EMIS Web end of life care templates
EMIS Web end of life care templates
All the tempales are included in one zip file below.
Clinical Template:
- End of Life EPaccs Template
Referral Forms:
- DNACPR Decision Form
- E&N Herts Specialist Palliative Care Referral
- Message in Bottle Forms
- Palliative Just In Case Breakthrough Medication
- Palliative Just In Case Syringe Driver Medication
- Preferred Priorities for Care
- Post Death Audit Tool
Summary/Handover form:
- End of Life Summary (Pathway View)
If you have any problems or questions about these templates, please email enhccg.localities1@nhs.net
End of Life
- Doc A - Phase of Illness
- Doc B - Australian Karnofsky Performance Scale
- Doc C - Palliative Care Outcome Scale
- Doc D - Views on Care
- Doc E - Views on Care
- Doc F - The Zarit Carer Interview
- Doc G - Additional Carer Questions
| Attachment | Size |
|---|---|
 EMIS web document protection & Word 2010 troubleshooting guide | 356.83 KB |
 EOLC participating pharmacy details 2016 | 12.52 KB |
 End of life templates zip file | 672 KB |
Last modified:
16 Aug 2016