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Attachment B: <br /> Management of Change - Emergency Codes, Medical Codes and Alerts <br /> Change/Addition Request Form <br /> Change Re uestor: Click here to enter text. Date: Click here to enter text. <br /> System Stakeholder Group: Click here to enter text. <br /> Type: ❑ Emergency Code ❑ Medical Code ❑ Medical Alert <br /> Type of Change: ❑ New ❑ Revision <br /> REQUEST DETAILS <br /> Current or Suggested Title/Name of Code or Alert: Click Dere to enter text. <br /> Current Wording of Code or Alert: ❑N/A <br /> Click here to enter text. <br /> Proposed Wording/Proposed Change: <br /> Click here to enter text. <br /> Reason for Change: <br /> ❑ New Law/ Regulation ❑ Response to Audit or Litigation ❑ Improve Operational Effectiveness <br /> ❑ Senior Leadership Recommendation <br /> ❑ Other: Click here to enter text. <br /> List any other stakeholders groups this change has been socialized with beyond <br /> aforementioned: <br /> Click here to enter text. <br /> Impact of Change: <br /> Click here to enter text. <br /> Risk of not implementing change: <br /> Click here to enter text. <br /> Submit for consideration to SHEMS Preparedness Planning Team via <br /> Tracy Robles: Tracy.RoblesCcDsutterhealth.org orlRManagment(cDsutterhealth.org <br /> (01529403 v.21 <br />