Hospitals and clinics

Admitted to emergency Last name ______________ First name ___________ Date hour ____ Emergency personnel initials: Colour:...

Intrathecal Use Only - Intrathecal Use Only Colour: Black/Neon green Quantity: 1000 labels per roll Size: 2 x 3/4 in.

Epidural / Epidural Colour: Black/Neon Pink Quantity: 500 labels per roll Size: 2 x 3/4 in.

Verification done By : ________ Date : _______ Color: Red / White Quantity: 500 labels per roll Size: 2 x 3/4 in.

Formalin 10% Buffered - Precautions (WHMIS) Colour: Black and red/White Quantity: 500 labels per roll Size: 2 x 3/4 in.

Personal effects under lock and key Do not forget to give them back when the patient leaves Admitted to emergency Date hour :...