# Visits
SJHC Daily Timesheet
Nurse's Email
*
e.g., jsmith@stjhc.ca
Date Worked
*
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Month
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Day
Please select a year
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Year
Total km
*
Distance logged this day in km
Total Parking Claims ($)
Nursing Time
Nursing time includes patient care time, travel, documentation and breaks, but excludes lunch. Note: to put half an hour write 0.5 (.5 and 1/2 will not work)
Regular VISIT Nursing Hours
Paid at standard rates
Regular SHIFT Nursing Hours
e.g., school shifts, paid at standard rates
Overtime Nursing Hours
Paid at time and a half
Evening RN Hours
Evening RPN Hours
Weekend RN Hours
Callout Hours
LATE CAREER NURSE HOURS
Stat. Holiday Worked (Use only for hours worked on a Stat holiday – include all hours worked)
"Other" Nursing Hours
e.g., Hours at Villa
Please describe the "Other" Nursing Hours
e.g., "Villa"
Non-Nursing Time
This includes any paid time that is not nursing.
Office Entry Hours
Meeting Hours
Education Hours
Vacation Hours
TOTAL hours worked
Calculate the total hours worked by adding all of the above boxes
Total Hours
Add up all of the hours in the above boxes
Comments - Please list any cancellations and turn backs, all clients seen (first name, last initial) and # of visits if more than one.
Comments
Any notes about this day's work
E-mail
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