Page 126 - eBOOK VERSION 8 BOOK 2 of 2 JUL 2022
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STANDARD OPERATING PROCEDURE Research Administration SOP No: A013 SOP Title: Service Order Worksheet (SOW)
Other SOA Charges:
Study requires the following:
Venipuncture Place Needle in Vein (i.e. Heplock) Draw Blood off of Venous Device (PICC, IV)
SOA Bundle Charges:
Study requires the following bundles:
PIV Infusion Bundle IVAD Infusion Bundle Lab Blood Draw Supply Bundle
MOD SOA Additional Information:
Has IDS initiation been paid? Yes or No (circle one) If no, has this been invoiced and when was it invoiced_______________________________________________
Is a re-review by IDS needed (i.e. changes in Vestigo report of charges)
Are there any other services, medical supplies, medications, etc. that the study is currently incurring charges on that needs to be added to the MOD SOA? _____________________________________________________________________________
Additional Notes:
