This article provides instructions for accessing the 530 form from the print modal on the Schedule page and highlights the requirements for generating a populated report.
Step 1: Locate the 530 Form in the Print Modal
- Access Point:
- When the 530 form is turned on in Location Settings, it can be accessed from the print modal on the Schedule page.
- Located at the bottom of the “Print Type” drop down.
- Located at the bottom of the “Print Type” drop down.
- When the 530 form is turned on in Location Settings, it can be accessed from the print modal on the Schedule page.
Step 2: Published Shifts Requirement
- Only Published Shifts Included:
- The 530 form populates data based only on shifts that have been published on Staff View.
- Unpublished shifts will not appear in the report, ensuring only finalized schedules are documented.
Shift Selection in Print Modal
Overview
This article explains how to select shifts within the print modal for the 530 form and describes how the report is organized based on time.
Shift Options:
- Shift Selections:
- The print modal includes three shift options: Shift 1, Shift 2, and Shift 3. Select one to specify which shift to generate in the report.
Time-Based Shift Inclusions:
- Shift Overlap:
- Shifts are included in the report based on defined time ranges for each shift. If a staff member’s scheduled hours span multiple shifts (e.g., from Shift 1 to Shift 2), that entry may appear in multiple shifts within the report.
Daily Report Limitation:
- Single-Day Output:
- The 530 form prints data for only one day at a time and only for the shift selected in the modal (Shift 1, Shift 2, or Shift 3).
Data Populated in the 530 Form
Overview
This article outlines the specific data fields populated automatically in the 530 form upon printing.
Fields Automatically Populated:
- Facility Name: Displays the name of the location.
- Date of Report: Shows the report date as selected in the print modal (default is the current date in the module unless other selection is made)
- Shift Selection: Indicates the selected shift (1, 2, or 3) along with its start time.
- Scheduled Staff and Duties: Displays a grid listing the scheduled staff and their corresponding assignments (i.e. duty) for the selected shift.
Manual Fields on the 530 Form
Overview
Certain fields on the 530 form must be completed manually. This article specifies which fields require handwritten information and how to enter them accurately.
Fields for Manual Completion:
- Director of Nursing/Designee: Space is provided for a signature.
- Station/Wing/Unit/Floor: Specify the location or floor.
- Shift Details:
- Nursing Service Assignment: Assign staff duties.
- Actual Shift Start/End: Enter actual shift start and end times.
- Actual Meal Break Start/End: Record meal break times as needed.
- Employee Signatures: Space is available for staff signatures, confirming attendance.
- Director of Nursing/Designee Signature
Instructions for Completing the 530 Form
Overview
This article includes guidelines on completing the 530 form according to California Health and Human Services requirements.
Completion Instructions:
- Follow Guidelines: Detailed instructions are included within each printed report, outlining the specific requirements for handwritten fields.
- State Compliance: Ensure all handwritten information follows California Health and Human Services guidelines to meet compliance standards.
Summary of the 530 Form Feature
Overview
The 530 form feature provides an efficient way to document nursing staffing assignments and track shift information for compliance. This article summarizes its primary benefits and functionality.
Benefits:
- Regulatory Compliance: Meets California state documentation requirements.
- Efficient Staffing Documentation: Ensures shifts and assignments are recorded accurately for each designated shift.
- Enhanced Scheduling: Time-based, shift-specific selection helps manage staffing records efficiently.
Support: For help with activating the 530 form or additional questions, please contact our support team.