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Non-Clinical Disaster Resource Pool - Request for Assistance
Non-Clinical Disaster Resource Pool
Date of Submission
Name
Contact Information (phone and email)
Facility
Baptist Medical Center (NW Expressway)
Portland Ave.
Southwest Medical Center
Edmond
Canadian Valley
Bass Baptist Medical Center
Miami
Grove
Unit
Does this unit care for COVID patients?
Yes
No
Varies
Which tasks/jobs do you need assistance with? (Select all that apply)
Transporting patients
Patient sitter (non-suicidal patients)
Patient sitter (potentially suicidal patients)
Family/loved one support
Unit Assistant (answer phone, answer call lights, etc.)
Unit Support Duties (making coffee, empty trash, stock food and supplies)
Discharge patients to their car
Passing food trays
Feeding patients
Room cleaning
Runner (deliver supplies and equipment)
Getting patients up to a chair/back to bed
Assisting patients to the bathroom
Please list request details below (date and time needed, number of people needed, etc.)
