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    Wfmc-Camarin Sample - DR Actual - Assist.cordcare PRC Forms

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    Nes Tii
    This document appears to be a record of clinical procedures performed by a nursing student named Juan De La Cruz at the Arellano University College of Nursing. It includes details of three normal spontaneous deliveries and one assisted delivery performed at the Well-Family Midwife Clinic in Camarin, Caloocan City, Metro Manila. It also includes a record of immediate newborn cord care performed in the delivery room. The document provides information on the date and time of each procedure, the patient's initials, the nurse on duty and supervising clinical instructor for each procedure. It is signed by the clinical coordinator and dean of the nursing program.

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    Download as DOC, PDF, TXT or read online from Scribd

    Wfmc-Camarin Sample - DR Actual - Assist.cordcare PRC Forms

    Uploaded by

    Nes Tii
    142 views4 pages
    This document appears to be a record of clinical procedures performed by a nursing student named Juan De La Cruz at the Arellano University College of Nursing. It includes details of three normal spontaneous deliveries and one assisted delivery performed at the Well-Family Midwife Clinic in Camarin, Caloocan City, Metro Manila. It also includes a record of immediate newborn cord care performed in the delivery room. The document provides information on the date and time of each procedure, the patient's initials, the nurse on duty and supervising clinical instructor for each procedure. It is signed by the clinical coordinator and dean of the nursing program.

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    Wfmc-camarin Sample.dr Actual.assist.cordcare Prc Forms

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    This document appears to be a record of clinical procedures performed by a nursing student named Juan De La Cruz at the Arellano University College of Nursing. It includes details of three normal spontaneous deliveries and one assisted delivery performed at the Well-Family Midwife Clinic in Camarin, Caloocan City, Metro Manila. It also includes a record of immediate newborn cord care performed in the delivery room. The document provides information on the date and time of each procedure, the patient's initials, the nurse on duty and supervising clinical instructor for each procedure. It is signed by the clinical coordinator and dean of the nursing program.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    142 views4 pages

    Wfmc-Camarin Sample - DR Actual - Assist.cordcare PRC Forms

    Uploaded by

    Nes Tii
    This document appears to be a record of clinical procedures performed by a nursing student named Juan De La Cruz at the Arellano University College of Nursing. It includes details of three normal spontaneous deliveries and one assisted delivery performed at the Well-Family Midwife Clinic in Camarin, Caloocan City, Metro Manila. It also includes a record of immediate newborn cord care performed in the delivery room. The document provides information on the date and time of each procedure, the patient's initials, the nurse on duty and supervising clinical instructor for each procedure. It is signed by the clinical coordinator and dean of the nursing program.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 4

    ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 222/210, 7353509 Fax, www.arellano.edu.

    ph PACUCOA Level II Re-Accredited Status (February 2010 to February 2015) ACTUAL DELIVERY in ______ Well-Family Midwife Clinic - Camarin, Caloocan City, Metro Manila_______ Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student ___JUAN DE LA CRUZ___

    Date Performed and Time Started October 7, 2010 12:30 AM December 15, 2010 9:45 PM February 16, 2011 2:23 AM

    Patients INITIAL Only Case Number


    (not applicable for Birthing/Lyingin Clinic/Home)

    PROCEDURE PERFORMED

    D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required)

    SUPERVISED BY Clinical instructor Name and Signature

    A.B.C. 012345 D.E.F. 123456 G.H.I. 234567

    Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery

    Phoebe B. Bazarte, RM Phoebe B. Bazarte, RM Phoebe B. Bazarte, RM

    Gener C. Sibal R.N.,MD,FPOA,MAN-c Gener C. Sibal R.N.,MD,FPOA,MAN-c Gener C. Sibal R.N.,MD,FPOA,MAN-c

    Noted by: LEONARDO M. NUESTRO JR., RN, MAN Clinical Coordinator, PRC I.D. No. 190198 Valid Until March 25, 2013 2013 Date document is signed: ________________ Time: ______________ Highest Nursing Degree Earned: BSN, MAN

    Approved by: NOLI V.PAGDANGANAN, RN, MPA, MAN Dean, PRC I.D. No. 025555 Valid Until Octber 16, Date document is signed: ________________ Time: _____________ Highest Nursing Degree Earned: BSN, MPA, MAN

    ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 222/210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level II Re-Accredited Status (February 2010 to February 2015)

    ASSISTED DELIVERY in ______ Well-Family Midwife Clinic - Camarin, Caloocan City, Metro Manila ______ Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student ___JUAN DE LA CRUZ___

    Date Performed and Time Started October 7, 2010 12:30 AM December 15, 2010 9:45 PM

    Patients INITIAL Only Case Number


    (not applicable for Birthing/Lyingin Clinic/Home)

    PROCEDURE PERFORMED ASSISTED DELIVERY

    D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required)

    SUPERVISED BY Clinical instructor Name and Signature

    A.B.C. 012345 D.E.F. 123456

    Normal Spontaneous Delivery Normal Spontaneous Delivery

    Phoebe B. Bazarte, RM Phoebe B. Bazarte, RM

    Gener C. Sibal R.N.,MD,FPOA,MAN-c Gener C. Sibal R.N.,MD,FPOA,MAN-c

    Noted by: LEONARDO M. NUESTRO JR., RN, MAN

    Approved by: NOLI V.PAGDANGANAN, RN, MPA, MAN

    Clinical Coordinator, PRC I.D. No. 190198 Valid Until March 25, 2013 2013 Date document is signed: ________________ Time: ______________ Highest Nursing Degree Earned: BSN, MAN

    Dean, PRC I.D. No. 025555 Valid Until Octber 16, Date document is signed: ________________ Time: _____________ Highest Nursing Degree Earned: BSN, MPA, MAN

    ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 222/210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level II Re-Accredited Status (February 2010 to February 2015)

    IMMEDIATE NEWBORN CORD CARE in ______ Well-Family Midwife Clinic - Camarin, Caloocan City, Metro Manila ______ Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student ___JUAN DE LA CRUZ___

    Date Performed and Time Started August 17, 2010 12:53 PM August 23, 2010 2:57 AM

    Patients INITIAL Only Case Number


    (not applicable for Birthing/Lyingin Clinic/Home)

    Immediate Newborn Cord Care PERFORMED Indicate where performed e.g. D.R., Nursery, NICU, or Home Delivery Room Delivery Room

    D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required)

    SUPERVISED BY Clinical instructor Name and Signature

    Baby Girl A. Baby Boy B.

    Phoebe B. Bazarte, RM Phoebe B. Bazarte, RM

    Gener C. Sibal R.N.,MD,FPOA,MAN-c Gener C. Sibal R.N.,MD,FPOA,MAN-c

    Noted by: LEONARDO M. NUESTRO JR., RN, MAN

    Approved by: NOLI V.PAGDANGANAN, RN, MPA, MAN

    Clinical Coordinator, PRC I.D. No. 190198 Valid Until March 25, 2013 2013 Date document is signed: ________________ Time: ______________ Highest Nursing Degree Earned: BSN, MAN

    Dean, PRC I.D. No. 025555 Valid Until Octber 16, Date document is signed: ________________ Time: _____________ Highest Nursing Degree Earned: BSN, MPA, MAN

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