darwin | N | |
| Quality-Safety | Local | General Information | AIDET_SafetyHabits_SAFETY_COACH_Badge.pdf | AIDET/SAFETY COACH Badge #2072 ( with Safety Habits backer) | 4/2021 Rev. | Allegra 4/4 3.25 x 4.5 .030 White Plastic Round Corner with tag punch |
SAFETY COACH Only Process Owner: Patient Safety/POC Kathy McCoy/Sarah Darwin | N | ||
| Quality-Safety | Local | General Information | Mattress_Assessment_May.24.18.pdf | Mattress Integrity Assessment #1608, (Set of 2 - 2 sided, laminated cards) | 5/2018 Rev. | Hole Punch in top left corner so can be hung from ring | 1/1/2300 12:00 | Clinical Supply Chain/Cathy Gray | N | |
| Quality-Safety | Local | General Information | SALAD_2019.pdf | SALAD (Sound Alike Look Alike Drugs) Poster #1239 | 6/2019 Rev. | White Paper; COLOR print, laminated | 1/1/2300 12:00 | Angela Gilley | N | |
| Quality-Safety | Local | General Information | SMG_SALAD_Job_Aid5-2019draft.pdf | SALAD (Sound Alike Look Alike Drugs) Poster - SMG 8250-10-002 | 6/2019 Rev. | White Paper; COLOR print, laminated | 1/1/2300 12:00 | Angela Gilley | N | |
| Quality-Safety | Local | General Information | How_We_Keep_Our_Staff_Safe-Flyer.pdf | Keeping You & Our Staff Safe Flyer | 6/2020 Rev. | Kristen Morrisett/Marketing | N | |||
| Quality-Safety | Local | General Information | How_We_Keep_You_Safe-Flyer.pdf | You're Safe at Sentara Flyer | 6/2020 Rev. | Kristen Morrisett/Marketing | N | |||
| Quality-Safety | Local | General Information | Unsafe_Abbreviations_SHS_8250_10_006_2021.pdf | Unsafe Abbreviations - SHS 8250-10-006 | 6/2021 Rev. | Pharmacy/Compliance 360/POC Angela Gilley | N | |||
| Quality-Safety | Local | General Information | NHTRC-Flyer-Rebrand-Spanish.pdf | Human-Trafficking-Hotline Spanish Poster #1619; 8.5 x 11, Laminated | 7/2018 Rev. | Artwork downloaded from https://humantraffickinghotline.org/get-involved/outreach-and-awareness | 1/1/2300 12:00 | ELISABETH BRADFIELD; THERESA M MULHERIN; CATHY LAHOUCHUC | N | |
| Quality-Safety | Local | General Information | Human-Trafficking-Poster.pdf | Human-Trafficking-Poster #1615; 8.5 x 11, Laminated | 7/2018 Rev. | Artwork downloaded from http://www.doli.virginia.gov search human trafficking | 1/1/2300 12:00 | ELISABETH BRADFIELD; THERESA M MULHERIN; CATHY LAHOUCHUC | N | |
| Quality-Safety | Local | General Information | SRMH_patientsafetytraining_docs.pdf | SRMH Because We Care Service Excellence Training #1493 | 7/2021 Rev. | Pg. 1 Name Tag (White
Cardstock) NO FOLD Landscape
.06 Page 2 Assessing Your Awareness Regular paper, in color Portrait .22 |
1/1/2300 12:00 | Process Owner: Karen Jordan | N | |
| Quality-Safety | Local | General Information | SWRMC_AskMEMeds_1654.pdf | SWRMC Ask Me About Your Medication Flyer 8.5x11 #1654 | 8/2018 Rev. | 1/1/2300 12:00 | Carolyn A Ashley | N | ||
| Quality-Safety | Local | General Information | 2019_09_09_CMA_Sentara_RCA_Field_Guide.final.pdf | Sentara RCA Manual #1883 | 8/2019 Rev. | Clinical Effectiveness/POC Kathy McCoy | N | |||
| Quality-Safety | Local | General Information | AIDET_Badge.pdf | AIDET Badge #2072 | 8/2020 Rev. | Priced 9 up on 13 x 19 cover
stock. .55 to laminate at Richard's Laminating |
Patient Experience/Cherika Britt | N | ||
| Quality-Safety | Local | General Information | AIDET_SafetyHabits_Badge.pdf | AIDET Badge #2072 ( with Safety Habits backer) | 8/2020 Rev. | Priced 9 up on 13 x 19 cover
stock. .55 to laminate at Richard's Laminating |
Patient Experience/Cherika Britt | N | ||
| Quality-Safety | Local | General Information | SENT-2289_Safety_Initiative_MASKS_Poster-PRINT.pdf | Get In The Habit of Safety (MASKS), Patient Safety Sign #0532, Laminated | 8/2020 Rev. | Color Print, Laminated, 11 x 17 | 1/1/2300 12:00 | Quality Management/Patient Safety - Kathy Mccoy/Sarah Darwin | N | |
| Quality-Safety | Local | General Information | SENT-194_Safety_Initiative_Poster_PROOF9.pdf | Get In The Habit of Safety, Patient Safety Sign #0532, Laminated | 9/2018 Rev. | Color Print, Laminated, 11 x 17 | 1/1/2300 12:00 | Quality Management/Patient Safety - Kathy Mccoy/Sarah Darwin | N | |
| Quality-Safety | Local | General Information | DocumentRetired.pdf | RETIRE 11/2019 Medication Labeling Outside of Pharmacy Sign | NOT ORDERED | White Paper; COLOR print, laminated | N | |||
| Quality-Safety | Local | General Information | DocumentRetired.pdf | RETIRE 11/2019: Medication Labeling Outside of Pharmacy for OR and Procedural Areas Sign | NOT ORDERED | White Paper; COLOR print, laminated | N | |||
| Quality-Safety | Local | General Information | 76454_SENTARA_EVMC_CITATION_COVERandCitations.pdf | EVMC Safety & Parking Citation Book | None | Allegra | 1/1/2300 12:00 | Allegra | N | |
| Quality-Safety | Local | SentarAlert | SentarAlert Counter Card | 5/2018 Rev. | 1/1/2300 12:00 | Kaitlin Hemric | N | |||
| Quality-Safety | Local | SentarAlert | SentarAlert Patient Card | 5/2018 Rev. | 1/1/2300 12:00 | Kaitlin Hemric | N | |||
| Quality-Safety | Local | SentarAlert | SentarAlert Table Tent | 5/2018 Rev. | 1/1/2300 12:00 | Kaitlin Hemric | N | |||
| Quality-Safety | Local | SentarAlert | SentarAlert Counter Card, 8.5 x 5.5 | 7/2018 Rev. | 1/1/2300 12:00 | Kaitlin Hemric | N | |||
| Quality-Safety | Local | SentarAlert | SentarAlert Poster, 8.5 x 11, Laminated | 7/2018 Rev. | 1/1/2300 12:00 | Kaitlin Hemric | N | |||
| Quality-Safety | Local | SentarAlert | SentarAlert Tent Card (Finished Folded size 3.75" x 6.5") - Price TBD | 7/2018 Rev. | Tent Card; laminated and
taped Allegra prints |
1/1/2300 12:00 | Kaitlin Hemric | Allegra | N | |
| Quality-Safety | Local | SentarAlert | SentarAlert, 8.5 x 11 Flyer | 7/2018 Rev. | 1/1/2300 12:00 | Kaitlin Hemric | N | |||
| Quality-Safety | Local | default | Maximum_Occupancy_Sign__Fillable.pdf | Maximum Occupancy Sign, Fillable (Card Merge) | N | |||||
| Quality-Safety | Local | default | Maximum_Occupancy_Sign__Fillable.pdf | Maximum Occupancy Sign, Fillable (Card Merge) | N | |||||
| Quality-Safety | Local | default | Maximum_Occupancy_Sign__Fillable.pdf | Maximum Occupancy Sign, Fillable (Card Merge) | N | |||||
| Rehabilitation-IP | Local | General Information | SWRMC_InpatientRehebBrochure.pdf | SWRMC Inpatient Rehabilitation Brochure #1716 | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: Melissa Waugh | N | ||
| Rehabilitation-IP | Local | General Information | OrthoticandProstheticVendorIn-PatientValidationReceipt.pdf | Orthotic and Prosthetic Vendor In-Patient Validation Receipt #1731 | 11/2018 Rev. | Process Owner: Melissa Waugh | N | |||
| Rehabilitation-IP | Local | General Information | SNGH_InpatientRehabBRO_2020.pdf | SNGH Inpatient Rehab Brochure #1881 | 2/2020 Rev. | Rehab Services/POC Shereen Davis | N | |||
| Rehabilitation-IP | Local | General Information | SRMH_OT_AcuteCare_ChargeSheet_Blue.pdf | SRMH OT Acute Care Charge Sheet, Blue #1858 | 9/2019 Rev. | 1/1/2300 12:00 | SRMH Therapy Services/POC Chad Gathers | SRMH Print Shop | N | |
| Rehabilitation-IP | Local | General Information | SRMH_PT_AcuteCare_ChargeSheet_Green.pdf | SRMH PT Acute Care Charge Sheet, Green #1859 | 9/2019 Rev. | 1/1/2300 12:00 | SRMH Therapy Services/POC Chad Gathers | SRMH Print Shop | N | |
| Rehabilitation-IP | Local | General Information | SRMH_ST_AcuteCare_ChargeSheet_Yellow.pdf | SRMH ST Acute Care Charge Sheet, Yellow #1856 | 9/2019 Rev. | 1/1/2300 12:00 | SRMH Therapy Services/POC Chad Gathers | SRMH Print Shop | N | |
| Rx Pads Hospitals | Local | Rx Pad Hospitals | Hospital Rx Pad, NUMBERED (Pharmacy Only) | 25 scripts to a pad | NEED NUMBERED Send to Graphic Design for Numbering: Crop to 1 up; Duplicate to 25 sheets: Edit)More)Add Bates Numbering to Right Footer Text Field; set Bottom Margin .65 and Right Margin .25. Do this for each pad, numbering sequentially. Save file in Hospital Folder in S:\PRINTSERVICES\Rx Pads - Hospitals Numbered |
1/1/2300 12:00 | N | |||
| SAMC Forms | Local | General Information | CardiopulmonaryArrestCC236_2pt.pdf | Cardio-Pulmonary Arrest Record CC236 | 2 part, left margin hole punch | 1/1/2300 12:00 | N | |||
| SAMC Forms | Local | SAMC Forms | InterhospitaltransferformCC245.pdf | Interhospital Transfer Form CC245 | 11/2007 Rev. | 2 part, top hole punched | 1/1/2300 12:00 | N | ||
| SAMC Forms | Local | SKH | CataractBlakemoreNRMS96.pdf | Cataract Surgery Orders Blakemore NRMS96 | 1/2013 Rev. | Flat Sheet; top hole punch (8.5 inch side) | 1/1/2300 12:00 | N | ||
| SAMC Forms | Local | SKH | SentaraKittyHawkSurgicalPreadmissionFormCC1242pt.pdf | Surgical Preadmission Form CC124 (SKH) | 10/2006 Rev. | 2 part, top hole punch(8.5 inch side) | 1/1/2300 12:00 | N | ||
| SAMC Forms | Local | SKH | PatientInstructionsPreSurgicalShowerNRMS112.pdf | Pre-Surgical Shower Instructons NRMS112 | 10/2011 Rev. | Flat Sheet; top hole punch | 1/1/2300 12:00 | N | ||
| SAMC Forms | Local | SKH | ACUORDERSCARTERJENKINSCC164_2pt.pdf | Dr. D. Carter/Dr. J. Jenkins Standing Orders CC164 | 10/2012 Rev. | 2 part; top hole punch (8.5 inch side) | 1/1/2300 12:00 | N | ||
| SAMC Forms | Local | SKH | Nursing_Quality_Improvement_NRMS61_Page1_2pt.pdf | Nursing Quality Measures NRMS61 | 10/2012 Rev. | 2 part w/y, top hole punch (8.5 inch side) | 1/1/2300 12:00 | N | ||
| SAMC Forms | Local | SKH | AbbreviationsNotApprovedforUseatSKH.pdf | Abbreviations Not Approved for Use #0492 | 11/2014 Rev. | White Crack n Peel; cut to 5.5 x 7 | 1/1/2300 12:00 | N | ||
| SAMC Forms | Local | SKH | RequestforPathologyServicesNRMS87.pdf | Request for Pathology Services NRMS87 | 2/2009 Rev. | Flat Sheet; top hole punch | 1/1/2300 12:00 | N | ||
| SHRH Forms | Local | General Information | SHRHRadiologyWorkExcuse.pdf | SHRH Radiology Work Excuse (in pads of 100) | 12/2017 Rev. | 1/1/2300 12:00 | Judy Vaughan/SHRH Radiology | N | ||
| SHRH Forms | Local | General Information | SHRH_Radiology_Excuse_Form_Nomarks-imp.pdf | SHRH Radiology Excuse Notepad #2154 (50 pgs per pad) | 12/2020 Rev. | padded in units of 50 pages | 1/1/2300 12:00 | Judy Vaughan/SHRH Radiology | N | |
| SHRH Forms | Local | General Information | PT1011_Speech_Therapy_Super_bill.pdf | SHRH Speech Therapy Superbill PT1011, 2 PT W/Y | 2/2019 Rev. | 2 part W/Y, Top Hole Punched; Benton Thomas | 1/1/2300 12:00 | Shirley Wood | Benton Thomas | N |
| SHRH Forms | Local | General Information | School_Note__SHRH_Emergency_Dept.___0700.pdf | SHRH Emergency Department School Note #0700 | 3/2019 Rev. | 1/1/2300 12:00 | Janelle Slabach | Benton Thomas | N | |
| SHRH Forms | Local | General Information | LabChoice_BHS_CBH_order_sheet.pdf | SHRH LabChoice /Business Health Order Form, 2 part W/Y | 5/2018 Rev. | 1/1/2300 12:00 | Louis Epps | N | ||
| SHRH Forms | Local | General Information | TransferEnvelope9x12.pdf | SHRH Transfer Envelope #1607, 9 x12 Brown Kraft Catalog Envelopes | 6/2018 Rev. | 9 x12 brown kraft catalog
envelope Send to barry@bentonthomas.com |
1/1/2300 12:00 | Janelle Slabach | Benton Thomas | N |
| SHRH Forms | Local | General Information | PT1012_Occupational_Super_bill072518.pdf | SHRH Occupational Superbill PT1012, 2 part W/Y | 7/2018 Rev. | 2 part W/Y, Top Hole Punched; Benton Thomas | 1/1/2300 12:00 | Shirley Wood | Benton Thomas | N |
| SHRH Forms | Local | General Information | PT1010_Physical_Therapy_Super_billRevised072518.pdf | SHRH Physical Therapy Superbill PT1010, 2 PT W/Y | 7/2018 Rev. | 2 part W/Y, Top Hole Punched; Benton Thomas | 1/1/2300 12:00 | Shirley Wood | Benton Thomas | N |
| SHRH Forms | Local | General Information | Anesthesia_Record_NS121_Rev_09-18.pdf | Anesthesia Record NS121 (SHRH) | 9/2018 Rev. | 1/1/2300 12:00 | Pamela Wallace | Benton Thomas | N | |
| Senior Services | pf.sentara.com | General Information | Sentara_Village_Resident_Orientation_Handbook_Bklt.pdf | Sentara Village Resident Orientation Handbook #1644 | 2/2019 Rev. | 1/1/2300 12:00 | N | |||
| Senior Services | pf.sentara.com | MeadowView Terrace | AdmissionPacketCompletePacket2020_withprinternotes.pdf | Admission Packet (Sentara MeadowView Terrace) | 2/2020 Rev. | SPECIAL INSTRUCTIONS PLEASE
READ ALL 1. Sentara Pocket Folder; files located @ S:\PRINTSERVICES\Halifax Forms\Sentara Meadowview Terrace\Admission Packet 2. Admission Contract Page 1-24 are 2 sided NO STAPLES 3. All other pieces are single sided NO STAPLES |
Betty DeOrnellas/Janice Colgate | N | ||
| Senior Services | pf.sentara.com | MeadowView Terrace | ApplicationforAdmissionBookFold11x17.pdf | Application for Admission (Sentara MeadowView Terrace) | 2/2020 Rev. | We print not Barry; 11 x 17, bookfold, saddle stitch | Betty DeOrnellas | N | ||
| Senior Services | pf.sentara.com | PACE | SenPACE_-_whatToExpect__0121__Paginated__002_.pdf | PACE - What To Expect When Your Loved One Is Dying | 2/2021 Rev. | Kelley Barnes/PACE Site Director | N | |||
| Senior Services | pf.sentara.com | PACE | Enrollment_Agreement_Appendices_revised_3.2018_rev_2.pdf | Enrollment Agreement Appendices FIN012 | 3/2018 Rev. | 1/1/2300 12:00 | Heather Matson - PACE | N | ||
| Senior Services | pf.sentara.com | PACE | PACE_SocialDistancing_5x7_Sticker.pdf | PACE Social Distancing #2051, 7 x 5 Removable Vinyl Sticker | 7/2020 Rev. | Removable Vinyl Adhesive for
use on counter or table Bizport |
Merinda Ford/Sentara PACE Director | N | ||
| Senior Services | pf.sentara.com | PACE | PACE_SocialDistancing_FloorSticker.pdf | PACE Social Distancing Floor Sign #2052, 10 x 8 | 7/2020 Rev. | Removable Vinyl Adhesive for
use on the floor Bizport |
Merinda Ford/Sentara PACE Director | N | ||
| Senior Services | pf.sentara.com | PACE | PACE_SocialDistancing_11.17.pdf | PACE Social Distancing Sign #2045, 11 x 17 | 7/2020 Rev. | Merinda Ford/Sentara PACE Director | N | |||
| Senior Services | pf.sentara.com | PACE | PACE_Agreement.pdf | PACE Enrollment Agreement | 9/2019 Rev. | Merinda Ford/PACE Director | N | |||
| Senior Services | pf.sentara.com | PACE Referral and Authorization MDORD504 | Cardiac_Center_of_Excellence_Program_Flyer_Print.pdf | Cardiac Center of Excellence Program Flyer #1643 | 8/2018 Rev. | 1/1/2300 12:00 | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | HHCCN_CMS10280_Exp2022_v508_NorthCarolina.pdf | Home Health Care Change of Notice (HHCCN) - North Carolina | 03/2020 Rev. | Punch/Left 3 | 1/1/2300 12:00 | Grace Little/Launi Gettle/Ann Marie Roberto | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | HHCCN_CMS10280_Exp2022_v508_Woodbridge.pdf | Home Health Care Change of Notice (HHCCN) - Woodbridge | 03/2020 Rev. | 1/1/2300 12:00 | Grace Little/Launi Gettle/Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | HHCCN_CMS10280_Exp2022_v508_VirginiaBeach.pdf | Home Health Change of Care (HHCCN) - Virginia Beach | 03/2020 Rev. | Punch/Left 3 | 1/1/2300 12:00 | Grace Little/Launi Gettle/Ann Marie Roberto | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | HHCCN_CMS10280_Exp2022_v508_Charlottesville.pdf | Home Health Change of Care Notice (HHCCN) - Charlottesville | 03/2020 Rev. | Punch/Left 3 | 1/1/2300 12:00 | Grace Little/Launi Gettle/Ann Marie Roberto | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | HHCCN_CMS10280_Exp2022_v508_Halifax.pdf | Home Health Change of Care Notice (HHCCN) - Halifax | 03/2020 Rev. | 1/1/2300 12:00 | Grace Little/Launi Gettle/Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | HHCCN_CMS10280_Exp2022_v508_Harrisonburg.pdf | Home Health Change of Care Notice (HHCCN) - Harrisonburg | 03/2020 Rev. | Punch/ Left 3 | 1/1/2300 12:00 | Grace Little/Launi Gettle/Ann Marie Roberto | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | HHCCN_CMS10280_Exp2022_v508_LowMoor.pdf | Home Health Change of Care Notice (HHCCN) - Low Moor | 03/2020 Rev. | Punch/Left 3 | 1/1/2300 12:00 | Grace Little/Launi Gettle/Ann Marie Roberto | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | HHCCN_CMS10280_Exp2022_v508_NewportNews.pdf | Home Health Change of Care Notice (HHCCN) - Newport News | 03/2020 Rev. | Punch/ Left 3 | 1/1/2300 12:00 | Grace Little/Launi Gettle/Ann Marie Roberto | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | HHCCN_CMS10280_Exp2022_v508_Norfolk.pdf | Home Health Change of Care Notice (HHCCN) - Norfolk | 03/2020 Rev. | Punch/Left 3 | 1/1/2300 12:00 | Grace Little/Launi Gettle/Ann Marie Roberto | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | HHCCN_CMS10280_Exp2022_v508_Suffolk.pdf | Home Health Change of Care Notice (HHCCN) - Suffolk | 03/2020 Rev. | Punch/Left 3 | 1/1/2300 12:00 | Grace Little/Launi Gettle/Ann Marie Roberto | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | HHCCN_CMS10280_Exp2022_v508_Williamsburg.pdf | Home Health Change of Care Notice (HHCCN) - Williamsburg | 03/2020 Rev. | Punch/Left 3 | 1/1/2300 12:00 | Grace Little/Launi Gettle/Ann Marie Roberto | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** Medication Management Score Card #1509 | 03/2021 Rev. | 1/1/2300 12:00 | per Ann Marie Roberto, 3/2021 | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SASH Card #1265 | 03/2021 Rev. | 1/1/2300 12:00 | Grace Little (Retired per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Alleghany Home Health Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Charlottesville Home Health Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Chesapeake Hospice Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Chesapeake Norfolk Home Health Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Chesapeake VB Home Health Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Harrisonburg Home Health Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Harrisonburg Hospice Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Hospice House Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE IV Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Newport News Home Health Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Newport News Hospice Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE North Carolina Home Health Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Suffolk Home Health Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Williamsburg Home Health Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** SE Woodbridge Home Health Dear Dr Letter #1539 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **RETIRED** Sentara Language Assistance Services Sheet | 03/2021 Rev. | 1/1/2300 12:00 | Retired per Ann Marie Roberto, 3/2021 | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DocumentRetired.pdf | **Retired/New Form is #1500** Authorization to Disclose Protected Health Information #1486 | 03/2021 Rev. | 1/1/2300 12:00 | Stephanie Ballengee (duplicated form new is #1500, per Ann Marie Roberto, 03/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | PatientEvacuationPlan.pdf | Patient Evacuation Plan #1426 | 04/2020 Rev. | 1/1/2300 12:00 | Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_Call_Me_First_flyer_Harrisonburg_1775.pdf | SE Harrisonburg Call Me First Form #1775 | 05/19 Reviewed/Revised | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_Call_Me_First_flyer_Southside_1769.pdf | SE Southside Call Me First Form #1769 | 05/19 Reviewed/Revised | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_Call_Me_First_flyer_GreaterPeninsula_1774.pdf | SE Greater Peninsula Call Me First Form #1774 | 05/2019 Reviewed/Revised | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_HomeHealthSkilledServiceAgreement.pdf | Home Care Services Skilled Service Agreement #1496 | 05/2020 Rev. | 2 part W/Y, 2 sided | 1/1/2300 12:00 | Ann Marie Roberto | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_CurlinPump_diagram_revised.pdf | SE Curlin Pump Diagram, 2 sided (500 per order) | 08/2020 Rev. | PRINT ON SYNAPS THROUGH BIZPORT | April Flynn/Grace Little | BizPort | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_HH_CallMeFirst_Charlottesville.pdf | Call Me First Flyer - Charlottesville | 09/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_HH_CallMeFirst_NewportNews.pdf | Call Me First Flyer - Greater Peninsula Home Health | 09/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_HH_CallMeFirst_Halifax.pdf | Call Me First Flyer - Halifax | 09/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_HH_CallMeFirst_Harrisonburg.pdf | Call Me First Flyer - Harrisonburg Home Health | 09/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_HH_CallMeFirst_NC.pdf | Call Me First Flyer - NC | 09/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_HH_CallMeFirst_Suffolk.pdf | Call Me First Flyer - Suffolk | 09/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_HH_CallMeFirst_Williamsburg.pdf | Call Me First Flyer - Williamsburg | 09/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_HH_CallMeFirst_Woodbridge.pdf | Call Me First Flyer - Woodbridge | 09/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | Sentara_8.5x11_Language_ID_Display_9_2019.pdf | Language ID Display, 8.5 x 11, Laminated | 09/2019 Rev. | Katy Trapp/Sentara Center for Healthcare Ethics | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | DC_Summary-Transfer_Form-DC_2ptWY_NoHoles.pdf | Discharge Summary/Transfer Form/Discharge Instructions SE 4950-50-004 | 10/2018 Rev. | Valerie Dempsey | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_HH_CallMeFirst_VirginiaBeach.pdf | Call Me First Flyer - Virginia Beach Home Health | 11/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_HH_CallMeFirst_Norfolk.pdf | SE HH Call Me First Norfolk | 11/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_HH_CallMeFirst_Alleghany.pdf | Call Me First Flyer - Alleghany | 19-Sep | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | SE_ClinicalNotes_0166.pdf | Clinical Notes #0166 | 6/2019 Reviewed/Revised | 1/1/2300 12:00 | Pack(s)-50 Sets p/pack | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | NursingAssessment_2ptWY.pdf | Nursing Assessment SE 3120-50-006 | 7/2018 Rev. | 1/1/2300 12:00 | Kim S Bradley | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | ABNEnglish2023v508.pdf | Advance Beneficiary Notice of Non-Coverage ABN CMS-R-131 English | Exp. 6/30/2023 | N | ||||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | General Information | ABNSpanish2023v508.pdf | Advance Beneficiary Notice of Non-Coverage ABN CMS-R-131 Spanish | Exp. 6/30/2023 | N | ||||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SorryWeMissedYouPharmacyDrivers_553-3262.pdf | Sorry We Missed You - Door Hangers - Home Care - Pharmacy Drivers (553-3262) SE 5450-30-006 | 1/1/2300 12:00 | N | ||||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | Sorry_We_Missed_You-Pharmacy_Drivers.pdf | Sorry We Missed You - Door Hangers - Home Care - Pharmacy Drivers (553-3290) SE 5450-30-006 | 1/1/2300 12:00 | N | ||||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | HomeCare_FlipCards_3.pdf | Wound Care at Home - Wound Guidelines - SE Home Care Services Flip Card #2121 | 02/2020 Rev. | 5" x 3" card | Ruth Haley | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_SAIS_Patient_Booklet_2020.pdf | SE SAIS Patient Booklet #1933 (1 set = 100 booklets) | 03/2020 Rev. | 1/1/2300 12:00 | Grace Little | BizPort | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | DocumentRetired.pdf | **RETIRED** Halifax Home Health Managing Chronic Conditions In The Home Brochure | 03/2021 Rev. | 1/1/2300 12:00 | Faith O'Neill (retired per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | DocumentRetired.pdf | **RETIRED** Halifax Home Health We Bring Healing Home Brochure | 03/2021 Rev. | 1/1/2300 12:00 | Faith O'Neill (retired per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | DocumentRetired.pdf | **RETIRED** Montreal Cognitive Assessment (MOCA) #1520 | 03/2021 Rev. | 1/1/2300 12:00 | (retired per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | DocumentRetired.pdf | **RETIRED** Patient Teach Back Observation Tool #1519 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | DocumentRetired.pdf | **RETIRED** REALM SF #1518 | 03/2021 Rev. | 1/1/2300 12:00 | Stacey Hines (retired per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | DocumentRetired.pdf | **RETIRED** Tele-wound Program Photography/Video Consent #1506 | 03/2021 Rev. | 1/1/2300 12:00 | Stephanie Ballengee/Mary Mullins (retired per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | Notice_of_Medicare_Non-CoverageFillable_NC.pdf | Notice of Medicare Non-Coverage - Home Health (NORTH CAROLINA) | 03/2021 Rev. | Insert Cover Stock in between
each set; staple https://www.cms.gov/Medicare/Medicare-General-Information/BNI/FFS-Expedited-Determination-Notices.html |
Ann Marie Roberto/SE Accreditation | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | Notice_of_Medicare_Non-CoverageFillable2.pdf | Notice of Medicare Non-Coverage - Home Health (VIRGINIA) | 03/2021 Rev. | Provide Cover Stock paper for
customer to insert between each set; staple
Check https://www.cms.gov/Medicare/Medicare-General-Information/BNI/FFS-Expedited-Determination-Notices.html prior to printing to make sure we print most current available |
Ann Marie Roberto/SE Accreditation | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | AIS_Sentara_Infusion_Services_-_final.pdf | Sentara Infusion Services AIS Suite Flyer | 05//2021 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HomeHealth_ED_Process_Flyer.pdf | SE Home Health ED Process Flyer #2005 | 05/2020 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | HomeHealth_DC_Summary-Transfer_Form-DC_2ptWY_NoHoles.pdf | Home Health DC Summary Transfer Form #2049 | 06/2020 Rev. | 1/1/2300 12:00 | Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HomeHealth_Refusal_Form.pdf | SE Home Health Refusal Form #1857 | 06/2020 Rev. | 1/1/2300 12:00 | Ann Marie Roberto/Sherry Kesler | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HH_WelcomeLetter_Patient_Wmsbg.pdf | Senara Home Health Welcome Letter (Williamsburg) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HH_WelcomeLetter_Patient_553_3285.pdf | Sentara Home Health Welcome Letter (553-3285) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HH_WelcomeLetter_Patient_553_3579.pdf | Sentara Home Health Welcome Letter (553-3579) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HH_WelcomeLetter_Patient_Alleghany.pdf | Sentara Home Health Welcome Letter (Alleghany) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HH_WelcomeLetter_Patient_Cville.pdf | Sentara Home Health Welcome Letter (Charlottesville) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HH_WelcomeLetter_Patient_Halifax.pdf | Sentara Home Health Welcome Letter (Halifax) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HH_WelcomeLetter_Patient_Harrisonburg.pdf | Sentara Home Health Welcome Letter (Harrisonburg) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HH_WelcomeLetter_Patient_NC.pdf | Sentara Home Health Welcome Letter (NC) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HH_WelcomeLetter_Patient_NewportNews.pdf | Sentara Home Health Welcome Letter (Newport News) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HH_WelcomeLetter_Patient_Suffolk.pdf | Sentara Home Health Welcome Letter (Suffolk) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HH_WelcomeLetter_Patient_Woodbridge.pdf | Sentara Home Health Welcome Letter (Woodbridge) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HH_WelcomeLetter_Patient.pdf | Sentara Home Health Welcome Letter (blank line) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_Daily_Log_Sheet_2ptWY.pdf | Daily Log Sheet SE 4950-50-007 | 10/2018 Rev. | 1/1/2300 12:00 | Valerie Dempsey | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HomeHealth_CHF_Patient_Booklet_2019__32_pages.pdf | SE Home Health CHF Patient Booklet #1873 (32pg) | 10/2019 Rev. | BizPort prints | 1/1/2300 12:00 | Grace Little | BizPort | N |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HomeHealth_PatientRightsandResponsibilities-AR.pdf | SE Home Health Patient Rights and Responsibilities #1479, ARABIC | 10/2020 Rev. | 1/1/2300 12:00 | Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HomeHealth_PatientRightsandResponsibilities-FA.pdf | SE Home Health Patient Rights and Responsibilities #1479, FARSI | 10/2020 Rev. | 1/1/2300 12:00 | Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HomeHealth_PatientRightsandResponsibilities-JA.pdf | SE Home Health Patient Rights and Responsibilities #1479, JAPANESE | 10/2020 Rev. | 1/1/2300 12:00 | Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HomeHealth_PatientRightsandResponsibilities-RU.pdf | SE Home Health Patient Rights and Responsibilities #1479, RUSSIAN | 10/2020 Rev. | 1/1/2300 12:00 | Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HomeHealth_PatientRightsandResponsibilities-ES.pdf | SE Home Health Patient Rights and Responsibilities #1479, SPANISH | 10/2020 Rev. | 1/1/2300 12:00 | Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_HomeHealth_PatientRightsandResponsibilities.pdf | Sentara Home Health Patient Rights and Responsibilities #1479 | 10/2020 Rev. | 1/1/2300 12:00 | Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | HalifaxHomeHealth_DC_Summary-Transfer_Form-DC_2ptWY_NoHoles.pdf | Halifax Home Health - Discharge Summary/Transfer Form/Discharge Instructions #1710 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Kelly Moser/Halifax Home Health Manager | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_SPERS_Flyer.pdf | SE Home Care PERS Flyer #1907 | 12/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | PCA_form_Final_December_2019.pdf | SE Home Infusion PCA Form Notepad #1920 (50 pgs per pad) | 12/2019 Rev. | padded in units of 50 pages | 1/1/2300 12:00 | Grace Little | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SentaraHome_InfusionPharmacy_flyer.pdf | Sentara Home Infusion Services Flyer #1901 | 12/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | SE_AuthorizationtoDisclose_PHI_form.pdf | Authorization to Disclose Protected Health Information (SENTARA HOME HEALTH) #1500 | 2/2018 Rev. | 1/1/2300 12:00 | Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | Sentara_Lifeline-SelfAssessment-HowItWorks-2up.pdf | Sentara Lifeline Self-Assessment | 2/2018 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | MEDICATIONS_List.pdf | Medication List - Home Care - SE 4820-50-001 | 5/2018 Rev. | 1/1/2300 12:00 | Jessica Smith | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Home Care | Sorry We Missed You Door Hanger, TEMPLATE (Home Care) | Customizable Door Hanger | 1/1/2300 12:00 | Please fill in fields to include your phone # and review date. | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | HopeCard_Sympathy_Hospice_NewportNews.pdf | Hope Card with Preprinted Envelope, Newport News Hospice #1657 | WHITE Card Stock, 2 up on 11 x 17, Fold to 8.5 x 5.5, 9 x 6 Blank Env. | 1/1/2300 12:00 | Nicole McDonald/Zaida Ramdeholl | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | WeRememberCard_Anniversary_Hospice_Chesapeake_Halifax.pdf | We Remember Card with Preprinted Envelope, Halifax Hospice #1656 | WHITE Card Stock, 2 up on 11 x 17, Fold to 8.5 x 5.5, 9 x 6 Blank Env. | 1/1/2300 12:00 | Grace Litte | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | WeRememberCard_Anniversary_Hospice_Chesapeake_Harrisonburg.pdf | We Remember Card with Preprinted Envelope, Harrisonburg Hospice #1656 | WHITE Card Stock, 2 up on 11 x 17, Fold to 8.5 x 5.5, 9 x 6 Blank Env. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | WeRememberCard_Anniversary_Hospice_NewportNews.pdf | We Remember Card with Preprinted Envelope, Newport News Hospice #1656 | WHITE Card Stock, Fold to 8.5 x 5.5, 9 x 6 Blank Env. | 1/1/2300 12:00 | Nicole McDonald/Zaida Ramdeholl | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | WeRememberCard_Anniversary_Hospice_HH_VirginiaBeach.pdf | We Remember Card with Preprinted Envelope, Virginia Beach Hospice #1656 | WHITE Card Stock, 2 up on 11 x 17, Fold to 8.5 x 5.5, 9 x 6 Blank Env. | 1/1/2300 12:00 | Grace Little/Toni V. Mayes | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SEHospice_singlebutterfly_updated.pdf | Butterfly 4"x4" Magnet (Qty. 400) | 01/2020 Rev. | Quantity 400 for $246 (effective 1/14/2020) Per Allen @ BizPort | 1/1/2300 12:00 | Grace Little/Debi Wacker | BizPort | N |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SCH_Hospice_TIGR_Videos_4x9_onesided.pdf | SCH Hospice TIGR Videos 4x9 #1946 | 01/2020 Rev. | 4x9 Rack Card | 1/1/2300 12:00 | Grace Little | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | ConfirmationofVerbalOrderHospiceDept_2020.pdf | SE Chesapeak Conf. of Verb. Order Hospice Notepad #0163 (50pp/pad) | 01/2020 Rev. | 50 page notepad 2 up on 11 x 17 cut to 8.5 x 11 |
1/1/2300 12:00 | Grace Little/Katherine Morrison | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | ConfirmationofVerbalOrderHospiceDept_GreaterPeninsula_2020.pdf | SE Greater Peninsula Conf. of Verb. Order Hospice Notepad #1930 (50pp/pad) | 01/2020 Rev. | Notepad with 50 pages per
pad 2 up on 11 x 17 cut to 8.5 x 11 |
1/1/2300 12:00 | Grace Little/Jacqueline M Batts | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SLH_Hospice_TIGR_Videos_4x9_onesided.pdf | SLH Hospice TIGR Videos 4x9 #1946 | 01/2020 Rev. | 4x9 Rack Card | 1/1/2300 12:00 | Grace Little | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SNGH_Hospice_TIGR_Videos_4x9_onesided.pdf | SNGH Hospice TIGR Videos 4x9 #1946 | 01/2020 Rev. | 4x9 Rack Card | 1/1/2300 12:00 | Grace Little | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SOH_Hospice_TIGR_Videos_4x9_onesided.pdf | SOH Hospice TIGR Videos 4x9 #1946 | 01/2020 Rev. | 4x9 Rack Card | 1/1/2300 12:00 | Grace Little | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SPAH_Hospice_TIGR_Videos_4x9_onesided.pdf | SPAH Hospice TIGR Videos 4x9 #1946 | 01/2020 Rev. | 4x9 Rack Card | 1/1/2300 12:00 | Grace Little | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SRMH_Hospice_TIGR_Videos_4x9_onesided.pdf | SRMH Hospice TIGR Videos 4x9 #1946 | 01/2020 Rev. | 4x9 Rack Card | 1/1/2300 12:00 | Grace Little | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SWRMC_Hospice_TIGR_Videos_4x9_onesided.pdf | SWRMC Hospice TIGR Videos 4x9 #1946 | 01/2020 Rev. | 4x9 Rack Card | 1/1/2300 12:00 | Grace Little | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SEHospice_singlebutterfly_updated.pdf | SE Hospice Butterfly (Laminated) | 01/2021 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SE_Hospice_Right_Choice_Harrisonburg_1968.pdf | SE Harrisonburg Hospice Right Choice #1968 | 03/2020 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SE_Hospice_Right_Choice_Peninsula_1968.pdf | SE Peninsula Hospice Right Choice #1968 | 03/2020 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SE_Hospice_Right_Choice_Southside_1968.pdf | SE Southside Hospice Right Choice #1968 | 03/2020 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SE_Hospice_Right_Choice_Halifax_1968.pdf | SE Halifax Hospice Right Choice #1968 | 03/2020 rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | DocumentRetired.pdf | **RETIRED** Hands of Legacy Flyer #0156 | 03/2021 Rev. | 1/1/2300 12:00 | Grace Little (retired per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Notice_of_Medicare_Non-CoverageFillable_Hospice_VA.pdf | Notice of Medicare Non-Coverage Hospice (VA) | 03/2021 Rev. | Provide Cover Stock paper for
customer to insert between each set; staple Check https://www.cms.gov/Medicare/Medicare-General-Information/BNI/FFS-Expedited-Determination-Notices.html prior to printing to make sure we print the most current available |
Ann Marie Roberto/SE Accreditation | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Hospice_AdmissionConsent.pdf | Hospice Admission Consent #1730 | 04/2020 Rev. | 1/1/2300 12:00 | Ann Marie Roberto/Quality Management | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Sentara_Hospice_Services_Volunteer_Plan_of_Care.pdf | SE Hospice - Volunteer Plan of Care #1707 | 04/2020 Rev. | 1/1/2300 12:00 | Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Hospice_Circle_of_Care_Flyer_2020.pdf | Hospice Circle of Care Flyer #2028 | 05/2020 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | HospiceIsAboutLiving_2020_GP.pdf | Hospice Is About Living #2015 (Greater Peninsula) | 05/2020 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | HospiceIsAboutLiving_2020_Halifax.pdf | Hospice Is About Living #2015 (Halifax) | 05/2020 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | HospiceIsAboutLiving_2020_Harrisonburg.pdf | Hospice Is About Living #2015 (Harrisonburg) | 05/2020 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | HospiceIsAboutLiving_2020.pdf | Hospice Is About Living #2015 (Southside) | 05/2020 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | CommonHospiceMyths_2020_GP.pdf | Common Hospice Myths #2016 (Greater Peninsula) | 05/2021 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | CommonHospiceMyths_2020_Halifax.pdf | Common Hospice Myths #2016 (Halifax) | 05/2021 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | CommonHospiceMyths_2020_Harrisonburg.pdf | Common Hospice Myths #2016 (Harrisonburg) | 05/2021 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | CommonHospiceMyths_2020.pdf | Common Hospice Myths #2016 (Southside) | 05/2021 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Hospice_IsntJustForCancer_Southside.pdf | Hospice Isn't Just For Cancer #2261 (Southside) | 05/2021 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Hospice_IsntJustForCancer_GP.pdf | Hospice Isn't Just For Cancer #2262 (Greater Peninsula) | 05/2021 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Hospice_IsntJustForCancer_Harrisonburg.pdf | Hospice Isn't Just For Cancer #2263 (Harrisonburg) | 05/2021 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Hospice_IsntJustForCancer_Halifax.pdf | Hospice Isn't Just For Cancer #2264 (Halifax) | 05/2021 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | WeRememberCard_Anniversary_Hospice_SCH_with_envelope.pdf | We Remember Card Anniversary Hospice SCH w/Envelope, #1656 | 05/2021 Rev. | WHITE Card Stock, 2 up on 11 x 17, Fold to 8.5 x 5.5, 9 x 6 Blank Env. | Sherry Hensberger | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | HospiceSupport_What_2_do_when_u_cant_b_there.pdf | Hospice Support What to Do When You Can't Be There #2038 | 06/2020 Rev. | No bleed, when vol. coor. send to volunteers they can easily print the finished document | 1/1/2300 12:00 | Grace Little | N | |
