Appendix 6 Admission/Transfer Checklist Name Date of number …..../…../….. …………….. Ward Date of admission/Transfer …..../…../….. Admitting name ……………………………. Nominate Named Nurse ……………………………. Nominate Named Nurse ……………………………. Person Yes N/A Completion responsible Date and Sign for ensuring completion To be completed prior to admission/transfer FACE Risk Assessment Referring professional Mental Health Clustering Tool Referring professional RiO Documentation up to date Referring and complete. professional Has an OT assessment Referring place? professional Full physical investigations Referring Team including bloods up to date.
Appendix 6 Admission/Transfer Checklist Name Date of …..../…../….. number …………….. Ward Date of admission/Transfer …..../…../….. Admitting name ……………………………. Nominate Named Nurse ……………………………. Nominate Named Nurse ……………………………. Person responsible for ensuring completion Yes N/A Completion Date and Sign To be completed prior to admission/transfer FACE Risk Assessment Referring professional Mental Health Clustering Tool Referring professional RiO Documentation up to date and complete. Referring professional Has an OT assessment place? Referring professional Full physical investigations including bloods up to date. Referring Team
CC-CPA-PGN-01-App6-Adult-WdTransChecklist-V03-Iss-2-Feb-18.docx