FRONTLINE STAFF LISTING & FACILITATION SESSION ATTENDANCE TRACKING
STATE ID: 1 HOSPITAL ID: 001 AIM TEAM LEAD ID: 1001020x
|
|||||||
Staff Name (First, Last) |
Staff ID Number |
Email Address |
Phone Number |
Provider Type |
Facilitation Session Attendance |
Notes |
|
SPPC-II Topic |
Date |
||||||
Example: Samantha Anderson |
1001001 |
555-555-5555 |
Resident |
SBAR |
11/01/2018 |
|
|
|
1001002 |
|
|
|
|
|
|
|
1001003 |
|
|
|
|
|
|
|
1001004 |
|
|
|
|
|
|
|
1001005 |
|
|
|
|
|
|
|
1001006 |
|
|
|
|
|
|
|
1001007 |
|
|
|
|
|
|
|
1001008 |
|
|
|
|
|
|
|
1001009 |
|
|
|
|
|
|
|
1001010 |
|
|
|
|
|
|
|
1001011 |
|
|
|
|
|
|
|
1001012 |
|
|
|
|
|
|
|
1001013 |
|
|
|
|
|
|
|
1001014 |
|
|
|
|
|
|
|
1001015 |
|
|
|
|
|
|
|
1001016 |
|
|
|
|
|
|
|
1001017 |
|
|
|
|
|
|
|
1001018 |
|
|
|
|
|
|
|
1001019 |
|
|
|
|
|
|
Example: AIM TEAM LEAD Name |
101020x |
333-333-3333 |
Nurse-midwife |
SBAR |
11/01/2018 |
Facilitated the session |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Andreea Creanga |
| File Modified | 0000-00-00 |
| File Created | 2021-01-13 |