Monoclonal Antibody Therapy Toolkit and Other COVID-19 Therapeutics

Monoclonal Antibody Therapy Toolkit

Consents

INFORMED CONSENT: Bamlanivimab Plus Etesevimab Treatment in cases of COVID-19

INFORMED CONSENT: Casirivimab & Imdevimab Treatment in cases of COVID-19

Drug Order Forms

Bamlanivimab Plus Etesevimab Infusion Order

Casirivimab & Imdevimab Infusion Order

Patient Fact Sheet

Bamlanivimab Plus Etesevimab Fact Sheet for Patients – English

Bamlanivimab Plus Etesevimab Fact Sheet for Patients – Spanish

Casirivimab Imdevimab Fact Sheet for Patients

Intake

Monoclonal Therapy Intake Form

MD Communication

Provider Scripting for Monoclonal Antibody Treatment for COVID 19

Cover Letter for Referring Providers

Exclusionary and Inclusion Criteria 

Nursing Forms

Infusion Day Checklist

Casirivimab Imdevimab Discharge Instructions

COVID-19 Treatment Infusion RN Patient Follow up Call

Workflow Documents

Monoclonal Antibody GFMG/ED/WF

Outpatient Monoclonal Antibody Workflow

Overall Workflow for Outpatient Monoclonal Antibody Infusion for COVID Positive Patients

Other COVID-19 Therapeutics

COVID-19 Therapeutics