Nurse & Health Ministries Network

Monthly Statistics

Month:    Year:  2007

Parish Nurse(s) 

Congregation(s):

Parish Nurse Paid Hours:     Parish Nurse Volunteer Hours:

INDIVIDUAL ASSESSMENTS/CONTACTS (not including group contacts or screenings)

Total Number:

                          Men:

                      Women:

                    Member:

             Non-member:

Age: 

              0-12

            13-17

            18-65

            66-80

        Over 80

GROUP CONTACTS: SCREENINGS

Type 

# Screened     

Age Range

# Abnormal

 

GROUP CONTACTS: EDUCATION PROGRAMS/SUPPORT GROUPS/HEALING SERVICES (organized/coordinated by PN)

Topic 

# Participants

Age Range

Comments

 

COMMENTS/OTHER NOTES OR PROGRAMS: