Get Midwifery Timesheet Form

School of Nursing Midwifery NURS/MIDW 1004/1008/2004/2008/3001/3002/3007/3008 Course Clinical Practicum Timesheet If found please return to the UQ SONM http //www. nursing-midwifery. uq. edu. au/contact-us Student Name Student No Facility IH / MAH / MPH / MCH / MMH / Redlands / HSN / RBWH / Redcliffe / Caboolture / Other specify Circle Shift Number the Clinical Facility you are attending Day Date e*g* Monday dd/mm/yy Shift Times e*g* 0700-1530 hours not including meal break Preceptor Name first and last name clearly printed Preceptor Signature Ward Sign Date // Version 1. 1 - Nov 2014 Sign Time Total Hours these pages I student name declare that these clinical hours are true and correct. Student Signature Date / / Please note the following important points for this time sheet to be a valid document. You must take your time sheet to each shift and keep it with you throughout the shift. The person signing for your shift must be an RN or RM who has worked the shift with you. This shift must be signed on the same day and at the end of your shift only. All sections of this form must be completed* Black Pen and not pencil must be used for this form* White-out is not to be used on this form* If a mistake is made you should strike through the line initial it and start again on a new line. Only fill in the time sheet on the day of your shift. Do not write your shifts in advance to avoid the need to strike through if there are changes. nursing-midwifery. uq. edu. au/contact-us Student Name Student No Facility IH / MAH / MPH / MCH / MMH / Redlands / HSN / RBWH / Redcliffe / Caboolture / Other specify Circle Shift Number the Clinical Facility you are attending Day Date e*g* Monday dd/mm/yy Shift Times e*g* 0700-1530 hours not including meal break Preceptor Name first and last name clearly printed Preceptor Signature Ward Sign Date // Version 1. 1 - Nov 2014 Sign Time Total Hours these pages I student name declare that these clinical hours are true and correct. 1 - Nov 2014 Sign Time Total Hours these pages I student name declare that these clinical hours are true and correct. Student Signature Date / / Please note the following important points for this time sheet to be a valid document. Student Signature Date / / Please note the following important points for this time sheet to be a valid document. You must take your time sheet to each shift and keep it with you throughout the shift. The person signing for your shift must be an RN or RM who has worked the shift with you. You must take your time sheet to each shift and keep it with you throughout the shift. The person signing for your shift must be an RN or RM who has worked the shift with you. This shift must be signed on the same day and at the end of your shift only. All sections of this form must be completed* Black Pen and not pencil must be used for this form* White-out is not to be used on this form* If a mistake is made you should strike through the line initial it and start again on a new line. This shift must be signed on the same day and at the end of your shift only. All sections of this form must be completed* Black Pen and not pencil must be used for this form* White-out is not to be used on this form* If a mistake is made you should strike through the line initial it and start again on a new line. Only fill in the time sheet on the day of your shift. Do not write your shifts in advance to avoid the need to strike through if there are changes.