Amarillo College
Associate Degree Nursing
RNSG2163:Clinical-Introduction to Community-Based Nursing
Simulation #1 Telehealth Home Experience Log
Student Name
First Name
Last Name
Date
/
Month
/
Day
Year
at
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
Client Data (Initials/date/time/age/ adm dx)
Goals & Evaluation (for this visit) Need 3
Nursing Skills Utilized
Teaching Needs Identifies & Met (need 3)
Interdisciplinary Team Approach and /or Referrals (need 3)
Submit
Should be Empty: