Burnaby Hospital Iron Infusion Order 2020

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  • Create Date March 12, 2020
  • Last Updated August 13, 2025

Burnaby Hospital Iron Infusion Order 2020

How to Import an e-Form

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Burnaby Medical Day Care Fe Infusion - adapted from ERAS @ RCH, John Yap.

Requires measurements HB (hemoglobin) and Fer (Ferritin) to be available/created; and mapped.

Updated with signature stamp, incorporated FHA PPO and order page, V6_May15_2025

V7 removes FHA references, recently an issue at Burnaby site. Allows for additional info via Pt Summary format.  Last page is optional and can be set to Not Print.

Attached Files and Latest Versions

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Burnaby_MDC_Iron_Infusion_Request_V7_Jul17_2025.zipDownload