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    Completion Form

    Uploaded by

    Eimhie Lee Casi
    The document is from Far Eastern University's Institute of Nursing regarding a clinical internship completion form for a hospital. It lists the area, date, shift, and clinical instructor for the internship. It also includes spaces to list the names and student numbers of up to 6 nursing students participating in the internship. The form was prepared by the Level IV Coordinator, Julie Danofrata, and endorsed by the Dean of the Institute of Nursing, Glenda Arquiza. It includes references to the affiliated hospital and the form number and revision date.

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    Completion Form

    Uploaded by

    Eimhie Lee Casi
    11 views2 pages
    The document is from Far Eastern University's Institute of Nursing regarding a clinical internship completion form for a hospital. It lists the area, date, shift, and clinical instructor for the internship. It also includes spaces to list the names and student numbers of up to 6 nursing students participating in the internship. The form was prepared by the Level IV Coordinator, Julie Danofrata, and endorsed by the Dean of the Institute of Nursing, Glenda Arquiza. It includes references to the affiliated hospital and the form number and revision date.

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    The document is from Far Eastern University's Institute of Nursing regarding a clinical internship completion form for a hospital. It lists the area, date, shift, and clinical instructor for the internship. It also includes spaces to list the names and student numbers of up to 6 nursing students participating in the internship. The form was prepared by the Level IV Coordinator, Julie Danofrata, and endorsed by the Dean of the Institute of Nursing, Glenda Arquiza. It includes references to the affiliated hospital and the form number and revision date.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    11 views2 pages

    Completion Form

    Uploaded by

    Eimhie Lee Casi
    The document is from Far Eastern University's Institute of Nursing regarding a clinical internship completion form for a hospital. It lists the area, date, shift, and clinical instructor for the internship. It also includes spaces to list the names and student numbers of up to 6 nursing students participating in the internship. The form was prepared by the Level IV Coordinator, Julie Danofrata, and endorsed by the Dean of the Institute of Nursing, Glenda Arquiza. It includes references to the affiliated hospital and the form number and revision date.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 2

    FAR EASTERN UNIVERSITY

    INSTITUTE OF NURSING

    OR / DR COMPLETION

    _________________________________________
    (Name of Hospital)

    AREA: OR or DR
    DATE:
    SHIFT:
    CI:

    List of Students: BSN _____ / GROUP ____


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    Prepared by:

    JULIE C. DANOFRATA, RN, MAN


    Level IV – Coordinator

    Endorsed by:

    GLENDA S. ARQUIZA, RN, PhD


    DEAN, Institute of Nursing

    Cc: Clinical Instructor


    Affiliated Agency
    Level IV Coordinator's
    FEU/QSF-NUR05Rev,No.:00Effectivity Date 31 August 2005

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