| Maternity | pf.sentara.com | General Information | Participating_Pediatricians_List_June2021.pdf | SPAH Participating Pediatricians List | 06/2021 Rev. | JJ Toombs | N | |||
| Maternity | pf.sentara.com | General Information | Sentara_Job_Aid_TIGR_VIDEOS_FMC_Video_Guide_byCategory.pdf | TIGR VIDEOS - FMC Video Guide by Category | 06/2021 Rev. | JJ Toombs | N | |||
| Oncology | Local | General Information | Sentara_Cancer_Network_Resource_Center_teal_folder.pdf | Sentara Cancer Network Resource Center Teal Folder (w/ Business cards slits on both pockets) | 06/2021 Rev. | Elizabeth Rogers | Allegra | N | ||
| Orthopedic | Local | Sentara Therapy Center | PatientAttestationFormHIMROI010.pdf | Patient Attestation Form HIMROI010 | 06/2021 Rev. | Rita Brereton | N | |||
| Orthopedic | Local | Sentara Therapy Center | Ambulatory_Services_Rack_Card-FINAL.pdf | Senara Primary Care and Therapy Center - Waynesboro Rack Card #2280 | 06/2021 Rev. | 1/1/2300 12:00 | Annya Soucy | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Sentara_Hospice_Levels_of_Care_Southside.pdf | Sentara Hospice Levels of Care #2076 (Southside) | 09/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SE_Ches_Hospice_EndOfLife_info_flyer_onesided.pdf | SE Chesapeake Hospice End Of Life #1874 | 10/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SE_GP_Hospice_EndOfLife_info_flyer_onesided.pdf | SE GP Hospice End Of Life Flyer #1875 | 10/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SE_Hospice_EndOfLife_info_flyer_onesided.pdf | SE Hospice End Of Life Care #1872 | 10/2019 Rev. | 1/1/2300 12:00 | Grace Little/Tabitha V Cothran | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | ConsentforElection_HospiceBenefits_MEDFORM.pdf | Consent for Election Hospice Benefits (MEDFORM) #2119 | 10/2020 Rev. | Carbon Copy | Ann Marie Roberto | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | HopeCard_Sympathy_HospiceHouse_Chris.pdf | Hope Card with Preprinted Envelope, Chesapeake Hospice (Chris) #1657 | 11/2019 Rev. | 1/1/2300 12:00 | Chris Tidwell | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | HospiceVolunteeringFlyer_2019.pdf | Hospice Volunteering Flyer #0363 | 11/2019 Rev. | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | WeRememberCard_Anniversary_Hospice_Chesapeake_Chris.pdf | We Remember Card with Preprinted Envelope, Chesapeake Hospice #1656 | 11/2019 Rev. | WHITE Card Stock, 2 up on 11x17, fold to 8.5"x5.5", 9x6 blank envelope | 1/1/2300 12:00 | Chris Tidwell | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | CareGiver_Booklet_updated.pdf | Caregiving for Hospice Patients Booklet #2146 | 12/2020 Rev. | 1/1/2300 12:00 | Elizabeth Lee/Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Hospice_-_Journal_-_0219a___HiRes.pdf | Hospice Communication Journal/Right Choice The Right Time #1494 - Price TBD | 2/2019 Rev. | send to Allegra | 1/1/2300 12:00 | Grace Little/Corina Soles | Allegra | N |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Pocket_Folder_wSpine_0219c.pdf | Sentara Hospice Services Folder/Right Choice The Right Time - Price TBD | 2/2019 Rev. | send to Jones Need to bill |
1/1/2300 12:00 | Grace Little/Corina Soles | Jones Printing | N |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Hospice_-_whatToExpect__0219_a__HiRes.pdf | What To Expect/Right Choice The Right Time - Price TBD | 2/2019 Rev. | send to Allegra | 1/1/2300 12:00 | Grace Little/Corina Soles | Allegra | N |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Telehealth_Assessment_and_Consent_Form_for_Hospice_FINAL_03-27-2020.pdf | Consent to Participate in the Sentara Hospice Telehealth Program #1983 | 3/2020 Rev. | Stephanie Ballengee/Hospice Home Care Quality Management | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Hospice_Pocket_Booklet_HiRes_-_PrinterSpreads.pdf | Sentara Halifax Hospice and Palliative Care | 4/2018 Rev. | Bart Morris | 1/1/2300 12:00 | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | HospiceAfterHoursSheet_1575.pdf | Hospice After Hours Sheet #1575 | 5/2018 Rev. | 1/1/2300 12:00 | Rudette Taylor | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | HospiceMEDICATIONList.pdf | Medication List Hospice Services #0371 | 6/19 Reviewed/Revised | 1/1/2300 12:00 | Grace Little | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Hospice_VirtualSupportGroups_Calendar.pdf | Hospice Virtual Support Groups Chesapeake | 6/2021 Rev. | Grace Little/Dean Nowotny | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | SE_Hospice_transfer_service_form.pdf | SE Hospice Transfer Service Form #1651 | 7/2018 Rev. | 1/1/2300 12:00 | Mary A Mullins | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Sentara_Hospice_Levels_of_Care_Peninsula.pdf | Sentara Hospice Levels of Care # 2077 (Peninsula) | 9/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Sentara_Hospice_Levels_of_Care_Harrisonburg.pdf | Sentara Hospice Levels of Care #2078 (Harrisonburg) | 9/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Sentara_Hospice_Levels_of_Care_Halifax.pdf | Sentara Hospice Levels of Care #2079 (Halifax) | 9/2020 Rev. | Grace Little | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Infusion Pharmacy | PCA_form_Final_June_2020.pdf | PCA SE Pharmcy Infusion Services Notepad #2042 (50 pages per pad) | 06/2020 Rev. | 50 pages per pad 2 up on 11 x 17 cut to 8.5 x 11 |
1/1/2300 12:00 | Grace Little/Laura Borowski | N | |
| Patient Resources | Local | General Information | MED_patienthandout_2021.pdf | SHRM Campus Guide and Parking Map Flyer #2273 | 06/2021 Rev. | Erica Huffman | N | |||
| Physician Practices | Local | General Information | ControlledSubstancesPrescription_flyer_1266.pdf | SMG Controlled Substances Prescription Flyer #1266 | 06/2021 Rev. | Candace Minter | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Infusion Pharmacy | SE_Infusion_diagram.pdf | SE Infusion Diagram Placemat #1684 | 1/2019 Rev. | (8 mil Synaps OM Synthetic Cover printed on 8000) | 1/1/2300 12:00 | Grace Little/April Flynn | BizPort | N |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Infusion Pharmacy | Home_Infusion_Services_Infusion_Suite_Referral_Form_Nov2019-rev_FINAL.pdf | Home Infusion Services-Infusion Suite Referral Form #2053 (Pads of 50) | 11/2019 Rev. | 2 up on 11 x 17 cut to 8.5 x 11 | Grace Littel/April Flynn | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Infusion Pharmacy | SE_HomeHealthInfusionNursingServiceAgreement.pdf | SE Home Infusion Services Infusion Nursing Service Agreement #1498 | 2/2018 Rev. | 1/1/2300 12:00 | April Flynn | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Infusion Pharmacy | SE_IVEquipmentpickuporm.pdf | Infusion Equipment Pick-Up Form #1452 | 3/2020 Rev. | 1/1/2300 12:00 | Process Owner: Valerie Dempsey | N | ||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Proprium Pharmacy | PropriumPharmacyRxPad.pdf | Proprium Pharmacy Rx Pad - 4 pads of 100 scripts per pack | 1/1/2300 12:00 | N | ||||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Proprium Pharmacy | PropriumPharmacyTransferRxPad.pdf | Proprium Pharmacy Transfer Rx Pad - 4 pads of 100 scripts per pack | 1/1/2300 12:00 | N | ||||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Proprium Pharmacy | Refrigerated_Propriumpharmacy_sticker_3_2.pdf | Proprium Pharmacy Refrigerated Items Enclosed Label #1497, 3 x 2, Fluorescent Yellow | 1/2018 Rev. | BCT - Fluorescent Yellow Label | Pati Wright | BCT | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Proprium Pharmacy | PropriumPharmacy_sticker_4x2_5533568.pdf | To Be Opened By Address Only Proprium Sticker 4x2 Hot Pink (500 Labels p/roll) | 9/2020 Rev. | BCT - Hot Pink Label | Pati Wright | BCT | N | |
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | TeleHealth | DocumentRetired.pdf | **RETIRED**Telehealth Assessment and Consent Form #1438 | 03/2021 Rev. | DO NOT PRINT 2 sided | Process Owner: Stephanie Ballenge (Retired per Ann Marie Roberto, 3/2021) | N | ||
| Sentara Life Care | Local | Mobile Meals | MobileMeals_trifold_1639__005_.pdf | Sentara Mobile Meals Brochure #1639 | 01/2020 Rev. | 1/1/2300 12:00 | Tina Waring | N | ||
| Sentara Life Care | Local | PACE | PACE_PROVIDER_MANUAL_REVISED_ORDER_45479_01072020.pdf | PACE Provider Booklet | 1/2020 Rev. | Merinda Ford/PACE Director | N | |||
| Sentara Life Care | Local | PACE | PACEReferralandAuthorizationMDORD504.pdf | PACE Referral and Authorization MDORD504 | 12/2018 Rev. | 1/1/2300 12:00 | Heather Matson | N | ||
| Sentara Life Care | Local | PACE | SentaraPACE_SITES_Trifold.pdf | Sentara PACE Brochure (SITES) #1137 | 3/2020 Rev. | Merinda Ford and Marcie McClary/PACE Program | N | |||
| Sentara Life Care | Local | PACE | PACEIntakeWorksheetASSESS119.pdf | Intake Worksheet PACE ASSESS119 | 4/2019 Rev. | 1/1/2300 12:00 | Process Owner: Heather Matson | N | ||
| Sentara Life Care | Local | PACE | PACE_EnrollmentAgreementAppendices_FIN012_may2020.pdf | Enrollment Agreement Appendices FIN012 | 6/2020 Rev. | 1/1/2300 12:00 | Paige Krenisky/Merinda B Ford - PACE | N | ||
| Sentara Life Care | Local | PACE | PACE_EnrollmentAgreement.pdf | SLC PACE Enrollment Agreement | 9/2019 Rev. | Merinda Ford/Director PACE | N | |||
| Sentara Life Care | Local | Recruitment | Sentara_Lifecare_Recruitment_Brochure_2018.pdf | Sentara Lifecare Recruitment Brochure 2018.pdf | N | |||||
| Sentara Life Care | Local | Recruitment | Sentara_Lifecare_Recruitment_Brochure_2018.pdf | Sentara Life Care Recruitment Brochure #1632 | 8/2018 Rev. | 3 panel, two sided 4/4 brochure | 1/1/2300 12:00 | Annie Alexander | N | |
| Sentara Life Care | Local | Senior Services | 3180_Senior_Health_Services_Reminder_-_print.pdf | Annual Wellness Visit Courtesy Appointment Reminder Cards | Sarah Dacey | N | ||||
| Sentara Life Care | Local | Senior Services | 2805_Extensivist_Transfer_Brochure_-_print.pdf | Senior Health Services Transition of Care Clinic Brochure | 1/2018 Rev. | 1/1/2300 12:00 | Sarah Haber | N | ||
| Sentara Life Care | Local | Senior Services | SentaraSeniorServices_Trifold.pdf | Sentara Senior Services Brochure #1556 | 7/2019 Rev. | These need to be printed on Cover Stock. Request per Annie | 1/1/2300 12:00 | Annie Alexander/Bethany Allen | N | |
| Sentara Life Care | Local | Senior Services | SHS_Brochure_Update_-_Print_Ready.pdf | Understanding Your Annual Wellness Visit Brochure | 9/2018 Rev. | 1/1/2300 12:00 | Sarah Haber | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | Acknowledgement Form - Senior Community Care - SLC 2150-50-005 | 1/1/2300 12:00 | Pack(s)-250 Sets p/pack | N | ||||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | SNC-Norfolk-Care_Plan_Appt_Card.pdf | Appointment Card - SNC Norfolk | 1/1/2300 12:00 | N | ||||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | SNC-Norfolk-Care_Plan_Appt_Card.pdf | Care Plan Appointment Card - SNC Norfolk | 1/1/2300 12:00 | N | ||||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | SNRCHamptonRehabPacket1.pdf | Hampton Rehab Packet | Blue Seniors Folder;Pg 1 and 2,2 sided 11x17_Bookfold ;Pg3 and 4 2sided flyer; Pg5 B&W | 1/1/2300 12:00 | Process Owner: Annie Alexander | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | Chesapeake_Village_Wall.pdf | Honor Wall Donor Card | Impose 6 up on 13 x 19 and cut to size | 1/1/2300 12:00 | Annie Alexander | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | SNCNorfolkRehabPacket1.pdf | Norfolk Rehab Packet | Blue Seniors Folder;Pg 1 and 2,2 sided 11x17_Bookfold ;Pg3 and 4 2sided flyer; Pg5 B&W | 1/1/2300 12:00 | Process Owner: Annie Alexander | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | ThankYouCardSN_Rehab_Care_Residence_Windermere.pdf | Sentara Nursing & Rehabilitation Center - Windermere Thank You Card, Embossed Logo Notecard, preprinted envelope | Embossed Logo Note Card and Envelope | Annie Alexander | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | ThankYouCardSN_Rehab_Care_Residence_Currituck.pdf | Sentara Nursing Center - Currituck Thank You Card, Embossed Logo Notecard, preprinted envelope | Embossed Logo Note Card and Envelope | Annie Alexander | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | ThankYouCardSN_Rehab_Care_Residence_Portsmouth.pdf | Sentara Nursing Center - Portsmouth Thank You Card, Embossed Logo Notecard, preprinted envelope | Embossed Logo Note Card and Envelope | Annie Alexander | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | ThankYouCardSN_Rehab_Care_Residence_Hampton.pdf | Sentara Nursing and Rehabilitation Center - Hampton Thank You Card, Embossed Logo Notecard, preprinted envelope | Embossed Logo Note Card and Envelope | Annie Alexander | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | ThankYouCardSN_Norfolk.pdf | Sentara Rehabilitation and Care Residence - Norfolk Thank You Card, Embossed Logo Notecard, preprinted envelope | Embossed Logo Note Card and Envelope | Annie Alexander | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | ThankYouCardSN_Rehab_Care_Residence_VB.pdf | Sentara Rehabilitation and Care Residence - Virginia Beach Thank You Card, Embossed Logo Notecard, preprinted envelope | Embossed Logo Note Card and Envelope | Annie Alexander | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | ThankYouCardSN_Rehab_Care_Residence_Chesapeake.pdf | Sentara Rehabilitation and Care Residence -Chesapeake Thank You Card, Embossed Logo Notecard, preprinted envelope | Embossed Logo Note Card and Envelope | Annie Alexander | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | SNRCVaBeachRehabPacket1.pdf | Va Beach Rehab Packet | Blue Seniors Folder;Pg 1 and 2,2 sided 11x17_Bookfold ;Pg3 and 4 2sided flyer; Pg5 B&W | 1/1/2300 12:00 | Process Owner: Annie Alexander | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | SNRCWindermereRehabPacket.pdf | Windermere Rehab Packet | Blue Seniors Folder;Pg 1 and 2,2 sided 11x17_Bookfold ;Pg3 and 4 2sided flyer; Pg5 B&W | 1/1/2300 12:00 | Process Owner: Annie Alexander | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | SLC_end_of_life_FAQ_flyer.pdf | SLC Rehab Patient FAQ Flyer #1945 | 01/2020 Rev. | 1/1/2300 12:00 | Debi Wacker/Tina Waring | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | SLC_DietOrder.pdf | SLC Diet Order #0132 | 12/2017 Rev. | 1/1/2300 12:00 | Cindy Angel | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | SNC_Consultation.pdf | SNC Consultation #1313 | 12/2017 Rev. | 1/1/2300 12:00 | Cindy Angel | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | 2491_SRCR-N_Back_and_Neck_-_print2.pdf | Sentara Rehabilitation and Care Residence/Back & Neck Center of Excellence | 3/2018 Rev. | 1/1/2300 12:00 | Annie Alexander | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | 2066_Currituck_Rack-print.pdf | Sentara Nursing Center - Currituck Rack Card | 3/2019 Rev. | 1/1/2300 12:00 | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | Jot_Sheet.pdf | SLC Jot Sheet SLC 3120-50-011 | 3/2020 Rev. | EVA M FREEZE/SLC Nursing Administration | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | SLC_MAR_TAR.pdf | SLC MAR TAR #0323 | 3/2020 Rev. | 80lb cover stock, 3 hole punch drilled bottom margin 11 inch side | 1/1/2300 12:00 | Sentara PACE DON/Sheron Wiggins | N | |
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | Sentara_Rehabilitation_Centers_Brochure.pdf | Sentara Rehabilitation Centers Brochure #1822 | 7/19 Reviewed/Revised | 1/1/2300 12:00 | Annie Alexander | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | SNRC_10fT_SocialDistancing_FloorSticker.pdf | SNRC 10ft Social Distancing Floor Sign #2055, 10 x 8 | 7/2020 Rev. | Removable Vinyl Adhesive for
use on the floor Bizport |
David Hopper/SLC Director Plant Maintenance | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | Back___Neck_Center_of_Excellence_Program_Flyer_Print.pdf | Back & Neck Center of Excellence Progam Flyer #1641 | 8/2018 Rev. | 1/1/2300 12:00 | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | Back___Neck_Center_of_Excellence_Program_Book.pdf | Back & Neck Center of Excellence Program Book #1640 | 8/2018 Rev. | 1/1/2300 12:00 | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | Cardiac_Center_of_Excellence_Program_Book.pdf | Cardiac Center of Excellence Program Book #1642 | 8/2018 Rev. | 1/1/2300 12:00 | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | Cardiac_Center_of_Excellence_Program_Flyer_Print.pdf | Cardiac Center of Excellence Program Flyer #1643 | 8/2018 Rev. | 1/1/2300 12:00 | N | |||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | SentaraNursingandRehab_WhatOurCustomersAreSaying_RackCard2.pdf | Sentara Nursing and Rehabilitation Centers, What Our Customers Are Saying Rack Card #1836 | 8/2019 Rev. | 1/1/2300 12:00 | Bethany Allen/Annie Alexander | N | ||
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | AnticoagulationLogOrderForm.pdf | Anticoagulation Therapy Management Log & Sentara Rx Order Form #0518 | 9/2018 Rev. | 3 Hole Punched across 11 inch side | 1/1/2300 12:00 | Maria Achilleos | N | |
| Sentara Life Care | Local | Sentara Nursing & Rehab Centers | Nursing_Centers_Orientation_Handbook_9-19Bklt.pdf | Nursing Centers Orientation Handbook #0500 | 9/2019 Rev. | 1/1/2300 12:00 | Annie Alexander | N | ||
| Sentara Life Care | Local | Sentara Village | Chesapeake_Village_Wall_rev122017.pdf | Honor of A Loved One Card - Chesapeake Village Wall | 1/1/2300 12:00 | N | ||||
| Sentara Life Care | Local | Sentara Village | ALF_Admission_Packet_2018.pdf | SLC/Villages Admission Packet | 1/2019 Rev. | 1/1/2300 12:00 | Annie Alexander | N | ||
| Sentara Life Care | Local | Sentara Village | Sentara_Village_Resident_Orientation_Handbook_Bklt.pdf | Sentara Village Resident Orientation Handbook #1644 | 2/2019 Rev. | 1/1/2300 12:00 | N | |||
| Sentara Life Care | Local | Sentara Village | VB_ALF_TourPacket_7_2019.pdf | SLC/Villages Tour Packet | 7/2019 Rev. | Goes in Sentara Senior Services Folder that is stock item | 1/1/2300 12:00 | Annie Alexander | N | |
| Sentara Life Care | Local | Sentara Village | SentaraAssistedLiving_Trifold.pdf | Sentara Assisted Living Brochure #1513 | 7/2019 Rev. | 1/1/2300 12:00 | Annie Alexander/Bethany Allen | N | ||
| Sentara Life Care | Local | Volunteers | SLC_VolunteerBookletSETUP.pdf | SLC Volunteer Booklet | 10/2018 Rev. | 1/1/2300 12:00 | Process Owner: Linda Dietz | N | ||
| Sentara Life Care | Local | Volunteers | Senior_Volunteer_Rack_Card_2019.pdf | Sentara Senior Services Volunteer Program Rack Card #1740 | 7/2019 Rev. | Coated Card Stock, 6 up on 13 x 19, 2 sided | 1/1/2300 12:00 | Process Owner: Annie Alexander | N | |
| Sentara Life Care | Local | Woodview | WoodViewBooklet_CombinedBleeds.pdf | WoodView Booklet | 2/2019 Rev. | Send to barry@bentonthomas.com | 1/1/2300 12:00 | Faith O'Neil/SHRH Marketing | Benton Thomas | N |
| Staff Resources | Local | Forms | SVBGH_AUXILIARY_DONATION_FORM.pdf | SVBGH Auxiliary Donation Form | 01/2021 Rev. | Dolores Reed | N | |||
| Staff Resources | Local | Forms | SNGH_Main_Cashier_Receipt_5_5x4_25_4up.pdf | Main Cashier Receipt 5.5" x 4.25" Notepad (#2218) | 04/2021 Rev. | 100 pages per pad | Anthony Wright | N | ||
| Staff Resources | Local | Forms | SOH_Loan_and_Borrow_Form.pdf | SOH Loan and Borrow Form #1787 | 05/2019 Reviewed/Revised | Printed on NCR | 1/1/2300 12:00 | Janeefard A Brown/Suzanne B Bird | N | |
| Staff Resources | Local | Forms | SRMH_ConsultDataSheet.pdf | SRMH Consultation Data Sheet #2026 | 05/2020 Rev. | Ellen Rotas | N | |||
| Staff Resources | Local | Forms | SNGH_8RP_Blank_Handoff.pdf | SNGH 8RP Blank Handoff #2182 | 05/2021 Rev. | Mai Willis | N | |||
| Staff Resources | Local | Forms | WorkDayOrganizer.pdf | Work Day Organizer Notepad #1485 (Pads of 100) | 1/2018 Rev. | Kari Voll - If you need more than 20 pads please email cbsupport@sentara.com | N | |||
| Staff Resources | Local | Forms | SVBGH_2West_assignment_sheet.pdf | SVBGH 2West Assignment Sheet #1919 | 12/2019 Rev. | Cut down to 8.5"x14" | 1/1/2300 12:00 | Kathleen Gramkowski/Tricia Christoffer | N | |
| Staff Resources | Local | Forms | Patient_Tag_DISCHARGE_SNGH_4250-32-004_coverstock.pdf | SNGH Patient Tag, DISCHARGE SNGH 4250-32-004 | 2/2018 Rev. | 1/1/2300 12:00 | Elisabeth Bradfield | N | ||
| Staff Resources | Local | Forms | Patient_Tag_GREEN_SNGH_4250-32-003_coverstock.pdf | SNGH Patient Tag, GREEN SNGH 4250-32-003 | 2/2018 Rev. | 1/1/2300 12:00 | Elisabeth Bradfield | N | ||
| Staff Resources | Local | Forms | Patient_Tag_RED_SNGH_4250-32-001_coverstock.pdf | SNGH Patient Tag, RED SNGH 4250-32-001 | 2/2018 Rev. | 1/1/2300 12:00 | Elisabeth Bradfield | N | ||
| Staff Resources | Local | Forms | Patient_Tag_YELLOW_SNGH_4250-32-002_coverstock.pdf | SNGH Patient Tag, YELLOW SNGH 4 250-32-002 | 2/2018 Rev. | 1/1/2300 12:00 | Elisabeth Bradfield | N | ||
| Staff Resources | Local | Forms | SWRMC_TimeOffRequestSlip.pdf | SWRMC Time Off Request Slip #1510, 2 Part W/Y | 2/2018 Rev. | 1/1/2300 12:00 | Paula Moton | N | ||
| Staff Resources | Local | Forms | SNGH_InformationfromCallertoAnnounceandPageanAlert_cutpadded.pdf | SNGH Information from Caller to Announce and Page an Alert #1295, 8.5 x 5.5 - 100 p/pad | 4/2017 Rev. | Any Pastel Paper | Deb Larson | N | ||
| Staff Resources | Local | Forms | DailyNursingAssignment.pdf | Daily Nursing Assignment - SHS 3150-10-001 (Padded in 100s) | 4/2018 Rev. | 1/1/2300 12:00 | Robin West | N | ||
| Staff Resources | Local | Forms | SVBGH_Part-Material_Request_Form.pdf | SVBGH Parts/Material Request Form - SVBGH 8350-50-001 | 4/2018 Rev. | 1/1/2300 12:00 | Shirlene Thomas | N | ||
| Staff Resources | Local | Forms | CodeCartExpirationTag_YellowCard.pdf | SWRMC Code Cart Expiration Tag #1199 | 4/2020 Rev. | SWRMC Surgical Services/POC Gretchen Ward | N | |||
| Staff Resources | Local | Forms | SHRH_PatientScheduleCard.pdf | SHRH Patient Schedule Card #0601 | 5/2018 Rev. | 1/1/2300 12:00 | Faith O'Neil | N | ||
| Staff Resources | Local | Forms | SLH_ICU_60MinuteTransferTicket_pad_8_5x5_5.pdf | SLH ICU 60 Minute Transfer Ticket #1841 (Pads of 50 pages) | 9/2019 Rev. | 8.5 x 5.5 pads, 50 sheets to a pad | 1/1/2300 12:00 | SLH ICU/Celeste R Perrin | N | |
| Staff Resources | Local | General Information | Gold_Star_Award_Card__1_.pdf | Gold Star Award Card (Color Print) | 1/1/2300 12:00 | N | ||||
| Staff Resources | Local | General Information | Hero_Banner_COVID-19.pdf | Heroes Work Here 96 x 36 Banner | Bizport 96 x 36 banner with grommets |
Brian York | N | |||
| Staff Resources | Local | General Information | OPMSU Visitor Sticker/Label - 2500 labels per roll | Send to BCT custserv@bctvirginia.com | 1/1/2300 12:00 | BCT | N | |||
| Staff Resources | Local | General Information | OptimaHealthSorry_we_missed_you__1_.pdf | Optima Health Sorry We Missed You Door Hanger | 1/1/2300 12:00 | Christie Lacefield | N | |||
| Staff Resources | Local | General Information | OurCommitment_CommentCard_BoxTop.pdf | Our Commitment to Improving Health Every Day Box Tops | 4 up, 13 x19 coated 100 lb cover | 1/1/2300 12:00 | N | |||
| Staff Resources | Local | General Information | SCHPatientJournalCoverWhiteBack.pdf | Patient Journal (SCH) #0285 | Shelf Item | 1/1/2300 12:00 | Jones Printing | N | ||
| Staff Resources | Local | General Information | Temporary_Vendor_Badge_SOH.pdf | SOH Temporary Vendor Badge | N | |||||
| Staff Resources | Local | General Information | SVBGH_Orientation_Binder_2017_Print_Shop_version.pdf | SVBGH Orientation Binder 2017 Print Shop version.pdf | N | |||||
| Staff Resources | Local | General Information | Comment_Card_121619-2.pdf | Sentara Comment Card (Commitment Card) #0020, Not Coated | 1/1/2300 12:00 | Cherika Britt | N | |||
| Staff Resources | Local | General Information | Comment_Card_121619-2_Spanish_High_Resolution.pdf | Sentara Comment Card (Commitment Card) #0020, Spanish, Not Coated | 1/1/2300 12:00 | Cherika Britt | N | |||
| Staff Resources | Local | General Information | Sentara_Commitments_Thank_You_Note.pdf | Sentara Commitments Thank You Card with White Envelope | 1/1/2300 12:00 | N | ||||
| Staff Resources | Local | General Information | 4063_Sentara_Heros_Campaign_-_Yard_Sign_-_print.pdf | Sentara Hero Campaign - 24 x 18 Yard Sign with Stake/Frame | Bizport Yard sign Chloroplast |
Brian York | N | |||
| Staff Resources | Local | General Information | 51341_SentaraRoundingCards.pdf | Sentara Rounding Cards SHS 8360-31-002 | Sentara Promise, Mission, Values, Vision | N | ||||
| Staff Resources | Local | General Information | Storage Label (Iron Mountain Label) | 1/1/2300 12:00 | SMG Practice Support | N | ||||
| Staff Resources | Local | General Information | Tobacco Free Visitor Pass (Customizable) | Crack N Peel, Color to be specified in Special Instructions from the customer. | 1/1/2300 12:00 | Please Specify Label Color in Special Instructions. | N | |||
| Staff Resources | Local | General Information | Vendor_Sticker.pdf | Vendor Sticker | N | |||||
| Staff Resources | Local | General Information | Visitor_Sticker.pdf | Visitor Sticker, Fluorescent Orange, Rolls | Send to BCT | 1/1/2300 12:00 | BCT | N | ||
| Staff Resources | Local | General Information | Visitor_Sticker.pdf | Visitor Sticker, White, Rolls | Send to BCT | 1/1/2300 12:00 | BCT | N | ||
| Staff Resources | Local | General Information | CommittmentFlyer.pdf | We are committed to improving health every day, Flyer, 8 1/2 x 11, Non-Laminated | 2 up 13 x 19 | 1/1/2300 12:00 | N | |||
| Staff Resources | Local | General Information | Facilities_Compliance_4x3_label.pdf | Facilities Compliance 4"x3" Label #1929 (Set of 500) | 01/2020 Rev. | BCT (Jennifer)quoted $67.90, 1/9/2020 | 1/1/2300 12:00 | Bob Laws | BCT | N |
| Staff Resources | Local | General Information | syringe_sticker.pdf | Medication Syringe Label 3.75" x 1.5" (100 Qty. on Fluor. Pink) | 01/2020 Rev. | Crack n peel - fluorescent pink | 1/1/2300 12:00 | Candace Minter/Edie Alley | N | |
| Staff Resources | Local | General Information | PatientExperience_postcard.pdf | Patient Experience Thank You Postcard | 04/2020 Rev. | 1/1/2300 12:00 | Cheryl Emery | N | ||
| Staff Resources | Local | General Information | SNVMC_4x9_visitor_card_Spanish_High_Resolution.pdf | SNVMC Visitor 4"x9" Rack Card, Spanish | 04/2021 Rev. | Tonya Jones | N | |||
| Staff Resources | Local | General Information | SNVMC_4x9_visitor_card.pdf | SNVMC Visitor Rack Card 4"x9" | 04/2021 Rev. | Tonya Jones | N | |||
| Staff Resources | Local | General Information | SOH_SafetyHabit_caught_in_the_act_4up.pdf | SOH Safety Habit Caught in the Act 4up | 05/2020 Rev. | 4.25"x5.5" | 1/1/2300 12:00 | Kerry O'Green/Carolyn Palmer | N | |
| Staff Resources | Local | General Information | SOH_SafetyHabit_CommunicateClearly_card.pdf | SOH Safety Habit Communicate Clearly Card | 05/2020 Rev. | 4.25"x5.5" | 1/1/2300 12:00 | Kerry O'Green/Carolyn Palmer | N | |
| Staff Resources | Local | General Information | SOH_SafetyHabit_Handoff_card.pdf | SOH Safety Habit Handoff Card | 05/2020 Rev. | 4.25"x5.5" card | 1/1/2300 12:00 | Kerry O'Green/Carolyn Palmer | N | |
| Staff Resources | Local | General Information | SOH_SafetyHabit_PayAttnToDetail_card.pdf | SOH Safety Habit Pay Attn To Detail Card | 05/2020 Rev. | 4.25"x5.5" | 1/1/2300 12:00 | Kerry O'Green/Carolyn Palmer | N | |
| Staff Resources | Local | General Information | SOH_SafetyHabit_QuestioningAttitude_card.pdf | SOH Safety Habit Questioning Attitude Card | 05/2020 Rev. | 4.25"x5.5" | 1/1/2300 12:00 | Kerry O'Green/Carolyn Palmer | N | |
| Staff Resources | Local | General Information | SOH_SafetyHabit_Wingman_card.pdf | SOH Safety Habit Wingman Card | 05/2020 Rev. | 4.25"x5.5" | 1/1/2300 12:00 | Kerry O'Green/Carolyn Palmer | N | |
| Staff Resources | Local | General Information | SNVMC_Request_for_PAL.pdf | SNVMC Request for PAL #2032 | 06/2020 Rev. | 8.5x11 NCR Black Print Reverse 2PT Y-W | 1/1/2300 12:00 | Christy McFarland | N | |
| Quality-Safety | Local | COVID-19 | 4656_Visitation_Guidelines_COVID-19_Update_-_24x36_-_print.pdf | COVID-19 Visitor Guidelines Sign (Hospital) 24"x36" | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | 4683_Visitation_-_16x20_-_Hospital_ER_-_print.pdf | Hospital ER Visitation (16" x 20") Foam Core | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | 4683_Visitation_Hospital_ER_-_24x36_-_print.pdf | Hospital ER Visitation (24" x 36") Foam Core | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Staff Resources | Local | General Information | SLH_2W_3_5x2_5.pdf | SLH 2W 3 5x2 5 #1807 | 07/19 Reviewed/Revised | 1/1/2300 12:00 | Robin West/Donna Baybay | N | ||
| Staff Resources | Local | General Information | SMJH_Urinalysis_card.pdf | SMJH Urinalysis Card #1271 | 07/2020 Rev. | 2 sided | 1/1/2300 12:00 | Sarah Harris | N | |
| Staff Resources | Local | General Information | SLH_PatientJournal_cover_updated_2019_COMPLETE__1_.pdf | SLH Patient Journal | 08/2019 Rev. | Cover prints SS on 11 x 17
cover, cut down to 8.5 x 11 with Bleed, Blank inside Journal is four 2 sided 8.5 x 11 pages Bookfold and saddle stitch INCLUDE CD SLEEVES WITH ORDER FOR CUSTOMER TO ASSEMBLE |
1/1/2300 12:00 | Alma Acree | N | |
| Staff Resources | Local | General Information | STATCards.pdf | STAT Cards 5"x7" | 08/2020 Rev. | Marigrace Daniel | N | |||
| Staff Resources | Local | General Information | SNGH_ELos_poster_13x13.pdf | SNGH ELOS poster 13"x13" #1847 (laminated) | 09/2019 Rev. | (.5 mil lamination thickness) | 1/1/2300 12:00 | Christopher T Smith | N | |
| Staff Resources | Local | General Information | SNGH_HH_ELos_poster_13x13.pdf | SNGH HH ELos poster 13x13 #1848 (laminated) | 09/2019 Rev. | (.5 mil lamination thickness) | 1/1/2300 12:00 | Christopher T Smith | N | |
| Staff Resources | Local | General Information | SNVMC_GreatService_1150-imp.pdf | SNVMC Great Service #1150 Card | 1/2021 Rev. | Karen Cribb/Tonya Jones | N | |||
| Staff Resources | Local | General Information | Crisis_Response_Team_brochure_updated.pdf | Crisis Response Team Brochure #1214 | 10/2020 Rev. | Katy Trapp | N | |||
| Staff Resources | Local | General Information | SOH_Keeping_You_Moving_Towards_Home_17x11_POSTER.pdf | Keeping You Moving Towards Home 17" x 11" POSTER #2110 | 10/2020 Rev. | Karen Jarratt | N | |||
| Staff Resources | Local | General Information | SNGH6K_KudosCard__1_.pdf | SNGH 6K Kudos Card #0138 | 10/2020 Rev. | Please Use Assorted Color Card Stock | Vivian Stanley | N | ||
| Staff Resources | Local | General Information | SNGH_Floor_Work_Checklist.pdf | SNGH Floor Work Checklist | 10/2020 Rev. | 2 part W/Y, Color | Anthony Wright/SNGH- ED Registration | N | ||
| Staff Resources | Local | General Information | Safe_at_Sentara_12x16_wallcling.pdf | Safe at Sentara - No to Workplace Violence "12x16" Laminated Sign | 10/2020 Rev. | Pat Brophy | N | |||
| Staff Resources | Local | General Information | Safe_at_Sentara_12x16_wallcling_Korean_High_Resolution.pdf | Safe at Sentara - No to Workplace Violence (Korean) "12x16" Laminated Sign | 10/2020 Rev. | Pat Brophy | N | |||
| Staff Resources | Local | General Information | Safe_at_Sentara_12x16_wallcling_Chinese_High_Resolution.pdf | Safe at Sentara - No to Workplace Violence (Mandarin) "12x16" Laminated Sign | 10/2020 Rev. | Pat Brophy | N | |||
| Staff Resources | Local | General Information | Safe_at_Sentara_12x16_wallcling_Spanish_High_Resolution.pdf | Safe at Sentara - No to Workplace Violence (Spanish) "12x16" Laminated Sign | 10/2020 Rev. | Pat Brophy | N | |||
| Staff Resources | Local | General Information | SCHCaughtInTheActCards.pdf | SCH Caught In The Act Cards #0578 | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: SCH Administration/Contact Rebecca Howell | N | ||
| Staff Resources | Local | General Information | Trifold_MD_Quick_Reference_1906.pdf | 8.5"x11" Trifold MD Quick Reference Brochure #1906 | 12/2019 Rev. | 1/1/2300 12:00 | Jeanne Jacobs | N | ||
| Staff Resources | Local | General Information | SNGH_Recognition_4x5_Card.pdf | SNGH Recognition Card 4" x 5" | 12/2020 Rev. | Monica Sumler | N | |||
| Staff Resources | Local | General Information | Ethics_Consult_Flyer.pdf | SRMH When to Contact the Ethics Consultants Flyer | 2/2020 Rev. | 1/1/2300 12:00 | Process Owner: SRMH Integrated Care/POC Debbie Kile | N | ||
| Staff Resources | Local | General Information | LOS_MDR_Playbook_2019.pdf | CPI 2019 Length of Stay (LOS) Improving Multidisciplinary Rounds (MDR Playbook) | 2019 | 1/1/2300 12:00 | Kelly McCarthy - CPI Team | N | ||
| Staff Resources | Local | General Information | 2021_SNGH_Interal_Directory_BOOKLET.pdf | SNGH Internal Telephone Directory | 2021 Rev. | Shauna Ridenhour | N | |||
| Staff Resources | Local | General Information | SNGHIsolationRoomSheetSNGH885050004__1_.pdf | AFB Isolation Room Sheet SNGH 8850-50-004 | 3/2019 Rev. | 3 part W/Y/P | 1/1/2300 12:00 | Jeff Rose/SNGH HVAC | N | |
| Staff Resources | Local | General Information | TurningSchedulePie_8_25x6.pdf | SNGH (6K and 8RP) Turning Schedule Pie 8.5"x6" #1723 | 3/2019 Rev. | Cut and laminated | 1/1/2300 12:00 | Anita Jordan-Williams | N | |
| Staff Resources | Local | General Information | AnesthesiaTeamRecognition_4x5_Card.pdf | Anesthesia Team Recognition #2238, 4x5 Card | 4/2021 Rev. | Sentara Healthcare ? Surgery Administration POC Monica Sumler | N | |||
| Staff Resources | Local | General Information | Retired.pdf | RETIRE 2/2020 Cynthia Hill: SRMH Billing Card 3x5 #0689 | 6/2017 Rev. | Danise Hottinger | N | |||
| Staff Resources | Local | General Information | SRMH_Discharge_Log__251_green_3_hole__1_.pdf | SRMH Discharge Log #251, green, 3 hole | 6/2020 Rev. | Katy Morris | N | |||
| Staff Resources | Local | General Information | MEMBER_FLYER_Sentara-Bleed.pdf | Pyx Health Program Member Flyer #2296 | 7/2021 Rev. | 1/1/2300 12:00 | Process Owner: Andrea Rizzo | N | ||
| Staff Resources | Local | General Information | Postcard_Sentara-Bleed.pdf | Pyx Health Program Postcard #2297 | 7/2021 Rev. | 1/1/2300 12:00 | Process Owner: Andrea Rizzo | N | ||
| Staff Resources | Local | General Information | PROVIDER_LEAVE-BEHIND_Sentara-Bleed.pdf | Pyx Health Program Provider Flyer #2295 | 7/2021 Rev. | 1/1/2300 12:00 | Process Owner: Andrea Rizzo | N | ||
| Staff Resources | Local | General Information | Reference_guide-Sentara-Bleed.pdf | Pyx Health Program Reference Guide Flyer #2298 | 7/2021 Rev. | 1/1/2300 12:00 | Process Owner: Andrea Rizzo | N | ||
| Staff Resources | Local | General Information | Request_for_PAL_SHS_2550-50-008_8_2017.pdf | Request for PAL SHS 2550-50-008 | 8/2017 Rev. | N | ||||
| Staff Resources | Local | General Information | TaglineInsert2020.pdf | Language Assistance/Nondiscrimination Statement (Taglines) Insert | 9/2020 Rev. | 1/1/2300 12:00 | Derik Edmonds | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | blank_pin_badge_image.pdf | Blank (PINS) Badge Enhancer (3.25 x 4.75) | 1/1/2300 12:00 | Please DO NOT use this item to order customized badge enhancers. | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | CD_Sticker2-imp.pdf | Communicable Disease Body Bag Labels #2178 | 1/1/2300 12:00 | N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SVBGH_Contractor_Construction_Badge.pdf | Contractor Construction Badge SVBGH, 2.75 x 3.5 | 1/1/2300 12:00 | N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SVBGHCostCenterBadge.pdf | Cost Center Badge (SVBGH) | 1/1/2300 12:00 | N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | DermatonesBadge.pdf | Dermatomes Badge, 2 sided, Color | 1/1/2300 12:00 | Badge Color, Cut to 3.25 x 4.25 ,2 sided | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SRMH_ED_VisitorSticker_3x3_5.pdf | ED Visitor Sticker (SRMH), YELLOW - Case(s) of 6000 | Allegra Prints | Allegra | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SCH_FMC_Visitation_Visitor_Badge.pdf | FMC Visitation Visitor Badge - BRIGHT PINK Label Paper | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPH_Visitor_Friday_Badge_-_Yellow.pdf | Friday Visitor Badge - Yellow | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | ISpeakSpanishBadgeEnh.pdf | I Speak Spanish Badge | 1/1/2300 12:00 | N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | IPC_Badge.pdf | IPC Badge Enhancer BLUE with WHITE PRINT, 3.25 x 3.5, LAMINATED | 1/1/2300 12:00 | N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SCH_FMC_Visitation_Visitor_Badge.pdf | Inpatient Visitation Visitor Badge - BLUE Label Paper | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | IntermediateCareMagnets.pdf | Intermediate Care Magnet, 11.5 x 2 | Bizport 11.5x2 K/0 16pt magnet 8 = $71 25 = $78 50 = $93 |
