Nursing hours log
Hours approved and hours staffed, shift by shift, with the totals worked out. Proof for your agency and case manager.
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Your log
The totals
Using the log
- Log every shift, including the ones nobody came for.
- Send the totals to your nursing agency and your case manager each month.
- If many hours go unfilled, ask your case manager for other agencies and ask your Title V program for help.
- Keep the log if you appeal a cut in hours.
Last reviewed: November 2026. Programs, rules and phone numbers change. Check with the program named on this page. Report outdated or wrong information.