Run Resident Dignity Observation Audit — Free

Audit Details

Audit date and time recorded

Area or unit observed

Observer name and role

Observation scope defined

Observe routine staff-resident interactions during normal care activity, including room entry, conversation, personal care, and service delivery.

Entry, Knock, and Permission

Staff knock before entering resident room or care space critical (required)

Yes No N/A

Staff wait for permission or acknowledgment before entering when feasible critical (required)

Yes No N/A

Staff announce themselves and state purpose of entry

Yes No N/A

Door, curtain, or privacy barrier used appropriately during care critical (required)

Yes No N/A

Preferred Name and Respectful Communication

Resident addressed by preferred name or title critical (required)

Yes No N/A

Staff tone is calm, respectful, and professional critical (required)

Staff avoid infantilizing, dismissive, or demeaning language critical (required)

Yes No N/A

Staff explain actions before touching or providing care

Yes No N/A

Privacy, Choice, and Autonomy

Resident privacy protected during personal care or sensitive conversations critical (required)

Yes No N/A

Staff offer choices when possible

Yes No N/A

Resident preferences are acknowledged and honored when feasible critical (required)

Yes No N/A

Resident is spoken to directly rather than only to others

Yes No N/A

Observation Notes and Corrective Actions

Positive examples observed

Deficiencies or non-conformances observed

Immediate corrective action taken

Follow-up owner and due date

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Run: Resident Dignity Observation Audit

Audit Details

Entry, Knock, and Permission

Preferred Name and Respectful Communication

Privacy, Choice, and Autonomy

Observation Notes and Corrective Actions

Get your results