Leah Mango/SPAH Nursing Admin | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SLC_MSDS_Badge.pdf | MSDS Badges - SLC | 1/1/2300 12:00 | 2 x 3 Badge, Bright Yellow Paper | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | BadgeEnhancer_MedicalAssistant_Purple.pdf | Medical Assistant Badge Enhancer | Allegra 4/0 3.25 x 3.5 .030 White Plastic Round Corner with tag punch |
N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPH_Visitor_Monday_Badge_-_Blue.pdf | Monday Visitor Badge - Blue | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | Optima_Health_Visitor_Sticker.pdf | Optima Health Visitor Badge | Print - static item | 1/1/2300 12:00 | Color Print, White Crack N Peel, 3 x 1.5 | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | Optima_Health_Visitor_Sticker.pdf | Optima Health Visitor Sticker | 1/1/2300 12:00 | N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SCH_FMC_Visitation_Visitor_Badge.pdf | Outpatient Visitation Visitor Badge - CHARTREUSE Label Paper | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | Purple_Cuffed_Central_Line_sticker.pdf | Purple Non-Cuffed CVC-Midline Dressing Kit Sticker (6" x 4.5") | $32.60 per pack of 100 sheets
= $0.326 per sheet PRINTED ON SPECIAL ORDERED PURPLE LABLE PAPER |
Lyn Johnson | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | Red_Cuffed_Central_Line_sticker.pdf | Red Cuffed Central Line Dressing Kit Sticker (6" x 4.5") | $32.60 per pack of 100 sheets
= $0.326 per sheet PRINT ON SPECIAL ORDERED RED LABEL SHEETS |
Lyn Johnson | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SCH_1st_Floor_IP_Ortho_Visitor_Badge.pdf | SCH 1st Floor IP Ortho Visitor Badge, Fluorescent Yellow | N | |||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SMJH_ReturntoRegistration_NonInvasiveCardiology_2073.pdf | SMJH Return to Registration, NonInvasive Cardiology Orange Label #2073 | 12 up on 8.5 x 11 crack and peel | SMJH Noninvasive Cardiology/Ronda Hodge | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SMJH_smallbadge_fivessaveslifes.pdf | SMJH smallbadge fivessaveslifes.pdf | N | |||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGHAfterHoursVisitorPassRequest_neongreen_100ppad.pdf | SNGH After Hours Visitor Pass, Neon Green, 100 p/pad | SNGH Security | N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPH_Visitor_Badge_-_Orange.pdf | Saturday Visitor Badge - Orange | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | Standard Reprocessing Procedure Badge (SNGH) #1143 | 6 up on 8.5 x 11, 2 sided, color print, 3.25x2.5, green badge | 1/1/2300 12:00 | N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPH_Visitor_Badge_-_Red.pdf | Sunday Visitor Badge - Red | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | TemporarFoleyRemovalDateLabel.pdf | Temporary Foley Removal Date Label (Water Resistant) | Allegra Prints | Keshia Blakeney; SNGH Patient Care Services | Allegra | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPH_Visitor_Thursday_Badge_-_Violet.pdf | Thursday Visitor Badge - Violet | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | TFEVisitorPass_CBS_Fillable.pdf | Tobacco Free Visitor Sticker | 1/1/2300 12:00 | N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPH_Visitor_Tuesday_Badge_-_Pink.pdf | Tuesday Visitor Badge - Pink | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPH_Visitor_Badge_-_Blue.pdf | Visitor Badge - Blue | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPH_Visitor_Badge_-_Pink.pdf | Visitor Badge - Pink | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPH_Visitor_Badge_-_Teal.pdf | Visitor Badge - Teal | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPH_Visitor_Badge_-_Violet.pdf | Visitor Badge - Violet | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPH_Visitor_Badge_-_Yellow.pdf | Visitor Badge - Yellow | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPH_Visitor_Wednesday_Badge_-_Teal.pdf | Wednesday Visitor Badge - Teal | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | Sentara_Pediatric_Physicians_magnet_3_5_updated.pdf | Sentara Pediatric Physicians Magnet 3"x5" (Qty 100) | 01/2020 Rev. | Per Allen - 1/17/2020 100 3x5 16pt Magnet 4/0 $115 |
1/1/2300 12:00 | Terese Stockunas Nosay | BizPort | N |
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SHRH_Appreciation_Card_businesscard.pdf | SHRH Appreciation Card 3.5" x 2" | 02/2021 Rev. | Wendy Crews | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SLH_phone_badge_3_25x4_25.pdf | SLH Phone Badge 3.25" x 4.25" (Laminated) | 02/2021 Rev. | Courtney Boyce | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_EnvServCleaning_Card_5x3.pdf | SNGH Environmental Services Cleaning Card 5"x3" #2203 | 03/2021 Rev. | Nicole Jackson | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPAH_4B_BadgeBuddy_3_25x4.pdf | SPAH 4B Badge Buddy 3.25" x 4" | 03/2021 Rev. | Jessica Keith | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | PSI_RNs_3x4.pdf | PSI RNs 3"x4" Badge #2219 | 04/2021 Rev. | Bonnie Smith | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_Provider_Covid_Clinic_Guide_Quali_Card_3x4_5.pdf | Provider Covid Clinic Guide Pocket Card (3"x4.5") #2217 | 04/2021 Rev. | Reem Yousif/Julia R Lohmann | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_8River_LPN_NoList_3_5x3_75.pdf | SNGH 8River LPN No List (3.5" x 3.75" Badge) #2221 | 04/2021 Rev. | Anita Jordan-Williams | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | PSI_NCP_3x4.pdf | SOH NCP Prevention Reminders Badge 3" x 4" #2228 | 04/2021 Rev. | Bonnie Smith | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SOH_VitalSigns_Badge.pdf | SOH Vital Signs Badge (4" x 3.25") #2226 | 04/2021 Rev. | Bonnie Smith | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SameDayDischarge_1in_greenround_sticker.pdf | Same Day Discharge 1" Neon Green Circle Sticker (500/roll) | 04/2021 Rev. | ITEM: 1? CIRCLE LABEL ON
ROLL STOCK: GREEN FLUORESCENT INK: BLACK ? NO BLEEDS ? NO SCREENS QTY: 500 (MINIMUM) COST: $44.00/500 |
Joanne Wilson | BCT | N | |
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_Reference_Lab_Scanning_sticker_1x2.pdf | SNGH Reference Lab Scanning Sticker 1"x2" (500/roll) #2040 | 05/2020 Rev. | Pink Fluorescent Sticker with black copy | 1/1/2300 12:00 | Sherri Terrillion | BCT | N |
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SMJHComplimentaryMealTicket-imp.pdf | SMJH Complimentary Meal Ticket #1386 | 05/2021 Rev. | 1/1/2300 12:00 | Jesse Kaylor | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SOH_Phonetic_Numeric_Clarifications_Badge.pdf | SOH Phonetic Numeric Clarifications Badge (3.75" x 3.5") #2237 | 05/2021 Rev. | Sharon Bunn | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPAH_ICU_3A_badge_3_5x4.pdf | SPAH ICU 3A Badge 3.5" x 4" | 05/2021 Rev. | Barbara Larsen | N | |||
| Quality-Safety | Local | COVID-19 | Masking_Facility_A_Frame_Poster_-_print.pdf | Masking Facility 'A' Frame AND 2 Coroplast Signs (24" x 36") | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | Masking_Facility_A_Frame_Poster_-_print.pdf | Masking Facility 'A' Frame Sign Coroplast (24" x 36") | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | Masking_Facility_Wall_Clings_-_print.pdf | Masking Facility Wall Cling (9" x 11.5") | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SRMH_SurgicalService_PhoneBadge_3x4_25.pdf | SRMH Surgical Service Badge 3"x4.25" #2058 | 07/2020 Rev. | Laminated Badge | 1/1/2300 12:00 | Kara Monger | N | |
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_ELOS_5x3_card.pdf | SNGH ELOS 5x3 Card #1844 (laminated) | 09/2019 Rev. | 1/1/2300 12:00 | Christopher T Smith | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_SHH_ELOS_5x3_card.pdf | SNGH SHH ELOS 5x3 #1845 (laminated) | 09/2019 Rev. | 1/1/2300 12:00 | Christopher T Smith | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SPAH_5A_Badge_Buddy_3_25x4.pdf | SPAH 5A Badge Buddy 3.25"x4" #2082 | 09/2020 Rev. | Badge to print, 2 sided | Maricel B Dela Rosa | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | StrokeBadge.pdf | Stroke Badge (3"x4") #2075 | 09/2020 Rev. | Laminated Badge with hole punch | Julie Suedmeyer-Bueller | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | TIGR_Badge_3_5x2_5.pdf | TIGR Badge 3.5 x 2.5 #1355 | 09/2020 Rev. | Ermi Tisak | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | ChaplainInternLongBadgeEnhancer.pdf | Chaplain (Intern) Badge - Purple, 2.5w x 4.5h | 1/2017 Rev. | N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | ChaplainBadgeEnhancer.pdf | Chaplain Badge - Purple, 3.25w x 3.5h | 1/2017 Rev. | N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | BadgeEnhancerGreenLPN.pdf | LPN Badge Enhancer GREEN with WHITE PRINT, 3.25 x 3.5, LAMINATED | 1/2017 Rev. | Allegra 4/0 3.25 x 3.5 .030 White Plastic Round Corner with tag punch |
N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | BadgeEnhancerRedMD.pdf | MD Badge Enhancer RED with WHITE PRINT, 3.25 x 3.5, LAMINATED | 1/2017 Rev. | N | ||||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | BadgeEnhancerDarkTealNCP.pdf | NCP Badge Enhancer DARK TEAL with WHITE PRINT, 3.25 x 3.5, LAMINATED | 1/2017 Rev. | 4/0 3.25 x 3.5 .030 White Plastic Round Corner with tag punch | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | BadgeEnhancerOrangeNP.pdf | NP Badge Enhancer ORANGE with WHITE PRINT, 3.25 x 3.5, LAMINATED | 1/2017 Rev. | Allegra 4/0 3.25 x 3.5 .030 White Plastic Round Corner with tag punch |
N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | BadgeEnhancerBlueRN.pdf | RN Badge Enhancer BLUE with WHITE PRINT, 3.25 x 3.5, LAMINATED | 1/2017 Rev. | Allegra 4/0 3.25 x 3.5 .030 White Plastic Round Corner with tag punch |
N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | PediatricVSBadge_4_25x3_5.pdf | Pediatric Vital Signs Badge #1739, 4.25 x 3.5 | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: Karen Stokes | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SMG_Critical_Care_Card.pdf | Total Duration of Critical Care Codes Badge - SMG 6550-31-008 | 1/2019 Rev. | 1/1/2300 12:00 | Laminated Badges, 2 sided, Cut to 5 x 3 | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | 1E_Orthopedic_Phone_4.25x3.5_Badge.pdf | 1E Orthopedic Phone 4.25x3.5 Badge #2174 | 1/2021 Rev. | 1/1/2300 12:00 | Process Owner: Shiella Dempsey | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_Respiratory_Phone_4.25x3.0_Badge.pdf | SNGH Respiratory Badge 3"x4.25" #2175 | 1/2021 Rev. | Nicole Trail | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | Optima_visitor_badge.pdf | Optima visitor badge.pdf | 10/2018 Rev. | 1/1/2300 12:00 | Roy Huber | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | RadioactiveMaterialLabel.pdf | Radioactive Material Label (2" x 1") (Roll of 500) | 10/2020 Rev. | Alayna Johnson | BCT | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SMG_Vistor_Sticker_3_5x2_5_9UP.pdf | SMG Visitor Sticker 3.5" x 2.5" #2108 (Qty of 50) | 10/2020 Rev. | Visitor Labels | Linda L Wier | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SLH__SNAP_3_5x3_5_badge_6UP.pdf | SLH SNAP Badge #1467 | 11/2017 Rev. | Connie Stern | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH__BEFAST_Stroke_Badge_3_75_4_25_4UP.pdf | SNGH BEFAST to Call a Stroke Aler Badge #1465 | 11/2017 Rev. | 1/1/2300 12:00 | Richard Blackerby | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | Arterial_Blood_Gas_Analysis_Ref_Guide_card_3_5x4_5_1714.pdf | Arterial Blood Gas Analysis Ref Guide Badge 3.5"x4.5" #1714 | 11/2018 Rev. | 2 sided badge, hole punched and laminated | 1/1/2300 12:00 | Elizabeth Ryland | N | |
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | CDiffRemindersBadge_2018.pdf | SRMH C. Diff Reminders Badge #1708 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Cassey Cook/SRMH Staff Education | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | device_check_magnet_3x3.pdf | Device Check Magnet 3"x3" | 11/2019 Rev. | 1/1/2300 12:00 | Steffie Torres | BizPort | N | |
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_8RP_PhoneBadgeBuddy.pdf | SNGH 8RP Phone Badge Buddy #2123 | 11/2020 Rev. | use Richards Laminating | Anita Jordan-Williams | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | EmergencyAlertBadgeSAMC_3_25x2.pdf | Emergency Alert Badge (SAMC) | 12/2020 Rev. | Allegra 1/1 3.25 x 2 .030 White Plastic Round Corner with tag punch |
Business Continuity/Emergency Manager | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | EmergencyAlertBadgeHospitals_3_25x2.pdf | Emergency Alert Badge (SCH, SLH, SNGH, SNVMC, SOH, SPAH, SVBGH, SWRMC) | 12/2020 Rev. | Allegra 1/1 3.25 x 2 .030 White Plastic Round Corner with tag punch |
Business Continuity/Emergency Manager | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | EmergencyAlertBadgeSHRH_3_25x2.pdf | Emergency Alert Badge (SHRH) | 12/2020 Rev. | Allegra 1/1 3.25 x 2 .030 White Plastic Round Corner with tag punch |
N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | EmergencyAlertBadgeSMJH_3_25x2.pdf | Emergency Alert Badge (SMJH) | 12/2020 Rev. | Allegra 1/1 3.25 x 2 .030 White Plastic Round Corner with tag punch |
N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | EmergencyAlertBadgeSRMH_3_25x2.pdf | Emergency Alert Badge (SRMH) | 12/2020 Rev. | Allegra 1/1 3.25 x 2 .030 White Plastic Round Corner with tag punch |
N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | EmergencyAlertBadgeOffsite_NoStatusLines_3_25x2.pdf | Emergency Alert Badge Offsites with NO Status Lines | 12/2020 Rev. | Allegra 1/1 3.25 x 2 .030 White Plastic Round Corner with tag punch |
N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | EmergencyAlertBadgeOffsite_wStatusLines_3_25x2.pdf | Emergency Alert Badge Offsites with Sentara and Physician Status Lines | 12/2020 Rev. | Allegra 1/1 3.25 x 2 .030 White Plastic Round Corner with tag punch |
N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_8RP__CostCenter_badge.pdf | SNGH 8RP Cost Center Badge (Laminated) | 12/2020 Rev. | Anita Jordan-Williams | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_liquidmeasurements_badge_3x4_1259.pdf | SNGH Liquid Measurements Badge 3"x4" #1259 | 12/2020 Rev. | Tina Baucom | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | PRE_Alteplase_Administration_Monitoring_Badge-imp.pdf | PRE Alteplase Administration Monitoring Badge #1958 | 2/2020 Rev. | Badge | 1/1/2300 12:00 | Irene Revita/Sentara Lab Services | N | |
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_PatientAssignmentCard.pdf | Patient Assignment Card SNGH 4150-10-008 (Padded 100 p/pad) | 2/2020 Rev. | White paper, Cut to 4.25 x 5.5, padded 100 p/pad | Anita Jordan-Williams | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | IV_Glucommander_and_Transition_to_SubQ_Nursing_Tips_Badge__1176.pdf | IV Glucommander and Transition to SubQ Nursing Tips Badge #1176 | 2/2021 Rev. | 3.5 x 4.5 badge, color print | 1/1/2300 12:00 | Christine Dignan/Pamela Ellis | N | |
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SLH_IMCU_Vasoactive_Infusions.pdf | SLH IMCU Vasoactive Infusions 4.5 x 3.5 #2180 | 2/2021 Rev. | Process Owner: Celeste Bodenbender | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SLH_Palliative_Care_Medicine_Team.pdf | SLH Palliative Care Medicine Team Badge 3.25 x 3.5 #2179 | 2/2021 Rev. | 1/1/2300 12:00 | Amanda Davis | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_5HH_Phone_Badge.pdf | SNGH 5HH Phone Badge 4.25 x3.25 Badge #2174 | 2/2021 Rev. | 1/1/2300 12:00 | Process Owner: Sharon Davis | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_Volumetric_Diffuse_Respirator__VDR_.pdf | SNGH Volumetric Diffuse Respirator (VDR) 3"x4" #2177 | 2/2021 Rev. | Nicole Trail | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNVMC_Operating_Room_4x3_Badge.pdf | SNVMC Operating Room 4x3 Badge #2176 | 2/2021 Rev. | Shondreka James | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SubQ_Glucommander_Nursing_Tips_Badge__1177.pdf | SubQ Glucommander Nursing Tips Badge #1177 | 2/2021 Rev. | 3.5 x 4.5 badge, color print | 1/1/2300 12:00 | Christine Dignan/Pamela Ellis | N | |
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SMG_Billing_Prolonged_Services_Laminated_Card_rev2.pdf | SMG Inpatient Servcies - Billing Prolonged Services Badge - SMG 6550-31-007 | 3/2018 Rev. | 5 x 3 badge | 1/1/2300 12:00 | Gwen VAn Heest | N | |
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_6K_8RP_NCPBadge_1264.pdf | SNGH (6K and 8RP) NCP Badge #1264 | 3/2019 Rev. | 1/1/2300 12:00 | Anita Jordan-Williams | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SVBGHDirectory_4_20_2020.pdf | SVBGH Phone Directory #1986 | 4/20/2020 Rev. | SVBGH Nursing Education/Julie Spring/Kathleen Gramkowski | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SVBGHPhoneDirectoryBadge.pdf | SVBGH Phone Directory Badge #1985 | 4/20/2020 Rev. | SVBGH Nursing Education/Julie Spring/Kathleen Gramkowski | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SVBGH_MRTBadge_3x4.pdf | SVBGH MRT Procedure Badge #1771, 3x4 | 4/2019 Rev. | 1/1/2300 12:00 | Kathleen Gramkowski/Patient Care Services/Education | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_6RP_SPINE_CENTER_BADGE_BUDDY.pdf | SNGH 6RP SPINE CENTER BADGE 3"x3.75" #2216 | 4/2021 Rev. | Caressa Booker | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | MagnesiumSulfateBadge.pdf | SNGH Magnesium Sulfate Badge 5.5 x 2.5 #2240 | 4/2021 Rev. | Heike Nicks | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | MRTProcedureBadge3x4-6UP.pdf | MRT Procedure Badge #1572 | 5/2018 Rev. | 1/1/2300 12:00 | Barbara Larsen | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SHCS_SLL_SchedulingInterpreterGuide_AccountCodesBadge.pdf | SHCS Interpretor Account Codes Badge #1308 | 5/2020 Rev. | Bobbie Joe Kingsley/SE Education/Nurse Planning | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SOH_CRG_TargetLOS_PocketCard.pdf | SOH CRG Target LOS Pocket Card #2007 | 5/2020 Rev. | SOH VPMA/POC Lynn Spencer | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SOH_Truven_ExpectedLOS_PocketCard.pdf | SOH Truven - Expected LOS by DRG Pocket Card #2008 | 5/2020 Rev. | SOH VPMA/POC Lynn Spencer | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SRMH_InterpretorServicesBadge_3x3v.pdf | SRMH Interpretor Services Badge #2013 | 5/2020 Rev. | Silvia Garcia Romero/Guest Services/Cultural Diversity | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | WoundCare_DeviceJobAidBadge.pdf | Sentara Device Job Aid Badge #2004 | 5/2020 Rev. | Loretta Martin/SOH Patient Care Services | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | Ambassador_card.pdf | Ambassador Card #1361 | 6/2017 Rev. | 1/1/2300 12:00 | Michelle Meekins | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | PhysicinaNotecard.pdf | SNGH Physician Notecard #1310 | 6/2020 Rev. | SNGH Hospital Medicine/POC Lucille Goncalves | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | Accepting_Facility_Transfer_Label.pdf | Accepting Facility Transfer Label #2290 | 6/2021 Rev. | 1/1/2300 12:00 | Color Print, Cut to 3 x 5 | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | CombinedLabels-imp.pdf | BTU/VICU Label | 6/2021 Rev. | 1/1/2300 12:00 | Color Print, Cut to 3.25 x 3 | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | Original_IVC_Paperwork_Transfer_Label.pdf | Original IVC Paperwork Transfer Label #2291 | 6/2021 Rev. | 1/1/2300 12:00 | Color Print, Cut to 3 x 5 | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_6River_LPN_NoList_3_5x3_75.pdf | SNGH 6River LPN No List 3.5" x 3.75" Badge #2270 | 6/2021 Rev. | Cynthia Caldwell | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_CHARGE_NURSE_PHONE.pdf | SNGH Charge Nurse Phone Badge #2287 | 6/2021 Rev. | 1/1/2300 12:00 | Sherri Caldwell | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SentaraLabServicesBadge.pdf | Sentara Lab Services Badge #1629 | 7/2018 Rev. | Badge | 1/1/2300 12:00 | Irene Revita/Sentara Lab Services | N | |
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | NICHE_Badge.pdf | NICHE Badge #1960 | 7/2019 Rev. | 1/1/2300 12:00 | Process Owner: Nicole Davis 7A SNGH | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | PreopCheatSheetFinal.pdf | Pre-Op and Post-Op Cheat Sheet #2303 | 7/2021 Rev. | 1/1/2300 12:00 | Color Print, Cut to 7 x 5, 3up | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SRMH_InpatientMRTPharmacistyResponseCard.pdf | SRMH Inpatient MRT Pharmacist Response Card (Clinical Pearls) #1843 | 8/2019 Rev. | SRMH Pharmacy/Kristin Payne | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | AIDET_SafetyHabits_Badge.pdf | MOVED TO QUALITY AIDET Badge #2072 ( with Safety Habits backer) | 8/2020 Rev. | Priced 9 up on 13 x 19 cover
stock. .55 to laminate at Richard's Laminating |
Patient Experience/Cherika Britt | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | 4D_Cardiac_Phone_4.25x3.5_Badge.pdf | 4D Cardiac Phone 4.25x3.5 Badge #2088 | 9/2020 Rev. | 1/1/2300 12:00 | Process Owner: Karen Stokes | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SLH_5W_PhoneBadge.pdf | SLH 5 West Phone Badge 4 x 3.25 #2092 | 9/2020 Rev. | Process Owner: Barbara French | N | |||
| Staff Resources | Local | default | SPH_Visitor_Tuesday_Badge_-_Pink.pdf | Visitor Badge - Pink | 1/1/2300 12:00 | Color Print, Cut to 2.5 x 3.5 | N | |||
| Staff Resources | Local | default | SOH_Ambulatory_Privacy_Notice.pdf | SOH Ambulatory Privacy Notice (Effective February 2008) | 12/2020 Rev. | Tom Sutton | N | |||
| Stationery | Local | Business Reply Envelopes | Sentara_Anthem-Tricare_Unit__9_BRE__23320-9918_.pdf | Anthem-Tricare Unit Motor Vehicle Unit #9 BRM Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | DedicatedCareNo9BRM.pdf | Dedicated Care Center BRM Env. No. 9 | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | Sentara_Health_Care_BRM_w_IMb_No._9_Chesapeake_VA.pdf | Legal Collection Department, Sentara Healthcare, 535 Independence Pkwy, STE 700, 23320-9735, #9 BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | MotorVehicleUnitBRM.pdf | Motor Vehicle Unit #9 BRM Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | DEC_ARTWORK_SENTARA_HEALTH_MGMT__9_IMB.LYT.pdf | Optima Health, 4417 Corporation Lane, 23462-9802, #9 BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | DEC_ARTWORK_Optma_Health_COB__9_IMB.LYT.pdf | Optima Health, 4417 Corporation Lane, 23462-9802, COB #9 BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | DEC_ARTWORK_SENTARA_HEALTH_MGMT__9_IMB.LYT.pdf | Optima Health, 4417 Corportation Lane, 23462-9802, #9 BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | DEC_ARTWORK_Optma_Health_ENROLLMENT__9_IMB.LYT.pdf | Optima Health, 4417 Corportation Lane, 23462-9802, Enrollment Department, #9 BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | DEC_ARTWORK_Optma_Health_CSS__9_IMB.LYT.pdf | Optima Health, 4417 Corportation Lane, 23462-9818, CSS Department, #9 BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | OptimaHealth_BRM_No9_GovernmentProgramsDept23502-9843.pdf | Optima Health, Government Programs Dept, BRM #9, 824 N MILITARY HWY STE 200 | N | |||||
| Stationery | Local | Business Reply Envelopes | PropriumPharmacy535IndepSte400No9.pdf | Proprium Pharmacy #9 BRM Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SCH3000ColiseumDriveCardiacandPulmRehab.pdf | SCH Cardiac and Pulmonary Rehab #9 BRM Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SHRHNo9BRMEnv.pdf | SHRH #9 BRM Envelope | 1/1/2300 12:00 | Benton-Thomas | N | |||
| Stationery | Local | Business Reply Envelopes | SHRH_MarketingNo9BRMEnv.pdf | SHRH Attn: Marketing #9 BRM Envelope | 1/1/2300 12:00 | Benton-Thomas | N | |||
| Stationery | Local | Business Reply Envelopes | SHRH_EDRegNo9BRMEnv.pdf | SHRH Attn: ED Registration #9 BRM Envelope | 1/1/2300 12:00 | Benton-Thomas | N | |||
| Stationery | Local | Business Reply Envelopes | SHRH_HomeHealthNo9BRMEnv.pdf | SHRH Attn: Home Health #9 BRM Envelope | 1/1/2300 12:00 | Benton-Thomas | N | |||
| Stationery | Local | Business Reply Envelopes | SHRH_HospicePallCareNo9BRMEnv.pdf | SHRH Attn: Hospice and Palliative Care #9 BRM Envelope | 1/1/2300 12:00 | Benton-Thomas | N | |||
| Stationery | Local | Business Reply Envelopes | SLH_OutpatientPharmacyPinakiPatelNo9.pdf | SLH Outpatient Pharmacy - Pinaki Patel #9 BRM | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SMJH_22907-9913__9ArtworkTHESOMETHINGSPECIALSHOP.pdf | SMJH The Something Special Shop #9 BRM Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SMJH_HEARTRHYTHM10x13_BRM.pdf | SMJH_Heart Rhythm Center, 10X13 Business Reply Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | SNGHCancerAdminDeptBusnReply.pdf | SNGH Cancer Administration Department #9 BRM Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SNGHEmergencyDept.pdf | SNGH Emergency Department BRM Env. No. 9 | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SNGHKidneyPancreasTransplantCenter.pdf | SNGH Kidney/Pancreas Transplant Center BRM Env. No. 9 | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SNGH_OutpatientRegistration.pdf | SNGH Outpatient Registration BRM Env. No. 9 | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SENTARA_NORFOLK_-_TRANSFUSION__9_BRE.pdf | SNGH Transfusion Service #9 BRM Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SNGH_BRE_ATTN_ACC.pdf | SNGH, ATTN: Ambulatory Care Clinic #9 BRE | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SentaraPAH_23456_ATTN_CAT_BEVERIDGE__SURGICAL_SERVICES__9_IMb.pdf | SPAH #9 BRM, ATTN: CAT BEVERIDGE; SURGICAL SERVICES | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SPA_DIABETES_EDUCATION_BRM__49_IMB__002_.pdf | SPAH #9 BRM, Diabetes Education | Steffie Torres/SPAH Diabetes Educator | N | ||||
| Stationery | Local | Business Reply Envelopes | 20-RMH-_9-IMB_ATTNBUSNOFFICE.pdf | SRMH #9 BRM Envelope, ATTN BUSINESS OFFICE | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Stationery | Local | Business Reply Envelopes | SENTARARMHMEDICALCENTER9by12.pdf | SRMH Business Office, 9 x 12 Envelope BRM | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | Sentara_Anthem-Tricare_Unit__9_BRE__23320-9918_.pdf | Sentara Anthem-Tricare Unit #9 | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SENTARAHEALTHCAREETHICSNewAddress.pdf | Sentara Center for Healthcare Ethics, #9 BRM Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | Sentara_Corporate_Legal__23502-9950___9_BRM_with_IMb.lyt.pdf | Sentara Corporate Legal #9 BRM, 6015 Poplar Hall Drive | Debra Hottle | N | ||||
| Stationery | Local | Business Reply Envelopes | Sentara_Foundation_-_HR__9_BRE.pdf | Sentara Foundation - Hampton Roads # 9 BRM Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | SentaraHealthcare_590PeterJeffPkwySTE300_BRM_No_10_w_IMb__BRM_Charlottesville_VA__1_.pdf | Sentara Healthcare PFS 590 Peter Jefferson Pkwy, STE 300, #9 BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | SENTARA_HEART__9_.pdf | Sentara Heart Arrhythmia Center (SHH) #9 BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | Sentara_Home_Care_Enteral_Dept_9_2592_BRM_envelope.pdf | Sentara Home Care Enteral Dept #9 2592 BRM envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | SHIPS__STE_300_ATTNENTERALDEPT.pdf | Sentara Home Infusion Pharmacy Services/Enteral Department BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | HOME_INFUSION_PHARMACY_SERVICES_-_IV_BILLING_DEPT__9_2592_BRM_envelope.pdf | Sentara Home Infusion Pharmacy Services/IV Billing Department BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | HOME_INFUSION_PHARMACY_SERVICES_-_IV_NURSING_DEPT__9_2592_BRM_envelope.pdf | Sentara Home Infusion Pharmacy Services/IV Nursing Department BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | SHIPS__STE_300_ATTNIVPHARMACY.pdf | Sentara Home Infusion Pharmacy Services/IV Pharmacy Department BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | HOME_INFUSION_PHARMACY_SERVICES_-_SPECIALTY_DEPT__9_2592_BRM_envelope.pdf | Sentara Home Infusion Pharmacy Services/Specialty Department BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | Sentara_Martha_Jefferson_PFS_BRM_No_10_w_IMb__BRM_Charlottesville_VA.pdf | Sentara Martha Jefferson PFS, #9 BRM Envelope | N | |||||
| Stationery | Local | Business Reply Envelopes | SENTARA_PACE_ATTN_FINANCE__9_BRM.pdf | Sentara PACE Finance Dept. #9 BRM Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Business Reply Envelopes | Sentara_Privacy__23502-9950___9_BRM_with_IMb_5-21-2020.pdf | Sentara Privacy #9 BRM, 6015 Poplar Hall Drive | Debra Hottle | N | ||||
| Stationery | Local | Business Reply Envelopes | 20-RMH-9-IMBATTNLIFELINE.pdf | Sentara RMH Medical Center, ATTN: LIFELINE No. 9 BRM | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Stationery | Local | Business Reply Envelopes | 20-RMH-9-IMB.pdf | Sentara RMH Medical Center, No. 9 | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Stationery | Local | Business Reply Envelopes | 20-RMH_9-IMB_ATTN_Family-Birthplace.pdf | SRMH ATTN: Family Birthplace, #9 BRM | 05/2021 Rev. | Jennifer Baugher | N | |||
| Stationery | Local | Cards (Stationery) | AICThankYouGreenbrier.pdf | AIC Greenbrier - Thank You Card, Sentara Embossed Logo Card NO Envelope | Embossed Logo Card, NO ENVELOPE | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | AIC_ThankYou_EmbossedLogoNotecard.pdf | AIC Thank You Card, Embossed Logo Notecard with Blank Envelope | Penny Cline | N | ||||
| Stationery | Local | Cards (Stationery) | CollegeThankYouCard.pdf | College of Health Sciences Thank You Card | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | Embossed Logo Notecard with Preprinted Envelope #0321 | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Cards (Stationery) | Halifax_Hospice_Sympathy_Card__C.PDF | Halifax Hospice Sympathy Card | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | Hospice Sentara Services "Gift" Note Card, Embossed Logo Notecard, with pre-printed envelope. | Embossed Logo Notecard, Preprinted Env. | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SentaraHospiceServicesNotecard.pdf | Hospice Sentara Services Notecard | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | BirthdayCard.pdf | SAMC Birthday Cards | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | BirthdayCardAdmin.pdf | SAMC Birthday Cards Administration | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | EDThankYouSAMC.pdf | SAMC ED Thank You Card w/Envelope | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SAMC Embossed Logo Notecard with Pre-Printed Address Envelope | Embossed Logo notecard BLANK, Pre-Printed env. | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | PostSurgeryCard.pdf | SAMC Post Surgery Card with preprinted envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | 3JamesCardiologyThankYou.pdf | SCH 3 James River Thank You Card | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SCH_TY_Cardio_Services.pdf | SCH Cardio Services Thank You Card w/Envelope | Folded card with printed envelope | 1/1/2300 12:00 | Megan S Pucket | N | ||
| Stationery | Local | Cards (Stationery) | SCHEDThankYou.pdf | SCH Emergency Department - Thank You Card w/Envelope (Brand Approved) | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SCH_FMC_EmbossedLogo.pdf | SCH Family Maternity Center Thank You Card, Embossed Logo, Pre-printed envelope | Embossed Logo Notecard, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SCHDiagnosticImagingEmbossedLogo.pdf | SCH Imaging Department Diagnostic Imaging - Embossed Logo Card w/Envelope -(Brand Approved) | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SCH_EmbossedNotecardwithBusinessCardSlot.pdf | SCH OR Thank You Card, Embossed Logo Notecard w/Business Card Slits and Preprinted Envelope | Embossed Logo Notecard w/Env; BUSINESS CARD SLOT | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | OrthopaedicHospitalatSentaraCarePlexNoteCard.pdf | SCH Orthopaedic Hospital Note Card | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SCHSleepCenter.pdf | SCH Sleep Center- Thank You Card | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SurgicalServicesThankYouCard.pdf | SCH Surgical Services Thank You Cards | 1 Side Black Print, 1 Side Color Print, Cut to 8.5 x 5.5, fold, preprinted envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SDHMA_BlankNotecardPreprintedLogo.pdf | SDHMA Blank Notecard with Preprinted Logo, Blank Envelope | N | |||||
| Stationery | Local | Cards (Stationery) | SEKimBradley_EmbossedLogoNotecard.pdf | SE Kimberly Bradley Embossed Logo Notecard with preprinted envelope | Embossed Logo Notecard with Preprinted Envelope | N | ||||
| Stationery | Local | Cards (Stationery) | SFMP_NewTownAve_EmbossedLogoThanYou.pdf | SFMP New Town Ave., Embossed Logo Notecard, with Preprinted envelope | Embossed Logo Notecard, Address Prints on back of card AND Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraFamilyMedPhysicians_birthday_NRoad.pdf | SFMP North Road Birthday Card | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SentaraFamilyMedPhysicians_birthday.pdf | SFMP Providence Road Birthday Card | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SentaraFamilyMedPhysicians_thankyou.pdf | SFMP Providence Road Thank You Card | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SFMP-PortWarwickEmb_BlankEnv.pdf | SFMP- Port Warwick, Embossed Logo Notecard | Embossed Logo Notecard, 2 sided, blank envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraFamilyMedPhysSympathyCard.pdf | SFMP- Sympathy Card | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SHC Families in Grief - Because We Care Cards w/Envelopes | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Cards (Stationery) | SHC Families in Grief - Blank Cards w/Envelopes | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Cards (Stationery) | 61609GriefCards.pdf | SHC Families in Grief - Sympathy Cards Verse w/Envelopes - SHS 8360-31-001 | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | HyperbaricMedicineThankYouReferral.pdf | SHC Hyperbaric Medicine Services (Referral) Thank You | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SHH-4thfloorThankYou.pdf | SHH 4th Floor cardiac Nursing - Thank You Card w/Envelope (Brand Approved) | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SHHCareUnitThankYouCard.pdf | SHH Care Unit Card - Thank You Card w/Envelope (Brand Approved) | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SHH_NoninvasiveCardiac_ThankYou.pdf | SHH SHH Noninvasive Cardiac Thank You Card w/Envelope (Brand Approved) | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | N | ||||
| Stationery | Local | Cards (Stationery) | CardiovascularServicesFloorThankYouSHRH.pdf | SHRH Cardiovascular Services Thank You Card w/Envelope | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | Thank_You_Card__2020__HiRes.pdf | SHRH Endoscopy Department Thank You Card, with envelope | Embossed Logo Notecard, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SHRH_GuestServices.pdf | SHRH Guest Services Note Card w/Blank Envelope | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | SHRH Guest Services/Wendy Crews | N | ||
| Stationery | Local | Cards (Stationery) | SurgicalServicesSHRH.pdf | SHRH Surgical Services Thank You Card with preprinted envelope | 1 Side Black Print, 1 Side Color Print, Cut to 8.5 x 5.5, fold, preprinted envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | ThankYouEmbossedLogoSKH.pdf | SKH ASC Thank You Card, Embossed Logo Notecard with preprinted Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SLCThankYou.pdf | SLC Thank You Card, Embossed Logo Notecard | embossed logo notecard, blank env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | 1WESTMedSurgThankYouCard.pdf | SLH 1 West Orthopedic/Medical-Surgical Unit Thank You Card | 1 Side Black Print, 1 Side Color Print, Cut to 8.5 x 5.5, fold, preprinted envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SLH_2EastThankYouCard.pdf | SLH 2 East Thank You Card | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | 2WESTThankYouCard.pdf | SLH 2 West Medicine/GI Nursing Team Thank You Card | 1 Side Black Print, 1 Side Color Print, Cut to 8.5 x 5.5, fold, preprinted envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SLH5EastThankYouCard.pdf | SLH 5 East Surgical Care Thank You Card w/Printed Envelope | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | CleanRoomCard.pdf | SLH Clean Room Card #0207 | 2 up on cover, prices on 11 x 17 to allow for bleeds | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SLHEndoscopyThankYouCard.pdf | SLH Endoscopy Thank You Card, Embossed Logo w/preprinted envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | PalliativeSpecialistsCard_Embossed.pdf | SLH Palliative Care Specialists Sympathy Card, Embossed Logo Card, Preprinted Envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SLH_PreregistrationPostcard.pdf | SLH Pre-Registration Postcard | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SorryWeMissedYouDebbieMoore.pdf | SLH Sorry I Missed You Card, Debbie Moore, 2 West Wing | 6 up on 13 x 19 Flat Cover | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraCardiologySpecialistsSympathyCard.pdf | SMG Cardiology Specialist Sympathy Card | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SMGEmbossedLogoThankYou.pdf | SMG Embossed Logo Notecard, Sentara Medical Group Thank You | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraHearingandBalanceCenter_HearingAidCard.pdf | SMG Hearing & Balance Center Hearing Warranty Aid Card | Embossed logo, color print inside | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraPulmCritCareSleepSpecialistsSympathyCard.pdf | SMG Pulmonary Critical Care, & Sleep Specialists - Sympathy Card | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SMJH_ER_ThankYouCard.pdf | SMJH ED Thank You Card w/Envelope | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | Courtney Lambert/SMJH Director Emergency Services | N | ||
