Title Page
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Site conducted
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Conducted on
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Location
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Shift Coordinatoror
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Staff on Night shift- Kindly List names below
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Have all staff Conducted Lateral Flow Test?
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Staff Name
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Results with evidence
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Report this to Shift Coordinator right away
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Upload Evidence
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Staff Name
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Results with evidence
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Report this to Shift Coordinator right away
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Upload Evidence
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Staff Name
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Results with evidence
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Report this to Shift Coordinator right away
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Upload Evidence
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Please List Devices present with their accessories e.g. Laptop and Charger, Tablet and Charger etc.
Tasks
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Staff responsible for administration of medication.
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Staff allocated to Environmental Cleaning and general checks.
Allocation of Service Users' Daily Notes and Checks (20-minute slots per 6 hours)
- Service User
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Initial of service user
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Staff allocated to completing service user's daily notes
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Are window restrictors in place in the Service user's room?
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Kindly escalate this to the Shift Coordinator via Phone Call and Email immediately
Medication Counts
- Service User
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Initial of service user
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List of medications counted with the amount left after count
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Is any Medication low?
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Has the shift coordinator been notified?
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State who this was escalated to
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State reason
Checklist (To be completed at the end of the shift with Handover staff)
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Notes Completed?
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Incident Forms/ABC Charts completed?
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MAR Charts filled correctly?
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Have all general areas been cleaned and appear neat and tidy?
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Kindly ensure that all general areas are clean, tidy and kept up to standard before the end of the shift.
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Kindly ensure that all general areas are clean, tidy and kept up to standard before the end of the shift.
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All Window Restrictors have been checked and they are safe?
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Kindly escalate this to the Shift Coordinator via Phone Call and Email immediately
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BSM/BGM recorded at Night?
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Has this been sent over to audit@icgrp.co.uk
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Has all bins bag being taken out for pick up on designated day based on location?
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State reason why
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Please List Devices present with their accessories e.g. Laptop and Charger, Tablet and Charger etc.
Sign Off
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Staff coordinating House (Staff Initials)
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Staff receiving Handover (Staff Initials)
