* = Required Information
Lead Counselor Daily Update for PD's - Hawo
778 1, 2527 2, 2446 3, 3223 4
Name
*
This form is confidential. It will be sent to your Program Director.
Date Time
*
Site Worked Today
778 1
2527 2
2446 3
3223 4
Inside and Outside Inspection
How did the house appear upon arrival (condition of bedrooms and common areas)?
Were Work Orders sent in for concerns?
What appointments, and/or scheduled infections occured on your shift?
Please make sure all activities, appointments, scheduled injections and blood draws are added to the activity schedule each week.
Was there any scheduled appointments today? If so, please state that appointment, which resident it was for, results from the appointment and when the next appointment is scheduled.
Were there any appointments missed today?
Yes
No
If there was an appointment missed, please explain why. If the appointment has been rescheduled, when?
If there was a medical appointment, were there any medication changes? If so, what was the reason for the medication change made?
If there was a medication change, has the medication been added/removed from the MAR?
Has the nurse approved of the medication change?
All medications must be added to the MAR the day they are prescribed. If the AHSCS nurse does not approve of the medication change, the medication will be held until the AHSCS nurse approves. Documentation in the Health Progress Notes must state that the medication is being held per AHSCS nurse instructions.
Were ther any Over-The-Counter (OTC) and/or PRN medications passed today? If you are returning from aday off (weekend or vacation) please review MARS for pass OTC medications for those days. If Yes, which OTC medications were passed and to whom?
Upon reviewing the MARS were any discrepancies found?
Did any guardians or individual team members family members call with any questions or concerns that we may need to follow-up on?
Yes
No
What are your plans/recommendations for the above complaints or concerns?
Did you observe any staff performance problems, including: arriving kate, leaving early, concerning interactions with individuals, or not completing a portion of their job responsibilities?
(your response is confidential)
Are there any staffing vacancies? If so, please list vacancies.
Has your vacancies been communicated to the HR department so they are aware to hire for this position?
Yes
No
Is there a new staff training in today?
Yes
No
Are all primary check in times scheduled on the activity schedule?
Yes
No
Who checked in with there primary staff today?
Are all individuals work schedule (leave and return times) incorporated in the activity schedule for this week
Yes
No
All individuals are expected to provide a copy of their work schedue the Lead Counselor and Program Director each week. This schedule must be added to the activity schedule. All individuals are expected to provide staff there were scheduled when requested.
Were there any budgeting/financial concerns today?
Are there any security concerns with the facility or residents?
Are the Well-Being being complete and submitted by staff in the shift report?
Well-being checks must be able to be found on the activity schedule.
Are your LOA forms up to date?
Yes
No
Please update at least every Monday
Was meal planning complete today?
This must be offered at least weekly. Please ensure we are providing this service each individual!
Please describe any additional questions or concerns you may have, and any recommendations for program improvement.
Submit