Evaluation tools

Work Evaluation Form

This form should be provided to the treating physician at every visit to provide the employer with a current work status of...

Guidelines/Recommendations

Workers' Compensation Guide

This guide features an overview of workers’ compensation and what steps you should take as the employer of an injured...

Screening Tools

SIB Knowledge Questionnaire

This form is required by the Office of Workers’ Compensation within 10 days of the incident. Similar to the Employee...

Assessment tools

Employee Interview Form

This form assists the employer in documenting vital information as it relates to the employee’s injury. With questions...

Assessment tools

First Report of Injury or Illness (FROI) Form

This form is required by the Office of Workers’ Compensation within 10 days of the incident. Similar to the Employee...

Screening Tools

HSLI First Fill Pharmacy Card

The Candence RX Pharmacy Card is provided to each injured worker for the convenience of obtaining prescriptions related to...

Screening Tools

1020 Form: Employee Monthly Report of Earnings

This form is required by all employees receiving workers’ compensation benefits in the state of Louisiana for...

Guidelines/Recommendations

Eliminating Racial and Ethnic Disparities Causing Maternal Death

The Joint Commission's recent Sentinel Event Alert discusses the elimination of racial and ethnic disparities causing...

Guidelines/Recommendations

Mental Health Conditions Leading Cause of Pregnancy-Related Deaths

The Joint Commission's Quick Safety Newsletter: Issue 67, discusses how mental health conditions are the leading cause of...

Assessment tools

SBAR Tool

AWHONN has adapted the SBAR tool to promote respectful and inclusive patient communication and care.

Assessment tools

Safe Lifting Checklist for EVS

The Environmental Services department is exposed to many hazards related to lifting. This risk assessment is designed for...

Assessment tools

Patient Handling and Mobility Assessments: A White Paper

A comprehensive white paper to address Safe Patient Handling and Mobility from the perspective of technology, physical...

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