| Stationery | Local | Cards (Stationery) | SNC-SurveyNoticePostcard.pdf | SNC Survey Notice Postcard, Sentara Nursing & Rehabilitation Centers | print 4 up on 13 x 19 coated cover stock | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SNGH7AMedicineUnitEmbossedLogo.pdf | SNGH 7A Thank You Card | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | ThankYouCardEndo.pdf | SNGH Endo Thank You Card, Embossed Logo (Brand Approved) | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | GetWellCardSNGHSplitFlowFastTrack.pdf | SNGH Get Well Card - Split Flow/Fast Track | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | GetWellCardSNGHED.pdf | SNGH Get Well Card - Emergency Department | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | PatientRegBirthdayCard.pdf | SNGH Patient Registration Birthday Cards | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SNGH_SCN_EmbossedLogo.pdf | SNGH Special Care Nursery Thank You Card, Embossed Logo with Preprinted Envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | Surgical_Services_Emboss_Card_and_Envelope.pdf | SNGH Surgical Services Thank You Card with Envelope | Embossed Logo Notecard with preprinted Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SNGH_TraumaServices_SympathyCard_EmbossedLogo.pdf | SNGH Trauma Services Sympathy Card, Embossed Logo Notecard with Preprinted Envelope | Embossed Logo Notecard with Preprinted Envelope | Tina Baucom | N | |||
| Stationery | Local | Cards (Stationery) | SNGH_WomensHealthUnitEmbossedLogo.pdf | SNGH Women's Health Thank You Card, Embossed Logo with Preprinted Envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SNVMCReflectThankYou.pdf | SNVMC Bariatric Surgery/Weight Loss Program "Reflect" Thank you Card | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SNVMC_cardiactelemetry_ThankYou.pdf | SNVMC Cardiac Telemetry and Intermediate Care Thank You Card w/Envelope | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SNVMCBabyCard.pdf | SNVMC Congratulations! footprint Baby Card with Blank Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | ICU_IMCThankYou.pdf | SNVMC ICU/IMC Thank You Card | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SNVMC_MedicineUnitEmbossedLogoWithEnv.pdf | SNVMC Medicine Unit Embossed Logo Notecard, preprinted envelope | Embossed Logo Notecard with preprinted envelope | 1/1/2300 12:00 | Leon Ransome | N | ||
| Stationery | Local | Cards (Stationery) | MedicineOncologyInfusion.pdf | SNVMC Medicine/Oncology/Infusion, 2nd Floor Thank You Card | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | PCUThankYou.pdf | SNVMC Progressive Care Unit (PCU) Thank You Card | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SurgServicesThankYouCard.pdf | SNVMC Surgical Services Thank You Card - Embossed Logo Card w/Envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SOH_1MO_ThankYouCard.pdf | SOH 1MO Thank You Card | 1 Side Black Print, 1 Side Color Print, Cut to 8.5 x 5.5, fold, preprinted envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SOHBackNeckThankYouCard.pdf | SOH Back & NeckCenter Thank You Card | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | Susan McFatter | N | ||
| Stationery | Local | Cards (Stationery) | EDThankYouCardSOH.pdf | SOH Emergency Department - Thank You Card w/Envelope (Brand Approved) | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SOHOrthoJointCenterThankYouCard.pdf | SOH OrthoJoint Center - Joint Replacement Recovery Card | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | Susan McFatter | N | ||
| Stationery | Local | Cards (Stationery) | SOH_PalliativeSpecialistsCard.pdf | SOH Palliative Care Specialists Sympathy Card, Embossed Logo Card w/Envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SOH_SurgicalServicesThankYouCard.pdf | SOH Surgical Services Thank You Card; Preprinted envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SOH_Sympathy_Card.pdf | SOH Sympathy Card | 1/1/2300 12:00 | Susan McFatter | N | |||
| Stationery | Local | Cards (Stationery) | SOH_AcuteTherapyServices_StaffThankYouCard.pdf | SOH Therapy Team Thank You Card, Blank Envelope | Blank Envelope | N | ||||
| Stationery | Local | Cards (Stationery) | SOH3SurgicalThinkingofYouCard.pdf | SOH Thinking of You Card - 3-Surgical Unit | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SOH_WoundCareClinic.pdf | SOH Wound Care Thank You Card, w/Pre-printed envelope | Embossed Logo Notecard, color print, preprinted env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SPAH4AThankYouCard.pdf | SPAH 4A Medicine Unit Thank You Card | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SPAH4DThankYouCard.pdf | SPAH 4D Cardiac Thank You Card | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | Leah Magno | N | ||
| Stationery | Local | Cards (Stationery) | SPAHSurgUnit5B-1.pdf | SPAH 5B - 1 Thank You Card | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SPAHSurgUnit5B-2.pdf | SPAH 5B - 2 Thank You Card | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SPAH_FMC_2020.pdf | SPAH Family Maternity Staff Thank You Card, Embossed Logo Card | Embossed Logo Card | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SPAH_Hospital_MedicineThank_you_card.pdf | SPAH Hospital Medicine Team Thank You Card w/Envelope | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | Mary Lundblom | N | ||
| Stationery | Local | Cards (Stationery) | SPAH_PalliativeSpecialistsCard.pdf | SPAH Palliative Care Specialists Sympathy Card, Embossed Logo Card w/Envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SPAHSurgOrthoUnit5A_2017.pdf | SPAH Surgery/orthopedic Unit 5A - Thank You Card w/Envelope (Brand Approved) | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | PWNoninvasiveCardiologyDept.pdf | SPW Port Warwick Noninvasive Cardiology Department Thank You Cards | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SIMP-PortWarwickEmb_BlankEnv.pdf | SPW Sentara Internal Medicine Physicians - Port Warwick, Embossed Logo Notecard | Embossed Logo Notecard, 2 sided, blank envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraPortWarwickAmbulatorySurgeryCenterEmbossedLogo.pdf | SPW Sentara Port Warwick Ambulatory Surgery Center Thank You Card | Embossed Logo Notecard, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | PWASCOutpatientSurgeryCard.pdf | SPW Sentara Port Warwick Outpatient Surgery Nurse Card (ASC) | Embossed Logo Notecard, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | PSV-ThankYouCard3West.pdf | SRMH 3 West Thank You Card w/Blank Envelope | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | PSV-ThankYouCard4East.pdf | SRMH 4 East Thank You Card w/Blank Envelope | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | PSV-ThankYouCard4West.pdf | SRMH 4 West Thank You Card w/Blank Envelope | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | PSV-ThankYouCard5West.pdf | SRMH 5 West Thank You Card w/Blank Envelope | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | CHP-Notecardgvc2-0819.pdf | SRMH Chaplaincy Services Notecard | Robin Martin/SRMH Chaplaincy Services | N | ||||
| Stationery | Local | Cards (Stationery) | PSV-ThankYouCardFamBirth.pdf | SRMH Family Birthplace Thank You Card w/Blank Envelope | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | PSV-MagnetWelcomeCardforNursesDonnaHahn.pdf | SRMH Magnet Welcome Card for Nurses Donna Hahn | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | PSV-ThankYouCardPediatric.pdf | SRMH Pediatric Thank You Card w/Blank Envelope | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | PSV-SurgicalTeamThankYouCards.pdf | SRMH Perioperative Services Team Thank You Card, No Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | PSV-ThankYouCardProgCare.pdf | SRMH Progressive Care Thank You Card w/Blank Envelope | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | PSV-TreatmentThankYoufoldingcard-1019__003_.pdf | SRMH Treatment Center Thank You Card, with Blank Envelope | Dawn Whetzel/Sarah Wichael | N | ||||
| Stationery | Local | Cards (Stationery) | SentaraSleepCenterSouthsideThankYou.pdf | SSH Sleep Center Thank You Card | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | STC_CancerRehab_NadineJudson.pdf | STC Cancer Rehab - Nadine Judson | Embossed Logo Notecard with Preprinted Envelope | Rita Brereton/Nadine Judson | N | |||
| Stationery | Local | Cards (Stationery) | STC_CompNeuroRehab_NadineJudson.pdf | STC Comprehensive Neuro Rehab - Nadine Judson | Embossed Logo Notecard with Preprinted Envelope | Rita Brereton/Nadine Judson | N | |||
| Stationery | Local | Cards (Stationery) | STC_HandTherapy_NadineJudson.pdf | STC Hand Therapy - Nadine Judson | Embossed Logo Notecard with Preprinted Envelope | Rita Brereton/Nadine Judson | N | |||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenter_HeatherDacey_StLukes.pdf | STC Heather Dacey, Thank You Cards w/envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SPATherapyCenterThankYouNotecard_JulieNathaniel2018.pdf | STC Julie Nathaniel SPA Thank You Card w/envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenter_Oceanfront_LindsayClark.pdf | STC Lindsay Clark, Thank You Cards w/envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenterLynnhaven_EmbPreprintedEnv.pdf | STC Lynnhaven Outpatient Rehab Thank You Card, Embossed Logo w/envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenterMarinaShores_EmbPreprintedEnv.pdf | STC Marina Shores Outpatient Rehab Thank You Card, Embossed Logo w/envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenterPortWarwick.pdf | STC Nicole Jackson Sentara- Port Warwick Thank You Cards w/envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | STC_OrthoandSportsPerf_KellyPowles.pdf | STC Orthopedics and Sports Performance - Kelly Powles | Embossed Logo Notecard with Preprinted Envelope | Rita Brereton/Kelly Powles | N | |||
| Stationery | Local | Cards (Stationery) | Thank_You_Card_-_Grassfield_Therapy_Center_-_Ruth_Karl.pdf | STC Rehab Network Thank You Card - Sentara Embossed Logo Card w/Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenterSarahDoyle.pdf | STC Sarah Doyle BelleHarbour, Thank You Card w/envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenterSamanthaTaylor.pdf | STC Wesleyan Samantha Taylor, Thank You Card w/envelope | Embossed Logo Notecard w/Env | N | ||||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenterThankYouCard.pdf | STC Winston Pearson Thank You Card w/envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenterYORK.pdf | STC York Thank You Card, Embossed Logo Notecard with preprinted Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | ThankYouCard-2WestWingOct.pdf | SVBGH 2 West Wing Thank You Card | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | 2E-2SNDayShift.pdf | SVBGH 2E/2SN Day Shift Thank You Card | 1 Side Black Print, 1 Side Color Print, Cut to 8.5 x 5.5, fold, preprinted envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | 2E-2SNNightShift.pdf | SVBGH 2E/2SN Night Shift Thank You Card | 1 Side Black Print, 1 Side Color Print, Cut to 8.5 x 5.5, fold, preprinted envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SVBGH_3WWThankYou.pdf | SVBGH 3 West Wing Thank You Cards, Assortment | 3 different cards, each order will contain a mix of all 3; 8.5 x 11 Card Stock, double sided Color, preprinted env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | 4WestMed-Surg.pdf | SVBGH 4 West- Embossed Logo Card w/Envelope (Brand Approved) | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SVBGH_EDThankYou_2018.pdf | SVBGH Emergency Department Thank You Card | 8.5 x 11 Card Stock, double
sided color, Preprinted Env. Customer requested large quantities available for ordering. CS 8/30/2019 |
1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SVBGH_OutpatientMedSurgThankYouCard.pdf | SVBGH Outpatient Medical/Surgical Thank You Card, Embossed Logo Notecard | Embossed Logo Notecard, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | PACUThankYouCard.pdf | SVBGH PACU Thank You Card | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | MagnetChampionEmbossedSVBGHandSI.pdf | SVBGH and SI Magnet Champions Embossed Logo Notecard with Blank Envelope | 1/1/2300 12:00 | Kathleen Gramkoski | N | |||
| Stationery | Local | Cards (Stationery) | 3NorthThankYouCard_2017.pdf | SWRMC 3 North Thank You Card w/envelope | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | 3SouthPCUBusinessCardSlotEmbossedLogo.pdf | SWRMC 3 South Thank You Card, Embossed Logo Notecard w/Business Card Slits and Preprinted Envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SWRMC4SouthMed-OncThankYouCardBRANDAPP.pdf | SWRMC 4 South Thank You Card | Ivory Cover | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SWRMCASCandGeddyThankYouCard.pdf | SWRMC ASC and Geddy Outpatient Center Thank You Card | B&W 2 sided card, Blank Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | WoundHealingCenterReferralThankYou.pdf | SWRMCThe Wound Healing Center Referral Thank You Card, w/Pre-printed envelope | Embossed Logo Notecard, color print, preprinted env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraComprehensivePainMgtCenter.pdf | Sentara Comprehensive Pain Managment Center Thank You Card, Embossed Logo Card w/Envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | ThankYouCardUrgentCareStLukes.pdf | Sentara Family Medical Physicians - St. Lukes, Thank You Card w/Envelope | Embossed Logo Notecard with Env. | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SHCS_BirthdayCard.pdf | Sentara Home Health Services Birthday Card | with pre printed envelope | Cheryl Everette | N | |||
| Stationery | Local | Cards (Stationery) | SentaraOBGYNSpecialists_EmbossedLogoCongratulations.pdf | Sentara OB/GYN Specialists Congratulations Card | Embossed Logo Notecard, Preprinted Env. | 1/1/2300 12:00 | w/Preprinted Envelope | N | ||
| Stationery | Local | Cards (Stationery) | Brock_Cancer_Center_Envelope.pdf | Sentara Supportive Care Services Sympathy Card, Embossed Logo Card w/Envelope | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | Anne Burrows | N | ||
| Stationery | Local | Cards (Stationery) | BirthdayCardSentaraSurgerySpecialists_BlankEnv.pdf | Sentara Surgery Specialists Birthday Cards | 2 sided Color, Cut to 8.5 x 5.5, fold, Blank Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Cards (Stationery) | SentaraSurgerySpecialists_CarePlex_thankyou.pdf | Sentara Surgery Specialists Thank You Card - SCH | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | SentaraSurgerySpecialists_Williamsburg_thankyou.pdf | Sentara Surgery Specialists Thank You Card - SWRMC | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Cards (Stationery) | Sentara_Therapy_Center_Edinburgh_nomarks.pdf | Sentara Therapy Center Edinburgh | 1/1/2300 12:00 | Amber Williams | N | |||
| Stationery | Local | Cards (Stationery) | WelcomeToSentaraCard.pdf | Welcome To Sentara Card (HR), 8.5 x 5.5, with Blank 6 x 9 envelope | 1/1/2300 12:00 | Mae Pagsanjan | N | |||
| Stationery | Local | Cards (Stationery) | WelcomeToSentaraCard__2_.pdf | Welcome To Sentara Team Card with Blank Envelope | With envelope | MAE PAGSANJAN | N | |||
| Stationery | Local | Cards (Stationery) | SPAH_auxiliary_card.pdf | SPAH Auxiliary Card | 01/2020 Rev. | 2 up cards, on cardstock front printed, inside blank with pre-printed envelope | 1/1/2300 12:00 | Joyce Abbey | N | |
| Stationery | Local | Cards (Stationery) | SRMH_ED_Thank_You_Card.pdf | SRMH Thank You Card, Emergency Department (SRMH) | 01/2020 Rev. | 1/1/2300 12:00 | Brittany L Hensley | N | ||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenterRedMill_EmbPreprintedEnv.pdf | STC Red Mill Outpatient Rehab Thank You Card, Embossed Logo w/envelope | 01/2020 Rev. | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | David A Streett | N | |
| Stationery | Local | Cards (Stationery) | SVBGH_CardiacRehabFamilyCard.pdf | Embossed SVBGH Cardiac Rehab Family Sympathy Card w/Preprinted Envelope | 01/2021 Rev. | Embossed sympathy card | Amii Parker | N | ||
| Stationery | Local | Cards (Stationery) | SFIMP_LakeRidge_birthday.pdf | SFIMP Lake Ridge Birthday Notecard w/Pre-printed Envelope | 01/2021 Rev. | Joanna Watkins | N | |||
| Stationery | Local | Cards (Stationery) | SFIMP_LakeRidge_hospice_sympathy_card.pdf | SFIMP Lake Ridge Hospice Sympathy Card w/ Pre-printed Envelope | 01/2021 Rev. | Joanna Watkins | N | |||
| Stationery | Local | Cards (Stationery) | SFIMP_Woodbridge_birthday.pdf | SFIMP Woodbridge Birthday Notecard | 01/2021 Rev. | Kathrin Riller | N | |||
| Stationery | Local | Cards (Stationery) | SFIMP_Woodbridge_hospice_sympathy_card.pdf | SFIMP Woodbridge Hospice Sympathy Card w/Preprinted Envelope | 01/2021 Rev. | Kathrin Riller | N | |||
| Stationery | Local | Cards (Stationery) | 1EAST_Ortho_ThankYouCard_2020.pdf | SLH Orthopedic Team Thank You Card w/Printed Envelope | 02/2020 Rev. | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | Shiella M Dempsey | N | |
| Stationery | Local | Cards (Stationery) | SNVMC_TheWomensHealthCenter_2021.pdf | SNVMC The Women's Health Center Thank You Card, Embossed w/Printed Env. | 02/2021 Rev. | Denise Golinowski | N | |||
| Stationery | Local | Cards (Stationery) | SentaraSleepCenter_Harrisonburg_EmbossedCard_Envelope.pdf | Sentara Sleep Center - Embossed Card w/Printed Envelope (Harrisonburg) | 02/2021 Rev. | Erica Huffman | N | |||
| Stationery | Local | Cards (Stationery) | SOH_RadiationOncology_ThankYou.pdf | SOH Radiation Oncology Thank You Card | 03/2020 Rev. | 1/1/2300 12:00 | Gail Byrd | N | ||
| Stationery | Local | Cards (Stationery) | SNGH_6K_ThankYouCard.pdf | SNGH 6K Thank You Card with preprinted envelope | 03/2021 Rev. | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | Anita Jordan-Williams | N | ||
| Stationery | Local | Cards (Stationery) | SNVMC_TheWomensHealthCenter_2021_Spanish_High_Resolution.pdf | SNVMC The Women's Health Center Thank You Card, Embossed w/Printed Env. (Spanish) | 03/2021 Rev. | Denise Golinowski | N | |||
| Stationery | Local | Cards (Stationery) | Optima_CarterReid_VB_Cust_Operations_card.pdf | Optima Thank You Card - Carter Reid | 04/2020 Rev. | Optima logo on front, inside
of card blank Pre-printed envelope |
1/1/2300 12:00 | Tanya Travis | N | |
| Stationery | Local | Cards (Stationery) | SHRH_palliative_birthdaycard.pdf | SHRH Palliative Care Specialists Birthday Card | 05/2019 Reviewed/Revised | 1/1/2300 12:00 | Toni B Maher | N | ||
| Stationery | Local | Cards (Stationery) | SLH_5West_ThankYou.pdf | SLH 5West Thank You Card and Envelope | 05/2020 Rev. | Folded card with pre-printed envelope | 1/1/2300 12:00 | Essence Hall | N | |
| Stationery | Local | Cards (Stationery) | SNVMC_Auxiliary_embossed_birthday_card.pdf | SNVMC Auxiliary Embossed Birthday Card | 05/2020 Rev. | Embossed card with pre-printed envelope | 1/1/2300 12:00 | Beverly Brevard | N | |
| Stationery | Local | Cards (Stationery) | SOH_Welcome_2_the_Team_Card.pdf | SOH Welcome to the Team Card | 05/2020 Rev. | Folded card with pre-printed envelope | 1/1/2300 12:00 | Brittney Curle | N | |
| Stationery | Local | Cards (Stationery) | SCH_TY_Endocrinology_Rheumatology.pdf | SCH Endocrinology Rheumatology Thank You Card | 05/2021 Rev. | Kanisha Miller | N | |||
| Stationery | Local | Cards (Stationery) | SNGH_10K.pdf | SNGH 10K Thank You Card | 05/2021 Rev. | Megan Hannah-Bruce | N | |||
| Stationery | Local | Cards (Stationery) | SOH_womenscenter_ThankYou_card.pdf | SOH The Women's Center Thank You Card | 06/19 Reviewed/Revised | TY Card with Envelope to print | 1/1/2300 12:00 | Stephanie R Gatling | N | |
| Quality-Safety | Local | COVID-19 | 4683_Visitation_-_16x20_-_non-clinical_-_print.pdf | Non-Clinical Visitation (16" x 20") Foam Core | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | 4683_Visitation_Non-Clinical-_24x36_-_print.pdf | Non-Clinical Visitation (24" x 36") Foam Core | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | 4683_Visitation_Non-Clinical-_24x36_-_print.pdf | Non-Clinical Visitation 24" x 36" (Wall Cling) | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Stationery | Local | Cards (Stationery) | SentaraSurgerySpecialists_portwarwick_sympathy.pdf | Sentara Surgery Specialists Port Warwick Sympathy Card | 08/19 Rev. | Card with printed envelope | 1/1/2300 12:00 | Dawn G Killilea | N | |
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenterHealthWay_BeccaStraseskie.pdf | STC Rebecca Straseskie SPA Thank You Card w/envelope | 08/2020 Rev. | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | Becca Straseskie | N | |
| Quality-Safety | Local | COVID-19 | 4683_Visitation_-_16x20_-_outpatient_-_print.pdf | Outpatient Visitation Facilities (16" x 20") Foam Core | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | 4683_Visitation_Outpatient_Facilities-_24x36_-_print.pdf | Outpatient Visitation Facilities (24" x 36") Foam Core | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | 4683_Visitation_Outpatient_Facilities-_24x36_-_print.pdf | Outpatient Visitation Facilities (24" x 36") Wall Cling | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | 4656_Outpatient_Visitation_Guidelines_COVID-19_Update_-_16x20_Spanish_High_Resolution.pdf | Outpatient Visitation Guidelines COVID-19 (16" x 20") Spanish | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | Outpatient_Visitor_Policy_A_Frame_Posters_-_print.pdf | Outpatient Visitor Policy A Frame Sign (24" x 36") | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | Outpatient_Visitor_Policy_Wall_Clings_-_print.pdf | Outpatient Visitor Policy Wall Cling (16" x 20") | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | SBCC_Visitor_Policy__A_Frame_Posters_-_print.pdf | SBCC Visitor Policy A Frame Signage (24" x 36") | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | SBCC_Visitor_Policy_Wall_Clings_-_print.pdf | SBCC Visitor Policy Wall Cling (16" X 20") | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | 4655_SMG_Masking_Sign_Update_June_2021_-_blue_Spanish_High_Resolution.pdf | SMG Masking Sign Update (9" x 11.5") Spanish | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Quality-Safety | Local | COVID-19 | 4656_Visitation_Guidelines_COVID-19_Update_-_16x20_Spanish_High_Resolution.pdf | Visitation Guidelines COVID-19 (16" x 20") Spanish | 06/2021 Rev. | Chelsie Williams | BizPort | N | ||
| Stationery | Local | Cards (Stationery) | SHRM_Palliative_Care_sympathycard_1.pdf | SHRM Palliative Care Sympathy Card w/ printed Env. #1852 | 09/2019 Rev. | Folded Card with Printed Envelope | 1/1/2300 12:00 | Sandra A Sears | N | |
| Stationery | Local | Cards (Stationery) | ActofSafety_ThankYou_SMJH.pdf | SMJH Act of Safety Thank You card w/BLANK Envelope | 09/2019 Rev. | Small card with BLANK ENVELOPE | 1/1/2300 12:00 | Bryan T Fair | N | |
| Stationery | Local | Cards (Stationery) | SOH_BreastfeedingSupportCard_2019.pdf | SOH Breastfeeding Support Women's Center Card w/Envelope | 09/2019 Rev. | 1 Side Black Print, 1 Side Color Print, Cut to 8.5 x 5.5, fold, preprinted envelope | 1/1/2300 12:00 | Paula Casper | N | |
| Stationery | Local | Cards (Stationery) | SVBGH_2_south_ThankYou.pdf | SVBGH 2 South Notecard with Pre-Printed Address Envelope | 09/2019 Rev. | Logo notecard, Pre-Printed env. | 1/1/2300 12:00 | Faith Nichols-Shelton | N | |
| Stationery | Local | Cards (Stationery) | SPAH_Surgical_ThankYou_2019.pdf | Embossed Card SPAH Surgical Services Thank You Card w/ Envelope | 1/2019 Rev. | 1/1/2300 12:00 | Joanne Wilson | N | ||
| Stationery | Local | Cards (Stationery) | SPAH3BThankYouCard_2019.pdf | SPAH 3B Stepdown Unit Thank You Card | 1/2019 Rev. | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | Len C James | N | |
| Stationery | Local | Cards (Stationery) | SRMH_BHU_thankyou.pdf | SRMH BHU Thank You Card W/Envelope | 1/2019 Rev. | 2 sided card with envelope | 1/1/2300 12:00 | Mary A Meadows | N | |
| Stationery | Local | Cards (Stationery) | Sentara_Surgery_and_Vascular_Specialists_ElizCity_ThankYou.pdf | Sentara Surgery and Vascular Specialists Eliz. City Thank You Card | 1/2019 Rev. | Folded card with printed envelope | 1/1/2300 12:00 | Frances C El-Ayoubi | N | |
| Stationery | Local | Cards (Stationery) | SMJH_Birthday_Notecard_2018.pdf | SMJH Birthday Note Card | 10/2018 Rev. | One sided card with pre printed envelope | Candace M Ransing | N | ||
| Stationery | Local | Cards (Stationery) | SOH_stepdown_Sympathy.pdf | SOH Stepdown Sympathy Card with Preprinted Envelope | 10/2019 Rev. | 1/1/2300 12:00 | Betty Jo Stroud | N | ||
| Stationery | Local | Cards (Stationery) | SOH_stepdown_ThankYou.pdf | SOH Stepdown Thank You Card with Preprinted Envelope | 10/2019 Rev. | Card with preprinted envelope | 1/1/2300 12:00 | Betty Jo Stroud | N | |
| Stationery | Local | Cards (Stationery) | SI_ED_Thank_You_card.pdf | SI ED Thank You Card w/Envelope | 10/2020 Rev. | 1/1/2300 12:00 | Sandra Evans/Judi Baker | N | ||
| Stationery | Local | Cards (Stationery) | SWRMC_SentaraFamilyInternalMed_SympathyCard.pdf | SWRMC SFIM Embossed Sympathy Card w/Printed Envelope | 10/2020 Rev. | Embossed front sympathy card with pre-printed envelope | Ursula Beverly | N | ||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenter_HamptonYMCA_ThankYouCard.pdf | Sentara Therapy Center Hampton YMCA Thank You Card | 11/2018 Rev. | 1/1/2300 12:00 | Lindsay R Morris | N | ||
| Stationery | Local | Cards (Stationery) | SHRH_West3_ThankYouCard.pdf | SHRH West3 Thank You Card | 11/2018 Rev. | Card folded over with pre printed envelope | 1/1/2300 12:00 | Sheila T Francis | N | |
| Stationery | Local | Cards (Stationery) | SNGH_ThankYouCard.pdf | SNGH Blank Thank You Card | 11/2018 Rev. | Thank you card with envelopes | 1/1/2300 12:00 | Susan D Cutrell | N | |
| Stationery | Local | Cards (Stationery) | SPAH4BThankYouCard.pdf | SPAH 4B Stroke Unit Staff Thank You Card | 11/2018 Rev. | 1/1/2300 12:00 | Tineka N Edwards-Scott | N | ||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenter_NewportNewsYMCA_ThankYouCard.pdf | Sentara Therapy Center Newport News YMCA Thank You Card | 11/2018 Rev. | 1/1/2300 12:00 | Lindsay R Morris | N | ||
| Stationery | Local | Cards (Stationery) | SentaraSupplyChain_welcomecard.pdf | Sentara Supply Chain Welcome Card w/Envelope (1 set of 5 cards) | 11/2019 Rev. | set of 5 cards with preprinted envelope | 1/1/2300 12:00 | Brenda Parsi (email cbsupport@sentara.com to have customized for dept.) | N | |
| Stationery | Local | Cards (Stationery) | SOH_OneYearAnniversary_womenscenter.pdf | SOH One Year Anniversary Womens Center Card | 12/2018 Rev. | fold over card with printed envelope | 1/1/2300 12:00 | Dawn Eure | N | |
| Stationery | Local | Cards (Stationery) | SNVMC_PatientAdvocate_Card.pdf | SNVMC Patient Advocate Card | 12/2020 Rev. | Tonya Jones | N | |||
| Stationery | Local | Cards (Stationery) | SNVMC_PatientAdvocate_Card_Spanish_High_Resolution.pdf | SNVMC Patient Advocate Card (Spanish) | 12/2020 Rev. | Tonya Jones | N | |||
| Stationery | Local | Cards (Stationery) | SCH_guestservices_thankyou_card_2sided.pdf | SCH Guest Services Thank You Card w/Env | 2/2019 Rev. | Folded card with Printed Envelope | 1/1/2300 12:00 | Sherry Hensberger | N | |
| Stationery | Local | Cards (Stationery) | SCH_PalliativeSpecialistsCard.pdf | SCH Palliative Specialists Sympathy Card, Embossed Logo Card w/Envelope | 2/2019 Rev. | 1/1/2300 12:00 | Lee A Jackson | N | ||
| Stationery | Local | Cards (Stationery) | SNGH_PalliativeSpecialistsCard.pdf | SNGH Palliative Specialists Sympathy Card, Embossed Logo Card w/Envelope | 2/2019 Rev. | Embossed Logo Notecard w/ Env | 1/1/2300 12:00 | Lee A Jackson | N | |
| Stationery | Local | Cards (Stationery) | SPAH_FMC_doula.pdf | SPAH FMC Doula Card | 2/2019 Rev. | Folded Card with printed envelope | 1/1/2300 12:00 | Susan M Portillo | N | |
| Stationery | Local | Cards (Stationery) | SVBGH_PalliativeSpecialistsCard.pdf | SVBGH Palliative Specialists Sympathy Card, Embossed Logo Card w/Envelope | 2/2019 Rev. | Embossed Logo Notecard w/env | 1/1/2300 12:00 | Lee A Jackson | N | |
| Stationery | Local | Cards (Stationery) | SWRMC_PalliativeSpecialistsCard.pdf | SWRMC Palliative Specialists Sympathy Card, Embossed Logo Card w/Envelope | 2/2019 Rev. | Embossed Logo Notecard w/Env. | 1/1/2300 12:00 | Lee A Jackson | N | |
| Stationery | Local | Cards (Stationery) | SentaraInternalMedicinePhysicians_EmbossedLogo_card.pdf | Sentara Internal Medicine Physicians (Kempsville,Norfolk) Embossed Logo w/Printed Envelope | 2/2019 Rev. | Embossed card with pre-printed envelope | 1/1/2300 12:00 | Darlene Troutman | N | |
| Stationery | Local | Cards (Stationery) | ThankYouCardSN_Norfolk.pdf | Sentara Nursing Center - Norfolk Thank You Card w/Envelope | 3/2019 Rev. | 1/1/2300 12:00 | Dawna M Berry | N | ||
| Stationery | Local | Cards (Stationery) | SMG_SurgerySpecialists_ThankYou.pdf | SMG Sentara Surgery Specialists Thank You Card | 4/2018 Rev. | 8.5 x 11 Card Stock, double sided color, Preprinted Env. | 1/1/2300 12:00 | Julia R Garner | N | |
| Stationery | Local | Cards (Stationery) | SentaraFamilyMedPhys_StLukes_birthday.pdf | Sentara Family Medicine Physicians- St. Luke's Birthday Card | 4/2018 Rev. | with pre printed envelope | 1/1/2300 12:00 | Heather Hall | N | |
| Stationery | Local | Cards (Stationery) | SentaraFamilyMedPhys_Wakefield_birthday.pdf | Sentara Family Medicine Physicians-Wakefield Birthday Card | 4/2018 Rev. | preprinted envelope | 1/1/2300 12:00 | Heather Hall | N | |
| Stationery | Local | Cards (Stationery) | SentaraSurgerySpecialists_portwarwick_thankyou.pdf | Sentara Surgery Specialists Port Warwick Thank You | 4/2018 Rev. | 1/1/2300 12:00 | Dawn G Killilea | N | ||
| Stationery | Local | Cards (Stationery) | SentaraFamilyMedPhys_Suffolk_birthday.pdf | SFMP Suffolk Birthday Card | 4/2019 Rev. | folded card with printed envelope | 1/1/2300 12:00 | Marion J Williams | N | |
| Stationery | Local | Cards (Stationery) | SPATherapyCenterThankYouNotecard_Grassfield.pdf | Sentara Therapy Center - Grassfield Thank You Card | 4/2019 Rev. | Embossed card with pre-printed envelope | 1/1/2300 12:00 | Tonia M Burke | N | |
| Stationery | Local | Cards (Stationery) | SPATherapyCenterThankYouNotecard_GreatBridge.pdf | Sentara Therapy Center - Great Bridge Thank You Card | 4/2019 Rev. | Embossed card with preprinted envelope | 1/1/2300 12:00 | Tonia M Burke | N | |
| Stationery | Local | Cards (Stationery) | Sentara_ENT_Specialists_ElizCity_ThankYou.pdf | Sentara ENT Specialists Elizabeth City Thank You | 5/2018 Rev. | with pre-preprinted envelope | 1/1/2300 12:00 | Julie A O'Connor | N | |
| Stationery | Local | Cards (Stationery) | Sentara_Surgery_Specialists_ElizCity_ThankYou.pdf | Sentara Surgery Specialists Elizabeth City Thank You Card | 5/2018 Rev. | pre printed envelope | 1/1/2300 12:00 | Julie A O'Connor | N | |
| Stationery | Local | Cards (Stationery) | Sentara_Vascular_Specialists_ElizCity_ThankYou.pdf | Sentara Vascular Specialists Elizabeth City Thank You | 5/2018 Rev. | with pre-printed envelope | 1/1/2300 12:00 | Julie A O'Connor | N | |
| Stationery | Local | Cards (Stationery) | SentaraLifeCare_Chesapeake_thankyou.pdf | Sentara Life Care Chesapeake Thank You Card | 6/2018 Rev. | 2 sided Color, Cut to 8.5 x 5.5, fold, pre-printed envelope to accompany | 1/1/2300 12:00 | Karen L Wilhelm | N | |
| Stationery | Local | Cards (Stationery) | SOHBackNeckThankYouCard2.pdf | Embossed Card SOH OrthoJoint Back/Neck Thank You Card w/ Envelope | 6/2021 Rev. | 1/1/2300 12:00 | Susan McFatter | N | ||
| Stationery | Local | Cards (Stationery) | SentaraTherapyCenterHealthWay_PeggyGaldini.pdf | STC Peggy Galdini SPAH Thank You Card w/envelope | 6/2021 Rev. | Embossed Logo Notecard w/Env | 1/1/2300 12:00 | Becca Straseskie | N | |
| Stationery | Local | Cards (Stationery) | SMGEmbossedLogoThankYou_noaddress.pdf | SMG Embossed Logo Thank You No Address on Envelope | 8/2018 Rev. | Embossed Stationery Card | 1/1/2300 12:00 | Tanna L Bennett | N | |
| Stationery | Local | Cards (Stationery) | SNGH9KMedicineUnitEmbossedLogo.pdf | SNGH 9K Medicine Unit Embossed Logo Thank You Card | 8/2018 Rev. | 1/1/2300 12:00 | Felicia D Spencer | N | ||
| Stationery | Local | Cards (Stationery) | SentaraSurgerySpecialists_birthday_portwarwick.pdf | Sentara Surgery Specialists Birthday Card - Port Warwick | 8/2019 Rev. | 1/1/2300 12:00 | Dawn G. Killilea | N | ||
| Stationery | Local | Cards (Stationery) | SWRMC_FamilyMaternityCenter_ThankYouCard.pdf | SWRMC Family Maternity Center Thank You Card | 9/2018 Rev. | 1/1/2300 12:00 | Donna O Patno | N | ||
| Stationery | Local | Cards (Stationery) | Embossed Logo Notecard with Blank Envelope #0321 | Sentara Logo | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Envelopes | Double_window_Envelope.pdf | #10 Double Window Envelope BLANK - 500 p/box | N | |||||
| Stationery | Local | Envelopes | #10 Envelope, Sentara Black Logo | N | ||||||
| Stationery | Local | Envelopes | #10 Window (Right Side) Envelope #10 | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Envelopes | No9ReturnEnv_JoannClarksonAuxiliaryFashionShowSilentAuction.pdf | #9 Return Envelope - Joann Clarkson Auxiliary Fashion Show Silent Auction | Delores Reed/TC SVBGH Volunteer Services | N | ||||
| Stationery | Local | Envelopes | #9 Return Envelope, No Logo, Address prints in the "To" section of the envelope | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Envelopes | 10 x 13 Envelope, Black Sentara Logo | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Envelopes | 9 x 6 Envelope Template | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Envelopes | 9x12 Envelope, Black Sentara Logo | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Envelopes | Dedicated_Care_Center_10_env.pdf | Dedicated Care Center #10 Envelope | N | |||||
| Stationery | Local | Envelopes | 56268_DedicatedCareCenter_ENV_proof.pdf | Dedicated Care Center - #10 Envelope (Green Logo) | 1/1/2300 12:00 | Signature Printing | N | |||
| Stationery | Local | Envelopes | Dedicated Care Center - Right Window - Security Envelope | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Envelopes | HER_No10env.pdf | HER #10 Envelope | Angela Welch | N | ||||
| Stationery | Local | Envelopes | HER_Secure_Envelope.pdf | HER Secure #10 Envelope | This is a SECURE ENVELOPE | Angela Welch | N | |||
| Stationery | Local | Envelopes | HER_Secure_Envelope.pdf | HER Secure Envelope | Angela Welch | N | ||||
| Stationery | Local | Envelopes | SouthsideMedicalStaffOffice.pdf | Medical Staff Office (Southside) #10 Envelope | N | |||||
| Stationery | Local | Envelopes | 10x13_MedStaff.pdf | Medical Staff Office (Southside) 10 x 13 Envelope | N | |||||
| Stationery | Local | Envelopes | Nightingale__10_Env.pdf | Nightingale #10 Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Envelopes | OptimaHealth_1604SantaRosaRd_10x13_envelope.pdf | Optima Health 10 x 13 WINDOW Envelope, 1604 Santa Rosa Rd., Richmond, VA | N | |||||
| Stationery | Local | Envelopes | PA-ASC_Envelope_Template.pdf | PA-ASC #10 Envelope | N | |||||
| Stationery | Local | Envelopes | PropriumPharmacyNo10Env.pdf | Proprium Pharmacy #10 Envelope | N | |||||
| Stationery | Local | Envelopes | SMJ_OutpatientCareCenterMammo.pdf | SMJ Outpatient Care Center Mammography #10 Envelope | Lisa Vick | N | ||||
| Stationery | Local | Envelopes | SMJ_OutpatientCareCenterMammo.pdf | SMJ Outpatient Care Center Mammography #10 Window Envelope | Lisa Vick | N | ||||
| Stationery | Local | Envelopes | SPAH in Partnership with BonSecours #10 Envelope | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Envelopes | RMHLifelineReturnEnvNo6.pdf | SRMH Lifeline Return Env No 6 | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Envelopes | SQCN_Patient_Letter_Envelope-print.pdf | Sentara Quality Care Network (SQCN) #10 Envelope | 1/1/2300 12:00 | Diane Wade | N | |||
| Stationery | Local | Envelopes | SQCN_10x13.pdf | Sentara Quality Care Network (SQCN) 10x13 Envelope | Diane Wade | N | ||||
| Stationery | Local | Envelopes | WellnessCntr_BRM_BW.pdf | Sentara RMH Wellness Center Return Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Envelopes | SMJH__9_BRM.pdf | SMJH #9 BRM Envelope | 11/2020 Rev. | N | ||||
| Stationery | Local | Envelopes | #10 Window (Standard) Envelope, Sentara Black Logo | Window is on left side of envelope | N | |||||
| Stationery | Local | General Information | Fax Template (PBB) | N | ||||||
| Stationery | Local | General Information | Notepad Half Sheet, 8.5 x 5.5 (Pads of 100) | 1/1/2300 12:00 | For quantities greater than 20 pads please email cbsupport@sentara.com. | N | ||||
| Stationery | Local | General Information | Notepad Quarter Sheet, 4.25 x 5.5 (Pads of 100) | 1/1/2300 12:00 | For quantities greater than 20 pads please email cbsupport@sentara.com. | N | ||||
| Stationery | Local | General Information | SKHNo10_BRM.pdf | SKH #10 BRM Envelope | #10 Envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | General Information | Scratch Pads, SRMH | 1/1/2300 12:00 | N | |||||
| Stationery | Local | General Information | SentaraENTSpec.pdf | Sentara ENT Specialists Letterhead | Letterhead | 1/1/2300 12:00 | N | |||
