Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Patient received orientation to care?<br>
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Assistance-patient receiving when needed?<br>
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Call Light--patient understands our response to date
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Pain--are we doing everything possible to control pain?
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Possessions--patient has everything when requests help
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Bathing--Patient has had opportunity to bathe regularly?
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Patient feels fully heard, good listening
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Communication has been clear and respectful
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Service Recovery--was it needed?<br>
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Comments