[PDF] Family name: First name: Health card number: Birthdate: Sex: Male

Newborns at Risk of Wrong-Patient Errors

During childbirth, one patient, the mother, becomes two or more patients, the mother and her newborn infant(s).2 Because newborn identification is a priority immediately after birth, hospitals and birthing centers typically utilize a newborn naming convention that assigns a temporary, nondistinct first name, such as Babyboy/Babygirl, Boy/Girl, or B...

Wrong-Patient Error Types

These unique conditions with the newborn patient population have been a major contributing factor to a wide range of reported wrong-patient errors, including medication errors; misfeedings of breastmilk; wrong person surgery, procedures, and diagnostic tests; order entry and documentation errors; misidentification of diagnostic results; and infants...

The Joint Commission

In 2015, TJC published a Quick Safety advisory about the risk of wrong-patient errors when using temporary, nondistinct newborn names.6 In the advisory, TJC offered several recommendations, including using a more distinct temporary newborn naming convention, and switching to the child’s given name as soon as it has been decided by the parents. Afte...

Errors Since Using The TJC Newborn Naming Convention Example

Since the new NPSG EP related to newborn naming was adopted by TJC, ISMP has received several reports of errors from hospitals that have implemented this change, along with concerns that TJC newborn naming convention example makes the mother’s and newborn’s names too similar. Most of these reported mix-ups have been between the mother and newborn, ...

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What should a patient's last name be on a health insurance card?

First name/given name: this should be the patient’s legal name as it appears on their insurance card. Last name/surname: Generational titles such as Jr, Sr, III are considered part of the last name, and should be included in this field. Suffix – Should be used to indicate educational degrees and accreditation.

What is the difference between a patient name and a legal name?

Patient name includes a set of words by which a person is known, i.e. First, Middle, and Last or Family Name. A legal name identifies a person for administrative and other official purposes, like insurance payments. It is generally the name that appears on a person’s birth certificate but may change over time, as individuals adopt nicknames.

How do I capture a patient's first name?

When a patient’s first name is an initial DO capture just the initial in the first name field and use the Middle name field for a full name. DO capture the patient’s preferred name, if she/he has one. DO include a suffix, such as Sr, Jr, II, etc. in the Last Name field.

How do I record a patient's middle name?

DO ask the patient for their middle name and record at least his/her middle initial if they have one. When a patient’s first name is an initial DO capture just the initial in the first name field and use the Middle name field for a full name. DO capture the patient’s preferred name, if she/he has one.

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Saskatchewan Health Services Card - Change of Information or

Address Details. My Health Card number is: My last name is: My first name(s) is: My middle name(s) is: My birth date is: YYYY–MM–DD. My sex is: Male.



Change of Information

Health Card. If you are correcting/changing your name sex



UNITED STATES TRAVELER HEALTH DECLARATION

Regulations Section 71.20 and is being collected as part of the public health response to a new coronavirus first identified in China.



Saskatchewan Health Services Card - Change of Address or

My Health Card number is: My last name is: My first name(s) is: My middle name(s) is: My birth date is: YYYY–MM–DD. My sex is: Male. Female. My marital.



Saskatchewan Health Services Card - Notification of an Updated

Address Details. My Health Card number is: My last name is: My first name(s) is: My middle name(s) is: My birth date is: YYYY–MM–DD. My sex is: Male.



Saskatchewan Health Services Card - Change to Family Unit - Feb

My Health Card number is: My last name is: My first name(s) is: My middle name(s) is: My birth date is: YYYY–MM–DD. My sex is: Male. Female. My marital.



Untitled

Masculin/Male parentale/du tuteur légal / In the case of minors: Surname first name



French overseas territories Visa application form

Sex : Male Female. 9. Marital status : Single Married Separated Divorced Widow(er). Other (please specify). 10. In the case of minors: Surname first name



Saskatchewan Health Services Card Application

When will I be eligible? A person's benefits may begin on different dates depending on circumstances and documentation submitted. Can I register all family 



Saskatchewan Health Services Card - Notification of Extended

My Health Card number is: My last name is: My first name(s) is: My middle name(s) is: My birth date is: YYYY–MM–DD. My sex is: Male. Female. My marital.



First Name: Birthdate: / / Sex: Female Male Medicaid CIN

Healthy Together SDOH Screening Tool Adapted from Health Leads / Rev 10/01/20 This screening tool is used to support you with your health goals Your responses will not affect your benefits and services and should not be completed if you filled one out in the last 6 months First Name: _____



CHILD’S FIRST NAME BIRTHDATE SEX INITIAL - pedsalexcom

PATIENT REGISTRATION Updated Information Applies to All Children CHILD’S FIRST NAME LAST NAME MIDDLE INITIAL BIRTHDATE SEX PATIENT PORTAL: Email For our Patient Portal (only one) Insurance Information – Insurance info and copy of insurance cards needed to file for benefits Primary Insurance: