FRONTLINE STAFF LISTING & FACILITATION SESSION ATTENDANCE TRACKING
STATE ID: 1 HOSPITAL ID: 001 AIM TEAM LEAD ID: 1001020x
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Staff Name (First, Last) |
Staff ID Number |
Email Address |
Phone Number |
Provider Type |
Facilitation Session Attendance |
Notes |
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SPPC-II Topic |
Date |
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Example: Samantha Anderson |
1001001 |
sam@xxx.com |
555-555-5555 |
Resident |
SBAR |
11/01/2018 |
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1001002 |
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1001003 |
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1001004 |
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1001005 |
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1001006 |
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1001007 |
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1001008 |
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1001009 |
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1001010 |
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1001011 |
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1001012 |
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1001013 |
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1001014 |
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1001015 |
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1001016 |
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1001017 |
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1001018 |
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1001019 |
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Example: AIM TEAM LEAD Name |
101020x |
aim@xx.com |
333-333-3333 |
Nurse-midwife |
SBAR |
11/01/2018 |
Facilitated the session |
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Andreea Creanga |
| File Modified | 0000-00-00 |
| File Created | 2021-06-03 |