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MC 201 - Maria Larin
AL 301 - Melba Osuna
AL 301 - Dxi Peterson
AL 401 - Tracy Maddux
AL 402 - Wanda Yutig
AL 304 - Darlene Whitehead
AL 401 - Michael Solomon
AL 402 - Rafael Sanchez
AL 301 - Carl Fox
AL 302 - John Townsend
MC 201 - Elena Rodriguez
AL 303 - Michael Keane
AL 303 - Lawrence Walthall
MC 101 - Eugene Remund
AL 401 - Laura Bennet
MC 202 - Lewis Wenzell
MC 205 - Eula Gray
MC 203 - Barry Lee
MC 202 - Timothy Talley
AL 302 - Felix Senquiz
MC 103 - Paul Piatek
AL 303 - Calvin Ebey
MC 201 - Eleazer Oliverio
MC 203 - Agnes Cendana
MC 202 - Victoria Rose
AL 302 - Jose Puerto Rodriguez
AL 302 - Mary Llamas
AL 402 - Dorothy Nelis
AL 403 - Marina Nacionales
MC 202 - Wesley Mann
AL 401 - Arnold Coleman
AL 405 - Timothy Freeman
MC 204 - Adela Pena
MC 201 - Billy Ray Koinmn
AL 103 - Joseph Assmus
MC 201 - LeoNida Locsin
MC 201 - Rose Leonard
AL 404 - Terry Kamp
AL 103 - Mario Gomez
MC 102 - Antonio Juarez
AL 301 - Janet MacNeill
MC 202 - Delia Gutierrez
AL 401 - Richard Fowler
AL 303 - Silva Teresa
AL 302 - Charles Hickey
AL 305 - John Sandstrom
AL 104 - Michael Pellatrue
MC 203 - Jean Evans
MC 204 - Geraldine Martinez
MC 203 - Greg Coon
MC 201 - Evelyn Beckemeyer
MC 201 - Ted Howarth
MC 204 - Maria Rincon
AL 302 - Patricia Hutchison
AL 301 - Mary Martin
AL 301 - Jimmy Acevedo
MC 103 - Elsa Valenzuela
MC 103 - Norma Mendoza
MC 202 - Lynn Haynes
AL 103 - Maria Torres
MC 201 - David Esquig
Care Staff Name
Please Select
Rosabelle Amano
Raul Carrillo
Eva Magie Daquioag
Flor Galon
Marylin Garcia
Veronica Hernandez
Andres Medina
Lolita Mercado
Luz Janzen
Farrah Williams
Rosa Armas
Jean Skeens
Arnel Ritualo
Melinda Manongdo
Ma Loreto Mirador
Valerie Hernandez
Benjamin Rodrin
Diana Avila
Victor Ramirez
Yadira Lopez
Lolita Santos
Jasmine Cabrera
juliet romero
Neil Mehta
Hashonda Welch
Natalia Cruz
Genoveva Longobardi
Azhane Wanton
Karen Janethzy Corona Beltran
Marilyn Tolete
Jonathan Chavero
Clarence Collantes
Glynda Rotoni
Israel Cruz
Violeta Brabazon
Evelyn Padilla
Estefani Rivera
Anita Crickenberger
Jeremy James Crickenberger
Sandra Carrillo
Juliet Romero
Noemi Torres
Amber Soriano
Dolores Paragas
Shift
AM
PM
NOC
OOF
Yes
No
Informational
Breakfast
(Even from outside)
Please Select
1/4
1/2
3/4
Complete Meal
Refused
OOF
Lunch
(Even from outside)
Please Select
1/4
1/2
3/4
Complete Meal
Refused
OOF
Dinner
(Even from outside)
Please Select
1/4
1/2
3/4
Complete Meal
Refused
OOF
Skin Issues
Yes
No
Ongoing
Detail
(for skin issues)
Action Taken
(for skin issues)
Please Select
Informed MT
Applied Ointment
Stool Passed
Yes
No
Ongoing
Type of Stool
Please Select
Type 1: Hard Separate Pellets
Type 2: Lumpy Sausage
Type 3: Sausage with cracks on surface
Type 4: Smooth, Soft Sausage
Type 5: Soft, Blobs
Type 6: Mushy, Ragged Pieces
Type 7: Watery Liquid
Activities Performed
Personal Hygiene (Comb & Oral)
Done
Not Done
Refused
Brief Changes
(How Many times Brief changes done)
0
1
2
3
4
5
Room Clean (Clutter Free)
Done
Not Done
Refused
Garbage
Done
Not Done
Refused
Showers/Bed Bath
Done
Not Done
Refused
Dressing/Cloth Change
Done
Not Done
Refused
Bedding/Linen change
Done
Not Done
Refused
Laundry
Done
Not Done
Refused
Feed Assistance Given (Snacks)
Breakfast
Lunch
Dinner
Independent
Issues Identified
Yes
No
Shift/Issue remarks
Response to Front Desk Resident Assistance Request
(Posted in When I Work)
0
1
2
3
4
5
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Type of Stool
