Buddy Shift Checklist Form

Name of Lifestyle Assistant (LA) receiving training
Service User Name

Please list the name and numbers of at least 2 people who should be contacted in the event of an emergency.

Does the SU have any of the following support plans in place?

Medication assistance requirements are directed in conjunction with the SU, their families, NDIS and RLO’s policies and procedures.

Regardless of how we assist a SU with medication all medication incidents must be reported immediately via an incident form in Akuety.

Any serious errors or incidents associated with a SU taking medication must be reported to 000, followed by the Representative/Nominee of the SU and then to Real Living Options Association Inc. as soon as is practically possible. If the situation is not considered an emergency, advice relating to medication errors and incidents should always be sought in the following order:

The Pharmacist or Health Care professional (General Practitioner) of the SU. If the Pharmacist or General Medical Practitioner of the SU are unavailable, then contact any of the following:

- The Adverse Medicines Event Line on 1300 134 237 (Mon-Fri 9am-5pm) regarding suspected side effects from a medication.

- The Medication Helpline (Mon-Fri 9am-5pm) 1300 888 763

- 13 Health on 13 432584 (24 hours) regarding health concerns that are not an emergency but considered serious.

- The QLD Poisons Information Centre on 13 11 26 (24 hours) regarding drug overdoses or suspected overdoses. Situations may include if a SU has taken too much of their own medication, taken the wrong medication or taken a medication via the wrong route.

Note: Care Plans forms must be completed each time the SU has assistance attending a medical/allied health appointment. Please notify the office if any future appointments are booked in which support is required.

Can you name at least 4 things that you know the SU is interested in? e.g., reading, movies, craft, music, fishing, sports, going to the beach, etc

Can you name at least 4 things that the SU may not like or could be a trigger to them? e.g., thunder, dogs, a particular smell, location, movies, etc.

Some Service Users you support will require multiple buddy shifts before you can support them independently. Please answer the following questions:

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