| Stationery | Local | General Information | SentaraENTSpec_NCroatanHwy_No10.pdf | Sentara ENT Specialists N. Croatan Hwy., #10 Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | General Information | SentaraENTSpec_NRoadSt_No10.pdf | Sentara ENT Specialists N. Road St., #10 Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | General Information | APS_SentaraFamilyMed_CroatanHwy.pdf | Sentara Family Medicine Physicians Letterhead, Croatan Hwy. | Letterhead | 1/1/2300 12:00 | N | |||
| Stationery | Local | General Information | SentaraObGynSpecNo10.pdf | Sentara Obstetrics & Gynecology Specialists #10 Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | General Information | SentaraObGynSpec.pdf | Sentara Obstetrics & Gynecology Specialists Letterhead | Letterhead | 1/1/2300 12:00 | N | |||
| Stationery | Local | General Information | Sentara_Pediatric_Physicians_notepad_4_25_5_5_updated.pdf | Sentara Pediatric Physicians Notepad 4.25"x5.5" (50pg/pad) | 01/2020 Rev. | notepad, 50 pages/per pad Use pastel colors, "rainbow mix"...assorted colors on EACH notepad |
1/1/2300 12:00 | Terese Stockunas Nosay | N | |
| Stationery | Local | General Information | SVBGH_Prehospital_call_sheet.pdf | SVBGH Pre-hospital Call Sheet (notepad 75pp) | 01/2021 Rev. | Notepad, 75 pages per pad | Judi Baker | N | ||
| Stationery | Local | General Information | SBARQ_Notepad_bw.pdf | SBARQ Notepad BW 5.5"x8.5" (100 pages per pad) | 06/2020 Rev. | 1/1/2300 12:00 | Allura Kemick | N | ||
| Stationery | Local | General Information | SRMH_SANE_4_25x5_5_5_notepad_4up.pdf | SRMH SANE Notepad 4.25"x5.5" Notepad (4up) | 08/2020 Rev. | 50 pages per pad | Olivia Haimani | N | ||
| Stationery | Local | General Information | SRMH_SANE_5_5x5_8_5_notepad_2up.pdf | SRMH SANE Notepad 5.5"x8.5" Notepad (2up) | 08/2020 Rev. | notepad with 50 pages | Olivia F Haimani | N | ||
| Stationery | Local | General Information | SCOH_Notepads.pdf | SCOH Notepad 5.5" x 8.5" Notepad (50 pg per pad) | 11/2020 Rev. | 50 pages per pad | Laura Decker | N | ||
| Stationery | Local | General Information | SWRMC_NEC_5x7_notepad.pdf | SWRMC NEC 5x7 Notepad #1627 (Pads of 10 sheets to a pad) | 7/2018 Rev. | 1/1/2300 12:00 | Donna D. Wilmoth | N | ||
| Stationery | Local | General Information | NotepadHalfSheetRev3 | For quantities greater than 20 pads please email cbsupport@sentara.com. | N | |||||
| Stationery | Local | General Information | NotepadHalfSheetRev5 | For quantities greater than 20 pads please email cbsupport@sentara.com. | N | |||||
| Stationery | Local | Labels | Mailing Label 6.75 x 3.5 | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Labels | ReturnLabels.pdf | SRMH Heart and Vascular Return Label | 1/1/2300 12:00 | Thomas Rice | N | |||
| Stationery | Local | Labels | Metropolitan_Solutions_labels.pdf | Metropolitan Solutions Mailing Label (6 per page) | 06/2020 Rev. | Avery 5164 labels | 1/1/2300 12:00 | Cathy Gray | N | |
| Stationery | Local | Letterhead | 75604SENTARADedicatedCareLetterhead.pdf | Dedicated Care Center - Letterhead | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Letterhead | Gold Logo Letterhead Paper (Blank with Gold Logo Only) | N | ||||||
| Stationery | Local | Letterhead | HER_Letterhead.pdf | HER Hospital for Extended Recovery Letterhead | Angela Welch | N | ||||
| Stationery | Local | Letterhead | SouthsideHospitalsMedicalStaffOffice_BlackLogo.pdf | Medical Staff Office (Southside) Black Logo Letterhead | N | |||||
| Stationery | Local | Letterhead | SouthsideHospitalsMedicalStaffOffice_ColorLogo.pdf | Medical Staff Office (Southside) Gold Logo Letterhead | N | |||||
| Stationery | Local | Letterhead | Nightingale_LH_MetroAviationPRINT.pdf | Nightingale Letterhead | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Letterhead | OLD Sentara Letterhead, Black Logo | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Letterhead | PropriumPharmacyLetterhead_BW.pdf | Proprium Pharmacy Black & White Letterhead | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Letterhead | PropriumPharmacyLetterhead.pdf | Proprium Pharmacy Letterhead | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Letterhead | BobBrayLegalRedLinedPaperPRINT.pdf | Red Lined Legal Paper, Bob Bray | 8.5 x 11 Red Lined Legal Paper. Order paper from Sam Roderick (sam.roderick@abc.edu) ; 500 sheets to a Ream | 1/1/2300 12:00 | N | |||
| Stationery | Local | Letterhead | SMJH_CancerCareCenterRadiationOncology.pdf | SMJH Cancer Care Center Radiation Oncology Letterhead | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Stationery | Local | Letterhead | SPAHAuxiliary.pdf | SPAH Auxiliary Letterhead | 1/1/2300 12:00 | Joyce Abbey | N | |||
| Stationery | Local | Letterhead | SPAH In Partnership with Bon Secours Letterhead | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Letterhead | Sentara_Health_Research_Center_Letterhead.pdf | Sentara Health Research Center Letterhead | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Letterhead | Sentara Letterhead, Black Logo | N | ||||||
| Stationery | Local | Letterhead | Sentara Letterhead, Gold Logo | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Letterhead | SentaraPhysiciansandUrgentCareKempsvilleRd.pdf | Sentara Physicians and Urgent Care - Kempsville Rd., Gold Logo Letterhead | Team Coordinator/POC Bryan Maynard | N | ||||
| Stationery | Local | Letterhead | Sentara Provider Letterhead, Gold Logo | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Letterhead | VBASCLtrhdPRINT.pdf | VBASC Gold Logo Letterhead | N | |||||
| Stationery | Local | Letterhead | Letterhead Paper (2nd sheet paper) | No Print/Logo Paper ONLY | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | OH_J_Andy_Hilbert_Notepad.pdf | OH J. Andy Hilbert Notepad | Priced 2 up on 8.5 x 11 color copier paper | N | ||||
| Stationery | Local | Optima | OHIOHEALTHY_4417CORPLANE_9BRM.pdf | OhioHealthy #9 BRM, 4417 Corporation Lane | Shelf Item Paid for up front per John Hammer |
N | ||||
| Stationery | Local | Optima | OhioHealthy_Clinical_Post-Service_Review_10_Regular_env_-_Black.pdf | OhioHealthy #10 Window Envelope, Post-Service Review | N | |||||
| Stationery | Local | Optima | OHIOHEALTHY-COB_4417CORPLANE_9BRM.pdf | OhioHealthy 4417 Corporation Lane COB #9 BRM | N | |||||
| Stationery | Local | Optima | OhioHealthy_IPI__10_Window_env_-_4456_Corp_LaneBlack_PRINT.pdf | OhioHealthy 4456 Corporation Lane - #10 Window Envelope - Important Plan Information | N | |||||
| Stationery | Local | Optima | OhioHealthy_IPI_4456_Corporation_Lane10x13_Env.pdf | OhioHealthy 4456 Corporation Lane Important Plan Information 10x13 | 10 x 13 Window Env | N | ||||
| Stationery | Local | Optima | OhioHealthy_IPI__10_Regular_env_-_Black.pdf | OhioHealthy Important Plan Information #10 Envelope | N | |||||
| Stationery | Local | Optima | OhioHealthy_IPI__10_Window_env_-_Black_PRINT.pdf | OhioHealthy Important Plan Information #10 Window Envelope | N | |||||
| Stationery | Local | Optima | OhioHealthy_IPI_10x13_Env.pdf | OhioHealthy Important Plan Information 10x13 Window Envelope | 10 x 13 Window Env | N | ||||
| Stationery | Local | Optima | OhioHealthy_IPI_6x9.5_window_env_-_Black.pdf | OhioHealthy Important Plan Information 6 x 9.5 Window Envelope | Shelf Item Paid for up front per John Hammer |
N | ||||
| Stationery | Local | Optima | OhioHealthy_Clinical_Post-Service_Review_10_Regular_env_-_Black.pdf | OhioHealthy Post-Service Review #10 Envelope | N | |||||
| Stationery | Local | Optima | Optima Family Care #10 Envelope | Shelf Item | 1/1/2300 12:00 | Orders over 2500 will be outsourced. This may impact pricing. | N | |||
| Stationery | Local | Optima | Optima Family Care #10 Window Envelope | Shelf Item | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | Optima Health #10 Envelope - Select your return address | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Optima | OptimaHealth_Mailing__10_826_MH_Envelope.pdf | Optima Health #10 Envelope, 824 N. Military Highway, Important Plan Information | N | |||||
| Stationery | Local | Optima | OptimaHealthATTNMEDICARE_4456CorpLaneNo10env.pdf | Optima Health #10 Envelope, ATTN: MEDICARE, 4456 Corporation Lane | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | OptimaHealthImportPlanInfo3565PiedmontRd.pdf | Optima Health #10 Window Envelope - 3565 Piedmont Rd. NE, IMPORTANT PLAN INFORMATION | envelopes; Print - static item | 1/1/2300 12:00 | N | |||
| Stationery | Local | Optima | Optima Health #10 Window Envelope - Select your return address | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Optima | Optima Health #10 Window Envelope - Standard 4417 Corporation Lane Address | Shelf Item | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | OH_No10_Window_POBox61739_VickiJester.pdf | Optima Health #10 Window Envelope P.O. Box 61739 ATTN: Vicki Jester | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | OH_No10_Window_ImportTaxInfoPOBox61739_VickiJester.pdf | Optima Health #10 Window Envelope P.O. Box 61739 IMPORTANT TAX INFORMATION ENCLOSED, ATTN: Vicki Jester | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | OptimaHealthImportantPlanInfoWindowEnv.pdf | Optima Health #10 Window Envelope, 4417 Corporation Lane, Important Plan Information Tag line | Shelf Item | 1/1/2300 12:00 | N | |||
| Stationery | Local | Optima | OptimaHealth_Mailing__10_826_MH_Win_Envelope.pdf | Optima Health #10 Window Envelope, 824 N. Military Highway, Important Plan Information Tag line | Shelf Item | 1/1/2300 12:00 | N | |||
| Stationery | Local | Optima | OptimaHealthImportantPlanInfoATTNMEDICARE_4456CorpLaneWindowEnv.pdf | Optima Health #10 Window Envelope, Important Plan Information ATTN: MEDICARE, 4456 Corporation Lane | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | OPTIMAFINANCEBRM.pdf | Optima Health #9 BRM, Finance Dept., 4456 Corporation Lane, Ste 336 | Print - static item | 1/1/2300 12:00 | N | |||
| Stationery | Local | Optima | OptimaHealth__9_BRM_Env.pdf | Optima Health #9 Business Reply Envelope, 4417 Corporation Lane | SHELF ITEM | 1/1/2300 12:00 | Orders over 2500 will be outsourced. This may impact pricing. | N | ||
| Stationery | Local | Optima | Optima_Health_9_824_N_MilitaryHwySTE.pdf | Optima Health #9 Business Reply Envelope, 824 N. Military Hwy, STE 200 | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | Optima_Health_9_BRM_JulieStegemann.pdf | Optima Health #9 Business Reply Mail Envelope, Finance Department "Julie Stegemann" | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | Optima_Health_9_BRM.pdf | Optima Health #9 Business Reply Mail Envelope, Finance Department "Vicki Jester" | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | Optima Health 10 x 13 Envelope | envelopes; Print - template | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | OptimaHealth_1604SantaRosaRd_10x13_envelope.pdf | Optima Health 10 x 13 Envelope, 1604 Santa Rosa Rd., Richmond, VA | N | |||||
| Stationery | Local | Optima | OptimaHealth_VB_10x13_envelope.pdf | Optima Health 10 x 13 Envelope, 4417 Corporation Lane, Important Plan Information Tag line | envelopes; Print - template | 1/1/2300 12:00 | N | |||
| Stationery | Local | Optima | OptimaHealth_4456CorpLane_VB_Finance_10x13_enve.pdf | Optima Health 10 x 13 Envelope, 4456 Corporation Lane, Finance | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | OptimaHealth_Norfolk_10x13_envelope.pdf | Optima Health 10 x 13 Envelope, 824 N. Military Hwy. Norfolk, VA | envelopes; Print - template | 1/1/2300 12:00 | N | |||
| Stationery | Local | Optima | OptimaHealth_VB_10x13_envelope.pdf | Optima Health 10 x 13 Window Envelope, 4417 Corporation Lane, Important Plan Information Tag line | envelopes; Print - template | N | ||||
| Stationery | Local | Optima | OptimaHealth4456CorpLaneIPI_Mailing__10_Envelope.pdf | Optima Health 4456 Corporation Lane, Suite 336, Important Plan Information, #10 Envelope | N | |||||
| Stationery | Local | Optima | Optima_Health_IPI_4456CorpLane_Plain_6x9.5_window_env.pdf | Optima Health 6 x 9.5 Window Envelope, 4456 Corporation Lane, STE 336, Important Plan Information | 6 x 9 WINDOW | N | ||||
| Stationery | Local | Optima | Optima_Health_9_x_12_1604SantaRosa.pdf | Optima Health 9 x 12 - 1604 Santa Rosa Road | 9 x 12 envelope | 1/1/2300 12:00 | N | |||
| Stationery | Local | Optima | Optima_Health_IPI_Plain_9x12_booklet_env.pdf | Optima Health 9 x 12 Envelope | envelopes; Print - template | 1/1/2300 12:00 | N | |||
| Stationery | Local | Optima | Optima Health 9 x 6 Envelope | envelopes; | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | Optimal_Health_-_Quality_Health_-_9__6_Env.pdf | Optima Health 9 x 6 Envelope, Quality Health | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | Optima Health Clinical #10 Window Envelope | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Optima | Optima Health Embossed Logo Notecard and Envelope | Pack(s)-100 p/pack | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | OPTIMAFINANCEBRMATTNMEDICARE.pdf | Optima Health Finance Dept. ATTN: Medicare - 4456 Corporation Lane, Ste 336 | Print - static item | 1/1/2300 12:00 | N | |||
| Stationery | Local | Optima | OptimaHealth_Letterhead_Credentialing.pdf | Optima Health Letterhead Credentialing | N | |||||
| Stationery | Local | Optima | Optima Health Letterhead, Color Logo | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Optima | Optima_Health_Quality_Improvement_9__12.pdf | Optima Health Quality Improvement 9 x 12 Envelope | envelopes | 1/1/2300 12:00 | Orders over 2500 will be outsourced. This may impact pricing. | N | ||
| Stationery | Local | Optima | Optima Health Remit Window Envelope | 1/1/2300 12:00 | N | |||||
| Stationery | Local | Optima | OptimaHealth_Mailing__10_IPI_Envelope.pdf | Optima Health, #10 Envelope, 4417 Corporation Lane, Important Plan Information Tag line | Shelf Item | 1/1/2300 12:00 | N | |||
| Stationery | Local | Optima | OH_10x13Catalog_HealthCareServices4000ColiseumDriveSTE250.pdf | Optima Health, Health Care Services HAMPTON, 10 x 13 Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Optima | OH_10x13Catalog_HealthCareServices4000ColiseumDriveSTE250.pdf | Optima Health, Health Care Services HAMPTON, 10 x 13 WINDOW Envelope | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Sentara Pocket Folder | Sentara Pocket Folder #9999 | #9999 | 1/1/2300 12:00 | N | ||||
| Stationery | Local | Sentara Pocket Folder | Sentara_Quality_Care_Network_Pocket_Folder.pdf | Sentara Quality Care Network (SQCN) Pocket Folder | 2000 Folders | Send To Allegra Need to confirm cost from Allegra on reorders |
Diane Wade | N | ||
| Stationery | Local | Templates | RXTemplate | 1/1/2300 12:00 | N | |||||
| Stationery | Local | eCards | blueelephant.pdf | E-Card Baby - Elephant/Blue | Packaged 10 cards per pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stationery | Local | eCards | pinkeleph.pdf | E-Card Baby - Elephant/Pink | Packaged 10 cards per pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stationery | Local | eCards | HappyBirthdayBear.pdf | E-Card Birthday - Bear | Packaged 10 cards per pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stationery | Local | eCards | HappyBirthdayCupcake.pdf | E-Card Birthday - Cupcake | Packaged 10 cards per pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stationery | Local | eCards | CongratsBalloons.pdf | E-Card Congrats - Balloons | Packaged 10 cards per pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stationery | Local | eCards | getwellsoonflowers.pdf | E-Card Get Well - Bird Song | Packaged 10 cards per pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stationery | Local | eCards | gettwell.pdf | E-Card Get Well - Dr. Pill | Packaged 10 cards per pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stationery | Local | eCards | flowerbouqcard.pdf | E-Card Get Well - Floral Bouquet | Packaged 10 cards per pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stationery | Local | eCards | speedyrecovery.pdf | E-Card Get Well - Race Car | Packaged 10 cards per pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stationery | Local | eCards | getwellboardflowers.pdf | E-Card Get Well - Rustic Yellow Flowers | Packaged 10 cards per pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stationery | Local | eCards | thinkingofyouflowers.pdf | E-Card Thinking of You - Buds on Teal | Packaged 10 cards per pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stationery | Local | eCards | thinkingofyou.pdf | E-Card Thinking of You - Pink Tulips | Packaged 10 cards per pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stationery | Local | eCards | SEN-077-greetingcards-master_wbleed.pdf | E-Cards ASSORTMENT PACK (assorted pack of 17 cards) | Assortment of 17 cards to a pack | 1/1/2300 12:00 | Ryan Hildebrand | N | ||
| Stroke | Local | General Information | SNGH_BasicStrokeConceptsBook_NOCROPS_Grayscale.pdf | SNGH Basic Stroke Concepts Book | Sarah Cullen/Richard Blackerby | N | ||||
| Stroke | Local | General Information | BannerUp_CompStroke_V1.pdf | SNGH Certified Comprehensive Stroke Center Banner Up | Send to Bizport | Bizport | N | |||
| Stroke | Local | General Information | GWTG_SNGH_BannerUp_V3.pdf | SNGH Get With The Guidelines (GWTG) Banner Up | Send to Bizport | Bizport | N | |||
| Stroke | Local | General Information | GWTG_SNVMC_BannerUp_V3.pdf | SNVMC Get With The Guidelines (GWTG) Banner Up | Send to Bizport | Bizport | N | |||
| Stroke | Local | General Information | BannerUp_SPAH_PrimaryStroke_V1.pdf | SPAH Certified Primary Stroke Center Banner Up | Send to Bizport | Bizport | N | |||
| Stroke | Local | General Information | GWTG_SPAH_BannerUp_V3.pdf | SPAH Get With The Guidelines (GWTG) Banner Up | Send to Bizport | Bizport | N | |||
| Stroke | Local | General Information | GWTG_SRMH_BannerUp_V3.pdf | SRMH Get With The Guidelines (GWTG) Banner Up | Send to Bizport | Bizport | N | |||
| Stroke | Local | General Information | BannerUp_SVBGH_PrimaryStroke_V1.pdf | SVBGH Certified Primary Stroke Center Banner Up | Send to Bizport | Bizport | N | |||
| Stroke | Local | General Information | GWTG_SVBGH_BannerUp_V3.pdf | SVBGH Get With The Guidelines (GWTG) Banner Up | Send to Bizport | Bizport | N | |||
| Stroke | Local | General Information | Stroke_Awareness_Card__1_.pdf | Stroke Awareness Card | 1/1/2300 12:00 | N | ||||
| Stroke | Local | General Information | StrokeEducationCard_PRINT.pdf | Stroke Education Card | Julie A Suedmeyer-Buller | N | ||||
| Stroke | Local | General Information | Stroke_Thank_You_Card.pdf | Stroke Thank You Card / Save a brain, I did! | Julie Suedmeyer-Buller/Marketing | N | ||||
| Stroke | Local | General Information | SENT_2228_StrokeDentalBloodThinner_BiFold_FINAL.pdf | Stroke Dental Blood Thinner Bi-Fold Brochure | 06/2020 Rev. | Julie Suedmeyer-Buller | N | |||
| Stroke | Local | General Information | SENT-167_Alteplase_BR.pdf | Alteplase Stroke Medication (tPA drug) Brochure | 1/2018 Rev. | 1/1/2300 12:00 | Theresea Ceniccola/Julie A. Suedmeyer-Buller | Professional Printing | N | |
| Stroke | Local | General Information | AHA_CCC_2020.pdf | Check. Change. Control. Handout, Pads of 50 | 1/2020 Rev. | Rosalinda Babilonia CHP | N | |||
| Stroke | Local | General Information | StrokeEducationBooklet_SPANISH_PRINTSETUP_11x17_12_2018.pdf | Stroke Education Toolkit, SPANISH #0399 | 12/2018 Rev. | Saddle Stitched Print In House |
Julie Suedmeyer-Buller | N | ||
| Stroke | Local | General Information | SENT-137-Stroke_PatientGuide_Print.pdf | Stroke EducationToolkit #0399 | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: Julie A. Suedmeyer-Buller | N | ||
| Stroke | Local | General Information | FAST_Wallet_Card_PRINTwdate.pdf | FAST Wallet Card | 2/2019 Rev. | 1/1/2300 12:00 | Julie A Suedmeyer-Buller | N | ||
| Stroke | Local | General Information | SENT-StrokeMagnet-PRINT.pdf | Stroke Magnet - Know the warning signs of stroke (B.E.F.A.S.T) | 2/2019 Rev. | 1/1/2300 12:00 | Julie Suedmeyer-Buller | N | ||
| Stroke | Local | General Information | SENT-StrokePoster_PRINT_13x19.pdf | Stroke Poster - Know the warning signs of stroke (B.E.F.A.S.T) | 2/2019 Rev. | 1/1/2300 12:00 | Julie Suedmeyer-Buller | N | ||
| Stroke | Local | General Information | SENT-158_Sentara_stroke_flyer_042219_print.pdf | What is a Stroke? Flyer | 4/2019 Rev. | 1/1/2300 12:00 | Julie A Suedmeyer-Buller/Marketing | N | ||
| Stroke | Local | General Information | SRMH_StrokePacket_1464.pdf | SRMH Stroke Packet #1464 | 4/2020 Rev. | 1st 2 pages are 2 sided, 3 and 4 are separate flyers. No staple. No folder | Karen Jordan/Carlissa Lam | SRMH Print Shop | N | |
| Stroke | Local | General Information | StrokeScorecard-englishv-PRINT2.pdf | Stroke Risk Scorecard | 5/2019 Rev. | 1/1/2300 12:00 | Julie Suedmeyer-Buller | N | ||
| Stroke | Local | General Information | StrokeScorecard-Spanish-PRINT2.pdf | Stroke Risk Scorecard, SPANISH | 5/2019 Rev. | 1/1/2300 12:00 | N | |||
| Stroke | Local | General Information | SOH_ED_BEFAST_Flyer_v1_PRINT__002_.pdf | Be Fast To Stop Stroke Flyer/Sign, 8.5 x 11 | Rev. 8/2019 | 1/1/2300 12:00 | Julie A Suedmeyer-Buller/Marketing | N | ||
| Support Services | Local | Bereavement | 8_25x6GriefDoorTag.pdf | Grief Door Tag, 8.25 x 6 | Laminated | N | ||||
| Quality-Safety | Local | General Information | ED_BH_Safety_Peer_Checking_Form_3_25x10.pdf | ED BH Safety Peer Checking Form 3_25x10, Laminated | 06/2021 Rev. | Christopher Smith/Process Improvement | N | |||
| Support Services | Local | Bereavement | HaliHospice-12_month__bereavement_letter.pdf | SHRH Bereavement Letter - 12 month | 10/2019 Rev. | Faith O'Neil/SHRH Marketing | N | |||
| Support Services | Local | Bereavement | HaliHospice-3_month_bereavement__letter.pdf | SHRH Bereavement Letter - 3 month | 10/2019 Rev. | Faith O'Neil/SHRH Marketing | N | |||
| Support Services | Local | Bereavement | HaliHospice-6_month_bereavement_letter.pdf | SHRH Bereavement Letter - 6 month | 10/2019 Rev. | Faith O'Neil/SHRH Marketing | N | |||
| Support Services | Local | Bereavement | HaliHospice-9_month_bereavement_letter.pdf | SHRH Bereavement Letter - 9 month | 10/2019 Rev. | Faith O'Neil/SHRH Marketing | N | |||
| Support Services | Local | Bereavement | HaliHospice-Holiday_Bereavement_Letter.pdf | SHRH Bereavement Letter - Holidays | 10/2019 Rev. | Faith O'Neil/SHRH Marketing | N | |||
| Support Services | Local | Bereavement | 1-CompletePDF_2020.pdf | SNGH Perinatal Loss Packet | 10/2020 Rev. | SEE CONTENT and Specs list for
direction on each piece. Sentara Pocket Folder |
Deborah Dougherty/Perinatal Bereavement | N | ||
| Support Services | Local | Bereavement | SRMH_BereavementServices_brochure_2158.pdf | SRMH Bereavement Services Brochure #2158 | 12/2020 Rev. | Bea Spitler | N | |||
| Support Services | Local | Bereavement | SCH_BereavementSupportGroupFlyer.pdf | SCH Bereavement Support Group Flyer #1505 | 2/2018 Rev. | 1/1/2300 12:00 | Michael Morey | N | ||
| Support Services | Local | Bereavement | FINAL-Loss_of_Loved_One_Flyer_PRINT.pdf | SNGH Loss of Loved One Flyer | 2/2020 Rev. | Julie Suedmeyer-Buller/Marketing | N | |||
| Support Services | Local | Bereavement | SentaraCarePlexHospital_Bereavement_twosided.pdf | Sentara CarePlex Hospital Bereavement 2 Sided Card #1593 | 6/2018 Rev. | front and back on panel card | 1/1/2300 12:00 | Jerry L Kellam Sr | N | |
| Support Services | Local | Bereavement | APathThroughGrief2021_BOOK_SETUP.pdf | A Path Through Grief (Bereavement Guide) | 7/2021 Rev. | 1/1/2300 12:00 | Katy Trapp | N | ||
| Support Services | Local | Concierge Services | ConciergeServices.pdf | Concierge Service Brochure #0328 (SNVMC) #0328 | 2/2018 Rev. | 1/1/2300 12:00 | Specs Cut to 8 x 9 Brochure 2 up on coated 100lb text | N | ||
| Support Services | Local | Concierge Services | SNVMC_ConciergeServicePocketCard.pdf | Concierge Service Laminated Pocket Card (SNVMC) | None | 1/1/2300 12:00 | N | |||
| Support Services | Local | Courier Services | COVID-19LABEL_Ver2.pdf | COVID-19 5 x 4 LABEL | N | |||||
| Support Services | Local | Courier Services | CourierBagCardInserts.pdf | Courier Bag Card Inserts #0238 | cut to 2.75 x 6 | 1/1/2300 12:00 | N | |||
| Support Services | Local | Courier Services | DailyDepositBagEntryRecordSafe1_Cover100Logpages.pdf | Courier Services - Daily Deposit Bag Entry Record - Safe 1 (100 logsheets) | Jenna Beard | N | ||||
| Support Services | Local | Courier Services | DailyDepositBagEntryRecordSafe2_Cover100Logpages.pdf | Courier Services - Daily Deposit Bag Entry Record - Safe 2 (100 logsheets) | Jenna Beard | N | ||||
| Support Services | Local | Courier Services | CourierServices_Lab-Paper.pdf | Courier Services Lab Paper | N | |||||
| Support Services | Local | Courier Services | 371906_SentaraLaboratoryServicesLabel.pdf | Sentara Laboratory Services Label, Waterproof, 500 Labels | Allegra Prints; waterproof label | Courier Services | N | |||
| Support Services | Local | Courier Services | UseOnlyforCOVID-19_30_up.pdf | USE FOR COVID-19, 2x1 Label | N | |||||
| Support Services | Local | Courier Services | Yellow Dual Barcode Labels (1000 Label Sets per Roll) | 1/1/2300 12:00 | N | |||||
| Quality-Safety | Local | General Information | ED_Bedside_Report_Peer_Checking_Form_3_25x10.pdf | ED Bedside Report Peer Checking Form 3_25x10, Laminated | 06/2021 Rev. | Christopher Smith/Process Improvement | N | |||
| Quality-Safety | Local | General Information | ED_CTRS_Peer_Checking_Form_3_25x10.pdf | ED CTRS Peer Checking Form 3_25x10, Laminated | 06/2021 Rev. | Christopher Smith/Process Improvement | N | |||
| Quality-Safety | Local | General Information | ED_Patient_Safety_Peer_Checking_Form_3_25x10.pdf | ED Patient Safety Peer Checking Form 3_25x10, Laminated | 06/2021 Rev. | Christopher Smith/Process Improvement | N | |||
| Support Services | Local | Courier Services | dispatch_labels_4_25x5_5.pdf | Dispatch Labels (Chesnut Street) 4.25"x5.5" | 08/2020 Rev. | Susan Raulerson | N | |||
| Support Services | Local | Courier Services | SE_Courier_Card_two_sided.pdf | Courier Card SHOW THE CODE #1899 | 11/2019 Rev. | 4x9 two sided on cover | 1/1/2300 12:00 | Jeanna Beard | N | |
| Support Services | Local | Courier Services | 254696CourierServicesTicketBBF_3_2017-2.pdf | Courier Services Ticket SHS 8850-50-001 | 3/2017 Rev. | BBF prints | BBF | N | ||
| Support Services | Local | Courier Services | 80238_SENTARA_DRHNGR_p1.pdf | Courier Services Door Hanger | 5/2017 Rev. | Send to Allegra Printed 2 part W/W |
Jenna Beard/Courier Services | Allegra | N | |
| Support Services | Local | Courier Services | Sentara_Courier_Services_Deposit_Bag_Registration.pdf | Deposit Bag Registration Courier Services | 5/2017 Rev. | N | ||||
| Support Services | Local | Courier Services | SentaraCourierServicesPettyCash-ChainofCustodyReceipt.pdf | Chain of Custody Receipt | 5/2018 Rev. | 1/1/2300 12:00 | Courier Services | N | ||
| Support Services | Local | Dietary | SNGH_CafeteriaDiscountCard_20percent.pdf | SNGH Cafeteria Discount Card (20%) | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Dietary | Sentara_Promise_Coupon-Caf__002_.pdf | Sentara Promise Coupon-Cafeteria SHS 8360-10-002 | 1/2019 Rev. | N | ||||
| Support Services | Local | Employee Health Services | 384543_ENVELOPE_Item1.pdf | Blood Exposure 9 x 12 Envelope - Box of 500 | Shelf Item; 9 x 12
envelope Allegra |
1/1/2300 12:00 | Occupational Health Services | N | ||
| Support Services | Local | Employee Health Services | Envelope_Exposure_Packet_No10.pdf | Sentara Employee Health Exposure Packet Envelope (No10) | Employee Health Services/Charlie Scribner | N | ||||
| Support Services | Local | Employee Health Services | T-Spot_Lab_Bag_Placard.pdf | T-Spot Lab Bag Placard | Cut to 8.5 x 5.5 | Process Owner: Jenna Beard | N | |||
| Quality-Safety | Local | General Information | ED_Sepsis_Bundle_Peer_Checking_Form_3_25x10.pdf | ED Sepsis Bundle Peer Checking Form 3_25x10, Laminated | 06/2021 Rev. | Christopher Smith/Process Improvement | N | |||
| Support Services | Local | Employee Health Services | Respirator_Issuance_and_Training_Record.pdf | Employee Health Services - Respirator Issuance & Training Record #0676, 2 part W/Y | 12/2019 Rev. | 2 part, W/Y, Top Hole punch | 1/1/2300 12:00 | Mary O Padgett/Patricia Young/System Employee Health | N | |
| Support Services | Local | Employee Health Services | Employee_Infectious_Exposure_Status_Report_SHS_2530-50-013-_Rev_8-1-17.pdf | Employee Infectious Exposure Status Report SHS 2530-50-013 | 2/2020 Rev. | Employee Health Services/Charlie Scribner | N | |||
| Support Services | Local | Employee Health Services | TuberculosisRiskAssessment0567_2020.pdf | Tuberculosis (TB) Risk Assessment #0567 (FLAT SHEET, 2-sided) | 2/2020 Rev. | Print 2 up on 11 x 17 cut to 8.5 x 11 | Betty Walker/Sentara Employee Health | N | ||
| Support Services | Local | Employee Health Services | Urine_Test_Result_Form_9-20-17-Albemarle.pdf | Urine Test Result Form - SAMC Sentara Occupational Health | 2/2020 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Urine_Test_Result_Form_9-20-17-Halifax.pdf | Urine Test Result Form - SHRH Sentara Occupational Health | 2/2020 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Urine_Test_Result_Form_9-20-17-Leigh.pdf | Urine Test Result Form - SLH Sentara Occupational Health | 2/2020 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Urine_Test_Result_Form_9-20-17-SMJH.pdf | Urine Test Result Form - SMJH Sentara Occupational Health | 2/2020 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Urine_Test_Result_Form_9-20-17-SNGH.pdf | Urine Test Result Form - SNGH Sentara Occupational Health | 2/2020 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Urine_Test_Result_Form_9-20-17-SNVMC.pdf | Urine Test Result Form - SNVMC Sentara Occupational Health | 2/2020 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Urine_Test_Result_Form_9-20-17-SOH.pdf | Urine Test Result Form - SOH Sentara Occupational Health | 2/2020 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Urine_Test_Result_Form_9-20-17-PrincessAnne.pdf | Urine Test Result Form - SPAH Sentara Occupational Health | 2/2020 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Urine_Test_Result_Form_9-20-17-SRMH.pdf | Urine Test Result Form - SRMH Sentara Occupational Health | 2/2020 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Urine_Test_Result_Form_9-20-17-SVBGH.pdf | Urine Test Result Form - SVBGH Sentara Occupational Health | 2/2020 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Urine_Test_Result_Form_9-20-17-Williamsburg.pdf | Urine Test Result Form - SWRMC Sentara Occupational Health | 2/2020 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Urine_Test_Result_Form_9-20-17-SCH.pdf | Urine Test Result Form - SCH Sentara Occupational Health | 4/2020 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | HIV_Antibody_Blood_Testing_Consent-04-21.pdf | Employee Health Services - HIV Antibody Blood Testing Consent SHS 2530-50-011 | 4/2021 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Post_Exposure_Counseling.pdf | Employee Health Services - Post-Exposure Counseling - SHS 2530-50-010 | 4/2021 Rev. | Top Hole Punched | Employee Health Services/Charlie Scribner | N | ||
| Support Services | Local | Employee Health Services | Bloodborne_Pathogen_Exposure_Report_4-2021.pdf | Employee Health Services Bloodborne Pathogen Exposure Report #2251 | 4/2021 Rev. | Employee Health Services/Charlie Scribner | N | |||
| Support Services | Local | Employee Health Services | WC_Panel_Tidewater_General_05-01-2019.pdf | Occupational Health Services - Workers' Compensation Panel of Physicians, 2 Pt W/Y | 5/2019 Rev. | 1/1/2300 12:00 | Becky Beatson | N | ||
| Support Services | Local | Employee Health Services | Radiology_Request_Occupational_Health_Services.pdf | Employee Health Services Radiology Request - SHS 2530-50-004 | 6/2021 Rev. | Employee Health Services/Betty Walker | N | |||
| Support Services | Local | Employee Health Services | Vaccine_Administration_Record.pdf | Employee Health Services - Vaccine Administration RecordItem #P4065 | 8/2019 Rev. | 1/1/2300 12:00 | Process Owner: Employee Health/POC Patricia Young | N | ||
| Support Services | Local | Environmental Services | 68364CleanEquipTag_p1.pdf | Clean Equipment Tag, Green | N | |||||
| Support Services | Local | Environmental Services | 133773_DIRTY_EQUIP_TAG_W_DIE.pdf | Dirty Equipment Tag, Red | N | |||||
| Support Services | Local | Environmental Services | SCHFreshAsADaisyTentCard.pdf | Hospital Clean Room Tent Card "Fresh as a Daisy" SCH #1096 | Send to Signature; Signature Bills Cost Center | Carton (500 per carton) | N | |||
| Support Services | Local | Environmental Services | SHRHFreshAsADaisyTentCard.pdf | Hospital Clean Room Tent Card "Fresh as a Daisy" SHRH #1097 | Send to Signature - UV Coated vs. laminated due to small qty. | Carton (500 per carton) | N | |||
| Support Services | Local | Environmental Services | SLHFreshAsADaisyTentCard.pdf | Hospital Clean Room Tent Card "Fresh as a Daisy" SLH #1098 | Send to Signature; Signature Bills Cost Center | Carton (500 per carton) | N | |||
| Support Services | Local | Environmental Services | SMJHFreshAsADaisyTentCard.pdf | Hospital Clean Room Tent Card "Fresh as a Daisy" SMJH #1099 | Send to Signature; Signature Bills Cost Center | Carton (500 per carton) | N | |||
| Support Services | Local | Environmental Services | SNVMCFreshAsADaisyTentCard.pdf | Hospital Clean Room Tent Card "Fresh as a Daisy" SNVMC #1100 | Send to Signature; Signature Bills Cost Center | Carton (500 per carton) | N | |||
| Support Services | Local | Environmental Services | SOHFreshAsADaisyTentCard.pdf | Hospital Clean Room Tent Card "Fresh as a Daisy" SOH #1101 | Send to Signature; Signature Bills Cost Center | Carton (500 per carton) | N | |||
| Support Services | Local | Environmental Services | SPAHFreshAsADaisyTentCard.pdf | Hospital Clean Room Tent Card "Fresh as a Daisy" SPAH #1102 | Send to Signature; Signature Bills Cost Center | Carton (500 per carton) | N | |||
| Support Services | Local | Environmental Services | SRMHFreshAsADaisyTentCard.pdf | Hospital Clean Room Tent Card "Fresh as a Daisy" SRMH #1103 | Send to Signature; Signature Bills Cost Center | Carton (500 per carton) | N | |||
| Support Services | Local | Environmental Services | SVBGHFreshAsADaisyTentCard.pdf | Hospital Clean Room Tent Card "Fresh as a Daisy" SVBGH #1104 | Send to Signature; Signature Bills Cost Center | Carton (500 per carton) | N | |||
| Support Services | Local | Environmental Services | SWRMCFreshAsADaisyTentCard.pdf | Hospital Clean Room Tent Card "Fresh as a Daisy" SWRMC #1105 | Send to Signature; Signature Bills Cost Center | Carton (500 per carton) | N | |||
| Support Services | Local | Environmental Services | SVBGH_BedHoldGreenAdhesiveag.pdf | SVBGH Bed Hold Tag #0902 (400 tags) | Allegra Prints | 1/1/2300 12:00 | Keith Baird | Allegra | N | |
| Support Services | Local | Environmental Services | WhileYouWereOutCard.pdf | While You Were Out Card | Cut to 4 x 3.5. Fold to 2 x 3.5 so print shows on outside front like a standup tent card. | 1/1/2300 12:00 | Kevin Biggs | N | ||
| Support Services | Local | Environmental Services | SVBGH_HousekeepingDpt_card.pdf | SVBGH Housekeeping Dept. Card (3.5" x 2") #2229 | 04/2021 Rev. | Shirlene Thomas | N | |||
| Support Services | Local | Environmental Services | SNVMC_ES_SorryWeMissedYou_TentCard.pdf | SNVMC Environmental Services Sorry We Missed You Tent Card #1491 - 1500 Cards | 1/2018 Rev. | Allegra prints | 1/1/2300 12:00 | Kevin Smith | Allegra Printing | N |
| Support Services | Local | Environmental Services | SHRH_ES_SorryWeMissedYou_TentCard.pdf | SHRH Environmental Services Sorry We Missed You Tent Card #1926 - 1500 Cards | 1/2020 Rev. | Allegra prints | 1/1/2300 12:00 | Stephanie Clay/SHRH Support Services/Environmental Services | Allegra Printing | N |
| Support Services | Local | Environmental Services | FreshAsDaisySign11x17_SAMC_1094.pdf | Fresh As A Daisy 11 x 17 Sign (SAMC) #1094, Laminated | 10/2020 Rev. | Torey L Kee | N | |||
| Support Services | Local | Environmental Services | SVBGH_BedOutofServiceRedAdhesiveTag_0901.pdf | SVBGH Bed Out Of Service Tag #0901 | 10/2020 Rev. | Colleen M Zobel | Allegra | N | ||
| Support Services | Local | Environmental Services | Cupron_Copper_Flyer.pdf | Cupron/Copper Patient Admission Flyer #1903 | 12/2019 Rev. | Frankie Picard | N | |||
| Support Services | Local | Environmental Services | Cupron_Copper_TentCard_8_5x17_5.pdf | Cupron/Copper Tent Card #1902 | 12/2019 Rev. | Allegra; 17.5 x 8.5, 3 scores and D-tape, UV Coated | Frankie Picard | Allegra | N | |
| Support Services | Local | Facilities (Includes Security) | SMJH_parkingpermit_hangtag__3_.pdf | Temporary Staff Parking Permit #1165, Hang Tag (SMJH) | Hang Tag, B&W; SRMH Print Shop | Facilities/James Hall | N | |||
| Support Services | Local | Facilities (Includes Security) | SLH_ParkingCitation.pdf | SLH Parking Citation #1235 | 09/2020 Rev. | 2 up | Juan R Jimenez | N | ||
| Support Services | Local | Facilities (Includes Security) | 395947_Out_of_Service_Tags.pdf | Out of Service Tag #0251 - 100 per pack | 1/2021 Rev. | Signature | N | |||
| Support Services | Local | Facilities (Includes Security) | FireSmokeBarrierTag2017__1_.pdf | Fire Smoke Barrier Tag #0376, ORANGE | 2/2017 Rev. | Micheal Oden/SVBGH Plant Operations | Signature Printing | N | ||
