Nurse Activity Record
Form Template
This Nurse Activity Record has been turned into a simple list that allows the user to enter all the patients they visit for one day.
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Patient information is collected, as well as drive times and visit length. Visit codes include: evaluation only, initial skilled nurses visit, routine skilled nurse visit, not home, not found, supervisory– skilled visit, hca supervisory only, hca visit, supervisory visit, staff meeting/ case conference, and in services.
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