Risk Assessments / Health & Safety / Infection Control

Patient Name

Use of Equipment/Furniture

Discussed with GP

Discussed with Relatives

Further Action

Cot Sides

.

.

.

Wheelchairs

.

.

.

Tip Back Chairs

.

.

.

Notifiable Disease

Diagnosis by GP

Action

Hepatitis

.

.

Tuberculosis

.

.

.

.

.

Infection with

MRSA Methicillin Resistant Staphylococcus Aureus

On Admission / Action

Immunisations

Date Given/ Whom

Date Given/Whom

Date Given/Whom

Date Given/Whom

.

.

.

.

.

Influenza

.

.

.

.

Pneumoccal

.

.

.

.

Tetanus

.

.

.

.

.

.

.

.

.

Further Reading. Health & Safety in Residential Care Homes published by HSE

Guidelines on the Control of Infection in Residential and Nursing Homes. Published by Department of Health


Copywrite CDT @ www.visualrota.co.uk Staff Rostering consultancy & software
This chart & Other charts available as word processor templates.
freephone 0800 01VROTA (0187682) email alec@visualrota.co.uk