Nurses Salary (LSMC-ICU)

Month Of ( )
Nurses # Of Days # Of Hours Amount in Signature/
Libyan Dinar Date Received

TOTAL:-

Date ………… / ……….. / ………………..

BEDSHEET INVENTORY (LSMC-ICU) 7 Days
Date:- shift:- Date:- shift:-

Cabinet:- Cabinet:-

Laundry:- Received:- Laundry:- Received:-

ICU (w/ pt. & on bed):- ICU (w/ pt. & on bed):-

Date:- shift:- Date:- shift:-

Cabinet:- Cabinet:-

Laundry:- Received:- Laundry:- Received:-

ICU (w/ pt. & on bed):- ICU (w/ pt. & on bed):-

Date:- shift:- Date:- shift:-

Cabinet:- Cabinet:-

Laundry:- Received:- Laundry:- Received:-

ICU (w/ pt. & on bed):- ICU (w/ pt. & on bed):-

Date:- shift:-

Cabinet:-

Laundry:- Received:-

ICU (w/ pt. & on bed):-