Audit Tool for the event of a Resident going Missing from a Residential Service for Older
Persons
Residential Unit Name: ______________________________________
Objective of Audit tool:
This tool is for the retrospectively audit of the processes implemented when a resident of a Residential Unit goes missing from the unit.
Methodology:
Inclusion Criteria:
All residents who were noted missing from the service
Frequency of Audit:
e.g. Following missing person drills or after a missing person incident
(*Note: this is just a suggestion – frequency to be determined by each individual service)
Method:
This is a retrospective audit
Feedback:
Completed Audit Tool to be kept in the Audit File on the Unit.
Final page of the Audit Tool to be forward to the Director of Nursing for information and onward reporting
Ward
Date of Audit
Auditor(s)
Auditor(s) Title (s)
Name(s)
Resident Identifier
(name/ medical card
number)
Methodology:
1.
2.
3.
4.
5.
6.
Record Y for Yes, if the item is found in the resident’s care record.
Record N for No, the item is not present or N/A for Not applicable
Audit Tool for the event of a person going missing from Residential Care Services, QPS DML, June 2014 Page 1 of 4
Section A: When a person is noted missing
Criteria
If the resident has a mobile phone is there evidence that attempts were made to contact him/her to establish their whereabouts
Is there evidence that places known to be familiar to the individual were searched
A3
Is there evidence that an individual risk assessment has been completed and maintained in the resident’s care plan
A4
Was Stage 1 of the search plan instigated by the most senior person available
A5
Did the most Senior person on duty inform all staff present that the resident was missing
A6
Did the most senior person on duty seek immediate assistance, if alone at the time of the incidence
A7
Did the most senior person on duty co-ordinate an immediate search of the area
A8
Did the most senior person on duty establish an estimate time that the resident was last seen in the area
A9
Did the most senior person on duty assign a person to complete the missing person profile
A10 Did the most senior person on duty inform management that a resident was missing
A11 Is there evidence that recent CCTV camera footage, if available, was checked
A12 If the resident was found was the necessary documentation completed as soon as possible
1
2
3
4
5
6
A1
A2
Total Scores for Yes
Total Scores for No
Total Scores for N/A
% Total = Total Scores for Yes
X 100
12 - N/A
Comment:___________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
Section B: When a person is noted missing and a time scale of 20 minutes has elapsed. Record Y for Yes, N for No or N/A for Not applicable
B1
B2
B3
B4
B5
B6
Criteria
The search co-ordinator was the most senior person on duty at the time
The search co-ordinator issued a floor plan/zoned area checklist for each building and outhouse
The search co-ordinator advised on the reporting system to be used in relation to reporting back times
The sector manager or a representative/Gardaí/family were informed
The Regional Director of Communications was informed
Beyond the 2nd hour the search party reported back to the co-ordinator every 30 minutes
Audit Tool for the event of a person going missing from Residential Care Services, QPS DML, June 2014 Page 2 of 4
1
2
3
4
5
6
Total Scores for Yes
Total Scores for No
Total Scores for N/A
% Total = Total Scores for Yes
X 100
6 - N/A
Comment:___________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
Section C: When a person is found. Record Y for Yes, N for No or N/A for Not applicable
C1
C2
C3
C4
C5
Criteria
The control centre was alerted when the resident was found
The search co-ordinator informed all members of the search team:
1
2
3
4
5
6
Sector Manager
Family
Director of Communications
Gardaí
C6
A ‘Medical Assessment’ was carried out, with the consent of the resident, within 24 hours of the resident’s return
C7
A ‘Psychological follow-up’ was requested
C8
An ‘Internal team review’ was carried out within 3 days of the resident going missing
C9
A ‘Risk Assessment’ was carried out
C10 A ‘Review of the Care Plan’ was carried out
Total Scores for Yes
Total Scores for No
Total Scores for N/A
% Total Compliance = Total Scores for Yes
X 100
10 – Total N/A
Comment:___________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
Audit Tool for the event of a person going missing from Residential Care Services, QPS DML, June 2014 Page 3 of 4
Section D: Audit Outcomes and Recommendations
Unit: ______________________________________ Ward: ______________________________________ Date: _______________________________
Audit Results
1
% Total Compliance
2
% Total Compliance
3
% Total Compliance
4
% Total Compliance
5
% Total Compliance
6
% Total Compliance
Section A
Section B
Section C
Audit Outcomes
1
Yes
2
No
Yes
4
3
No
Yes
No
Yes
5
No
Yes
6
No
Yes
No
Correct Missing person processes were appropriately applied at all times
There were deviations from the correct Missing Person processes
Recommendations for improvement are required
Recommendations arising from the audit:
Resident 1
Date for completion
Resident 2
Resident 3
Resident 4
Resident 5
Resident 6
Auditor Signature: _______________________________________________________ Date: ___________________
CNM Signature: _________________________________________________________ Date: ___________________
Director of Nursing Signature: _____________________________________________ Date: ___________________
Audit Tool for the event of a person going missing from Residential Care Services, QPS DML, June 2014 Page 4 of 4
Responsibility