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PRC Cord Dressing

This document contains a record of clinical procedures performed by Michael Roy B. Rodriguez as part of his Bachelor of Science in Nursing program at Saint Mary's College in Tagum City. It documents 5 cord dressings that Mr. Rodriguez performed under the supervision of a qualified clinical instructor at an unnamed hospital. The record is signed by the clinical coordinator and dean of the nursing program to verify the supervised clinical experience.

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Mike Royzkie Rodriguez
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381 views2 pages

PRC Cord Dressing

This document contains a record of clinical procedures performed by Michael Roy B. Rodriguez as part of his Bachelor of Science in Nursing program at Saint Mary's College in Tagum City. It documents 5 cord dressings that Mr. Rodriguez performed under the supervision of a qualified clinical instructor at an unnamed hospital. The record is signed by the clinical coordinator and dean of the nursing program to verify the supervised clinical experience.

Uploaded by

Mike Royzkie Rodriguez
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ST.

MARY’S COLLEGE
Tagum City
Name of Student: Michael Roy B. Rodriguez
Name & Address of School: Saint Mary’s College Kilometer 55 National Highway Tagum City
Accreditation Level (if any): Year Granted
Date School/Program was Recognized: Number Year
First Course (if any): School Graduated From
Year
Year of Admission in the Bachelor of Science in Nursing Program:
Year Graduated (BSN Program):

V. Cord Dressing
No C Date Name of Baby Gend Name of Mother Ag Name of Hospital Supervised by:
. ase Perform er of e Name & Signature
No. ed Baby of Qualified C.I.

Prepared by:
Michael Roy B. Rodriguez
Signature over printed name of student

Noted by: Concurred by: Approved by:

Josefina S. Balote, RN, MN Aida C. Hangad, RN,


MAN
Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse
Signature over printed name of Dean
Date Signed: Date Signed: Date Signed:
Degree: Master in Nursing Degree: Degree: Master of Arts in
Nursing
a.) PRC No: 0107556 a.) PRC No: a.) PRC No: 0059664
Valid Until: November 06, 2009 Valid Until: Valid Until:
September 30, 2009
b.) PNA No: 23753 b.) PNA No: b.) PNA No: 11-DN-0015-
1
Valid Until: December Valid Until: Valid Until: Lifetime
member
c.) ANSAP No: c.) ADPCN No: 511
Valid Until: Valid Until: December
2008

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