Red Book: Systems Gap Report
Date of System Gap Incident
-
Day
-
Month
Year
Date
Client involved in System Gap
First Name
Last Name
Client was on level:
Please Select
1
2
3
4
Day Programme
Describe the eating disorder behaviour involved in this system gap: i.e. laxative use, purging, hiding food, self harm, exercise
Describe the SITUATION around the incident: i.e. client has been purging aft snack into a sock behind the bushes and hiding it in their pocket in a zip lock until they can empty it in the shower that night
How did it come to light?: i.e. client came clean to staff / client was discovered purging by another client
How long has the client been engaging in this behaviour in treatment with us?
Were there any 'lemons' surrounding this event? (ie causative factors that could have been avoided)
Yes
No
Describe the lemons surrounding this event (Eg. Client was going behind bushes during observation time):
Recommended Actions
Recommendations by staff member? i.e. that client be placed on 1:1 obs. Staff are reminded that during observation periods, all clients MUST remain either indoors or in eyesight outdoors.
Name of Staff Member completing this form?
First Name
Last Name
Submit
Should be Empty: