Title Page
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Select the site
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Prepared by
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Conducted on
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Location
Mobile Duress Tag Audit
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Mobile Duress Tag Audit. This audit can be completed across multiple departments of the site add each department and
Unit or Department
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Date and time on site
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Please select the unit or department
- Emergency Department (ED)
- Surgical Ward
- Medical Ward
- General Ward
- Community Health
- Community Mental Health Drug and Alcohol
- Reception/ admin staff
- Mental Health Inpatient Unit
- Health and Security Assistant (HASA)
- Other
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What unit or department is being audited?
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It is mandatory for all staff working in the ED to wear a duress tag. You must ask staff to put a duress tag on.
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It is mandatory for all HASA staff to wear a duress tag. You must ask staff to put a duress tag on.
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Does the unit or department have mobile duress tag available?
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Are there sufficient duress tags available for on duty staff?
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How many tags are required?
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Total number of duress tags available
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Continue audit in a different department or unit
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Continue audit in a different department or unit
Personal Mobile Duress Audit
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Staff Member Name
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Staff Member Role/Title
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Are you wearing a Mobile Duress Tag?
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Why?
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Can you please put one on now?
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Confirm the staff member put on the tag
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Confirm the staff member put one on and signed it out
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Why
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Did you Test the duress tag before signing it out?
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Why?
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What is the name or Number of your duress tag
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Additional Comments
