EmailMeForm
Apex Care's Daily Notes
To be submitted prior to 0900 hrs daily without fail. Be aware these notes are shared with the other people supporting the tangata whaiora / client.
When completed, please click the Submit button at the bottom.
Reminder: have you done your Site Safety Check? Required for first time on a site or a refresher when you haven't been there for a while: https://tinyurl.com/f3aywsrb
* means mandatory
Kaimahi / Your Name
*
First
Last
Date of support provided
*
DD
/
MM
/
YYYY
Shift times worked: start and stop time.
PLEASE USE THE 24 HOUR CLOCK e.g. 0700-1500 etc. Do NOT use am or pm.
If you wish, you can also include the sleepover as part of the day's Daily Notes i.e. doesn't have to be a separate Note. Make sure you note the hours for the sleepover separately e.g. 0900-2200 hrs / sleepover 2200-0600 hrs.
However you cannot amalgamate all shifts into 1 - you must at least have each days shift separate.
Do not enter the amount of hours worked.
Must match WIW - if not, please call 0800 255 000 and work out the discrepancy
*
Location of support
*
Name of the house is okay, or just street/road name.
Tangata whaiora / client's name
*
First
Last
Please write the first name in full and the last name can be just the Initial.
If you supported the whole house, please write WHOLE for first name and HOUSE for last name. You do not need to name all individuals.
Customer's name e.g. ICAMHS, OT, TRT, Private - This is found on your WIW shift under position.
Do not default to just any name as this can mean the notes going to the wrong customer.
*
SITE INFORMATION
Did you complete a site safety check?
If this is your first time to site, please fill in the full form: https://tinyurl.com/yey65wrb
Otherwise, please make sure that you do.
MEDICATION AND MEALS
Was medication taken?
Yes
No
Please ensure this has been documented on the signing sheet with meds which is available here: https://tinyurl.com/bdhr8sdc
Date Time
HH
:
MM
AM
PM
AM/PM
Medications Charted on site?
*
Yes
No
If yes, what were they? Or were they refused?
You can upload the Medication Signing Sheet here. This can be done last day of shift or on a Sunday
If you take any photos of the medications for this purpose, the photo must be deleted off your phone straight away due to confidentiality.
MEALS:
Enter WHAT they ate, not just that they ate
If they did not eat anything then - None
If you were not on shift for this meal then - N/A
Breakfast
*
Lunch
*
Dinner
*
Other health concerns
DAILY NOTES:
- Use client initials e.g. S.B throughout- DO NOT use the clients name
- Write words, not text speak
- Use punctuation
- Review to make sure it makes sense before submitting
Notes should be specific, detailed and factual about what you observed of ALL the events of the day and be tangata whaiora focussed.
Notes should not contain your opinions or comments about the customer, you or other staff.
If there has been an Incident on site, please fill this form out on the day of the Incident, go here: https://tinyurl.com/yzz5wsaz
*
Info for other Support staff or office - anything that needs to be followed up by customer or Apex Office or that other Support staff need to be aware of.
If you have more personal comments, please go to https://tinyurl.com/9hsszue5
These will be addressed by Apex Care Management.