NMCRS Visiting Nurses' Classes/Clinics Held  
     
  Month: __________ ,20___ Location: _______________________________  
     
  List below each class in which the NMCRS Visiting Nurse was a presenter.
      If the Visiting Nurse was one of the primary speakers, include the number of participants in the class, and then put the total number of people in those classes on the Monthly Report under Patient Contacts, "Class Participants."  Be sure to list the number of classes at which you were a primary speaker under "Additional Duties," Primary Speaker.
      If the Visiting Nurse presented information in the class, but did not have the opportunity for extensive interaction with those attending the class, this is considered a "Contributor" class. In these cases, put "C (##) [for "contributor] in the column for "number in class" with the number of people in the class in paraentheses. While the number of Contributor classes is recorded under
Additional Duties, the number attending is not included on the monthly report. However, that number is used for a different statistical report and is valuable information.
   
     
  Date of Class Day of Week Time of Day Number in Class Title/Name/Type of Class  
             
             
             
             
             
             
             
             
             
             
             
             
             
             
      Total 0