Osteoporosis Canada - Fracture Liaison Service
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Appendix J

Appendix J

The documents below are provided in order to help assist any health care facility in the establishment of an FLS. These documents are in Word format so that they can be easily used as templates that can be modified to suit the individual needs of any health care facility spearheading an FLS program.

  1. Program logic for St. Michael’s Hospital Fragility Fracture/Osteoporosis Exemplary Care Program (OECP)
  2. Sample Medical Directive for an FLS Coordinator (RN)
  3. Example of a Care Directive: Policy Template (nshealth.ca)
  4. Sample job posting for an FLS Coordinator (NP)
  5. Sample job posting for an FLS Coordinator (RN)
  6. Sample job description FLS Coordinator (NP)
  7. Sample job description FLS Coordinator (RN)
  8. Sample checklist for FLS Coordinator
  9. Initial information letter for the fracture patient from St. Michael’s Hospital
  10. Initial bone health recommendations for fracture patient from St. Michael’s Hospital
  11. Baseline patient questionnaire (includes some research related questions) from St. Michael’s Hospital
  12. Six month follow‐up questionnaire (includes some research related questions) for patients previously diagnosed with osteoporosis from St. Michael’s Hospital
  13. Six month follow‐up questionnaire (includes some research related questions) for patients not previously diagnosed and treated for osteoporosis from St. Michael’s Hospital
NOTE: If the documents do not download promptly, try right-clicking on your desired document and choose to open it in a new window.
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