Short description of shift
Has any urines been done for the shift YesNo
If yes, description
Has any one been breath tested for the shift YesNo
Has any client had to be spoken to for doing the wrong thing YesNo
Has any client brought up any important issues to you that you think other staff needs to know about YesNo
Has any client particularly impressed you over the shift with their attitude and participation in the program YesNo
Have you written a Case Note and sent with your shift report YesNo
Have you had to write anything on the maintenance / WHS log YesNo
Was anyone discharged or left the program on this shift? YesNo
If yes, description (their reason for leaving)
Does any client have an upcoming appointment that other staff need to know about?
Are there any actions that need following up?
What have you learnt? Is there anything else you’d like to learn to help with your role??
Any Mimaso issues that need fixed?
Is this your last shift for the week? ( If yes you need to fill in time sheet ) YesNo
PO Box 5179
Chittaway Bay NSW 2261
50 Church Road
CHITTAWAY POINT NSW 2261
Tel: 02 4388 6360
Fax: 02 4388 6511