NIGHT SHIFT MHW – PES: CHECK OFF SHEET

I.            CLOSE OUT LOG. Check for / complete:

¨      Disposition from aftercare plan: (a) staff MD or therapist with whom client has appt. (b) PCP (primary care provider – physician)

¨      Start date / time

¨      RN who completed evaluation / dc’d client

II.            AUDIT CHARTS: check for deficiencies

¨      Client info form

¨      Evaluation packet

¨      Dr’s evaluation

¨      Dr’s orders

¨      Med Sheets

¨      Labs

¨      Misc. papers (transport consents, ER paperwork, labs, property sheets, NOPP… etc)

¨      5150

¨      Orders to admit to SV or aftercare plan

III.            COMPLETE STAFF SCHEDULE SHEET

¨      Check against SAL’s completed

Indicate on sheet whether was SAL completed or not

IV.            FORMS TO BE COPIED, DISTRIBUTED ETC.

¨      18 copies of log distributed to front office mailboxes; distribution list in Central Log binder

¨      Orders to admit to SV or aftercare plan – copy of aftercare plan to OP nurses box in front office

¨      Copy of aftercare planes to OP nurses box in front office

¨      CYFS: (a) fax copy of log, (b) fax copy of any minor charts

¨      Fax any orders from Dr. Jenkins to Dr. Jenkins; place in Dr. Jenkins ring binder

¨      Stack for Med Records

1.       Copy of log sheet; copies of each Client Info form with RAS written vertically in red ink by Emergency Request Block

2.       Shift schedule sheet with SAL’s

3.       Chart Packets