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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Staff Interview
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program site, name, position, number of years at the facility
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Describe your role on the treatment team
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What other activities are you invovled with (ie QI functions)
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Please describe how you would perform your role during restraint or seclusion
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What types of training have you received in the last year
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Did you receive training specific to your facility
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How are staff complaints handled
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Any other information or concerns to be shared