Spreadsheet: 6a3e92d4-bbd4-45f8-87c7-58dda95f007b
Sheet: Sheet1

Exposure | Hpzone | Date | Time of call | Source of Call | Caller Title | Caller Firstname | Caller surname | Caller Organisation | Caller Phone No | Caller Alt Number | CallerPostcode | Patient Surname | Patient Firstname | Patient DOB | Patient NHS no | Patient Phone No | Patient Alt Phone No | Relevant medical history | Previous vaccination history | Date of exposure | Vaccination Status | Country | Country risk | Species of animal | Species risk | Site of exposure | Exposure risk | Additional Information | Treatment based on risk assessment | Treatment already given HRIG | No vaccine doses | TypeofVaccine | Details of previous treatment | [NAME] required | No doses | If not d0 start UK schedule at | Immunoglobulin required | Weight of patient (kg) | Dose of immunoglobulin (IU) | Volume of immunologlobulin | No of vials required | How soon should treatment be started | Additional advice | Duty doctor performing risk assessment | VRD consultant name | AuditDate | GMC number | Signature | Comment | Issue from CFI | Issue from other issuing centre | Other Centre | PatientFirstname2 | PatientSurname2 | PatientPhoneNumber2 | PatientAltNumber2 | PatientDOB2 | PatientNHSnumber2 | PatientAddress2 | PatientZip | Name of Recipient2 | Department | Delivery Address | DeliveryPostcode | DeliveryAddress confirmed | Issue from CFI2 | Issue from another centre2 | Other Centre2 | Immunoglobulin Issue (vials) | IgBatchno | IgManufacturer | IgExpirydate | VaccineissueVials | VaccineBatchNo | VaccineManufacturer | VaccienExpiryDate | Methodsent | DateSent | PackedBy | CheckedVaccineNo | CheckNoIg | CopyofFormEnclosed | AddressCorrect | RefrigerationLabelAttached | ReturnAddressLabelAttached | Notes | FileName | CurrentHRIGpotency | VRD Ref No | Caller Name | HRIGlot_no | HRIGvol1 | HRIGpotency | HRIGvol2 | Doses_vacc_required | Vials of HRIG required | Is this a split issue? | How many issues? | More_than_2linked_formNo | MovNumber | CustomerVerified | Issue2fromColindale(#2) | Issue2fromOtherIssuingCentre(#2) | MovNumber(#2) | NameOfRecipient(#2) | TelephoneNumber(#2) | Department(#2) | DeliveryAddress(#2) | DeliveryPostCode(#2) | CustomerVerified(#2) | Immunoglobulin Issue (vials)(#2) | IgBatchno(#2) | IgManufacturer(#2) | IgExpirydate(#2) | VaccineissueVials(#2) | VaccineBatchNo(#2) | VaccineManufacturer(#2) | VaccienExpiryDate(#2) | Methodsent(#2) | DateSent(#2) | PackedBy(#2) | CheckedVaccineNo(#2) | CheckNoIg(#2) | CopyofFormEnclosed(#2) | AddressCorrect(#2) | RefrigerationLabelAttached(#2) | ReturnAddressLabelAttached(#2) | Notes(#2) | VERSION
POST | 0 | dd/mm/yyyy | hh:[NAME] | 0 | Title |  |  | Enter organisation | Phone number | Phone number | Post code | Surname | Firstname | dd/mm/yyyy | 0 | Phone number | Phone number | Click here to enter text. | Click here to enter text. [NAME] to get a new line | dd/mm/yyyy | Choose an item. | Choose from list |  | Choose an item. | Other | Enter site | Choose an item. | 0 | Choose an item. | 0 | 0 | Choose from list | 0 | 0 | 0 | 0 |  | 0 | 0 |  |  | Choose from list | 0 | Enter name | 0 | 00:00:00 |  | 0 | Comment |  |  |  | Enter department | 0 | 0 | 0 | Delivery address | 0 | Enter patient's address [NAME] to get a new line | Post code | Title and name | Enter department | Delivery address | 0 |  | 0 | Which centre? |  | 0 | Choose from list |  |  | 0 | Choose from List |  |  | Choose an item | dd/mm/yyyy | [NAME] name |  |  |  |  |  |  | 0 | G:\Zoonoses\Rabies\clinical service\[IMW 115 Rabies Post Exposure Form and Calender v1.1.xls]Rabies form |  | 0 | Name | Not known |  |  |  | 0 |  | 0 | 0 | 0 | 0 | 0 | 0 | Which centre? | 0 | Title and name |  | Enter department | Delivery address | 0 | 0 | 0 | Choose from list |  |  | 0 | Choose from List |  |  | Choose an item | dd/mm/yyyy | [NAME] name |  |  |  |  |  |  | 0 | POST 21 JAN 2013