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Missing Property Form |
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Manual: Ambulatory Services Environment of Care Manual (Ver 3) External Reference: (TJC EC.2.10)
This customizable document, Missing Property Form, is taken from MCN Healthcare’s Ambulatory Services Environment of Care Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools. Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards. Here is some sample content from Missing Property Form:
| | MISSING PROPERTY FORM
Date:
Person Reporting:
Owner:
Street Address:
City:
Description of Missing Property: include serial #, identifying characteristics - size, brand, color, etc.
Estimated Value of Missing Property: $
Last Seen:
Date:
Location:
Discovered Missing:
Date:
Was Report to Police Made?
Date:
Areas Searched for Missing Items:
Patient Room
Lost and Found
Patient Property Bag
Trash
Nurse's Station
Laundry
Other:
Witnesses Interviewed:
Name:
Name:
Name:
Narrative:
Security Officer's Signature:
Reference #2014 Ambulatory Care EOC ... |
| Second excerpt: |
| | ...Station
Laundry
Other:
Witnesses Interviewed:
Name:
Name:
Name:
Narrative:
Security Officer's Signature:
Reference #2014 Ambulatory Care EOC ... |
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Back to Ambulatory Services Environment of Care Manual (Ver 3) |
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