Aya per diem card 2026

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The document is an AYA Healthcare per diem time card that outlines the process for submitting work hours, including deadlines and required signatures. It includes sections for recording daily hours worked, breaks, and performance evaluations by supervisors. Additionally, it emphasizes the importance of accurate documentation and compliance with hospital policies regarding overtime, missed lunches, and on-call shifts.

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Click ‘Get Form’ to open the aya per diem card in the editor.
Begin by entering the 'Week Ending' date at the top of the form. This helps track your hours accurately.
Fill in your 'Name' and 'Hospital' details. Ensure these are correct for proper identification.
For each day of the week, input your 'TIME IN' and 'TIME OUT' for both lunch and regular shifts. Use military time as specified.
Record any 'ON CALL', 'CALL BACK', or 'ORIENT' hours in their respective fields, ensuring supervisor initials are obtained where necessary.
Complete the performance evaluation section by circling a number that reflects your assessment based on the provided scale.
Sign and date the form at the bottom, certifying its accuracy before submission.

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