| Support Services | Local | Facilities (Includes Security) | SLH_6_5x5_parking_permit.pdf | SLH Parking Permit #1319 | 2/2021 Rev. | Juan Jimenez/SLH Security | N | |||
| Support Services | Local | Facilities (Includes Security) | SPAH_ParkingCitation.pdf | SPAH Parking Citation #1204 | 5/2019 Rev. | 1/1/2300 12:00 | Steven Gallagher/SPAH Security | N | ||
| Support Services | Local | Facilities (Includes Security) | PatValuablesLEGAL_3_2017.pdf | Patient Valuables Envelope | 8/2017 Rev. | BBF White RotaryBond 11W x 5/8L Med Perf Black 10 1/2W PM-HFS7 100/pkg (4pkg/ctn) |
1/1/2300 12:00 | Registation/Security: POC Anthony Wright/Steven Brammer | N | |
| Support Services | Local | Facilities (Includes Security) | SNVMC_TFE_Card.pdf | SNVMC Live the Mission Be Tobacco Free Card #1650 | 8/2018 Rev. | 1/1/2300 12:00 | Tim Bowers/Facilities SNVMC | N | ||
| Support Services | Local | General Services/Information | Allergic_Card_SHS_8250-31-011.pdf | Allergic Card SHS 8250-31-011 | Cut to size 1 x 5 | 1/1/2300 12:00 | N | |||
| Support Services | Local | General Services/Information | CMS-1500 (OMB-0938-0999) - 2500 p/box | 1/1/2300 12:00 | BBF | N | ||||
| Support Services | Local | General Services/Information | ChartCard.pdf | Chart Card - White SHS 8250-31-003 - 100 p/pack | N | |||||
| Support Services | Local | General Services/Information | ForPatientUseOnly_4x3X5_label.pdf | For Patient Use Only Label, 4 x 3.5, Neon Pink | N | |||||
| Support Services | Local | General Services/Information | WJSGN.pdf | HIPAA Patient Sign In Sheet w/o Labels - #W-SCN-SLIPS | Come from BBF Trish | 1/1/2300 12:00 | N | |||
| Support Services | Local | General Services/Information | CMS1500.pdf | Health Claim Insurance Form (HCFA) CMS 1500 (2500 p/carton) | Filled by BBF | 1/1/2300 12:00 | BBF | N | ||
| Support Services | Local | General Services/Information | Louis_Richman_Counsel_Red_Line_Paper_ver4.pdf | Louis Richman Red Line Legal Paper | Paper from Lindenmeyer Item B622 Capitol Bond LT Cockle Writnig 8 1/2 x 11-24-12M-L-BRIGHT WHITE BRENDA KEEPS 1 REAM IN HER OFFICE. |
Louis Richman/Gail McHenry | N | |||
| Support Services | Local | General Services/Information | PalliativeCareMedicineCards_PCMWilliamsburg.pdf | Palliative Care Medicine Cards (PCMWilliamsburg) | Jennifer Mendiola/SWRMC | N | ||||
| Support Services | Local | General Services/Information | DocumentRetired.pdf | RETIRE Equipment Loan Form - SVBGH 4150-50-001 | Use #1876 Per Amy Bonanno | N | ||||
| Support Services | Local | General Services/Information | SAMC_BirthAnnouncement.pdf | SAMC Birth Announcement | priced 2 up on 11 x 17 card stock, cut to 8.5 x 11 | 1/1/2300 12:00 | N | |||
| Support Services | Local | General Services/Information | SLHInternalMp.pdf | SLH Map Handout, Padded in 100s | Artwork: CannonDesign | Owner Eric Young/Operations | N | |||
| Support Services | Local | General Services/Information | SLHInternalMp.pdf | SLHInternalMp.pdf | N | |||||
| Support Services | Local | General Services/Information | MJH_ActofKindnessCard_Jan_2016.pdf | SMJH Act of Kindness Card | 1/1/2300 12:00 | Diane DiCarlo | N | |||
| Support Services | Local | General Services/Information | SPAH Prayer Box Paper, 5 1/8 x 5 1/8 #1701 | cut to 5 1/8 x 5 1/8 20 lb white bond paper |
Audrey Pryor-Mouizi/Chaplaincy | N | ||||
| Support Services | Local | General Services/Information | Self-Inking Stamp Refill | 1/1/2300 12:00 | N | |||||
| Support Services | Local | General Services/Information | Sentara_Mission-Value-Vision_Poster_wLogo__1_.pdf | Sentara Mission-Value-Vision Sign, 7.5 x 10.5, laminated, Black Plastic Framing | Send to Bizport | Bizport | N | |||
| Support Services | Local | General Services/Information | Slide In Frame 18 x 24, Black (Fits EMTALA Insert) | N | ||||||
| Support Services | Local | General Services/Information | Stamp - USPS US Flag Stamps - Roll of 100 | 1/1/2300 12:00 | N | |||||
| Support Services | Local | General Services/Information | StatementofAccount.pdf | Statement of Account | forms 60# Opaque Offset Prints Black+PMS 129 + Process Blue Screen/ Black 8.5 x 11 with Micro Perf | 1/1/2300 12:00 | Elizabeth Farr | Allegra | N | |
| Support Services | Local | General Services/Information | ub04.pdf | UB-04 CMS-1450, Claim Form - 2500 per/box | Send to BBF bentwing@embarqmail.com | 1/1/2300 12:00 | BBF | N | ||
| Support Services | Local | General Services/Information | CareCoordinationRemedyPartnersBrochure.pdf | Remedy Partners Care Coordination Brochure | #0673 | 43-900-1043 inventory Allegra | 1/1/2300 12:00 | Rev. 5/2017 Diane Wade | N | |
| Support Services | Local | General Services/Information | Were_Listening_flyer_SNGH_Felicia.pdf | We're Listening flyer SNGH, Felicia #1877 | 01/2020 Rev. | 1/1/2300 12:00 | Cynthia Caldwell | N | ||
| Support Services | Local | General Services/Information | SPAH_DischargeTransitionUnit_bifold.pdf | SPAH Discharge Transition Unit BiFold Brochure #1952 | 02/2020 Rev. | 1/1/2300 12:00 | Steffie M Torres | N | ||
| Support Services | Local | General Services/Information | SOH_ChaplaincyServices_Rackcard.pdf | SOH Chaplaincy Services Rack Card #1978 | 03/2020 Rev. | 1/1/2300 12:00 | Kellin Kumanchik | N | ||
| Support Services | Local | General Services/Information | MJH-SuperStarNominationTriFoldForm-0321.pdf | SMJH Super Star Nomination Tri-Fold Brochure | 03/2021 Rev. | Kelly Via | N | |||
| Support Services | Local | General Services/Information | SNGH_TulipAwardNominationBRO.pdf | SNGH Tulip Award Nomination Brochure #2213 | 03/2021 Rev. | Aftinn Williams | N | |||
| Support Services | Local | General Services/Information | SRMH_ContinuumCaseMngmt_4x9_card.pdf | SRMH Continuum Case Mngmt 4"x9" Rack Card | 05/2021 Rev. | Laura Watson | N | |||
| Support Services | Local | General Services/Information | SSS_postsurgery_mastectomybrashopping_resources.pdf | SSS Postsurgery Mastectomy Bra Shopping Resources #1793 | 06/2019 Reviewed/Revised | 1/1/2300 12:00 | Julia Lohmann | N | ||
| Support Services | Local | General Services/Information | Form_250.pdf | Form250 General | 06/2020 Rev. | white 3 whole punch | 1/1/2300 12:00 | N | ||
| Quality-Safety | Local | General Information | ICM_Peer_Checking_Form_3_25x10.pdf | ICM Peer Checking Form 3_25x10 , Laminated | 06/2021 Rev. | Christopher Smith/Process Improvement | N | |||
| Sentara Enterprises (Home Care, Hospice, Infusion, Pharmacy, | Local | Hospice | Sentara_Hospice_Direction_Rack_Card.pdf | Sentara Hospice House Direction Rack Card #2271 | 06/2021 Rev. | 4x9 Rack Card | 1/1/2300 12:00 | Grace Little | N | |
| Support Services | Local | General Services/Information | 65853_RadiologyTix-2.pdf | Central Registration Number Tag - Box of 5000 | 09/2019 Rev. | Sent to Allegra | 1/1/2300 12:00 | Allegra | N | |
| Support Services | Local | General Services/Information | SLH_ICU_TIGR_2sidedflyer.pdf | SLH ICU TIGR Flyer #1481 | 1/2018 Rev. | 1/1/2300 12:00 | Ericka Dates | N | ||
| Support Services | Local | General Services/Information | BPCIOnboardingLetter1.2019.pdf | A Message from Sentara Healthcare on a Required Medicare Notification - Downtime Print On Demand Only | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: Sarah Clark/Becky Batchelder | N | ||
| Support Services | Local | General Services/Information | Medical_Transport_Envelope_10_x_13__1688.pdf | Medical Transport Envelope 10 x 13 #1688 | 10/2018 Rev. | 1/1/2300 12:00 | Dave Blais | N | ||
| Support Services | Local | General Services/Information | SVBGH_PatientCenteredVisitationFlyer.pdf | Patient Centered Visitation Flyer #0387 | 10/2019 Rev. | Process Owner: Debbie Moore/Kathleen Gramkowski | N | |||
| Support Services | Local | General Services/Information | 3736_-2019_SNVMC_Map_-_FINAL_-_print.pdf | SNVMC Map (Interior/Exterior) - Pads of 50 | 10/2019 Rev. | N | ||||
| Support Services | Local | General Services/Information | SOH_WomenCenter_sibling_classes.pdf | SOH The Women's Center Sibling Class #1781 | 10/2019 Rev. | 1/1/2300 12:00 | Lisa C Milburn | N | ||
| Support Services | Local | General Services/Information | SentaraCarePlexHospital_Chaplaincy_3panel_1594.pdf | Sentara Hospital Chaplaincy Brochure #1594 | 10/2019 Rev. | 2 panel brochure, front and back with one fold | 1/1/2300 12:00 | Angie Conary/Jerry L Kellam Sr | N | |
| Support Services | Local | General Services/Information | Were_Listening_flyer_SHH_Toni.pdf | We're Listening flyer SNGH Toni #1838 | 10/2019 Rev. | 1/1/2300 12:00 | Cynthia Caldwell | N | ||
| Support Services | Local | General Services/Information | SupportServicesCareFlyer.pdf | Supportive Care Services Flyer #2111 | 10/2020 Rev. | Process Owner: Bethany Allen/Andrea Wendell | N | |||
| Support Services | Local | General Services/Information | Were_Listening_flyer_SNGH_SurgeryUnit1_8R_Latoia.pdf | We're Listening SNGH Surgery Unit1 8R Latoia #2103 | 10/2020 Rev. | Anita Jordan-Williams | N | |||
| Support Services | Local | General Services/Information | ShippingAuthorizationSCH9150-50-001_4pt.pdf | SCH Shipping Authorization SCH 9150-50-001 | 11/2017 Rev. | 1/1/2300 12:00 | Process Owner: Steven Bond/Materials | N | ||
| Support Services | Local | General Services/Information | WYNTK_Follow_Up_Phone_Call.pdf | What You Need to Know About Followup Phone Call #0253 ENGLISH/SPANISH - Pads of 100 | 11/2019 Rev. | 1/1/2300 12:00 | Process Owner: Caitlin Kubit / Kevin Phelps | N | ||
| Support Services | Local | General Services/Information | NICHE_Brochure_Part_II_SNGH.pdf | SNGH NICHE Brochure | 12/2017 Rev. | 1/1/2300 12:00 | Process Owner: Nicole Davis 7A SNGH | N | ||
| Support Services | Local | General Services/Information | SMJH_4x3_registration_slow_card_2019_bilingual.pdf | SMJH Registration 4x3 Wait Card Bilingual #1663 | 12/2019 Rev. | 1/1/2300 12:00 | Chelsea Fitz | N | ||
| Support Services | Local | General Services/Information | CarePlexMap_Updated_Feb_2018.pdf | Directions and Parking to Sentara CarePlex Hospital, Map | 2/2018 Rev. | 1/1/2300 12:00 | Lisa Davis | N | ||
| Support Services | Local | General Services/Information | 1466-SENT-SNGH_WayfindingGuide-4panel.pdf | SNGH Wayfinding Guide, 4 Panel Brochure | 2/2019 Rev. | Julie A Suedmeyer-Buller/Marketing | N | |||
| Support Services | Local | General Services/Information | 1466_SENT-SNGH_WayfindingPrearrivalGuide-trifold.pdf | SNGH Wayfinding Prearrival Guide, Trifold Brochure | 2/2019 Rev. | Julie A Suedmeyer-Buller | N | |||
| Support Services | Local | General Services/Information | Sentara_HIM_Patient_Sign_In_Form.pdf | Sentara HIM Patient Sign In Form #1744 | 2/2019 Rev. | Tawney M Milton | N | |||
| Support Services | Local | General Services/Information | PMK-Phlebotomyflyer-0318.pdf | Sentara RMH School of Phlebotomy Flyer | 3/2018 Rev. | 1/1/2300 12:00 | SUSAN W LAWTON; ABIGAIL L BLOSSER | SRMH Print Shop | N | |
| Support Services | Local | General Services/Information | EMTALA_8x10_2020_ENG_SPANISH_BLEED.pdf | EMTALA ENGLISH/SPANISH, 8 x 10 laminated | 3/2020 Rev. | Risk Management | N | |||
| Support Services | Local | General Services/Information | EMTALA_18x24_2020_ENG_SPANISH.pdf | EMTALA Sign (ED & L&D ONLY), 18 x 24 Insert for Slide In Frame | 3/2020 Rev. | Jones Printing will
Print. Will Order 10 for Inventor & 16.782 each. |
Risk Management | Jones Printing | N | |
| Support Services | Local | General Services/Information | 20_0331_SentaraVBWayfindingGuide.pdf | SVBGH Map and Guide Brochure | 3/31/2020 Rev. | Courtney Martone | 1/1/2300 12:00 | Process Owner: SVBGH Facilities/Steve Morien | N | |
| Support Services | Local | General Services/Information | SMJH_Map.pdf | SMJH Map, padded in 100s | 6/2018 Rev. | N | ||||
| Support Services | Local | General Services/Information | Preparing_Leave_Hospital_English.pdf | Preparing You for Leaving the Hospital Brochure | 6/2019 Rev. | Shelf | 1/1/2300 12:00 | Derek Murray/Scott Stewart/Readmissions Team | Allegra | N |
| Support Services | Local | General Services/Information | Preparing_Leave_Hospital_Spanish.pdf | Preparing You for Leaving the Hospital Brochure, SPANISH | 6/2019 Rev. | Shelf | 1/1/2300 12:00 | Derek Murray/Scott Stewart/Readmissions Team | N | |
| Support Services | Local | General Services/Information | Sentara_AtAGlance_June2019.pdf | Sentara At A Glance 2019 | 6/2019 Rev. | 1/1/2300 12:00 | Kelly McCarthy/Corporate Communications | N | ||
| Support Services | Local | General Services/Information | General_Charge_Voucher.pdf | General Charge Voucher SSH 3140-50-001 | 6/2021 Rev. | 1/1/2300 12:00 | Sherri Caldwell | N | ||
| Support Services | Local | General Services/Information | SOH_Discharge_Transition_Unit_Brochure.pdf | SOH Discharge Transition Unit Bifold Brochure #2285 | 6/2021 Rev. | 1/1/2300 12:00 | Stacy Jordan | N | ||
| Support Services | Local | General Services/Information | Were_Listening_flyer_SNGH_SurgeryUnit1-6k.pdf | Wer'e Listening SNGH Surgery 6K Flyer #1935 | 6/2021 Rev. | Nyasia Z Harrell | N | |||
| Support Services | Local | General Services/Information | 2018_TOCC_Brochure.pdf | SRMH Transition of Care Clinic (TOCC) Brochure | 7/2018 Rev. | 1/1/2300 12:00 | Rupen Amin, MD | SRMH Print Shop | N | |
| Support Services | Local | General Services/Information | 2018_TOCC_flyer.pdf | SRMH Transition of Care Clinic (TOCC) Flyer | 7/2018 Rev. | 1/1/2300 12:00 | Rupen Amin, MD | SRMH Print Shop | N | |
| Support Services | Local | General Services/Information | SMJH_DMEAgreement.pdf | DME Agreement #0672 (SMJH) | 7/2019 Rev. | 1/1/2300 12:00 | Debbie Spratt | N | ||
| Support Services | Local | General Services/Information | 19_0710_SPAH_WayfindingGuide.pdf | SPAH Map and Guide (Wayfinding) Brochure - Price TBD by quantity | 7/2019 Rev. | Need to bid out | 1/1/2300 12:00 | Courtney Martone/Samantha Kern | N | |
| Support Services | Local | General Services/Information | 77863_HIPPA_Bro-English_AUG2016.pdf | HIPAA Brochure (Notice of Privacy Practice) ENGLISH, SHC 3180-80-001 (500 per box) | 8/2016 Rev. UNDER REVIEW to be updated in 2020 | Kotrina O'Neal/Privacy Officer | Allegra | N | ||
| Support Services | Local | General Services/Information | 77863_HIPPABro-Spanish_AUG2016.pdf | HIPAA Brochure (Notice of Privacy Practice) SPANISH, 500 p/box SHC 3180-80-001 | 8/2016 Rev. UNDER REVIEW to be updated in 2020 | 50# Opaque Offset Prints Black/Black 9 x 15.875 Double Fold | Kotrina O'Neal/Privacy Officer | Allegra | N | |
| Support Services | Local | General Services/Information | SRMH_MED_HospitalMap1.pdf | Sentara RMH Medical Center Parking Guide (Map) | 8/2017 Rev. | SRMH Print Shop | N | |||
| Support Services | Local | General Services/Information | CHP-AdvanceDirectivecd-0819.pdf | SRMH At-A-Glance - Advance Directive Card | 8/2019 Rev. | Robin Martin/SRMH Chaplain Services | N | |||
| Support Services | Local | General Services/Information | EVMSSentaraLionSightCenterCard.pdf | EVMS Sentara Lions Sight Center Card #0081 | 8/2020 Rev. | 1/1/2300 12:00 | Tim A White | N | ||
| Support Services | Local | General Services/Information | SupportiveCareServices_Trifold_BRO_edit.pdf | Supportive Care Services Brochure #2062 | 8/2020 Rev. | Sentara Pallitive Care SLH/Anne Burrows/Bethany Allen | N | |||
| Support Services | Local | General Services/Information | SNVMC_WereListeningFlyer__5_Languages_.pdf | SNVMC We're Listening Flyer/2 sided Flyer (5 Languages) #1686 | 9/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Cribb Contact: Stacy Rounds | N | ||
| Support Services | Local | General Services/Information | BecauseWeCare_AdministrativeOffices-CherikaBritt.pdf | Because We Care Visitation Sign - Administrative Offices #1696, 11 x 17 sign with Acrylic Sign Holder | Cherika Britt/Patient Experience | Need to go to Graphic Design to customize per unit instructions. | Please supply unit specific details by following the "Special Instructions" link under the item in your cart. These will include unit name and any special contact instructions that need to appear on the sign. Please note: only specific contact line can be adjusted. Standard copy is not to be changed. You will be supplied a proof to approve prior to printing. | N | ||
| Support Services | Local | General Services/Information | BecauseWeCare_OpenVisitingHours-CherikaBritt.pdf | Because We Care Visitation Sign - Open Visiting Hours #1693, 11 x 17 sign with Acrylic Sign Holder | Cherika Britt/Patient Experience | Need to go to Graphic Design to customize per unit instructions. | Please supply unit specific details by following the "Special Instructions" link under the item in your cart. These will include unit name and any special contact instructions that need to appear on the sign. Please note: only specific contact line can be adjusted. Standard copy is not to be changed. You will be supplied a proof to approve prior to printing. | N | ||
| Support Services | Local | General Services/Information | BecauseWeCare_RestrictedAccess-CherikaBritt.pdf | Because We Care Visitation Sign - Restricted Access #1695, 11 x 17 sign with Acrylic Sign Holder | Cherika Britt/Patient Experience | Need to go to Graphic Design to customize per unit instructions. | Please supply unit specific details by following the "Special Instructions" link under the item in your cart. These will include unit name and any special contact instructions that need to appear on the sign. Please note: only specific contact line can be adjusted. Standard copy is not to be changed. You will be supplied a proof to approve prior to printing. | N | ||
| Support Services | Local | General Services/Information | BecauseWeCare_TemporaryRestrictedAccess-CherikaBritt.pdf | Because We Care Visitation Sign - Temporary Restricted Access #1694, 11 x 17 sign with Acrylic Sign Holder | Cherika Britt/Patient Experience | Need to go to Graphic Design to customize per unit instructions. | Please supply unit specific details by following the "Special Instructions" link under the item in your cart. These will include unit name and any special contact instructions that need to appear on the sign. Please note: only specific contact line can be adjusted. Standard copy is not to be changed. You will be supplied a proof to approve prior to printing. | N | ||
| Support Services | Local | General Services/Information | Scan Documents Stamper - eCare | Please select Custom Stamps from the Home Screen | N | |||||
| Support Services | Local | General Services/Information | W-PSGN__2012_.pdf | HIPAA Patient Sign In Sheet w/Labels - #W-PSGN | Varying Colors (White, Blue, Green, Pink) | Come from BBF - Trish | BBF | N | ||
| Support Services | Local | Guest/Volunteer Services | AuxiliarySaleGiftShopPayrollDeductionAuthorization.pdf | Auxiliary Sale and Gift Shop Payroll Deduction Authorization | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Guest/Volunteer Services | VOL-PetTherapyCd-Bailey.pdf | SRMH Pet Therapy Card - Bailey | Card Stock | 1/1/2300 12:00 | N | |||
| Support Services | Local | Guest/Volunteer Services | VOL-PetTherapyCd-Denver.pdf | SRMH Pet Therapy Card - Denver | Card Stock | 1/1/2300 12:00 | N | |||
| Support Services | Local | Guest/Volunteer Services | VOL-PetTherapyCd-Eldor.pdf | SRMH Pet Therapy Card - Eldor | Card Stock | 1/1/2300 12:00 | N | |||
| Support Services | Local | Guest/Volunteer Services | VOL-PetTherapyCd-Ella.pdf | SRMH Pet Therapy Card - Ella | Card Stock | 1/1/2300 12:00 | N | |||
| Support Services | Local | Guest/Volunteer Services | VOL-PetTherapyCd-Lily.pdf | SRMH Pet Therapy Card - Lily | Card Stock | 1/1/2300 12:00 | N | |||
| Support Services | Local | Guest/Volunteer Services | VOL-PetTherapyCd-Vasca.pdf | SRMH Pet Therapy Card - Vasca | Card Stock | 1/1/2300 12:00 | N | |||
| Support Services | Local | Guest/Volunteer Services | SLH_PromiseReciepts.pdf | SLH Promise Reciepts - Books (50 receipts per book) | 10 books per order | Send to Allegra | 1/1/2300 12:00 | Allegra | N | |
| Support Services | Local | Guest/Volunteer Services | JC4RA5-1.pdf | SNGH Promise Reciepts - Books (50 receipts per book) | 10 books per order | Send to Allegra | 1/1/2300 12:00 | Allegra | N | |
| Support Services | Local | Guest/Volunteer Services | SVBGH_PromiseReceipt.pdf | SVBGH Promise Reciepts - Books (50 receipts per book) | 10 books per order | Send to Allegra | 1/1/2300 12:00 | Allegra | N | |
| Support Services | Local | Guest/Volunteer Services | SNGH_Volunteers_TriFold_PRINT.pdf | SNGH Volunteer Programs Brochure | 10/2019 Rev. | Lindsay Fanney, SNGH Volunteer Services/Julie Suedmeyer-Buller, Marketing | N | |||
| Support Services | Local | Guest/Volunteer Services | SNGH_Volunteers_Flyer_PRINT.pdf | SNGH Volunteers Flyer | 10/2019 Rev. | Lindsay Fanney, SNGH Volunteer Services/Julie Suedmeyer-Buller, Marketing | N | |||
| Support Services | Local | Guest/Volunteer Services | SRMH_GiftShop_floralorder_notepad.pdf | SRMH Gift Shop Floral Order Form #1461, Padded 100 to a pad | 11/2017 Rev. | 1/1/2300 12:00 | Kathe Scripture | N | ||
| Support Services | Local | Guest/Volunteer Services | SRMH_GiftShop_gifts_floral_notepad.pdf | SRMH Gift Shop Gifts & Floral Change Form #1463, Padded 100 to a pad | 11/2017 Rev. | 1/1/2300 12:00 | Kathe Scripture | N | ||
| Support Services | Local | Guest/Volunteer Services | SWRMC_YourComfortIsOurPriority.pdf | SWRMC Your Comfort Is Our Priority #1470 | 12/2017 Rev. | Impose 4 up on 13 x 19 Cover, Cut to 4 x 9 | 1/1/2300 12:00 | Jared Griswold/Margaret Cullivan | N | |
| Support Services | Local | Guest/Volunteer Services | SPAHAuxiliaryBrochure_2018.pdf | SPAH Auxiliary Brochure #1728 | 2/2019 Rev. | 1/1/2300 12:00 | Joyce Abbey | N | ||
| Support Services | Local | Guest/Volunteer Services | Guest_Services_Flyer__85x11_HiRes.pdf | SHRH Guest Services Flyer | 3/2020 Rev. | Bart Morris | SHRH Marketing/Wendy Crews | N | ||
| Support Services | Local | Guest/Volunteer Services | SVBGHAuxBrochure.pdf | SVBGH Auxiliary, Inc. Brochure #0318 | 5/2018 Rev. | 1/1/2300 12:00 | Dolores Reed | N | ||
| Support Services | Local | Guest/Volunteer Services | MJH-CaringEmbraceBroch-0419.pdf | SMJH Caring Embrace Brochure | 5/2019 Rev. | Designer MARK C BORZELLECA | 1/1/2300 12:00 | Valerie Wright/Diane DiCarlo | N | |
| Support Services | Local | Guest/Volunteer Services | Volunteer_12x9Trifold_D_FINAL.pdf | SNVMC Volunteer Opportunities Brochure | 9/2019 Rev. | 1/1/2300 12:00 | Stacy Rounds/SNVMC Marketing | N | ||
| Support Services | Local | HBOC | PAHBOCFULLFUNCTIONMANUAL.pdf | Patient Accounting HBOC Manual | 1/2019 Rev. | B&W; 2 sided; 3 hole punch left | 1/1/2300 12:00 | Central Registration Director/POC Frankie Conrod/Thomas Allen | N | |
| Support Services | Local | HBOC | Introduction_to_Insurance.pdf | HBOC Introduction to Insurance | 2/2019 Rev. | 2 sided; 3 hole punch on left side | 1/1/2300 12:00 | Central Registration Director/POC Frankie Conrod/Thomas Allen | N | |
| Support Services | Local | HBOC | Introduction_to_Insurance_for_Epic_Users.pdf | HBOC Introduction to Insurance for Epic | 2/2019 Rev. | 2 sided; 3 hole punch on left side | 1/1/2300 12:00 | Central Registration Director/POC Frankie Conrod/Thomas Allen | N | |
| Support Services | Local | HBOC | HBOC_WH__ADM_2019_Manual.pdf | HBOC Complete WH Manual | 2019 | Black and white inside; 2 sided; 3 hole punch on left side | 1/1/2300 12:00 | Central Registration Director/POC Frankie Conrod/Thomas Allen | N | |
| Support Services | Local | HBOC | HBOC_ED_2020_Manual.pdf | HBOC Complete ED Manual | 2020 | Black and white inside; 2 sided; 3 hole punch on left side | 1/1/2300 12:00 | Central Registration Director/POC Frankie Conrod/Thomas Allen | N | |
| Support Services | Local | HBOC | HBOC_OPR__NO_ADM_2020_Manual.pdf | HBOC Complete OPR Manual | 2020 | Black and white inside; 2 sided; 3 hole punch on left side | 1/1/2300 12:00 | Central Registration Director/POC Frankie Conrod/Thomas Allen | N | |
| Support Services | Local | HBOC | HBOC_OPR_ADM_2020_Manual.pdf | HBOC Complete OPR with ADM Manual | 2020 | Black and white inside; 2 sided; 3 hole punch on left side | 1/1/2300 12:00 | Central Registration Director/POC Frankie Conrod/Thomas Allen | N | |
| Support Services | Local | HBOC | HBOC_MedicalTerminology.pdf | HBOC Medical Terminology Manual | 3/2018 Rev. | 2 sided (blank pages intentional), Stapled | Central Registration Director/POC Frankie Conrod/Thomas Allen | N | ||
| Support Services | Local | HBOC | CORE_2020.pdf | HBOC Registration CORE Training Manual | 3/2020 Rev. | 2 Sided (blank pages intentional), 3 hole punched left | Central Registration Director/POC Frankie Conrod/Thomas Allen | N | ||
| Support Services | Local | Human Resources | 2020_Attendance_Calendar.pdf | Attendance Calendar 2020 | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Human Resources | 2021_Attendance_Calendar.pdf | Attendance Calendar 2021 | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Human Resources | SHC_Elevate_Your_Career.pdf | Elevate Your Healthcare Career (SHC) | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Human Resources | RN__Referral_Sign_8_5x11.pdf | RN Referral 8.5 x 11 #1868, Cover Stock | Richelle Demps/Talent Acquisition | N | ||||
| Support Services | Local | Human Resources | RN_Referral_4x5Card.pdf | RN Referral Card, 4" x 5" #1867 | Richelle Demps/Talent Acquisition | N | ||||
| Support Services | Local | Human Resources | RN_Referral_TentCard.pdf | RN Referral Card, Tent Card #1869 | INVENTORY ON SHELF Allegra Prints |
Richelle Demps/Talent Acquisition | Allegra | N | ||
| Support Services | Local | Human Resources | NurseResidencyProgramFlyer_07_2018.pdf | Vizient/AACN Nurse Residency Program (NRP) Flyer | 1/1/2300 12:00 | Arlene F Sadoff | N | |||
| Support Services | Local | Human Resources | Scheduling_Request_Form_2106.pdf | Scheduling Request Form #2106 | 10/2020 Rev. | N | ||||
| Support Services | Local | Laboratory | AutologousDirectedDonorCard_GreenCover.pdf | Autologous/Directed Donor Card - Transfusion Services (Green Card Stock) - SHS 4420-31-002 | Green Card Stock, Cut to 8.5x5.5 | 1/1/2300 12:00 | N | |||
| Support Services | Local | Laboratory | Bone_Marrow_Label.pdf | Bone Marrow Blue Label | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Laboratory | ConsultCards.pdf | Consult Cards (SHRH) | 2 up on 8.5 x 11 Card Stock | 1/1/2300 12:00 | Benton Thomas | N | ||
| Support Services | Local | Laboratory | CytogeneticsLabLabels_1745CamelotDr.pdf | Cytogenetics Lab Labels (Flourescent Pink) - SHS 4450-30-001 | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Laboratory | Frozen_Label.pdf | Frozen Label | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Laboratory | SNGH_Histology_Sticker.pdf | Histology Laboratory Labels - SNGH 2nd Floor A-Wing (Fluorescent Yellow) | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Laboratory | PPDconsentform.pdf | Informed Consent for Tuberculin Skin Test (PPD) (Business Health Services) | Flat Sheet 2 sided | 1/1/2300 12:00 | Benton Thomas | N | ||
| Support Services | Local | Laboratory | LAB_COOLER_DELIVER_TO_LABEL.pdf | Lab Cooler Deliver to White Label (Pads of 25 labels) | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Laboratory | SFMP_LabRequestSlip_4up.pdf | Lab Request Slip #0702, Sentara Family Medicine Physicians - Pack of 4 pads | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Laboratory | LabChoiceEnvelope9x12.pdf | LabChoice 9 x 12 Envelope | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Laboratory | LabChoiceConsent2partWW2sided.pdf | LabChoice Terms of Service, Informed Consent, and Interpretation of Lab Test Results, 2 part W/W | 2 part W/W NCR Reversed they sign on back | 1/1/2300 12:00 | Benton Thomas | N | ||
| Support Services | Local | Laboratory | LabChoiceEnvelope9x12.pdf | LabChoiceEnvelope9x12.pdf | N | |||||
| Support Services | Local | Laboratory | SHRH_PathologyLog.pdf | Pathology Log (SHRH) - Box of 500 | 11 x 17, 2 sided, hole punched 11/32" holes | 1/1/2300 12:00 | Benton Thomas | N | ||
| Support Services | Local | Laboratory | SHRHPathologyRequest0531.pdf | Pathology Requisition #0531 (SHRH) | 3 Part W/Y/P, printed 2 up and cut to 8.5 x 5.5 | 1/1/2300 12:00 | Benton Thomas | N | ||
| Support Services | Local | Laboratory | SAMC_CytologyLabLabels.pdf | SAMC Cytology Lab Labels #1592 - Price TBD | 1/1/2300 12:00 | SNGH Cytology Lab Manager/Patricia Bassett | N | |||
| Support Services | Local | Laboratory | SCH_CytologyLabLabels.pdf | SCH Cytology Lab Labels #1564 - Price TBD | 1/1/2300 12:00 | SNGH Cytology Lab Manager/Patricia Bassett | N | |||
| Support Services | Local | Laboratory | SLH_CytologyLabLabels.pdf | SLH Cytology Lab Labels #1567 (Roll of 500) | BCT Orange Label Black Ink |
1/1/2300 12:00 | SNGH Cytology Lab Manager/Patricia Bassett | N | ||
| Support Services | Local | Laboratory | SNGH_CytologyLabLabels.pdf | SNGH Cytology Lab Labels #1563 (Roll of 500) | BCT | 1/1/2300 12:00 | SNGH Cytology Lab Manager/Patricia Bassett | N | ||
| Support Services | Local | Laboratory | HumanheartTissueLabLabel_FluorOrange_5_5x5_5.pdf | SNGH Human Heart Tissue Label, Fluorescent Orange, 5.5x5.5 #2047 | Stephanie Mack/Anatomic Pathology SNGH | N | ||||
| Support Services | Local | Laboratory | SOH_CytologyLabLabels.pdf | SOH Cytology Lab Labels #1566 (Roll of 500) | BCT Gray and Black |
1/1/2300 12:00 | SNGH Cytology Lab Manager/Patricia Bassett | N | ||
| Support Services | Local | Laboratory | SPAH_PathologistLabLabels.pdf | SPAH Pathologist Lab Labels #1561 (Roll of 500) | BCT 1.5 x 3 Pink Label Black ink |
1/1/2300 12:00 | SNGH Cytology Cindy A. Yanoscsik | N | ||
| Support Services | Local | Laboratory | SVBGH_CytologyLabLabels.pdf | SVBGH Cytology Lab Labels #1565(Roll of 500) | BCT 1.5 x 3 Yellow Label, Black Ink |
1/1/2300 12:00 | SNGH Cytology Lab Manager/Patricia Bassett | N | ||
| Support Services | Local | Laboratory | SWRMC_CytologyLabLabels.pdf | SWRMC Cytology Lab Labels #1562 (1 Roll of 500) | BCT | 1/1/2300 12:00 | SNGH Cytology Lab Manager/Patricia Bassett | N | ||
| Support Services | Local | Laboratory | SpecialAntigenTypingforDonorUnits___1_.pdf | Special Antigen Typing for Donor Units - Transfusion Services (Yellow Card Stock) - SHS 4450-31-003 | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Laboratory | Transfusion_Service_Hold_Card__1_.pdf | Transfusion Service Hold Card - SHS 4450-31-001 | N | |||||
| Support Services | Local | Laboratory | SNGH_8RP_OrderofDraw_MultipleTubeCollection_badge_2021.pdf | Order of Draw for Multiple Tube Collections Badge SHS 3150-31-010 | 03/2021 Rev. | 1/1/2300 12:00 | Sheri Terrillion | N | ||
| Support Services | Local | Laboratory | DocumentRetired.pdf | ***DOCUMENT RETIRED***SMG Clean Catch Urine Collection Patient Instructions #1658 | 05/2021 Rev. | 1/1/2300 12:00 | SMG Practice Support | N | ||
| Support Services | Local | Laboratory | PA_ASCPATHOLOGYREQ_2021.pdf | Pathology Requisition (PA-ASC) | 05/2021 Rev. | 1/1/2300 12:00 | Pack(s)-250 Sets p/pack/Taylor K Stegemann | N | ||
| Staff Resources | Local | General Information | SCH_personaldevices_lowervolume_flyer.pdf | SCH Personal Devices Not on Speakerphone Flyer #2278 | 06/2021 Rev. | Dolores Torres | N | |||
| Staff Resources | Local | General Information | SMJH_RoomReadyChecklist.pdf | SMJH Room Ready Checklist (Laminated) #2284 | 06/2021 Rev. | Kelly Via | N | |||
| Staff Resources | Local | General Information | Sentara_Obici_Hospital_Visitor_Guide_brochure.pdf | Sentara Obici Hospital Visitor Guide Brochure | 06/2021 Rev. | 4 panel brochure | Julie Suedmeyer-Buller/Meredith Moorefield | N | ||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | ED_DripCard_0331.pdf | ED Drip Med./Sepsis Ref Badge #0331 | 06/2021 Rev. | Laminated Badge | 1/1/2300 12:00 | ED Pharmacy Group | N | |
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_5Kaufman_LPN_NoList_3_5x3_75.pdf | SNGH 5Kaufman LPN No List 3.5" x 3.75" Badge #2275 | 06/2021 Rev. | Maureen Cormier | N | |||
| Staff Resources | Local | Work Tools (Badges, Pocket Cards, Etc.) | SNGH_5Kaufman_LPN_NoList_3_5x3_75.pdf | SNGH 5Kaufman LPN NoList (3.5" x 3.75" Badge) #2221 | 06/2021 Rev. | Nyasia Harrell | N | |||
| Support Services | Local | Laboratory | SHRH_Antibiogram_brochure.pdf | SHRH 2017 Antibiogram and Related Data Brochure #1487 | 1/2018 Rev. | 1/1/2300 12:00 | Amy Wilkerson | N | ||
| Support Services | Local | Laboratory | FlowSpecimanBucketCoverBooklet2019.pdf | Flow Specimen Bucket Logbook #0270 | 1/2019 Rev. | B&W, Cover Weight Front & Back Cover, 50 - 2 sided log pages, Clear Protector Sheets F/B, Coil Bound | 1/1/2300 12:00 | Process Owner: Jaleesa Strain | N | |
| Support Services | Local | Laboratory | SpecimenDropOffLogBooklet.pdf | Specimen Drop-Off Log Logbook #0269 | 1/2019 Rev. | B&W, Cover Weight Front & Back Cover, 50 - 2 sided log pages, Clear Protector Sheets F/B, Coil Bound | 1/1/2300 12:00 | Process Owner: Jaleesa Strain | N | |
| Support Services | Local | Laboratory | Flow_CytometryLabLabel_10x6.pdf | Flow Cytometry Label (Fluorescent Green) - SNGH 4450-30-001 | 11/2018 Rev. | 1/1/2300 12:00 | Courier Services/Lab - Jenna Beard | N | ||
| Support Services | Local | Laboratory | MKD-AnthemPathologyFlyer-0819.pdf | SRMH Anthem Pathology Flyer | 2/2019 Rev. | Danise Hottinger, Evelyn Byrd Health Center/Sarah Wichael, Marketing | N | |||
| Support Services | Local | Laboratory | MKD-AnthemPathologyFlyer-0819_Spanish_High_Resolution.pdf | SRMH Anthem Pathology Flyer, Spanish | 2/2019 Rev. | Danise Hottinger, Evelyn Byrd Health Center/Sarah Wichael, Marketing | N | |||
| Support Services | Local | Laboratory | SNGH_AnaerobicWorkCard.pdf | SNGH Anaerobic Work Card #1546 | 3/2018 Rev. | 1/1/2300 12:00 | Donna Price | N | ||
| Support Services | Local | Laboratory | SNGH_AnaerobicWorkCard_AdditionalDays.pdf | SNGH Anaerobic Work Card - Additional Days #1547 | 3/2018 Rev. | 1/1/2300 12:00 | Donna Price | N | ||
| Support Services | Local | Laboratory | CriticalTestResultsLabel.pdf | Critical Test Results Label #1749 | 3/2019 Rev. | Impose 4 up on 8.5 x 11 Crack and Peel; cut to size | 1/1/2300 12:00 | SNGH Laboratory/Lou Ann Wyer | N | |
| Support Services | Local | Laboratory | SNGH_MIC260B_AnaerobicWorkCard_8_5x5_5.pdf | SNGH MIC.260B Anaerobe Work Card #1558 | 4/2018 Rev. | 1/1/2300 12:00 | Donna M. Price/Sophia Buckaloo/Debra Vaughn | N | ||
| Support Services | Local | Laboratory | SNGH_MIC260C_AnaerobicWorkCardAdditionalDays_8_5x5_5.pdf | SNGH MIC.260C Anaerobe Work Card Additional Days #1559 | 4/2018 Rev. | 1/1/2300 12:00 | Donna M. Price/Sophia Buckaloo/Debra Vaughn | N | ||
| Support Services | Local | Laboratory | Immunology_Logbook.pdf | Immunology Specimen Logbook | 4/2020 Rev. | B&W, Cover Weight Front & Back Cover, 50 - 2 sided log pages, Clear Protector Sheets F/B, Coil Bound | 1/1/2300 12:00 | Process Owner: Jaleesa Strain | N | |
| Support Services | Local | Laboratory | PositiveAFBWorkCard_2sided_lefthole.pdf | Positive AFB Work Card #0661 | 5/2018 Rev. | 1/1/2300 12:00 | Darlene Estee | N | ||
| Support Services | Local | Laboratory | PositiveAFBWorkCard_addl_2sided_lefthole.pdf | Positive AFB Work Card, Additional Days #0661 | 5/2018 Rev. | 1/1/2300 12:00 | Darlene Estee | N | ||
| Support Services | Local | Laboratory | Sentara_Lab_Diagnostic_1586.pdf | Sentara Lab and Diagnostics Locations 4"x9" #1586 | 5/2018 Rev. | finished size is 4x9 | 1/1/2300 12:00 | Shelley G Wasileski | N | |
| Support Services | Local | Laboratory | SMJH_BloodComponentDispenseRecord_2pt.pdf | SMJH Blood Component Dispense Record #1207 | 7/2021 Rev. | Anna Brownfield/SMJH Transfusion Services | N | |||
| Support Services | Local | Laboratory | CytogenticsLabCard.pdf | Cytogenetics Lab Card #1158 | 8/2019 Rev. | 1/1/2300 12:00 | Brenda Boston/SNGH Lab Manager | N | ||
| Support Services | Local | Laboratory | GRN Label - This item not available from Customer Business Support | Item #99564 | ORDER VIA SCM eP (HSS) | N | ||||
| Support Services | Local | Patient Family Advisory Council | Patient_Advisory_Broc-2020_HiRes.pdf | SDHMA Patient and Family Advisory Council Brochure | 3/2020 Rev. | Designer: Bart Morris | 1/1/2300 12:00 | Faith O'Neil/Wendy Crews | N | |
| Support Services | Local | Patient Family Advisory Council | SLH_PFAC_Brochure.pdf | SLH Patient & Family Advisory Council (PFAC) Brochure #1249 | 5/2021 Rev. | SLH Volunteer Services Coordinator/VERONICA L BURNETT | N | |||
| Support Services | Local | Patient Family Advisory Council | PFAC_Brochure_system_PRINT.pdf | Patient and Family Advisory Councils (PFAC) Brochure | 8/2020 Rev. | Julie Suedmeyer-Buller/Marketing | N | |||
| Support Services | Local | Patient Family Advisory Council | PFAC_Flyer_SMG.pdf | Patient and Family Advisory Councils (PFAC) Flyer | 8/2020 Rev. | Julie Suedmeyer-Buller/Marketing | N | |||
| Support Services | Local | Pharmacy | ForCentralLineInfusionOnlyPRINT.pdf | For Central Line Infusion Only Label, 3.5 x .5, Red Print | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Pharmacy | MyMedicalInformation.pdf | Medication Card #0278 | 4 up on 8 1/2 x 11 card stock, cut to size | 1/1/2300 12:00 | N | |||
| Support Services | Local | Pharmacy | SWRMCEDPharmLabel.pdf | Pharmacy Label (Blue Border) - SWRMC Only (Roll of 500) | BCT Prints White Matte Label - Process Blue & Black Ink 1.5 x 2.5 500 to a roll |
N | ||||
| Support Services | Local | Pharmacy | PharmacyNotePostIt.pdf | Pharmacy Note Post-It, 3 x 4, Blue - Pads | Ad Solutions, Post-It Note,
These are billed per order. Ad
Solutions ships directly to customer.
