This is my hospital communication passport:
Name: ________________
** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
This booklet contains information that nurses, doctors and healthcare workers may need to communicate with me and to help me.
Made by Stacey Braddish - contact: [email protected] with any questions about communication passports
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
Parent/Guardian’s Name : ______________________________________
Parent/Guardian’s Number : _____________________________________
Home address: _________________________________________________
GP Name: _____________________________________________________
GP Address: ___________________________________________________
Other professionals caring for me: ______________________________
_______________________________________________________________
_______________________________________________________________
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passportsFor people with learning disabilities coming to hospital
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This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Name:
Nickname:
Date of Birth:
Age:
Guardian’s phone number:
Address:
How I communicate:
Family/friends/care:
How I like to be greeted:
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
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Made by Stacey Braddish - contact: [email protected] with any questions about communication passports
This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Name: ____________________Allergies: _______________________________________________________
Medications: ___________________________________________________________________________________________________________________
Medical interventions: (How to take my blood / how I take medications etc):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
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Made by Stacey Braddish - contact: [email protected] with any questions about communication passports
This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Name: ____________________ Medical interventions continued: (How to take my blood etc):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
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Made by Stacey Braddish - contact: [email protected] with any questions about communication passports
Made by Stacey Braddish - contact: [email protected] with any questions about communication passports
This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Heart problems?
Breathing problems?
Choking Risk?
How I use the toilet:
How I eat:
How I drink:
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This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Likes:
Dislikes:
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
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This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
References:Images from:- VIDATAK- Board Maker- Widget health
Hospital communication passport by Stacey Braddish - [email protected] my brother Synan
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This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
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This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
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This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
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This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
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This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
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This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports
References:Images from:- VIDATAK- Board Maker- Widget health
Hospital communication passport by Stacey Braddish - [email protected] my brother Synan
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