Hospital Notification Forms




MAY 22.] THE NEW ZEALAND GAZETTE. 1279

[Form 2.

NOTIFICATION OF ABORTION OR MISCARRIAGE.

Name of Hospital: .
Address: .
Date: .

The Medical Officer of Health, ,—
I HEREBY notify you that , of , was admitted to this licensed hospital on , for the after-treatment of abortion [miscarriage]. The name of the medical practitioner attending the patient is .

………………
Licensee or Manager.

——

[Form 3.

NOTICE OF A PATIENT BECOMING MENTALLY DEFECTIVE.

Name of Hospital: .
Address: .
Date: .

The Medical Officer of Health, ,—
I HEREBY notify you that , of , a patient at this licensed hospital, became mentally defective on , and has been removed to . The name of the medical practitioner attending the patient is .

………………
Licensee or Manager.

——

[Form 4.

NOTIFICATION OF A CASE IN WHICH TEMPERATURE IS ABNORMAL.

Name of Hospital: .
Address: .
Date: .

The Medical Officer of Health, ,—
I HEREBY notify you that , of , a patient at this licensed maternity hospital, has had a temperature of 100° F. or over during three days of the puerperium as follows: .
The name of the medical practitioner attending the patient is .

………………
Licensee or Manager.

——

[Form 5.

NOTIFICATION OF TRANSFER OF A PATIENT.

Name of Hospital: .
Address: .
Date: .

The Medical Officer of Health, ,—
I HEREBY notify you that , of , a patient at this hospital, died on [was transferred to on for further treatment].

………………
Licensee or Manager.

——

THIRD SCHEDULE.

DISINFECTION OF ROOM AND EQUIPMENT SUBSEQUENT TO REMOVAL OF A WOMAN PRESENTING SYMPTOMS OF MORBIDITY.

  1. The bed-clothes—
    (a.) Sheets, pillow-slips, and other washable articles, except blankets, shall be steeped in a solution of reliable disinfectant for at least one hour, then washed and boiled.
    (b.) Blankets shall be steeped in a solution of reliable disinfectant for at least one hour, then washed in the ordinary way.
    (c.) By reliable disinfectant is meant a solution of—Carbolic acid, 1 to 50; izal, 1 to 100; lysol, 1 to 100: or such other solutions as the Medical Officer of Health may approve.

  2. Vessels and utensils—Vessels and utensils shall be sterilized by boiling in water for at least twenty minutes.

  3. Mattresses—
    (a.) Where the ticking is clean and in good repair, the method of surface disinfection of the mattress by formaldehyde or



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Online Sources for this page:

VUW Te Waharoa PDF NZ Gazette 1924, No 35


NZLII PDF NZ Gazette 1924, No 35





✨ LLM interpretation of page content

🏥 Application Form for Private Hospital License (continued from previous page)

🏥 Health & Social Welfare
License, Private Hospital, Application, Hospitals and Charitable Institutions Act

🏥 Notification of Abortion or Miscarriage Form

🏥 Health & Social Welfare
Abortion, Miscarriage, Hospital Notification, Medical Officer of Health

🏥 Notice of a Patient Becoming Mentally Defective Form

🏥 Health & Social Welfare
Mental Defect, Hospital Notification, Medical Officer of Health

🏥 Notification of Abnormal Temperature Case Form

🏥 Health & Social Welfare
Abnormal Temperature, Maternity Hospital, Medical Officer of Health

🏥 Notification of Transfer of a Patient Form

🏥 Health & Social Welfare
Patient Transfer, Hospital Notification, Medical Officer of Health

🏥 Disinfection Procedures for Hospital Rooms

🏥 Health & Social Welfare
Disinfection, Hospital Equipment, Medical Officer of Health