cmelgar@adsolution.com (Cindy Melgar) |
1/1/2300 12:00 | Ad Solutions | N | ||
| Support Services | Local | Pharmacy | Rx Security Paper 8.5 x 11 BLUE, 4 up | Rx Security Paper (Blue) 8.5 x 11 | 1/1/2300 12:00 | John Horton | N | |||
| Support Services | Local | Pharmacy | Rx Security Paper, Blue, 8.5 x 11, Double Perforated, Horizontal and Vertical, 4.25 x 5.5 (4 scripts) | 1/1/2300 12:00 | John Horton | N | ||||
| Support Services | Local | Pharmacy | Rx Security Paper, Blue, 8.5 x 11, Single Perforated, Horizontal , 5.5 x 8.5 (2 scripts) | IF THIS ORDER IS FOR SNGH THEY MUST RECEIVE GREEN RX PAPER, ALL OTHERS RECEIVE BLUE | 1/1/2300 12:00 | John Horton | N | |||
| Support Services | Local | Pharmacy | SentaraToHome_SCH_PharmacyTransfer_RxPad.pdf | SCH Outpatient Pharmacy Transfer Rx Pad - 4 pads of 100 scripts per pack | 1/1/2300 12:00 | Pinaki Patel | N | |||
| Support Services | Local | Pharmacy | SentaraToHome_SLH_PharmacyTransfer_RxPad.pdf | SLH (Outpatient) Transfer Rx Pad - 4 pads of 100 scripts per pack | 1/1/2300 12:00 | Pinaki Patel | N | |||
| Support Services | Local | Pharmacy | SentaraToHome_SOH_PharmacyTransfer_RxPad.pdf | SOH Outpatient PharmacyTransfer Rx Pad - 4 pads of 100 scripts per pack | 1/1/2300 12:00 | Pinaki Patel | N | |||
| Support Services | Local | Pharmacy | SentaraToHome_SPAH_PharmacyTransfer_RxPad.pdf | SPAH Outpatient Pharmacy Transfer Rx Pad - 4 pads of 100 scripts per pack | 1/1/2300 12:00 | Pinaki Patel | N | |||
| Support Services | Local | Pharmacy | SentaraToHome_SVBGH_PharmacyTransfer_RxPad.pdf | SVBGH Outpatient Pharmacy Transfer Rx Pad - 4 pads of 100 scripts per pack | 1/1/2300 12:00 | Pinaki Patel | N | |||
| Support Services | Local | Pharmacy | SentaraToHome_SWRMC_PharmacyTransfer_RxPad.pdf | SWRMC Outpatient Pharmacy Transfer Rx Pad - 4 pads of 100 scripts per pack | 1/1/2300 12:00 | Pinaki Patel | N | |||
| Support Services | Local | Pharmacy | IVMed.pdf | IV Medication Label (Roll of 500 labels) | #15729 | LINDENMEYER 3x2" Label, printed black on Std Red Fluorescent Paper w/ Perm Adhesive, Finished in Rolls of 500, 1 Across on 3" core, Labels wound out, right side off first, Perforation between labels | Pharmacy Administration/Angela Gilley | Lindenmeyer | N | |
| Support Services | Local | Pharmacy | IVSol.pdf | IV Solution Label (Roll of 500) | #217811 | Pharmacy Administration/Angela Gilley | Lindenmeyer | N | ||
| Stationery | Local | Cards (Stationery) | SentaraForestLakesFamilyMedicine_EmbossedCard_Envelope.pdf | Sentara Forest Lakes Family Medicine Embossed Sympathy Card w/Pre-Printed Envelope | 06/2021 Rev. | Embossed card with pre-printed envelope | Kathleen Richards | N | ||
| Support Services | Local | Courier Services | SLH_labels_6up.pdf | SLH Labels (6up) | 06/2021 Rev. | John Dinger | N | |||
| Support Services | Local | Courier Services | SRMH_labels_6up.pdf | SRMH Labels (6up) | 06/2021 Rev. | John Dinger | N | |||
| Support Services | Local | Courier Services | SVBGH_labels_6up.pdf | SVBGH Labels (6up) | 06/2021 Rev. | John Dinger | N | |||
| Support Services | Local | Pharmacy | SMJH_PharmaceuticalTransferRecord_2ptWY.pdf | SMJH Pharmaceutical Transfer Record #1928 | 1/2020 Rev. | SMJH Pharmacy/POC Page Somers | N | |||
| Support Services | Local | Pharmacy | Pharmacy_Label_3x2_fillable.pdf | Pharmacy Label 3 x 2 #2130, Fillable | 11/2020 Rev. | Impose 10 up, cut to 3 x 2 | Candace Minter/Pharmacy Administration | N | ||
| Support Services | Local | Pharmacy | Pediatric_Broselow_DosingCards_Formatted_102020_Final_Print_Shop.pdf | Pediatric Broselow Dosing Cards (Full Set) | 12/2020 Rev. | Laminated 2 sided, head to toe Print on Color paper as follows: Broselow Key White 3Kg Grey 4Kg Grey 5Kg Grey 6?7Kg Pink 8?9Kg Red 10?11Kg Purple 12?14Kg Yellow 15?18Kg White 19?23 Kg Blue 24?29 Kg Orange 30?36 Kg Green |
Catherine Salvador/Pharmacy Administration | N | ||
| Support Services | Local | Pharmacy | SNGH_Transfer_ChainofCustody_3part.pdf | SNGH Chain of Custody Form (Interfacility Transfer) #2155 | 12/2020 Rev. | 1/1/2300 12:00 | Corine Vitug | N | ||
| Support Services | Local | Pharmacy | AnticoagulantInjectionTherapy_0113.pdf | Anticoagulation Injection (Shot) Therapy #0113 - Padded 50 sheets p/pad | 2/2021 Rev. | Print on Demand, Padded in 50s | 1/1/2300 12:00 | Candace Minter | N | |
| Support Services | Local | Pharmacy | IVBoCard.pdf | IV Box Card - SOH 3150-31-006 | 2/2021 Rev. | 1/1/2300 12:00 | Sherri Dupart | N | ||
| Support Services | Local | Pharmacy | WarfarinTherapyTable_0111.pdf | Warfarin (Coumadin®, Jantoven®) Therapy Table #0111 - Padded 50 sheets p/pad | 2/2021 Rev. | Print on Demand, Padded in 50s | 1/1/2300 12:00 | Candace Minter | N | |
| Support Services | Local | Pharmacy | Security Paper 8.5 x 11 BLUE (Rx Paper) - SHS 4821-10-001 | 2000 sheets per box | IF THIS ORDER IS FOR SNGH THEY
MUST RECEIVE GREEN RX PAPER, ALL OTHERS RECEIVE BLUE Rx Security Paper (Blue) 8.5 x 11 |
John Horton | N | |||
| Support Services | Local | Pharmacy | Security Paper 8.5 x 11, GREEN, SNGH ONLY (Rx Paper) #0264 | 2000 sheets per paper | SNGH INPATIENT PAPER, SNGH
MUST GET GREEN RX PAPER Rx Security Paper (Green) 8.5 x 11 |
1/1/2300 12:00 | John Horton | N | ||
| Support Services | Local | Pharmacy | AdultParenteralTable_11x36_2020.pdf | Adult Parenteral Table, 11 x 36, Laminated #0177 | 2020 Rev. | Send to Bizport, 11 x 36, laminated | Pharmacy Administration (Dana Miller/Angela Gilley) | Bizport | N | |
| Support Services | Local | Pharmacy | ApixabanTherapy_0114.pdf | Apixaban (Eliquis®) Therapy #0114 - Padded 50 sheets p/pad | 3/2021 Rev. | Print on Demand, Padded in 50s | 1/1/2300 12:00 | Candace Minter | N | |
| Support Services | Local | Pharmacy | DabigatranTherapy_0109.pdf | Dabigatran (Pradaxa®) Therapy #0109 - Padded 50 sheets p/pad | 3/2021 Rev. | Print on Demand, Padded in 50s | 1/1/2300 12:00 | Candace Minter | N | |
| Support Services | Local | Pharmacy | EdoxabanTherapy_0853.pdf | Edoxaban (Savaysa®) Therapy #0853 - Padded 50 sheets p/pad | 3/2021 Rev. | Print on Demand, Padded in 50s | 1/1/2300 12:00 | Candance Minter | N | |
| Support Services | Local | Pharmacy | RivaroxabanTherapy_0110.pdf | Rivaroxaban (Xarelto®) Therapy #0110 - Padded 50 sheets p/pad | 3/2021 Rev. | Print on Demand, Padded in 50s | 1/1/2300 12:00 | Candace Minter | N | |
| Support Services | Local | Pharmacy | WarfarinTherapy_1112.pdf | Warfarin (Coumadin®) Therapy #0112 - Padded 50 sheets p/pad | 3/2021 Rev. | Print on Demand, Padded in 50s | 1/1/2300 12:00 | Candace Minter | N | |
| Support Services | Local | Pharmacy | ChempackChainofCustody_3pt.pdf | Chempack Medication Chain of Custody #1371, 3 part W/Y/P | 4/2020 Rev. | 1/1/2300 12:00 | Pharmacy Administration/Angela Gilley | N | ||
| Support Services | Local | Pharmacy | SRMH_ControlledSubstanceDeliveryReceipt.pdf | SRMH Controlled Substance Delivery Receipt #2003 | 4/2020 Rev. | SRMH Pharmacy/Sarah Kyger | N | |||
| Support Services | Local | Pharmacy | SentaraRxControlledMedicationUsage.pdf | Sentara Rx - Controlled Medication Usage #1779 | 5/2019 Rev. | 3 Hole punched on 11 inch side (top of form) | Maria Achilleos/Sentara Rx Manager | N | ||
| Support Services | Local | Pharmacy | SentaraRx-RXControlledSubInventoryForm.pdf | Sentara Rx - RX Controlled Substances Perpetual Inventory Form #1778 | 5/2019 Rev. | 1/1/2300 12:00 | Maria Achilleos/Sentara Rx Manager | N | ||
| Support Services | Local | Pharmacy | SRMH_MyPT_INRPlanREBRAND.pdf | My PT/INR Plan #2029 | 5/2020 Rev. | 1/1/2300 12:00 | Natalie Bass/SRMH Quality | N | ||
| Support Services | Local | Pharmacy | Medication Open Date/Expiration Date Labels (YELLOW) - Rolls | 500 labels per roll | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Pharmacy | MonthlyMedicationAreaADDInspectionRecord.pdf | Monthly Medication Area / Pyxis Inspection Record - SHS 4810-50-002 | 6/2018 Rev. | 1/1/2300 12:00 | Angela Gilley | N | ||
| Support Services | Local | Pharmacy | PPM-ComoudinInstructionCdBlueCardstock.pdf | Coumadin Instructions, Blue Card | 7/2021 Rev. | Candace Minter | N | |||
| Support Services | Local | Pharmacy | Pharmacy_LoanBorrowFormReconciliation.pdf | Pharmacy Department Loan/Borrow/Form Reconciliation #2074, 3 part W/Y/P | 8/2020 Rev. | Pharmacy Administration/Angela Gilley | N | |||
| Support Services | Local | Pharmacy | Sentara_To_Home_Prescription_Receipt_Card__0552_-_100_per_pack__1_.pdf | Sentara To Home Prescription Receipt Card #0552 | 9/2018 Rev. | 80lb card stock, cut to 4 x 6 | 1/1/2300 12:00 | Pinaki Patel/Sentara To Home | N | |
| Support Services | Local | Pharmacy | DocumentRetired.pdf | RETIRE 11/2019: Meds to Beds Brochure (SAMC) # 1142 | NOT ORDERED | N | ||||
| Support Services | Local | Pharmacy | Pharmacy Medication Open Date/Expiration Date Labels (WHITE) (1 roll of 500 labels) | None | 1/1/2300 12:00 | N | ||||
| Support Services | Local | Pharmacy | 384636_Label.pdf | Dedicated Epoprostenol Line DO NOT FLUSH DO NOT INTERRUPT Label | Roll of 500 Label | Allegra prints | Allegra | N | ||
| Support Services | Local | SMJH Something Special Shop | SMJH_Something_Special_Shop_Intake_Form_1283.pdf | SMJH Something Special Shop Patient Intake Form #1283 | 02/2020 Rev. | 1/1/2300 12:00 | Michael W Powell | N | ||
| Support Services | Local | SMJH Something Special Shop | SMJH_Something_Special_Shop_Survey_1281.pdf | SMJH Something Special Shop Quality Assurance Survey#1281 | 02/2020 Rev. | 1/1/2300 12:00 | Process Owner: Michael W Powell | N | ||
| Support Services | Local | SMJH Something Special Shop | SMJH_Something_Special_Shop_form_1276.pdf | SMJH Something Special Shop Form #1276 | 07/2019 Rev. | This is standard triplicate W Y P. | 1/1/2300 12:00 | Mary Pfister | N | |
| Support Services | Local | SMJH Something Special Shop | MJH-SomethingSpecialBiFoldBroch-0419.pdf | Something Special Shop Brochure / Post-Mastectomy Products | 5/2019 Rev. | 1/1/2300 12:00 | Valerie Wright/Diane DiCarlo | SRMH Print Shop | N | |
| Support Services | Local | Sentara To Home | SentaraToHome_PharmacyTransfer_RxPad.pdf | Sentara To Home Transfer Rx Pad - 4 pads of 100 scripts per pack | 1/1/2300 12:00 | Pinaki Patel | N | |||
| Support Services | Local | Sentara To Home | STHCommentCard.pdf | Sentara to Home Comment Card | 1/1/2300 12:00 | Pinaki Patel | N | |||
| Support Services | Local | Sentara To Home | Transfer_ChainofCustody_3part.pdf | Chain of Custody Form (Interfacility Transfer) #1511 | 12/2019 Rev. | 1/1/2300 12:00 | Pinaki Patel | N | ||
| Support Services | Local | Sentara To Home | SentaraToHomeCard_2019.pdf | Medication Communication Card, Sentara To Home | 12/2019 Rev. | 110lb Cover Stock, 2 up cut to 5.5 x 8.5 | 1/1/2300 12:00 | Pinaki Patel | N | |
| Support Services | Local | Sentara To Home | New_RX_Pads_-_0420_HiRes.pdf | Sentara To Home SWRMC Pharmacy Prescription Pickup Pad, 50 sheets per pad | 4/2020 Rev. | Cut to size | Pinaki Patel/Sentara To Home | N | ||
| Support Services | Local | Sentara To Home | 4077_Sentara_At_Home_CHECKLIST_-615_update-print.pdf | Sentara To Home Caregiver Checklist | 6/15/2020 Rev. | Bethany Allen | N | |||
| Support Services | Local | Sentara To Home | ACC_Medication_Assistance_Card_0299.pdf | ACC Medication Assistance Card #0299 | 8/2018 Rev. | finished size is 5.5"x4.25" | 1/1/2300 12:00 | Toy Coffey-Perkins | N | |
| Support Services | Local | Sentara To Home | New_RX_Pads_-_0819_-_Leigh_Outpatient_Pharmacy.pdf | Sentara To Home Leigh Outpatient Pharmacy Prescription Pickup Pad, 50 sheets per pad | 8/2019 Rev. | Cut to size | Pinaki Patel/Sentara To Home | N | ||
| Support Services | Local | Sentara To Home | New_RX_Pads_-_0819_-_CarePlex.pdf | Sentara To Home SCH Prescription Pickup Pad, 50 sheets per pad | 8/2019 Rev. | Cut to size | Pinaki Patel/Sentara To Home | N | ||
| Support Services | Local | Sentara To Home | New_RX_Pads_-_0819_-_Leigh.pdf | Sentara To Home SLH Prescription Pickup Pad, 50 sheets per pad | 8/2019 Rev. | Cut to size | Pinaki Patel/Sentara To Home | N | ||
| Support Services | Local | Sentara To Home | New_RX_Pads_-_0819_-_SNGH.PDF | Sentara To Home SNGH Prescription Pickup Pad, 50 sheets per pad | 8/2019 Rev. | Cut to size | Pinaki Patel/Sentara To Home | N | ||
| Support Services | Local | Sentara To Home | New_RX_Pads_-_0819_-_SPAH.PDF | Sentara To Home SPAH Prescription Pickup Pad, 50 sheets per pad | 8/2019 Rev. | Cut to size | Pinaki Patel/Sentara To Home | N | ||
| Support Services | Local | Sentara To Home | New_RX_Pads_-_0819_-_SVBGH.PDF | Sentara To Home SVBGH Prescription Pickup Pad, 50 sheets per pad | 8/2019 Rev. | Cut to size | Pinaki Patel/Sentara To Home | N | ||
| Support Services | Local | Sentara To Home | STH_Rack_Broc-SCH_2019.pdf | Sentara To Home Brochure (SCH) | 8/2021 Rev. | Bart Morris | 1/1/2300 12:00 | Process Owner: Pinaki Patel | N | |
| Support Services | Local | Sentara To Home | STH_Rack_Broc-LEIGH_-_2019.pdf | Sentara To Home Brochure (SLH) | 8/2021 Rev. | Designer: Bart Morris | 1/1/2300 12:00 | Process Owner: Pinaki Patel | N | |
| Support Services | Local | Sentara To Home | STH_Rack_Broc-MarthaJefferson_2018_HiRes.pdf | Sentara To Home Brochure (SMJH) | 8/2021 Rev. | SRMH Print Shop | Process Owner: Pinaki Patel | N | ||
| Support Services | Local | Sentara To Home | STH_Rack_Broc-SNGH-1214.pdf | Sentara To Home Brochure (SNGH) | 8/2021 Rev. | Designer: Bart Morris | 1/1/2300 12:00 | Process Owner: Pinaki Patel | N | |
| Support Services | Local | Sentara To Home | STH_Rack_Broc_-_SOH__HiRes.pdf | Sentara To Home Brochure (SOH) | 8/2021 Rev. | 1/1/2300 12:00 | Process Owner: Pinaki Patel/Bethany Allen | N | ||
| Support Services | Local | Sentara To Home | STH_Rack_Broc-SPAH_1214.pdf | Sentara To Home Brochure (SPAH) | 8/2021 Rev. | Designer: Bart Morris | 1/1/2300 12:00 | Process Owner: Pinaki Patel | N | |
| Support Services | Local | Sentara To Home | STHRackBrocRockingham.pdf | Sentara To Home Brochure (SRMH) | 8/2021 Rev. | SRMH Print Shop | Process Owner: Pinaki Patel | N | ||
| Support Services | Local | Sentara To Home | STHRackBrocSVBGH2018.pdf | Sentara To Home Brochure (SVBGH) | 8/2021 Rev. | 1/1/2300 12:00 | Process Owner: Pinaki Patel | N | ||
| Support Services | Local | Sentara To Home | STH_Rack_Broc-Williamsburg_-_2019.pdf | Sentara To Home Brochure (SWRMC) | 8/2021 Rev. | Designer: Bart Morris | 1/1/2300 12:00 | Process Owner: Pinaki Patel | N | |
| Support Services | Local | Sunflower Award | SentaraHospitals_Century_Sunflower_brochure_2020.pdf | STC - Century Sunflower Brochure #1939 | 01/2020 Rev. | 1/1/2300 12:00 | Stephanie Ballengee/Rachel N Tyler | N | ||
| Support Services | Local | Sunflower Award | SentaraHospitals_Reid_Sunflower_brochure_2020.pdf | STC - Reid's Prospect Sunflower Brochure #1940 | 01/2020 Rev. | 1/1/2300 12:00 | Stephanie Ballangee/Rachel N Tyler | N | ||
| Support Services | Local | Sunflower Award | DocumentRetired.pdf | Sentara Life Care Centers Sunflower brochure (Kathleen) #1528 | 09/2020 RETIRED | 1/1/2300 12:00 | Stephanie Ballengee (retired per Christy Haney) | N | ||
| Support Services | Local | Sunflower Award | SentaraHospitals_Kathleen_Sunflower_brochure_2020.pdf | Sentara Hospitals (Kathleen) Sunflower Brochure #1534 | 09/2020 Rev. | Stephanie Ballengee/Christy Haney | N | |||
| Support Services | Local | Sunflower Award | Sentara_Stephanie_Sunflower_brochure_2019.pdf | Sentara Home Health Sunflower brochure (Stephanie) #1549 | 6/19 Reviewed/Revised | 1/1/2300 12:00 | Stephanie Ballengee | N | ||
| Support Services | Local | Sunflower Award | Sentara_Alan_Sunflower_brochure_2021.pdf | Sentara Therapy Centers Sunflower brochure (Alan) #1527 | 7/2021 Rev. | 1/1/2300 12:00 | Stephanie Ballengee | N | ||
| Surgery/Anesthesia | pf.sentara.com | Forms | SNGH_PASS_worksheet.pdf | SNGH Pre-Anesthesia Worksheet #1997 | 3/2020 Rev. | Krista Hess/TC Patient Care Services | N | |||
| Surgery/Anesthesia | pf.sentara.com | Forms | SRMH_PACU_ChargeSheetNon-OpTimePatients.pdf | SRMH PACU Charge Sheet Non-OpTime Patients #2022 | 5/2020 Rev. | SRMH PACU/Surgical Services POC Stefanie Brock | N | |||
| Surgery/Anesthesia | pf.sentara.com | Forms | CentralSterileTrayAuditTag.pdf | Central Sterile Services Tray Audit Tag #2030 | 5/2020. Rev. | Priced 4 up on card stock | SWRMC Central Sterile Services/Jennifer Browder | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SSS_ColorectalSurgeryTimeline.pdf | Colon Surgery Timeline, Sentara Surgery Specialists #0684 | 1/1/2300 12:00 | N | ||||
| Surgery/Anesthesia | pf.sentara.com | General Information | PCACOUNTDOWNRECORD.pdf | Controlled Substance Record for Patient Controlled Analgesia (PCA) #1139 | 1/1/2300 12:00 | N | ||||
| Surgery/Anesthesia | pf.sentara.com | General Information | LeungPacketSRMH.pdf | Dr. Leung Packet | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | EpiduralAnesthInfoforLaborandDelivery.pdf | Epidural Anesthesia for Labor and Delivery Information (V.A.P.C.S Williamsburg Division) - SWRMC 4080-10-009 | 1/1/2300 12:00 | N | ||||
| Surgery/Anesthesia | pf.sentara.com | General Information | Isolation Precautions Room Only - Yellow Pen | 1/1/2300 12:00 | N | |||||
| Surgery/Anesthesia | pf.sentara.com | General Information | NeurosurgicalOncologySNSBrochure.pdf | Neurosurgical Oncology, Sentara Neurosurgery Specialists Brochure | 1/1/2300 12:00 | N | ||||
| Surgery/Anesthesia | pf.sentara.com | General Information | OPMSUPostItNote.pdf | OPMSU Post It Notes #0406, 3 x 5, 50 sheets per pad | 1/1/2300 12:00 | Ad Solutions | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | PASS Patient Packet - Colorectal, Vascular (English) | 1/1/2300 12:00 | N | |||||
| Surgery/Anesthesia | pf.sentara.com | General Information | PASS Patient Packet - Colorectal, Vascular (SPANISH) | 1/1/2300 12:00 | N | |||||
| Surgery/Anesthesia | pf.sentara.com | General Information | PASS Patient Packet - Urologic (English) | 1/1/2300 12:00 | N | |||||
| Surgery/Anesthesia | pf.sentara.com | General Information | PASS Patient Packet - Urologic (SPANISH) | 1/1/2300 12:00 | N | |||||
| Surgery/Anesthesia | pf.sentara.com | General Information | SNVMCPatientTrackingCard.pdf | Patient Tracking Card (SNVMC) | 1/1/2300 12:00 | N | ||||
| Surgery/Anesthesia | pf.sentara.com | General Information | SNGH_OR_Procedure_Team_Cancellation_Apology.pdf | SNGH OR Procedure Team Cancellation Apology, Embossed Logo Notecard with preprinted envelope | N | |||||
| Surgery/Anesthesia | pf.sentara.com | General Information | SOH_SSLocatorCards_2019.pdf | SOH Surgical Services Locator Card #1093 | 1/1/2300 12:00 | N | ||||
| Surgery/Anesthesia | pf.sentara.com | General Information | SRMH_PreparingforYourSurgeryPacket.pdf | SRMH Preparing for Your Surgery Packet (PASS Packet) | 1/1/2300 12:00 | SRMH Print Shop | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | ASC-SRMHSmartTrackcards.pdf | SRMH SmarTrack Cards (SRMH ASC) | Card Stock | 1/1/2300 12:00 | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | SentaraAmbulatoryServices_FITtest_postcard.pdf | SentaraAmbulatoryServices FITtest postcard.pdf | N | |||||
| Surgery/Anesthesia | pf.sentara.com | General Information | SterileUntilDamagedorOpened_1x4Card_5up.pdf | Sterile Until Damaged or Opened 1x4 Card | 1/1/2300 12:00 | N | ||||
| Surgery/Anesthesia | pf.sentara.com | General Information | SNGH_Surgery_Patient_Report_Cards_Kimberly_Jenkins.pdf | Surgery Patient Report Card | 1/1/2300 12:00 | N | ||||
| Surgery/Anesthesia | pf.sentara.com | General Information | SNVMCSurgeryPostingForm.pdf | Surgery Posting and Pre-Procedure Order Form | 1/1/2300 12:00 | N | ||||
| Surgery/Anesthesia | pf.sentara.com | General Information | SentaraAlbemarlePre_Admission10x13.pdf | Surgery Pre-Admission Packet Envelope ONLY 10 x 13 | 1/1/2300 12:00 | N | ||||
| Surgery/Anesthesia | pf.sentara.com | General Information | PMK-PreOpScheduleParkingGuide.pdf | Your Pre-Operative Schedule | SRMH Print Shop | 1/1/2300 12:00 | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | ACCBrochure.pdf | Ambulatory Care Center Brochure #0404 #0404 | #0404 | 1/1/2300 12:00 | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | SCH_SSLocatorCards.pdf | SCH SS Locator Cards #2185 | 02/2021 Rev. | Dolores Torres | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_GeneralSurgeryText_updated_fullbook.pdf | Enhanced Recovery After Surgery (ERAS) #1887 | 03/2021 Rev. | Inside Cover blank | Surgical HPT Committee/POC Sandy Levine | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_GeneralSurgeryText_updated_digital.pdf | Enhanced Recovery After Surgery (ERAS) #1887 DIGITAL VERSION, Open Thumbnail and Save | 03/2021 Rev. | Inside Cover blank | Surgical HPT Committee/POC Sandy Levine | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_GeneralSurgeryText_Spanish_updated_digital.pdf | Enhanced Recovery After Surgery (ERAS) #1887 SPANISH DIGITAL VERSION, Open Thumbnail and Save | 03/2021 Rev. | Inside Cover blank | Surgical HPT Committee/POC Sandy Levine | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_GeneralSurgeryText_Spanish_updated_FULLBOOK.pdf | Enhanced Recovery After Surgery (ERAS) #1887, SPANISH | 03/2021 Rev. | Inside Cover blank | Surgical HPT Committee/POC Sandy Levine | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SentaraHealthcare_Anthem_Rackcard.pdf | Sentara Healthcare Anthem Rack Card #2258 | 05/2021 Rev. | Bruce Smith/Cheryl Powell | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | SentaraPrincessAnneAmbulatorySugery_PX_Info.pdf | Sentara Princess Anne Ambulatory Surgery Center Patient Information Booklet #2256 | 05/2021 Rev. | Charmayne A Harrington | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | 4004_Colorectal_Cancer_Brochure_-_print.pdf | Colorectal Cancer Brochure | 07/2020 Rev. | Kerry N Clay | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | SMACTS_Frequently_Used_DX_Codes_Form.pdf | SMACTS Frequently Used DX Codes Form #2069 | 08/2020 Rev. | John Honey | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | SLH_Add_On_Card_GREEN_SLH_4150-31-001.pdf | SLH Add-On Card, GREEN SLH 4150-31-001 | 1/2018 Rev. | 1/1/2300 12:00 | ASHLEY L CARAS | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SWRMC_CaseCartNeedslist.pdf | SWRMC Case Cart Needs List #1488 | 1/2018 Rev. | 1/1/2300 12:00 | Gretchen Ward | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | TaraStRoseCards_4x6.pdf | Surgical Prep and Recovery #1482 | 1/2018 Rev. | Coil bind across the top of card | 1/1/2300 12:00 | Tara St. Rose | N | |
| Surgery/Anesthesia | pf.sentara.com | General Information | SMG_MidAtlanticCardiothoracic_SMACTSPostingCard.pdf | SMG Mid Atlantic Cardiothoracic SMACTS Posting Card #1948 | 1/2020 Rev. | John Honey/Sentara Mid-Atlantic Cardiothoracic Surgery | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | Surgical_prep_and_recovery_instructions_flyer.pdf | SNGH Surgical Prep and Recovery Instructions Flyer | 1/2020 Rev. | Julie Suedmeyer-Buller/Krista Hess | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | SNGH_Surgery_Patient_Report_Cards.pdf | Patient Transport SNGH OR Report Card | 10/20 Rev. | Altrissa Dukes | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | SWRMC_DailySterilizationRecordEnvelope.pdf | SWRMC Daily Sterilization Record Envelope #1454 | 10/2018 Rev. | 9 x 12 Envelope | 1/1/2300 12:00 | Process Owner: Jennifer Browder/Gretchen Ward | N | |
| Surgery/Anesthesia | pf.sentara.com | General Information | SCH_Surgery_Guide_Booklet.pdf | SCH Surgery Guide Booklet | 10/2019 Rev. | N | ||||
| Surgery/Anesthesia | pf.sentara.com | General Information | SVBGH_EquipmentLoanForm.pdf | SVBGH Equipment Loan Form #1876, 2 Part W/Y | 10/2019 Rev. | SVBGH Surgery Administration/POC Amy Brusco | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | SHRHMC_HPAPeripherialNerveCatheter.pdf | SRMH HPA Continuous Nerve Catheter Handout #1462 | 11/2017 Rev. | 1/1/2300 12:00 | Shawn Craddock | SRMH Print Shop | N | |
| Surgery/Anesthesia | pf.sentara.com | General Information | PSV-OutpatientSurgIntervenBroch-1118.pdf | Outpatient Surgery Unit Brochure | 11/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SVBGHPatientTrackingCard.pdf | Patient Tracking Card (SVBGH) #0575 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Amy Brusco | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_BariatricText_FULL_BOOK_PRINT.pdf | Enhanced Recovery After Surgery (ERAS) Bariatric Surgery #1889 | 11/2019 Rev. | Inside Cover blank | Surgical HPT Committee/POC Diana Roca | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_Bariatric_DIGITAL.pdf | Enhanced Recovery After Surgery (ERAS) Bariatric Surgery #1889 DIGITAL VERSION, Open Thumbnail and Save | 11/2019 Rev. | Inside Cover blank | Surgical HPT Committee/POC Diana Roca | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_Bariatric_DIGITAL_SP.pdf | Enhanced Recovery After Surgery (ERAS) Bariatric Surgery #1889 SPANISH DIGITAL VERSION, Open Thumbnail and Save | 11/2019 Rev. | Inside Cover blank | Surgical HPT Committee/POC Diana Roca | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_BariatricText_SpanishBOOKSETUP.pdf | Enhanced Recovery After Surgery (ERAS) Bariatric Surgery #1889, SPANISH | 11/2019 Rev. | Inside Cover blank | Surgical HPT Committee/POC Diana Roca | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_ColorectalText_FULL_BOOK_PRINT.pdf | Enhanced Recovery After Surgery (ERAS) Colorectal Surgery #1888 | 11/2019 Rev. | Inside Cover blank | Surgical HPT Committee/POC Sandy Levine | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_Colorectal_DIGITAL.pdf | Enhanced Recovery After Surgery (ERAS) Colorectal Surgery #1888 DIGITAL VERSION, Open Thumbnail and Save | 11/2019 Rev. | Inside Cover blank | Surgical HPT Committee/POC Sandy Levine | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_Colorectal_DIGITAL_SP.pdf | Enhanced Recovery After Surgery (ERAS) Colorectal Surgery #1888 SPANISH DIGITAL VERSION, Open Thumbnail and Save | 11/2019 Rev. | Inside Cover blank | Surgical HPT Committee/POC Sandy Levine | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_ColorectalText_Spanish_BOOKSETUP.pdf | Enhanced Recovery After Surgery (ERAS) Colorectal Surgery #1888, SPANISH | 11/2019 Rev. | Inside Cover blank | Surgical HPT Committee/POC Sandy Levine | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | RotatorCuffRepairSurgery_pamphlet.pdf | SMJH Rotator Cuff Repair Surgery Booklet #1898 | 11/2019 Rev. | 1/1/2300 12:00 | Deanna Radcliff/Jennifer Smiley-Gill | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | TotalShoulderReplacement_Pamphlet.pdf | SMJH Total Shoulder Replacement Booklet #1897 | 11/2019 Rev. | 1/1/2300 12:00 | Deanna Radcliff/Jennifer Smiley-Gill | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | BelleHarbour_SSLocatorCards.pdf | BelleHarbour ASC Locator Card #1722 | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: Dolores Torres/Unit Operations | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | BelleHarbour_DailySterilizationRecordEnvelope.pdf | BelleHarbour Daily Sterilization Record Envelope #1724 | 12/2018 Rev. | 9 x 12 Envelope | 1/1/2300 12:00 | Process Owner: Cindy Hull/Jerry Westwater/Patient Care Services | N | |
| Surgery/Anesthesia | pf.sentara.com | General Information | SOHORCountSheet.pdf | OR Sponge/Needle/Misc. Items Count Sheet (SOH) #0082 | 12/2020 Rev. | 1/1/2300 12:00 | Stephanie Snead/SOH Surgery Administration | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SOH_2x2_Stop_Sign_Sticker.pdf | SOH 2x2 Stop Sign Sticker (4 rolls of 500, 2K total) | 12/2020 Rev. | 2,000 stickers (500 to a roll) | Jessica Carpenter | BCT | N | |
| Surgery/Anesthesia | pf.sentara.com | General Information | SAMC_Surgery_Guide.pdf | SAMC Surgery Guide Booklet | 2/2021 Rev. | N | ||||
| Surgery/Anesthesia | pf.sentara.com | General Information | SMJH_PASSPacket_2-2021.pdf | PASS Packet (SMJH) #1127 | 2021 Rev. | Sentara Surgery Pocket
Folder consent and brochure go on left side of folder and the rest on right. they are put into folders labeled preparing for your procedure (folders at bettie location) |
1/1/2300 12:00 | Myrna White/SMJH Surgery Administration | SRMH Print Shop | N |
| Surgery/Anesthesia | pf.sentara.com | General Information | SAMC_PostingCard3x5.pdf | SAMC Posting Card #1532 | 3/2018 Rev. | cut to 3 x 5 | 1/1/2300 12:00 | Debbie Inge | N | |
| Surgery/Anesthesia | pf.sentara.com | General Information | SNGH_OR_RequestforAddOnSurgeryCard_5_25x3_5.pdf | SNGH OR Request for Add-On Surgery Card #0088 | 3/2018 Rev. | 5.25 x 3.5 | 1/1/2300 12:00 | Ashley Taylor/Altrissa Dukes (Main OR) | N | |
| Surgery/Anesthesia | pf.sentara.com | General Information | SPAH_parking_surgerypatients.pdf | SPAH Parking Flyer (Surgery Patients) #1525 | 3/2018 Rev. | 1/1/2300 12:00 | Julia Garner | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SVBGH_parking_surgerypatients.pdf | SVBGH Parking Flyer (Surgery Patients) #1524 | 3/2018 Rev. | 1/1/2300 12:00 | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | SentaraSurgerySpecialists_PreparingforyourSurgery.pdf | Sentara Surgery Specialists Preparing for Your Surgery #1531 | 3/2018 Rev. | 1/1/2300 12:00 | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | JacksonPrattHandoutLog_1516.pdf | Jackson Pratt Handout/Log #1516 | 3/2019 Rev. | 1/1/2300 12:00 | Sharon Ward | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | 3472_SSS_Anal_Rectal_Surgery_Bro_-_print.pdf | Sentara Surgery Specialists - Instructions After Anal and Rectal Surgery | 3/2019 Rev. | 1/1/2300 12:00 | Bethany Allen | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SCH_DailySterilizationRecordEnvelope.pdf | SCH Daily Sterilization Record Envelope #1553 | 4/2018 Rev. | 9 x 12 Envelope | 1/1/2300 12:00 | Process Owner: Laura Garris | N | |
| Surgery/Anesthesia | pf.sentara.com | General Information | 387746_Item1_Sticky_Note_BLEED.pdf | SMJH PASS Purple Post It Note #2242, 5x3- 25 Sheets per Pad | 4/2021 Rev. | Allegra Prints Purple Post It
250 Sticky Note Pads- 4/0- 5x3- 25 Sheets per Pad 1 Original 320.00 500 Sticky Note Pads- 4/0- 5x3- 25 Sheets per Pad 1 Original 625.00 |
SMJH PASS Office/POC Kristina Sullivan | Allegra | N | |
| Surgery/Anesthesia | pf.sentara.com | General Information | SLH_Add-OnInformationCard_CardStock.pdf | Add On Information Card - SLH 4150-31-002 | 5/2019 Rev. | 1/1/2300 12:00 | ASHLEY L CARAS | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SNGH_Surgery_Count_Sheet.pdf | Surgery Count Sheet (SNGH), #0049 | 5/2019 Rev. | Print on yellow paper | 1/1/2300 12:00 | Pamela Streetman/SNGH Surgery Administration | N | |
| Surgery/Anesthesia | pf.sentara.com | General Information | TherapeuticPackingLabel_4x5.pdf | Therapeutic Packing Label 4 x 5 (Neon Green) #1780 | 5/2019 Rev. | Neon Green Crack and Peel cut to 4 x 5 | 1/1/2300 12:00 | Surgery Administration/Pamela Streetman | N | |
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_StaffGuidelines.pdf | ERAS Guidelines For Nursing Care/Staff Guidelines Flyer #2018 | 5/2020 Rev. | Surgical HPT Committee/Marketing/Lisa Schulwolf | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_PatientInformationFlyer.pdf | ERAS Patient Information Flyer #2019 | 5/2020 Rev. | Surgical HPT Committee/Marketing/Lisa Schulwolf | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | ERAS_Cesarean_Nursing_Flyer.pdf | ERAS Cesarean Section Guidelines for Nursing Care Flyer #2169 | 5/2021 Rev. | Women's Health FPAC /Debi Bucci | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | SSLocatorCardsJoanneWilsonSPAH_2018.pdf | SPAH Surgical Services Locator Card #0223 | 6/2018 Rev. | 1/1/2300 12:00 | Joanne Wilson | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | Surgery_TentCard_Rebrand.pdf | Surgery Tent Card #0484 | 6/2020 Rev. | 3.75 x 17 | 1/1/2300 12:00 | Morag Corrigan | Signature Printing | N |
