Daily Entry Record Main Menu Staff Menu Staff ABC Record Chart Behaviour Monitoring Chart Complaints Record (Part A) Daily Entry Record Falls Checklist Hospital Passport Incident Report Medication Incident Operational Risk Assessment Positive behavior Support Support Plan Seizure Report Witness Statement Logout Step 1 of 5 20% STAFF NAME ON SHIFT:Jef ChumaPriscilla ChumaEsther DhliwayoIsabel DhliwayoBridget MuindisiTanyaradzwa MatamisaFrank ChatyokaSihle MazorodzePamela GarikaiEnock Takura MaborekeEdzai JongaNdaba NdlovuClotilda MashonganyikaPraise VusheNicole MusemwaDorothy RungangaSipambaniso DubeTanyaradzwa BhaseraTinashe MushuroEver NaggoSimbarashe DhliwayoPortia KadenheClarence MunemoMirriam ChakwezaCaroline PfendeIsheanesu NgaraEunice NgaraEvangeline DhliwayoIsaac EngmannFarai NdoroAmanda Bright-ThickettJane CaldecottNneka ChukwudiKyra EllisFracky Lai ka WingEdward BezzinaKam Wing LeungCourteney StewartDate DD slash MM slash YYYY Service User's Name:JoshuaDamianMatthewZakKasimRoom Number: Date Of Birth: Day Month Year Please select on (Yes) or (No); With Full Details Service User's Time Wake Up (Independently/ Prompting) Yes No Full Details: Service User's Personal Care and Hygene Care (Independently/ Prompting/ Physical Support) Yes No Full Details: Service User's Breakfast, Lunch, Dinner, Snack (Independently/ Prompting/ Physical Support) Yes No Full Details: Service User's Medication Compliance on time Yes No Full Details: PRN Medication Requested During The Shift (In Details Please) (Reason – Time – Date – Complete The Form – Observation) Service User's Temperature Checked, daily recording observations (Covid 19) Yes No Full Details: Service User's Fluids (Independently/ Prompting/ Physical Support) Yes No Full Details: Service User's Room Cleaning (Independently/ Prompting/ Physical Support) Yes No Full Details: Service User's Laundry (Independently/ Prompting/ Physical Support) Yes No Full Details: Service User's Food Shopping (Independently/ Prompting/ Physical Support) Yes No Full Details: Any Activities Well Done by Services Users: (In Details Please) Yes No Full Details: Service User's Communication: (In Details Please) Yes No Full Details: Any Incident or Accident on shift: (If YES please complete report ASAP) Yes No Full Details: Any appointment attended by Services Users (people involved & please write the information) Yes No Full Details: Feedback Appointment form after attendance ( Please make sure completed ASAP) Yes No Full Details: Any issues or concerns: (In Details Please) Yes No Full Details: Service User's Wellbeing: (In Details Please) Yes No Full Details: Attach Documents Or Take a Photo Attach File(s)/ Documents Below Drop files here or Select files Max. file size: 256 MB. Upload Image Accepted file types: jpg, jpeg, png, gif. Staff Handover Staff Doing Handover First Last Signature Reset signature Signature locked. Reset to sign again Staff Doing Handover Staff Receiving Handover First Last Signature Reset signature Signature locked. Reset to sign again Staff Receiving Handover
