Escolar Documentos
Profissional Documentos
Cultura Documentos
9001-2008 Accredited (2010) SURGICAL SCRUB in _________________________________________________ Hospital, Municipality/ City/ Province Prepared by: Printed Name with Signature of Student: ____________________________________ Date Performed and Time Started Patients INITIALS (only) Case Number SURGICAL PROCEDURE PERFORMED O.R. Nurse On Duty (Name and Signature)
Noted by: (Print Name and Signature) Clinical Coordinator, PRC I.D. No. Valid Until Date document is signed: Time Please specify Highest Nursing Degree Earned:
Approved by: (Print Name and Signature) Dean, PRC I.D. No. Valid Until Date document is signed: Time: Please specify Highest Nursing Degree Earned:
Republic of the Philippines Bicol University COLLEGE OF NURSING Legazpi City AACCUP LEVEL III (2009) and ISO 9001-2008 Accredited (2010) SURGICAL SCRUB in _________________________________________________ Hospital, Municipality/ City/ Province Prepared by: Printed Name with Signature of Student: ____________________________________ Date Performed and Time Started Patients INITIALS (only) Case Number SURGICAL PROCEDURE PERFORMED O.R. Nurse On Duty (Name and Signature)
Noted by: (Print Name and Signature) Clinical Coordinator, PRC I.D. No. Valid Until Date document is signed: Time Please specify Highest Nursing Degree Earned:
Approved by: (Print Name and Signature) Dean, PRC I.D. No. Valid Until Date document is signed: Time: Please specify Highest Nursing Degree Earned:
Republic of the Philippines Bicol University COLLEGE OF NURSING Legazpi City AACCUP LEVEL III (2009) and ISO 9001-2008 Accredited (2010) ACTUAL DELIVERY in _________________________________________________ Hospital, Municipality/ City/ Province Prepared by: Printed Name with Signature of Student: ____________________________________ Date Performed and Time Started Patients INITIALS (only) Case Number
(not applicable for Birthing/LyingIn Clinic/Homes)
PROCEDURE PERFORMED
D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature NOT Required)
Noted by: (Print Name and Signature) Clinical Coordinator, PRC I.D. No. Valid Until Date document is signed: Time Please specify Highest Nursing Degree Earned:
Approved by: (Print Name and Signature) Dean, PRC I.D. No. Valid Until Date document is signed: Time: Please specify Highest Nursing Degree Earned:
Republic of the Philippines Bicol University COLLEGE OF NURSING Legazpi City AACCUP LEVEL III (2009) and ISO 9001-2008 Accredited (2010) ASSISTED DELIVERY in _________________________________________________ Hospital, Municipality/ City/ Province Prepared by: Printed Name with Signature of Student: ____________________________________ Date Performed and Time Started Patients INITIALS (only) Case Number
(not applicable for Birthing/LyingIn Clinic/Homes)
PROCEDURE PERFORMED
D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature NOT Required)
Noted by: (Print Name and Signature) Clinical Coordinator, PRC I.D. No. Valid Until Date document is signed: Time Please specify Highest Nursing Degree Earned:
Approved by: (Print Name and Signature) Dean, PRC I.D. No. Valid Until Date document is signed: Time: Please specify Highest Nursing Degree Earned:
Republic of the Philippines Bicol University COLLEGE OF NURSING Legazpi City AACCUP LEVEL III (2009) and ISO 9001-2008 Accredited (2010)
IMMEDIATE CARE OF NEWBORN in _________________________________________________ Hospital, Municipality/ City/ Province Prepared by: Printed Name with Signature of Student: ____________________________________ Date Performed and Time Started Patients INITIALS (only) Case Number
(not applicable for Birthing/LyingIn Clinic/Homes)
N.I.C.U. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature NOT Required)
Noted by: (Print Name and Signature) Clinical Coordinator, PRC I.D. No. Valid Until Date document is signed: Time Please specify Highest Nursing Degree Earned:
Approved by: (Print Name and Signature) Dean, PRC I.D. No. Valid Until Date document is signed: Time: Please specify Highest Nursing Degree Earned: