Daily Care Notes

• Resident

  Select Jason Butler Oliver Boulden Alistair Jackson Joshua Mackenzie-Kerr Luke Donovan-Dolan Hezron Allen Nathan Prilgrim

  • Jason Butler
  • Oliver Boulden
  • Alistair Jackson
  • Joshua Mackenzie-Kerr
  • Luke Donovan-Dolan
  • Hezron Allen
  • Nathan Prilgrim

• Date

  Date

• Social Leave

  Yes

  No

• Shift

  AM

  PM

• What did I have for Breakfast

• What did I have for lunch

• What did I have for dinner

• What did I have to drink

• Snack

Personal Care

• Did I have a Bath/Shower

  Yes

  NO

• Did I wash my hair

  Yes

  NO

• Did I brush my teeth

  Yes

  NO

Medication

• Did I take my medication

  Yes

  No

  N/A

• Did I Require PRN

  Yes

  No

  N/A

• Reason for PRN

• Did I require a medical visit

  Yes

  No

Activity

• What did I do today

• Activity tracker completed

  Yes

  No

Behaviour

• Did I have an incident today

  Yes

  No

• Forms Completed

  F&S

  Body Map

  ABC

  IRIS

Health

• Is my epilepsy monitored

  Yes

  No

• Did I have a seizure today

  Yes

  No

• Was my epilepsy folder completed

  Yes

  No

• Are my bowel movements monitored

  Yes

  No

• Type

  Select 1 2 3 4

  • 1
  • 2
  • 3
  • 4

• Did I show signs of discomfort

  Yes

  NO

Family Contact

• Did I see my family or advocate today

  Yes

  No

• Did I have contact with my family or advocate today

  Yes

  No

• Who

  Select Mum Dad Sibling Advocate Other relations

  • Mum
  • Dad
  • Sibling
  • Advocate
  • Other relations

Completed by

• Staff member