Virtual Nursing in Patient Care: Role of the NPD Practitioner Interest Form

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* 1. First & Last Name

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* 2. Credentials

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* 3. Organization

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* 4. Role/Title

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* 5. Email

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* 6. Do you currently have a virtual nursing program?

Yes

No

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* 7. If no, when do you plan to implement virtual nursing?

3-6 months

6-12 months

1-2 years

In the exploration phase

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* 8. If yes, what are your current challenges?

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* 9. What questions do you have about virtual nursing for the NPD practitioner?