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    Benguet State University College of Nursing: OR Scrub Form Major

    Uploaded by

    GlizerineLapangan
    The document contains forms from Benguet State University College of Nursing that nursing students must complete when participating in surgical scrubs, actual deliveries, assisted deliveries, and immediate newborn care at the Baguio General Hospital and Medical Center. The forms include spaces for the student's name, date, case number, procedure performed, supervising nurse, and signature. Benguet State University's contact information is provided at the top of each form.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Benguet State University College of Nursing: OR Scrub Form Major

    Uploaded by

    GlizerineLapangan
    20 views7 pages
    The document contains forms from Benguet State University College of Nursing that nursing students must complete when participating in surgical scrubs, actual deliveries, assisted deliveries, and immediate newborn care at the Baguio General Hospital and Medical Center. The forms include spaces for the student's name, date, case number, procedure performed, supervising nurse, and signature. Benguet State University's contact information is provided at the top of each form.

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    The document contains forms from Benguet State University College of Nursing that nursing students must complete when participating in surgical scrubs, actual deliveries, assisted deliveries, and immediate newborn care at the Baguio General Hospital and Medical Center. The forms include spaces for the student's name, date, case number, procedure performed, supervising nurse, and signature. Benguet State University's contact information is provided at the top of each form.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    20 views7 pages

    Benguet State University College of Nursing: OR Scrub Form Major

    Uploaded by

    GlizerineLapangan
    The document contains forms from Benguet State University College of Nursing that nursing students must complete when participating in surgical scrubs, actual deliveries, assisted deliveries, and immediate newborn care at the Baguio General Hospital and Medical Center. The forms include spaces for the student's name, date, case number, procedure performed, supervising nurse, and signature. Benguet State University's contact information is provided at the top of each form.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 7

    ODC FORM 2A

    Benguet State University OR Scrub Form


    Major
    COLLEGE OF NURSING
    Km. 5, La Trinidad, Benguet, 2601, Philippines
    Phone number: 309-3882; Fax number: (63) (074) 422-2281; E-mail: [email protected]; Web site: www.bsu.edu.ph
    Qualified for LEVEL IV ACCREDITATION, AACCUP, September 1, 2015 August 31, 2017

    SURGICAL SCRUB in BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER, Baguio City

    Name of Student:__________________________________________ Signature: _______________________ ________ __ __


    DATE PERFORMED
    SUPERVISED BY:
    AND CASE NUMBER PROCEDURE PERFORMED O.R. NURSE ON DUTY
    (Clinical Instructor)
    TIME STARTED
    ODC FORM 2B
    Benguet State University OR Scrub Form
    COLLEGE OF NURSING Minor
    Km. 5, La Trinidad, Benguet, 2601 Philippines
    Phone number: 309-3882; Fax number: (63) (074) 422-2281; E-mail: [email protected]; Web site: www.bsu.edu.ph
    Qualified for LEVEL IV ACCREDITATION, AACCUP, September 1, 2015 August 31, 2017

    SURGICAL SCRUB in BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER, Baguio City

    Name of Student:____________________________________ Signature: _______________________ ________ __ __


    DATE PERFORMED
    SUPERVISED BY:
    AND CASE NUMBER PROCEDURE PERFORMED O.R. NURSE ON DUTY
    (Clinical Instructor)
    TIME STARTED
    ODC FORM 2C
    Benguet State University OR Scrub Form
    COLLEGE OF NURSING Circulating
    Km. 5, La Trinidad, Benguet, 2601 Philippines
    Phone number: 309-3882; Fax number: (63) (074) 422-2281; E-mail: [email protected]; Web site: www.bsu.edu.ph
    Qualified for LEVEL IV ACCREDITATION, AACCUP, September 1, 2015 August 31, 2017

    SURGICAL SCRUB in BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER, Baguio City

    Name of Student:__________________________________________ Signature: _______________________ ________ __ __


    DATE PERFORMED
    SUPERVISED BY:
    AND CASE NUMBER PROCEDURE PERFORMED O.R. NURSE ON DUTY
    (Clinical Instructor)
    TIME STARTED
    ODC FORM 1A
    Benguet State University
    COLLEGE OF NURSING Actual Delivery
    Km. 5, La Trinidad, Benguet, 2601 Philippines Form
    Phone number: 309-3882; Fax number: (63) (074) 422-2281; E-mail: [email protected]; Web site: www.bsu.edu.ph
    Qualified for LEVEL IV ACCREDITATION, AACCUP, September 1, 2015 August 31, 2017

    ACTUAL DELIVERY in BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER, Baguio City

    Name of Student:__________________________________ Signature: _______________________ ________ __ __


    DATE PERFORMED
    PROCEDURE PERFORMED SUPERVISED BY:
    AND CASE NUMBER D.R. NURSE ON DUTY
    ACTUAL DELIVERY (Clinical Instructor)
    TIME STARTED
    ODC FORM 1B
    Benguet State University
    COLLEGE OF NURSING Assisted Delivery
    Km. 5, La Trinidad, Benguet, 2601 Philippines Form
    Phone number: 309-3882; Fax number: (63) (074) 422-2281; E-mail: [email protected]; Web site: www.bsu.edu.ph
    Qualified for LEVEL IV ACCREDITATION, AACCUP, September 1, 2015 August 31, 2017

    ASSISTED DELIVERY in BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER, Baguio City

    Name of Student:____________________________________ Signature: _______________________ ________ __ __

    DATE PERFORMED
    AND CASE NUMBER PROCEDURE PERFORMED D.R. NURSE ON DUTY SUPERVISED BY:
    TIME STARTED ASSISTED DELIVERY (Clinical Instructor)
    ODC FORM 1C
    Benguet State University
    Cord Care
    COLLEGE OF NURSING
    Km. 5, La Trinidad, Benguet, 2601 Philippines Form
    Phone number: 309-3882; Fax number: (63) (074) 422-2281; E-mail: [email protected]; Web site: www.bsu.edu.ph
    Qualified for LEVEL IV ACCREDITATION, AACCUP, September 1, 2015 August 31, 2017

    IMMEDIATE NEWBORN CARE in BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER, Baguio City

    Name of Student:__________________________________________ Signature: _______________________ ________ __ __


    DATE PERFORMED
    SUPERVISED BY:
    AND CASE NUMBER IMMEDIATE NEWBORN CARE PERFORMED NSY NURSE ON DUTY
    (Clinical Instructor)
    TIME STARTED

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