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WGU Community Health Clinical Time Log for Students in Unregulated States
Use this form to document clinical hours in Community Health. Include the date, activity, location, contact (as appropriate) and time spent in hours. Upon completion of your time log, sign your time log and enter your RN License number. Attach additional sheets if needed.
Log Instructions: This log must be submitted no later than the 25th of the month in order to be graded and processed by the end of the month to be passed in the term.
Entries that are not legible or complete may cause the log to be returned to you for correction and resubmission. Be sure to review the sample time logs for some ideas about how to complete the log. The time log will be returned if the following unapproved activities are included:





Exercise courses such as Zumba and Yoga and cooking courses are NOT approved clinical activities
Drive time, research time and time spent on writing the project are NOT approved clinical activities
Interviews of an hour or less are acceptable activities for established community agency leaders and community experts (by title)
Observation at fast food restaurants are NOT acceptable activities nor is attendance at sporting events

Topic: Prevention of obesity through healthy nutrition and physical activity
Date

Activity

Location & Contact (as appropriate)

Hours

Relevance to Topic

1/5/16

Windshield Survey

Orange County, CA

10

Topic selection activity

1/25/16 Cultural Survey

Orange County, CA

5

Topic selection activity

1/30/16 Scavenger Hunt

Orange County, CA

10

Topic selection activity

2/1/16

Orange County Farmers Market
Site Visit viewing healthy organic food options being offered to the community

2

Assessment of availability of healthy, fresh food options within the community

2/2/16

Santa Ana YMCA
Health Screenings including blood pressure monitoring, education and prevention of obesity OC Farmers Market
101 Market Street
Santa Ana CA
714-555-5555
Contact: Allen Nelson
Santa Ana YMCA
202 Anyway Rd
Santa Ana CA
714-555-5555
Contact: Greg Smith

8

Assessment of free health screening services available for prevention in the community

REV-01_2016

2/3/16

Orange County Healthy Eating Class “
Everyone has a Stake” educating the county on healthy food choices

2/5/16

Orange County Nutrition Plan
Collaborative Meeting on how the city can help reduce obesity in adults and children

2/6/16

Orange County Food Bank
Site visit to observe what healthy options are available 2/7/16

Orange County Food Bank
Interview Director on food received and healthy options

2/8/16

Health Education Council Meeting
Discussed Health Education options available in Orange County

2/9/16

WIC
Interview Director on types of education given to new parents

REV-01_2016

Santa Ana Hospital
111 Hospital Rd
Santa Ana CA
714- 555-2222
Contact: Betty Roberts
Orange County Health Dept
666 Civic Rd
Santa Ana CA
714- 555-5555
Contact: Jim Camp
Orange County Food Bank
2222 Katella Rd
Santa Ana CA
714-222-2222
Contact: Sam Jones
Orange County Food Bank
222 Katella Rd
Santa Ana CA
714-111-1111
Contact: Mike Johnson
Orange County City Council
212 Council Rd
Santa Ana CA
714-333-3333
Contact: Sally Jones
Orange County WIC
888 City Rd
Santa Ana CA
714-111-1111
Contact: Ana Lopez

4

Assessment of teaching for healthy eating

3

Information on how obesity is being addressed by public agency

1

Assessment of availability of healthy, fresh food options within the community

1

Expert on food bank services and how free services can accessed

2

Information on how obesity is being addressed by public agency

1

Expert on WIC services and how free services can accessed by new parents

2/10/16 Meals on Wheels
Interview Director on what type of services offered 2/12/16 Heart Health Walk and Health Fair
Observed and educated families in a
Nutrition Booth

2/14/16 Weight Watchers Support Group
Attended support group to assess the challenges adults have making healthy choices 2/16/16 Interview Dietician Amy Jones Assess Orange
County Hospital on healthy choices available to patients

2/18/16 Interview with Dr Smith on how he educates patients on healthy eating in his practice

2/19/16 Site Assessment of largest food bank serving
Orange County serving 96 agencies

REV-01_2016

Meals on Wheels
213 Hope Rd
Santa Ana CA
714-222-1111
Contact: Jane Smith
OC Park
6666 Bell Rd
Santa Ana CA
714-111-2222
Contact: Jim Williams
Weight Watchers
222 Mission Rd
Santa Ana CA
714-222-8888
Contact: Sam Smith
Orange County Hospital
111 Hope Rd
Santa Ana CA
714-111-8989
Contact: Amy Jones
Dr John Smith
222 Hospital Rd
Santa Ana CA
714-222-0000
Contact: John Smith
Helping Hands Food Bank
111 Garden Rd
Santa Ana CA
714-777-8989
Contact: Betty Sims

1

Expert on Elderly food services and how services can accessed by Seniors

8

Assessment of family lifestyle activities to improve obesity prevention

2

Assessment of support group strategy for supporting weight loss and obesity prevention

1

Expert on food services for acutely ill patients and available healthy options.

1

Expert on primary care and how health eating is part of patient interactions and counseling

2

Expert on food bank services and how free services can accessed

2/20/16 Assessment of mass community biking eventwho participates and why, what are the resources in the county for fitness building

2/21/16 Interview and assess Kaiser Wellness
Program for employees

2/22/16 Interview and assessment of what the
Department of Health is doing in the community to increase access to nutrition and safe exercise
2/23/16 Interview and assessment of
St Joseph Health Wellness program for employees. Assessment of cafeteria food choices and gym available to employees

2/24/16 Class “The balanced plate” focused on well balanced meals portion control
2/25/16 Childhood Obesity Conference

REV-01_2016

Orange County Fitness Coalition
222 City Rd
Santa Ana Ca
714-777-2121
Contact: Jim Watson
Kaiser Santa Ana
121 City Rd
Santa Ana, CA
714-222-0000
Contact: Allison Webb
Department of Health
1212 Health Rd
Santa Ana Ca
714-111-7777
St Joseph Hospital
111 Hospital Rd
Santa Ana CA
714-333-0000
Contact: Amy Adams

2

Assessment of free community activities for health prevention

2

Assessment of other available health and wellness services available to the community

2

Information on how obesity is being addressed by public agency

3

Assessment of how an employer is promoting health and wellness for employees with healthy food options and exercise options.

St Joseph Hospital
2222 Hospital Rd
Santa Ana CA
714-299-7777
Contact: Amy Adams
University of California, Irvine
Irvine, CA 92697
714-676-2222
Contact: Jana Jones

3

Assessment of teaching for healthy eating

8

Networked/interviewed multiple experts in the related to obesity; attended presentations on prevention and treatment of obesity in children

2/26/16 Health Fair Fit for Life
Interviews with staff, nurses and community members on nutrition and activities available in the city

County of Orange
222 City Rd
Santa Ana CA
714-222-3333
Contact: Mary Little

8

Assessment of other available health and wellness services available to the community

90
Total Hours
Print your name here

Sign here

Jane Doe
Student Name (print)

REV-01_2016

DON’T FORGET YOUR RN LICENSE

RN345678-009
Signature

State License #

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