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Section 1
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Introduction of:
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Employee:
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With/Comments:
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Section 2
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1)Any Changes in Client's Medical Condition?
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Observation
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2)PCS Needs of Patient Met
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Care plan updates:
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3)Plan of Care Reviewed/Revised
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Comments:
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4) Patient's Last Dr's Visit
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Doctor
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5)Family/Support System Changes
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Comments:
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6)Level of Services Appropriate
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Comments:
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7)Environment Free of Safety Issues
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Comments:
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Section 3
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1)Employee has necessary PPE & Name
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Comments:
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2)Review of Employee Timesheet/Service Log
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Comments:
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2)Review of Employee Timesheet/Service Log
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Comments:
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3)Patient/Family Satisfied With Services
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Comments:
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4)Demonstrates Compliance With Standard Precatio
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Comments:
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