Free Nursing Home Attendance Checklist Template
Nursing Home Attendance Checklist
This Nursing Home Attendance Checklist, utilized by [Your Company Name], is structured to ensure a meticulous and comprehensive approach to the daily monitoring and management of our residents' care. By keeping a detailed record, we aim to uphold the highest standards of personalized care, maintain optimal health conditions, and ensure the well-being and satisfaction of all residents through their active participation in various activities. This tool also facilitates the organization and safety of resident visitations.
Instructions for Use:
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Completion: Staff members are required to complete this checklist daily for each resident, ensuring thorough monitoring and immediate responsiveness to their needs.
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Accuracy and Action: Fill in each section accurately. Immediate action should be taken for any concerns, with necessary notifications to supervisors or relevant departments.
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Confidentiality and Review: Information must be kept confidential and reviewed daily by supervisors to address any issues and ensure continuous care quality.
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Documentation: All entries should be dated, with the staff member’s initials, to ensure accountability and facilitate follow-ups.
Checklist:
Resident's Information Verification
|
Item |
Details |
|---|---|
|
Verify resident's name |
Johnathan Wilkins |
|
Verify resident's room number |
Room 101 |
|
Confirm resident's bed number |
Bed A |
|
Check ID bracelet with medical record |
ID #123456, Matches Record |
|
Confirm specialist recommendations/advice |
Follow low-sodium diet, Increase physical therapy sessions |
Health Check
|
Item |
Details |
|---|---|
|
Check resident's temperature |
98.6°F |
|
Review medication list |
Completed, No changes |
|
Monitor pain level |
Reported 2/10 |
|
Check oxygen level |
96% Saturation |
|
Monitor hydration status |
Adequately hydrated, Encouraged extra glass of water at lunch |
Mealtime Attendance
|
Item |
Details |
|---|---|
|
Confirm breakfast attendance |
Attended, Ate 75% of meal |
|
Confirm lunch attendance |
Attended, Ate 50% of meal |
|
Confirm dinner attendance |
Attended, Ate 100% of meal |
|
Monitor food intake during meals |
Prefers softer foods, Disliked broccoli |
|
Note any dietary restrictions |
Diabetic diet, Avoids sugar |
Activity Participation
|
Item |
Details |
|---|---|
|
Confirm attendance in morning activity |
Attended chair yoga |
|
Register attendance in afternoon activity |
Missed painting class due to nap |
|
Monitor engagement in activities |
Highly enjoyed yoga, Shows interest in music-related activities |
|
Register satisfaction levels with activities |
Very satisfied with yoga, Wants more music activities |
|
Note personal preferences and interests in activities |
Loves classical music, Enjoys low-impact exercise |
Visitor's Log
|
Item |
Details |
|---|---|
|
Note visitor's name |
|
|
Note visitor's relation to the resident |
|
|
Record visiting date and time |
|
|
Check visitor's health status |
Passed screening, No symptoms |
|
Log visitor's contact info |
This Attendance Checklist is integral to our proactive and resident-centered care approach at [Your Company Name]. It ensures all staff are fully informed of each resident’s daily health status, nutritional intake, activity participation, and visitor interactions, promoting a high quality of life within our community.
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