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Get Gifted Healthcare Local/Travel Assignment Timesheet 2022-2024

AME: LAST NAME, FIRST NAME (PLEASE PRINT) Staff Signature: Client/Facility Name: DAY UNIT WORKED DATE TIME IN TIME OUT LUNCH TOTAL HOURS WORKED WORKED AS CHARGE NURSE Sup Initials SUN Sup Initials Sup Initials Sup Initials Sup Initials Sup Initials Sup Initials Yes No QUALITY OF WORK DOCUMENTATION 1 1 CLINICAL ABILITY PROFESSIONALISM/ATTITUDE ATTENDANCE/PUNCTUALITY 1 1 1 PERFORMANCE EVALUATION.

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