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* 1. Are the patient identifiers accurately documented in the following locations including surname, first name, date of birth and UR (DOB & UR not required on whiteboard)?

  Yes No Not Applicable
Document labels in chart
Patient white board
Name band

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* 2. Is Aboriginal or Torres Strait Islander status correctly documented in iPM patient details 'ethnic origin'?

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* 3. When asked, can the patient confirm that the following contact details are recorded correctly?

  yes no partially complete unable to confirm
Next of Kin (contact 1)
Emergency Contact (contact 2)
General Practitioner

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* 4. Is the treating team or doctor accurately recorded in the following locations?

  yes no partially complete not sure
Document labels
PFM (iPM)
Patient whiteboard

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* 5. Is the primary nurse caring for the patient today wearing a name tag with their first name, which is visible to the patient?

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* 6. Is the primary nurse caring for the patient today clearly documented on the patient whiteboard?

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* 7. When asked, does the patient have an appointed Medical Treatment Decision Maker (MDTM)?

T