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FOR OH FUSE LL1 2005 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2005) I. DPH Facility ID Number: Facility

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Glen Bridge Nursing AMP is a form used to report nursing activities for a specific period of time.

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All nurses who are employed by Glen Bridge Nursing are required to file the AMP form.

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The purpose of the AMP form is to track and report nursing activities to ensure compliance with regulations and standards.

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Information such as hours worked, patients attended, procedures performed, and medications administered must be reported on the AMP form.

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