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Samuel Brus
samuel@gmail.com
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Form: Shift Log AM
Shift Log
Select Clients
Alabama
Alaska
California
Delaware
Tennessee
Texas
Washington
Entry Date
*
Hierarchy
*
Alabama
Alaska
Shift Log Elements
Authorised Substance Use Protocol Adhered To
yes
No
Authorised Substance Use Protocol Adhered To Notes
Behavioural/Emotional Issues
yes
No
Behavioural/Emotional Issues Notes
Chore Plan Followed
yes
No
Chore Plan Followed Notes
Daily Planner Adhered To
yes
No
Daily Planner Adhered To Notes
Education - Has The Client Attended School Today?
yes
No
Education - Has The Client Attended School Today? Notes
Exercise Plan Followed
yes
No
Exercise Plan Followed Notes
Incident Log Completed
yes
No
Incident Log Completed Notes
Medication Administered as Prescribed
yes
No
Medication Administered as Prescribed Notes
Menu/Diet Plan Followed
yes
No
Menu/Diet Plan Followed Notes
Personal Care Routine Followed
yes
No
Personal Care Routine Followed Notes
PRN Administered
yes
No
PRN Administered Notes
Reinforcement Points Achieved
yes
No
Reinforcement Points Achieved Notes
Wake Up Routine Followed
yes
No
Wake Up Routine Followed Notes
Progress Notes
Progress Notes
Completion & Sign-off
Staff Member
*
name
name
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