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NURSING PROGRAM APPLICATION NAME: Last___First___ MI___ Coastal Alabama Student Number (A Number): ___Date:___ Please read the application entirely prior to submission. Coastal Alabama Community College
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1 revised 8222 nursing is a form used for reporting nursing-related information in a revised format.
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Healthcare facilities and nursing staff are required to file 1 revised 8222 nursing.
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Information such as nursing staff credentials, patient care activities, and staffing ratios must be reported on 1 revised 8222 nursing.
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