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Weekend sign out template

Call Cases
Any procedures or GJs completed – please include name, MRN and procedure. If inpatient that is staying on our list, please add to Dock Health.
 
Consults
Please include name, MRN, brief history, and consult.
If the patient is likely going to be added for a procedure, please us the template below
Patient (age)
MR#
Diagnosis:
Procedure:
Attending:
Approved by:
Anesthesia or local:
If GA time added:
NPO status:
HCG:
Guardian available for consent:
Other: (inpatient, fluid orders, relevant allergies, etc.)
 
Inpatients
Please update Dock Health with outputs over the weekend. Please include any significant changes/concerns in weekend sign-out as well.
 
Care Coordination
Please use for any patients that require f/u phone calls or care coordination. 

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Copyright © Pediatric IR Handbook 2025
  • Home
  • Procedures
  • Protocols
  • Online Library
    • Pediatric IR Papers
    • Presentations and Webinars
    • IR Equipment and IFU
  • BCH IR Fellows Homepage
    • Essentials
  • List of Journals for Submission
  • Phone Directory
  • About Us
  • New Page