EMPLOYER QUARTERLY REPORT FOR A NURSE ON PROBATION - in 2026

1. Click ‘Get Form’ to open the EMPLOYER QUARTERLY REPORT FOR A NURSE ON PROBATION in the editor.
2. Begin by entering the reporting period dates in the designated fields, ensuring accuracy for both 'From' and 'To' dates.
3. Fill in the employee's name, license number, employing facility name, and contact details. This information is crucial for identification.
4. Provide attendance details by entering the number of hours practiced, days absent, and days tardy since the last report. Use the text box to explain any absences or tardiness.
5. Answer all performance-related questions honestly. Indicate any changes in position or responsibilities and address any identified performance deficiencies.
6. Evaluate the employee using the provided factors. Mark 'E', 'S', or 'NI' for each category and provide comments where necessary.
7. Complete the medication duties section by answering whether the employee administers medications and if there are any restrictions.
8. Finally, ensure that the supervisor signs and dates the form before submission. Send it along with a cover letter as instructed.

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