| Surgery/Anesthesia | pf.sentara.com | General Information | SOH_Out-Patient_Bronchoscopy.pdf | SOH Out-Patient Bronchoscopy Handout #1540 | 6/2021 Rev. | 1/1/2300 12:00 | Sentara Obici Out-Patient Surgery/Jessica Carpenter | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SOH_Out-Patient_CardiacCath-AngiographyLab.pdf | SOH Out-Patient Cardiac Cath Lab or Angiography Lab Handout #1541 | 6/2021 Rev. | 1/1/2300 12:00 | Sentara Obici Out-Patient Surgery/Jessica Carpenter | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SOH_Out-Patient_GI_Lab.pdf | SOH Out-Patient GI Lab Handout #1542 | 6/2021 Rev. | 1/1/2300 12:00 | Sentara Obici Out-Patient Surgery/Jessica Carpenter | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SOH_Out-Patient_RadiologyProcedures.pdf | SOH Out-Patient Radiology Procedures Handout #1543 | 6/2021 Rev. | 1/1/2300 12:00 | Sentara Obici Out-Patient Surgery/Jessica Carpenter | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SOH_Out-Patient_SameDaySurgery.pdf | SOH Out-Patient Same Day Surgery Handout #1544 | 6/2021 Rev. | 1/1/2300 12:00 | Sentara Obici Out-Patient Surgery/Jessica Carpenter | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SOH_Out-Patient_Surgery.pdf | SOH Out-Patient Surgery Handout #1545 | 6/2021 Rev. | 1/1/2300 12:00 | Sentara Obici Out-Patient Surgery/Jessica Carpenter | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SWRMC_SurgeryLocatorCard_0490.pdf | SWRMC Surgical Services Locator Card #0490 | 7/2019 Rev. | 1/1/2300 12:00 | SWRMC Surgical Services/POC Linda McCormick | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SWRMC_InstrumentCountForm_1526.pdf | SWRMC Instrument Count Sheet #1526, Padded in 100s | 7/2021 Rev. | Flat Sheet | 1/1/2300 12:00 | Process Owner: Gretchen Ward | N | |
| Surgery/Anesthesia | pf.sentara.com | General Information | SWRMCORCountSheet.pdf | SWRMC OR Count Sheet SWRMC 4150-10-002, Padded in 100s | 7/2021 Rev. | Flat Sheet | Process Owner: Gretchen Ward | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | CentralSterileServices_ServiceRequisitionSNGH4150-50-002_3pt.pdf | Service Requisition, Central Sterile Services - SNGH 4150-50-002 | 8/2018 Rev. | 1/1/2300 12:00 | Deborah Hopkins/Central Sterile Services SNGH | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | NarcoticInventoryControlRecord__1_.pdf | Narcotic Inventory Control Record (SWRMC ONLY) - SWRMC 4850-10-001 | 8/2019 Rev. | 1/1/2300 12:00 | SWRMC Surgical Services Director/Gretchen Ward | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | Steam_Sterilizer_Envelope1013_-_SVBGH.pdf | SVBGH Steam Sterilizer Envelope | 9/2017 Rev. | Micheal Byrd | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | PSV-surgicalsiteinfectionsbroch-0420.pdf | Frequently Asked Questions About Surgical Site Infections Brochure | 9/2020 Rev. | SRMH Print Shop | Sarah Wichael | N | ||
| Surgery/Anesthesia | pf.sentara.com | General Information | SNGH_SSLocatorCards_0514_9_2020.pdf | SNGH Surgical Services Locator Card #0514 | 9/2020 Rev. | SNGH Central Registration and Surgical Services/POC Daisy Cole and Angela Stafilidis | N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | OR_ProceduralSafetyChecklistBoardExamples.pdf | OR Procedural Safety Checklist Board , Non-Magnetic, Frame and Pen Tray (13"x20") | Contact cbsupport@sentara.com to order | All file sizes are located in
G:\ADOBE_CS_ART\InDesign\Whiteboards\OR Proc Time Out Boards Non-Magnetic, Frame and Pen Tray Send to Allegra |
N | |||
| Surgery/Anesthesia | pf.sentara.com | General Information | 20x13_ProceduralTimeOutSentara-WhiteBoard_p6.pdf | Procedural Safety Checklist Board , Non-Magnetic, Frame and Pen Tray (20" x 13") | Contact cbsupport@sentara.com to order | All file sizes are located in
G:\ADOBE_CS_ART\InDesign\Whiteboards\OR Proc Time Out Boards Non-Magnetic, Frame and Pen Tray Send to Allegra |
N | |||
| Surgery/Anesthesia | pf.sentara.com | OASC | AnesthesiaRecordSOH_0155.pdf | Anesthesia Record (SOH) #0155 (previously SOH 4120-50-006) | 1/1/2300 12:00 | 8 ½ X 11 WHITE FLAT 5 HOLES AT TO | N | |||
| Surgery/Anesthesia | pf.sentara.com | OASC | OASC 9 x 12 Envelope - Box of 500 | 1/1/2300 12:00 | Tiffany Rosado | Signature | N | |||
| Surgery/Anesthesia | pf.sentara.com | OASC | SOH_AmbulatorySurgeryCenterDischargeInstructions.pdf | Dr. Bevilacqua General Surgery Discharge Instructions #1384 | 12/2020 Rev. | N | ||||
| Surgery/Anesthesia | pf.sentara.com | OASC | SOH_AmbulatorySurgeryCenterDischargeInstructions_DrFox.pdf | Fox Post-Op Back Surgery DC Instructions #1418 | 12/2020 Rev. | Tanya Mueller | N | |||
| Surgery/Anesthesia | pf.sentara.com | OASC | OASCDCBevilacquaShoulder_1442_2.pdf | OASC Bevilacqua Shoulder Surger DC Instructions #1442 | 12/2020 Rev. | 2 Part W/Y 5 hole top | Tiffany Rosado | N | ||
| Surgery/Anesthesia | pf.sentara.com | OASC | OASC_GeneralDCInst.pdf | OASC General DC Instructions SOH 4180-50-013 | 12/2020 Rev. | 1/1/2300 12:00 | Tiffany Rosado | N | ||
| Surgery/Anesthesia | pf.sentara.com | OASC | OASCDCMedication_Reconciliation_List_2.pdf | OASC Medication Reconciliation List | 12/2020 Rev. | Tiffany Rosado | N | |||
| Surgery/Anesthesia | pf.sentara.com | OASC | OASCPediatricDentalDCInst.pdf | OASC Pediatric Dental DC Instructions #0641 | 12/2020 Rev. | Tiffany Rosado | N | |||
| Surgery/Anesthesia | pf.sentara.com | OASC | OASCPeriopeartiveNursingRecordDENTAL_1242.pdf | OASC Periopeartive Nursing Record DENTAL #1242 | 12/2020 Rev. | Tiffany Rosado | N | |||
| Surgery/Anesthesia | pf.sentara.com | OASC | OASC_DCInstrPezzellaPostProcBlock_1441_2.pdf | Pezzella Post Procedure Block DC Instructions #1441 | 12/2020 Rev. | Tanya Mueller | N | |||
| Surgery/Anesthesia | pf.sentara.com | OASC | SOH_Ambulatory_Privacy_Notice.pdf | SOH Ambulatory Privacy Notice (Effective February 2008) | 12/2020 Rev. | Tom Sutton | N | |||
| Surgery/Anesthesia | pf.sentara.com | OASC | OASCGYNGeneralDCInstr_2pt_5holetop.pdf | OASC GYN General DC Instructions SOH 4180-50-027 | 2/2018 Rev. | 1/1/2300 12:00 | Tiffany Rosado | N | ||
| Surgery/Anesthesia | pf.sentara.com | OASC | OASCSchneiderDCInst.pdf | Dr. Schneider Discharge Instructions (OASC) #0640 | 6/2020 Rev. | 2 part w/y, top hole punched | Tiffany Rosado | N | ||
| Surgery/Anesthesia | pf.sentara.com | OASC | OASC_Consent_to_Administration_of_Anesthesia-Sedation.pdf | OASC Consent to Administration of Anesthesia-Sedation #2293 | 6/2021 Rev. | OASC Business Office Coordinator/Tiffany Rosado | N | |||
| Surgery/Anesthesia | pf.sentara.com | OASC | OASC_Consent_to_Operation-Procedure.pdf | OASC Consent to Operation-Procedure #2292 | 6/2021 Rev. | OASC Business Office Coordinator/Tiffany Rosado | N | |||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASC_Envelope_Template.pdf | PA-ASC #10 Window Envelope - Box of 500 | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | |||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PAASCAnesRecord.pdf | PA-ASC Anesthesia Record - SPA 4120-50-003 | 2 part W/Y, top hole punched | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASCMoore.pdf | PA-ASC Blake Moore - After Surgery Instructions #0483, 2 Part W/Y, 5 hole punched top | 2 part W/Y, top hole punched | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASC Chart Tabs - Packs of 500 | Signature Printing | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | Signature | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | SPAHistoryandPhysicalSPA4120-10-004.pdf | PA-ASC History & Physical Form - SPA 4120-10-004 | Flat Sheet Top Hole Punched | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | StewartPostOpInst.pdf | PA-ASC Joel Stewart, MD, DC Instructions #0011, 2 Part W/Y, 5 hole punched top | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | |||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASCMedicationReconciliation.pdf | PA-ASC Medication Reconciliation Form (PA-ASC) - SPA 4121-50-003 | 2 part W/Y, Top Hole Punched | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | CampbellMikeAfterSurgeryInstructions_2ptWY_TopHP.pdf | PA-ASC Michael Campbell - After Surgery Instructions #0040, 2 Part W/Y, 5 hole punched top | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | |||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | Princess_Anne_Ambulatory_Privacy_Notice.pdf | PA-ASC Notice of Privacy Practices (Effective November 1, 2013) | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | |||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASC_PACUPhaseIIAnesthesiaAdultStandingOrders.pdf | PA-ASC PACU/Phase II Anesthesia Adult Standing Orders #1256 | top hole punch, Gold paper | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASC_PACUPhaseIIAnesthesiaPediatricStandingOrders.pdf | PA-ASC PACU/Phase II Anesthesia Pediatric Standing Orders #1257 | top hole punch, Gold paper | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PACUPhaseIIFlowsheet.pdf | PA-ASC PACU/Phase II Flowsheet #0368 | Flat Sheet, 2 sided, top hole punched | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASCPostOpDCInstructionsLocalAnes.pdf | PA-ASC Post-Op DC Instructions Local Anesthesia #0139, 2 Part W/Y, 5 hole punched top | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | |||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASCPre-OpCallAnesthClearPre-OpNursAnesthAssess_2018.pdf | PA-ASC Pre-Op Call/Anesthesia Clearance - SPAH 4120-90-003 | Pg1 is 2 partW/Y; Pg2 & 3 flat 2 sided, all 5 hole punch top; ok that 2 part and flat sheet in separate pkg | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASC Pre-Op Patient Registration Packet | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | ||||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | Registration-CentralRegistrationDeptCoPaymentEnv.pdf | PA-ASC Registration/Central Registration Department Co-Payment Envelope | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | |||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA_ASCRxPad.pdf | PA-ASC Rx Pad - Pads of 100 | RX Security Paper | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | SpahascSTERILIZERENV.pdf | PA-ASC Steam Sterilizer Envelope - SPA ambulatory surgery Center | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | |||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | DonatoKneeDCInst_2ptWY_5hpt.pdf | Donato Knee DC Instructions #1484 | 1/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | Mankespostopcarpaltunnel_2ptWY_5hpt.pdf | Manke Carpal Tunnel Release DC Instructions SPA 4180-50-011 | 1/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | OConnell-JacobsonShoulderSPA4180-50-003_2ptWW_5hpt.pdf | O'Connell/Jacobson Shoulder DC Instructions SPA 4180-50-003 | 1/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | Bewley_postopkneearthroscopy.pdf | Bewley Knee Arthroscopy Post-Op Instructions SPA 4180-50-016 | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA_ASC_nerve_block_discharge_instructions_1735.pdf | PA ASC Nerve Block Discharge Instructions #1735 W/Y 5 hole punch at top | 1/2019 Rev. | 1/1/2300 12:00 | Taylor K Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASCCoastalSurgeryPostOpDCInstructions.pdf | PA-ASC Coastal Surgery Specialists Post-Op DC Instructions #0010 | 10/2017 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | CampbellMikeAfterSurgeryInstructions_2ptWY_TopHP.pdf | Campbell, Mike After Surgery Instructions #1697 | 10/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASCSiteVerifChecklist.pdf | PA-ASC Site Verificaton Checklist #0574 | 10/2018 Rev. | 11 x 17, book fold (PRINT ON OUTSIDE) to 8.5 x 11, top hole punch; print in house | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | |
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASCPostOpDCInstructions_2ptTopHole.pdf | PA-ASC Post Op DC Instructions #0009 | 11/2017 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | Bewleypostoprotatorcuffrepair_2pt_WY-TopHole.pdf | Bewley Rotator Cuff Repair Post-Op Instructions #1725 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | Manke_Postop_2ptWY_5HTop.pdf | Manke Post Op Instructions - SPA 4180-50-014 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASCPediatricDCInstructions.pdf | PA-ASC Pediatric DC Instructions SPAH 4160-50-032 | 12/2017 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA_ASC_UpperExtremityShoulderRepairDCInstBrickCampbell.pdf | PA-ASC Upper Extremity Procedure/Shoulder Repair - Dr. R Brick Campbell #1220 | 12/2017 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | OConnellJacobson_KneeArth_SPAH_4180-50-004_2PT_WY_5HP_top.pdf | O'Connell/Jacobson - Knee Arthroscopy/Open Knee Surgery DC Instructions SPA 4180-50-004 | 12/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PAASCPreAnesStandingOrders.pdf | PA-ASC Pre Anesthesia Standing Orders - SPA 4121-10-001 | 12/2018 Rev. | Gold Paper, 5 Hole Punched Top | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | |
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PAASC_InitiateDiabeticOrders.pdf | PA-ASC Initiate Diabetic Orders #1247 | 2/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | Klinecubitalop_2pt_5HPTop.pdf | PA-ASC Kline Cubital Tunnel Release Post Op Instructions SPAH 4180-50-029 | 2/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | Klineorifpostop_2pt5TopHole.pdf | PA-ASC Kline Open Reduction Internal Fixation Post Op Instructions SPAH 4180-50-031 | 2/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASC_CommentCard_w_BRMEnv.pdf | Post Surgery Comment Card #1268 with BRM Envelope | 4/2017 Rev. | Print 2 up on Card Stock, cut to 8.75 x 3.75, include BRM Envelope | Process Owner: Karen Walsh/Taylor Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA_ASC_KneeArthroscopyDCInstBrickCampbell.pdf | PA-ASC Brick - Knee Arthroscopy #1219 | 5/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASC_KlineCarpalTunnel_2ptWY_TopHole.pdf | PA-ASC Kline Carpal Tunnel SPAH 4180-50-028 | 5/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | SPAH_PeriopNursingRecord_2018.pdf | PA-ASC Perioperative Nursing Record (2 part W/Y) #1522 | 5/2018 Rev. | Pg1-2partW/Y; Pg2 flat sheet; all 5 hole punch top; ok that 2 part and flat sheet in separate pkg | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | |
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | DonatoShoulder_2ptWY_TopHP.pdf | Donato Shoulder DC Instructions #1628 | 7/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | Klinedequervainsrelease_2ptWY_TopHP.pdf | Kline Dequervains Release Post-Op Instruction - SPAH 4180-50-024 | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | Klinepostop_2ptWY_TopHole.pdf | Kline Post-Op Instruction - SPAH 4180-50-032 | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh | N | ||
| Surgery/Anesthesia | pf.sentara.com | PA-ASC | PA-ASC__AllergySheet_1568_2ptWY.pdf | PA-ASC Allergy Sheet #1568 | 8/2018 Rev. | 1/1/2300 12:00 | Process Owner: Karen Walsh/Taylor Stegemann | N | ||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_PostOpAnesthesiaAnesPACUAdultOSC-037.pdf | SMJOSC PostOp Anesthesia Anes PACU Adult OSC-037 | 01/2021 Rev. | Ellen Winston/Donna Selby-Bossardt | N | |||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_PreOpAnesthesiaAnesPACUAdultOSC-036.pdf | SMJOSC Pre-Op Anesthesia Orders-Anes Pre-Op Pacu Adult OSC-036 | 01/2021 Rev. | Ellen Winston/Donna Selby-Bossardt | N | |||
| Support Services | Local | Employee Health Services | Blood_Exposure_Instructions.pdf | Blood Exposure Instructions #2286 | 06/2021 Rev. | Charlie Scribner | N | |||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | OSCPreAdmitPacket.pdf | SMJOSC Pre-Admit Packet | 10/2020 Rev. | 12/30/2299 12:00 | Process Owner: SMJOSC Ellen Winston | SRMH Print Shop | N | |
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_ConsentforOperationorOtherMedProcedureOSC-013.pdf | SMJOSC Consent for Operation or Other Medical Procedure OSC-013 | 11/2017 Rev. | 1/1/2300 12:00 | Process Owner: SMJOSC Ellen Winston | SRMH Print Shop | N | |
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_PreSurgicalPacket.pdf | SMJOSC Pre-Surgical Packet | 11/2017 Rev. | 1/1/2300 12:00 | Process Owner: SMJOSC Ellen Winston | SRMH Print Shop | N | |
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_ShortStayRecordDischargeSectionOSC-035pdf.pdf | SMJOSC Short Stay Record Discharge Section OSC-035 | 11/2017 Rev. | 1/1/2300 12:00 | Process Owner: SMJOSC Ellen Winston | SRMH Print Shop | N | |
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_ShortStayRecordHPSectionOSC-034.pdf | SMJOSC Short StayRecord HP Section OSC-034 | 11/2017 Rev. | 1/1/2300 12:00 | Process Owner: SMJOSC Ellen Winston | SRMH Print Shop | N | |
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_ConsenttoAnesthesiaOSC-007_EDITED.pdf | SMJOSC Consent to Anesthesia OSC-007 | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Ellen Winston | N | ||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_InformedRefusalofPregnancyTestingOSC-006_EDITED.pdf | SMJOSC Informed Refusal of Pregnancy Testing OSC-006 | 11/2019 Rev. | Process Owner: SMJOSC Ellen Winston | SRMH Print Shop | N | ||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | Preadmission_Registration_OSC.pdf | SMJOSC Pre-Admission Registration | 12/2017 Rev. | 1/1/2300 12:00 | Ellen Winston | N | ||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_AnnualConsentsOSC-018_2019.pdf | SMJOSC Annual Consent OSC-018a | 4/2019 Rev. | 1/1/2300 12:00 | Ellen Winston | N | ||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_AssignmentofInsuranceBenefitsOSC-004_2019.pdf | SMJOSC Assignment of Insurance Benefits OSC-004 | 4/2019 Rev. | 1/1/2300 12:00 | Ellen Winston | N | ||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_GeneralConsentsOSC-003_2019.pdf | SMJOSC General Consents OSC-003a | 4/2019 Rev. | 1/1/2300 12:00 | Ellen Winston | N | ||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | Anesthesia_Record_OSC_FlatSheetTopHP_04_2021.pdf | SMJOSC Anesthesia Record, 2 pages | 4/2021 Rev. | NOT 2 - sided; NEEDS TO BE 2 PAGES | Ellen Winston/SMJOSC | N | ||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJH_OSC_patienthandoffreport_form.pdf | SMJH OSC Patient Handoff Report Form #1579 | 5/2018 Rev. | 1/1/2300 12:00 | Ellen Winston | N | ||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_SameDaySurgeryDCInstructionsOSC-011.pdf | SMJOSC Same Day Surgery DC Instructions OSC-011 | 6/2020 Rev. | Ellen Winston/Donna Selby-Bossardt/SMJOSC Manager | SRMH Print Shop | N | ||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_AnesthesiaQuest.pdf | SMJOSC Anesthesia Questionnaire #1530 | 8/2019 Rev. | 1/1/2300 12:00 | Ellen Winston | SRMH Print Shop | N | |
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_RefusalofTreatmentAgainstMedicalAdviceAMA_1834.pdf | SMJOSC Refusal of Treatment Against Medical Advice AMA #1834 | 8/2019 Rev. | Ellen Winston/SMJOSC Operations | N | |||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_PostAnesthesiaInstructionsOSC-012.pdf | SMJOSC Post Anesthesia Instructions OSC-012 | 8/2020 Rev. | Ellen Winston | N | |||
| Surgery/Anesthesia | pf.sentara.com | VB-ASC | 389236_item1_SENTARA_VBASC_PAT_BK_Proof.pdf | VBASC Patient Information Book | 11/2019 Rev. | Allegra Prints | Allegra | N | ||
| Therapy Services | pf.sentara.com | General Information | STC_Treating_Patients_with_TMJ_Bifold.pdf | STC Treating Patients with TMJ Bifold #1804 | 7/19 Reviewed/Revised | 1/1/2300 12:00 | Julie Nathaniel | N | ||
| Transplant | pf.sentara.com | Forms | Heart_Recipient_ABO_Verification_Job_Aid_printable__3-2020_Pat_Comments_03-24-20.pdf | Heart Recipient ABO Pre-Verification Job Aid #2043 | 6/2020 Rev. | Priced 2 up on 11 x 17 | Carly Pine/Transplant Services and Advanced Heart Failure Center Sentara Heart Hospital | N | ||
| Transplant | pf.sentara.com | General Information | 24Hour_Urine_Collection_Flyer.pdf | 24Hour Urine Collection Flyer #2194 | 03/2021 Rev. | Megan Coleman | N | |||
| Support Services | Local | General Services/Information | SNVMC_Chaplaincy_Guidebook_2021.pdf | SNVMC Chaplaincy Guidebook | 06/2021 Rev. | Cindy Hardy | N | |||
| Transplant | pf.sentara.com | General Information | Kidney_Transplant_Brochure.pdf | SNGH Kidney Transplant Brochure #1316 | 3/2020 Rev. | 1/1/2300 12:00 | Peggy Bradshaw/Megan Coleman | N | ||
| Transplant | pf.sentara.com | General Information | Kidney_Transplant_Center_Brochure.pdf | SNGH Kidney Transplant Center Brochure | 3/2020 Rev. | Jaycen LeBlanc created artwork | 1/1/2300 12:00 | Peggy Bradshaw/Megan Coleman | N | |
| Transplant | pf.sentara.com | General Information | SNGH_Transplant_Evaluation_Process_Guide.pdf | SNGH Transplant Evaluation Process Guide | 3/2020 Rev. | Rachel Bostwick | N | |||
| Transplant | pf.sentara.com | General Information | MCS_Transport-Monitoring-EquipmentChecklist.pdf | Transpor/Monitoring/Equipment Checklist #1979 | 3/2020 Rev. | Brenda Smith | N | |||
| Transplant | pf.sentara.com | General Information | Living_Kidney_Donor_Program_2020.pdf | Living Kidney Donor Program Brochure (SNGH), 4 Panel | 4/2020 Rev. | Allegra Printing | 1/1/2300 12:00 | Peggy Bradshaw | N | |
| Transplant | pf.sentara.com | General Information | Education_Binder_revised_04.16.2021_letter.pdf | Patient's Guide to Transplant #2230 | 4/2021 Rev. | Color cover, 8.5x11 pages color, coil bound, back pocket cover, tabs | Kelli Carmichael/Peggy Bradshaw/SNGH Transplant | N | ||
| Transplant | pf.sentara.com | General Information | CombinedTransplantBinder9_20.pdf | Patient's Guide to Heart Transplant booklet | 9/2020 Rev. | Insides Priced 2 up on 11 x 17
Color Copier Text cut to 8.5 x 11 Cover Priced 2 up on 11 x 17 Color Copier Cover cut to 8.5 x 11 Tabs Back Pocket Folder Coil Bind 2 sided color |
Brenda Bordeaux/SNGH Transplant | N | ||
| Weight Loss | Local | General Information | Stafford_Gastric_Sleeve_Manual.pdf | Stafford Gastric Sleeve Manual.pdf | N | |||||
| Weight Loss | Local | General Information | SentaraWeightLossSurgeryCenter_walkingprogram_flyer.pdf | Weight Loss Surgery Ctr. Walking Program | 04/2020 Rev. | 1/1/2300 12:00 | Stacy Rounds | N | ||
| Weight Loss | Local | General Information | SCWLS_Medical_Intake_Form_FINAL.pdf | SCWLS Medical Intake Form | 04/2021 Rev. | 1/1/2300 12:00 | Julie A Suedmeyer-Buller/Marketing | N | ||
| Weight Loss | Local | General Information | 500347_BaritasticCard_4x9_CODE_3FINAL.pdf | Baritastic App Rack Card 4" x 9" | 05/2021 Rev. | Stacy Rounds | N | |||
| Weight Loss | Local | General Information | PATIENT_PLEDGE_2021_FINAL.pdf | SCWLS Bariatric Surgery Program Patient Pledge #2266 | 05/2021 Rev. | David Baldwin | N | |||
| Surgery/Anesthesia | pf.sentara.com | SMJOSC | SMJOSC_Anesthesiology_Procedure_Note_2057.pdf | SMJOSC Anesthesiology Procedure Note #2057 | 06/2021 Rev. | Ellen Winston | N | |||
| Transplant | pf.sentara.com | General Information | DocumentRetired.pdf | ***Retired 6/2021, per Kelli Carmichael*** Healthy Kidney Card #1119 | 06/2021 Rev. | 1/1/2300 12:00 | Document Retired - Per Kelly Carmichael / Peggy Bradshaw | N | ||
| Weight Loss | Local | General Information | MJH-BariatricCard-0119__003_.pdf | SMJH Weight Loss Action Plan - Pads of 100 | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: Kristen (Meehan) Collier | N | ||
| Weight Loss | Local | General Information | SCWLS_Post-Op_Journey_Opt_In_PRINT.pdf | SCWLS We Created Something Just For You! Flyer | 1/2020 Rev. | Julie Suedmeyer-Buller/David Baldwin | N | |||
| Weight Loss | Local | General Information | SentaraComprehensiveWeightLoss_8_5x5_5.pdf | Sentara Comprehensive Weight Loss (15% off) 8.5"x 5.5" Card | 12/2020 Rev. | 8.5" x 5.5" one sided card | Julie Suedmeyer-Buller/Joann Goodwin | N | ||
| Weight Loss | Local | General Information | Support_Group_2020_Flyer_PRINT.pdf | SCWLS Support For Success Flyer | 2020 Rev. | Julie Suedmeyer-Buller/David Baldwin | N | |||
| Weight Loss | Local | General Information | SentaraWeightLossSurgery-ServiceLineBrochure_PRINT.pdf | Sentara Weight Loss Surgery Brochure | 4/2019 Rev. | Accordion Fold | 1/1/2300 12:00 | Julie A Suedmeyer-Buller | N | |
| Weight Loss | Local | General Information | 500121_v2_DianaRoca_WLS_4x9_F.pdf | Sentara Weight Loss Surgery, Diana Roca, 4 x 9 Card | 4/2020 Rev. | 1/1/2300 12:00 | Helen Linton | N | ||
| Weight Loss | Local | General Information | WLC_8x9_Bifold_0519_B_FINAL.pdf | SNVMC Sentara Weight Loss Surgery Center Brochure | 5/2019 Rev. | 1/1/2300 12:00 | Helen Linton | N | ||
| Weight Loss | Local | General Information | SENT-1339-WeightLoss-Brochure_PRINT.pdf | Sentara Comprehensive Weight Loss Solutions Brochure | 6/2019 Rev. | 1/1/2300 12:00 | Julie A Suedmeyer-Buller | N | ||
| Weight Loss | Local | General Information | SentaraWeightLossSolutionsBooklet.pdf | Sentara Weight Loss Solutions Booklet | 6/2019 Rev. | Pocket Folder Cover Send to Professional Printing |
Julie Suedmeyer-Buller/David Baldwin | Professional Printing | N | |
| Weight Loss | Local | General Information | 500122_WLS_AccordionFold_16x9_M_FINAL.pdf | Sentara Weight Loss Surgery Center Brochure (Northern Virginia) | 6/2020 Rev. | Stacy Rounds | N | |||
| Weight Loss | Local | General Information | SENT-1671_SCWLS_Health_History_Form_PRINT.pdf | SCWLS New Patient Nutrition History and Assessment | 8/2019 Rev. | 1/1/2300 12:00 | Julie A Suedmeyer-Buller/Marketing | N | ||
| Weight Loss | Local | General Information | PersonalTrainingPRINT.pdf | SCWLS Personal Training Program Flyer | 8/2019 Rev. | 1/1/2300 12:00 | Julie A Suedmeyer-Buller/Marketing | N | ||
| Weight Loss | Local | General Information | SENT-1671_SCWLS_Psychosocial_Form_PRINT.pdf | SCWLS Psychosocial Background Questionnaire for Bariatric Surgery | 8/2019 Rev. | 1/1/2300 12:00 | Julie A Suedmeyer-Buller/Marketing | N | ||
| Weight Loss | Local | General Information | Seminar_Intake_Form_PRINT.pdf | SCWLS Seminar Intake Form | 8/2019 Rev. | 1/1/2300 12:00 | Julie A Suedmeyer-Buller/Marketing | N | ||
| Weight Loss | Local | General Information | Seminar_Questionnaire_PRINT.pdf | SCWLS Seminar Questionnaire | 8/2019 Rev. | 1/1/2300 12:00 | Julie A Suedmeyer-Buller/Marketing | N | ||
| Weight Loss | Local | General Information | MJH_BariatricCareHandbook_8_2020.pdf | SMJH Bariatric Care Center Patient Handbook | 8/2020 Rev. | 1/1/2300 12:00 | Kristen Collier | N | ||
| Work Related Tools | Local | Cards | Insulin_Dosing_Guidelines_for_Adult_Patients_with_COVID-19_on_Steroid_Therapy-imp.pdf | Insulin Dosing Guidelines For Adult Patients with COVID-19 #2137 | 11/2020 Rev. | 1/1/2300 12:00 | Process Owner: Dolores Torres/Unit Operations | N | ||
| Wound | Local | General Information | Sentara_Wound_Healing_Center_Patient_Brochure_Fillable2.pdf | Sentara Wound Healing Center Patient Brochure | Lisa Schulwolf, Marketing | N | ||||
| Wound | Local | General Information | WoundRuler_PRINTSETUP.pdf | Wound Measuring Ruler #2002, 50 rulers p/pad | Angela Corbett/Cathy Beck Systemwide Wound Team | N | ||||
| Wound | Local | General Information | WoundCare_Resource_Book_Contents_fullbook.pdf | Wound and Ostomy Care Resource Book (for Staff) #2212 | 02/2021 Rev. | one sided color, 3 hole punch | Martha Hammond | N | ||
| Wound | Local | General Information | PressureInjuryPreventionNursesandNursingCarePartners.pdf | Pressure Injury Prevention For Nurses and Nursing Care Partners #0674, 100 p/pad, Padded 100 p/pad | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: Cathy Beck | N | ||
| Wound | Local | General Information | PressureInjuryPreventionPatientsandCaregivers.pdf | Pressure Injury Prevention For Patients and Caregivers #0675, Padded 100 p/pad | 1/2019 Rev. | 1/1/2300 12:00 | Process Owner: Cathy Beck | N | ||
| Wound | Local | General Information | Sentara_Wound_Healing_Center_Direct_Mail_PRINT_FILLABLE.pdf | Sentara Wound Healing Center Direct Mail Piece | 10/2019 Rev. | Lisa Schulwolf | N | |||
| Wound | Local | General Information | 1851_06_Final_Sentara_Wound_Healing_Center_Wagner_Grading_Scale-Pocket_FILLABLE.pdf | Sentara Wound Healing Center Wagner Grading Scale - Pocket Card | 10/2019 Rev. | 4 up | Lisa Schulwolf, Marketing | N | ||
| Wound | Local | General Information | 1851_06_Final_Sentara_Wound_Healing_Center_Wagner_Grading_Scale-Poster_FILLABLE.pdf | Sentara Wound Healing Center Wagner Grading Scale Poster | 10/2019 Rev. | Lisa Schulwolf, Marketing | N | |||
| Wound | Local | General Information | Wound_Care_At_Home_Booklet.pdf | Wound Care at Home #1085 | 10/2019 Rev. | Page 1 and 2 is printed on cover, 2 sided in color, 3 hole paper, Binders need to be ordered and sent. | 1/1/2300 12:00 | Stephanie Ballengee/ Grace Little | N | |
| Wound | Local | General Information | 2018_SAMC_Wound_Healing_FAX_Blast__HiRes__wCrops.pdf | Sentara Wound Healing Center/Advanced Wound Care to Help Your Patients Heal | 11/2018 Rev. | 1/1/2300 12:00 | Process Owner: Lisa Schulwolf | N | ||
| Wound | Local | General Information | SENT-1966a_How_to_Prevent_Pressure_Injuries_PRINT.pdf | How to Prevent Pressure Injuries (bedsores) Brochure #0542 | 3/2020 Rev. | 1/1/2300 12:00 | Katelyn Mize/HAPI/Lisa Schulwolf | N | ||
| Wound | Local | General Information | SENT-1966a_How_to_Prevent_Pressure_Injuries_FINAL_Spanish_High_Resolution.pdf | How to Prevent Pressure Injuries (bedsores) Brochure #0542, SPANISH | 3/2020 Rev. | Katelyn Mize/HAPI/Lisa Schulwolf | N | |||
| Wound | Local | General Information | SentaraWoundHealingBrochure_Woodbridge_1109.pdf | SNVMC Sentara Wound Healing Center Physician Brochure #1109 | 5/2018 Rev. | SRMH Print Shop | 1/1/2300 12:00 | Stacy Rounds | N | |
| Wound | Local | General Information | 2018_SWL_Forms_0646.pdf | Sentara Wound Healing Center Intake Form #0646 | 5/2018 Rev. | 1/1/2300 12:00 | Helen Linton | N | ||
| Wound | Local | General Information | 2018_SWL_Forms_0645.pdf | Sentara Wound Healing Center Referral Form #0645 | 5/2018 Rev. | 1/1/2300 12:00 | Helen Linton | N | ||
| Wound | Local | General Information | 2048AWoundHealingPhysicianBrochureHR-print.pdf | UNDER REVIEW 9/2019 Sentara Wound Healing Center Physician Brochure (Hampton Roads) #1108 #1108 | 7/2016 Rev. | Lisa Schulwolf | N | |||
| Wound | Local | General Information | Wound_Healing_Center_brochure_SNVMC-WOU-304-SR-07-19.pdf | SNVMC Wound Healing Center Brochure | 7/2019 Rev. | 1/1/2300 12:00 | Stacy Rounds | N | ||
| Wound | Local | General Information | Wound_Healing_Center_rack_card.pdf | SNVMC Wound Healing Center Rack Card | 7/2019 Rev. | 1/1/2300 12:00 | Stacy Rounds | N | ||
| Wound | Local | General Information | Wound_Delayed_Radiation_Injury_Case_Study_Locations_1646.pdf | Wound Delayed Radiation Injury Case Study #1646 | 7/2021 Rev. | 1/1/2300 12:00 | Stacy Rounds/Brian York | N | ||
| Wound | Local | General Information | Wound_Osteoradionecrosis_1182.pdf | Wound Osteoradionecrosis #1182 | 7/2021 Rev. | 1/1/2300 12:00 | Stacy Rounds/Brian York | N | ||
| Wound | Local | General Information | 2018_Wound_Compromised_Flap_Graft_Case_Study_CROPS.pdf | Wound Compromised Flap Graft Case Study #1179 | 8/2018 Rev. | 1/1/2300 12:00 | Stacy Rounds/Brian York | N | ||
| Wound | Local | General Information | 2018_Wound_Hyperbaric_Oxygen_Rad_Therapy_CROPS.pdf | Wound Hyperbaric Oxygen Rad. Therapy #1181 | 8/2018 Rev. | 1/1/2300 12:00 | Stacy Rounds/Brian York | N | ||
| Wound | Local | General Information | 2018_Wound_Lower_Extremity_Diabetic_HBO_CROPS.pdf | Wound Lower Extremity Diabetic HBO #1180 | 8/2018 Rev. | 1/1/2300 12:00 | Stacy Rounds/Brian York | N | ||
| Wound | Local | General Information | 2018_Wound_Pyoderma_Gangrenosum_CROPS.pdf | Wound Pyoderma Gangrenosum #1647 | 8/2018 Rev. | 1/1/2300 12:00 | Stacy Rounds/Brian York | N | ||
| Wound | Local | General Information | 2018_Wound_Radiation_Necrosis_Soft_Tissue_Case_Study_69_Yr_Female_CROPS.pdf | Wound Radiation Necrosis Soft Tissue Case Study #1178 | 8/2018 Rev. | 1/1/2300 12:00 | Stacy Round/Brian York | N | ||
| Wound | Local | General Information | 2018_Wound_Radiation_Tissue_Damage_CROPS.pdf | Wound Radiation Tissue Damage #1648 | 8/2018 Rev. | 1/1/2300 12:00 | Stacy Rounds/Brian York | N | ||
| Wound | Local | General Information | 2018_Wound_Soft_Tissue_Radionecrosis_Case_Study_47_Year_Male_CROPS.pdf | Wound Soft Tissue Radionecrosis Case Study #1649 | 8/2018 Rev. | 1/1/2300 12:00 | Stacy Rounds/Brian York | N | ||
| Wound | Local | General Information | SkinSheriffProjectSPAH_2ptWY.pdf | SPAH Skin Sheriff Project Slip #0511 | 8/2019 Rev. | 1/1/2300 12:00 | Joann Pascua-Colasito/SPAH ICU Manager | N | ||
| default | Local | General Information | WebCRDAdministrator_TA.pdf | WebCRD Administrator Task Aid | 1/1/2300 12:00 | N | ||||
| default | Local | General Information | WebCRDManagingCatalogs_TA.pdf | WebCRD Managing Catalogs Task Aid | 1/1/2300 12:00 | N | ||||
| default | Local | General Information | WebCRDPlacingOrders_TA.pdf | WebCRD Placing Orders Task Aid | 1/1/2300 12:00 | N | ||||
| default | Local | General Information | WebCRDWorkingWithProduction_TA.pdf | WebCRD Working With Production Task Aid | 1/1/2300 12:00 | N | ||||