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Run: Missing Resident Search and Notification Log

Log the immediate response when a resident cannot be accounted for, including who reported it, where the search went, who was notified, and how the case ended.

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Submission Notice

Date resident was first identified as missing (required)

Time resident was first identified as missing (required)

Reported by (required)

Resident status (required)

If other, describe the status

Resident Information

Resident name (required)

Resident ID or chart number

Use the facility identifier if available. Do not enter SSN or other unnecessary PII.

Unit or room

Known risk factors relevant to the search

If other, describe the risk factor

Search Areas and Timeline

Brief summary of search actions taken so far (required)

Search areas checked (required)

Current search status (required)

Notifications and Escalation

Notifications made (required)

Were external authorities notified? (required)

Authority notification details

Family or representative notified (required)

Outcome and Follow-Up

Was the resident located? (required)

Date resident was located

Time resident was located

Condition on return or recovery

Follow-up actions required

If other, describe the follow-up action

Get your results

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Email (required)

Your name (optional)

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