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    Paso de Blas Lying in Clinic For New

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    Naheed Dean Mustafa
    This document contains several clinical procedure forms from Our Lady of Fatima University and Paso de Blas Lying-In Clinic. The forms are for surgical scrub nurse, surgical circulating nurse, actual delivery, assisted delivery, and immediate newborn cord care procedures. Each form includes fields for student name, procedure performed, date/time, patient initials, case number, supervising nurse, and approval signatures from the clinical coordinator and dean.

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    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    Paso de Blas Lying in Clinic For New

    Uploaded by

    Naheed Dean Mustafa
    373 views5 pages
    This document contains several clinical procedure forms from Our Lady of Fatima University and Paso de Blas Lying-In Clinic. The forms are for surgical scrub nurse, surgical circulating nurse, actual delivery, assisted delivery, and immediate newborn cord care procedures. Each form includes fields for student name, procedure performed, date/time, patient initials, case number, supervising nurse, and approval signatures from the clinical coordinator and dean.

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    Paso de Blas Lying in Clinic for New

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    This document contains several clinical procedure forms from Our Lady of Fatima University and Paso de Blas Lying-In Clinic. The forms are for surgical scrub nurse, surgical circulating nurse, actual delivery, assisted delivery, and immediate newborn cord care procedures. Each form includes fields for student name, procedure performed, date/time, patient initials, case number, supervising nurse, and approval signatures from the clinical coordinator and dean.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    373 views5 pages

    Paso de Blas Lying in Clinic For New

    Uploaded by

    Naheed Dean Mustafa
    This document contains several clinical procedure forms from Our Lady of Fatima University and Paso de Blas Lying-In Clinic. The forms are for surgical scrub nurse, surgical circulating nurse, actual delivery, assisted delivery, and immediate newborn cord care procedures. Each form includes fields for student name, procedure performed, date/time, patient initials, case number, supervising nurse, and approval signatures from the clinical coordinator and dean.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 5

    OUR LADY OF FATIMA UNIVERSITY 120 McArthur Highway, Valenzuela City Tel.

    432-6026/293-2703 to 06 PACUCOA Level II Accredited SURGICAL SCRUB NURSE in PASO DE BLAS LYING IN CLINIC Prepared by: Printed Name and Signature of Student____________________________________________

    Date Performed and Time Started

    Patient's INITIAL Only SURGICAL PROCEDURE PERFORMED Case Number

    O.R. Nurse On Duty (Name and Signature)

    SUPERVISED BY Clinical Instructor Name and Signature

    Noted by: ____________________________________ Aida V. Garcia, RN MAN Clinical Coordinator, PRC I.D. No. 0196716 Valid Until MARCH 2011 Date document is signed: _______________ Time __________ Degree Earned: Master of Arts in Nursing

    Approved by: ____________________________________________________ Lurceli L. Santos, RM RN MAN Dean, PRC I.D. No. 0010878 Valid Until 2011 Date document is signed: _______________ Time _______ Degree Earned: Master of Arts in Nursing

    OUR LADY OF FATIMA UNIVERSITY 120 McArthur Highway, Valenzuela City Tel. 432-6026/293-2703 to 06 PACUCOA Level II Accredited SURGICAL CIRCULATING NURSE in PASO DE BLAS LYING IN CLINIC

    Prepared by: Printed Name and Signature of Student____________________________________________ SURGICAL PROCEDURE PERFORMED

    Date Performed and Time Started

    Patient's INITIAL Only Case Number

    O.R. Nurse On Duty (Name and Signature)

    SUPERVISED BY Clinical Instructor Name and Signature

    Noted by: ____________________________________ Aida V. Garcia, RN MAN Clinical Coordinator, PRC I.D. No. 0196716 Valid Until MARCH 2011 Date document is signed: _______________ Time __________ Degree Earned: Master of Arts in Nursing

    Approved by: ____________________________________________________ Lurceli L. Santos, RM RN MAN Dean, PRC I.D. No. 0010878 Valid Until 2011 Date document is signed: _______________ Time _______ Degree Earned: Master of Arts in Nursing

    OUR LADY OF FATIMA UNIVERSITY 120 McArthur Highway, Valenzuela City Tel. 292-1124 PACUCOA Level II. Granted April 10, 2002 ACTUAL DELIVERY in PASO DE BLAS LYING IN CLINIC Prepared by: Printed Name and Signature of Student____________________________________________
    D.R. Nurse On Duty (Name and Signature) (If Midwife on duty, Signature Not Required)

    Date Performed and Time Started

    Patient's INITIAL Only Case Number

    PROCEDURE PERFORMED

    SUPERVISED BY Clinical Instructor Name and Signature

    Noted by: ____________________________________ Aida V. Garcia, RN MAN Clinical Coordinator, PRC I.D. No. 0196716 Valid Until MARCH 2011 Date document is signed: _______________ Time _____________ Degree Earned: Master of Arts in Nursing

    Approved by: ____________________________________________________ Lurceli L. Santos, RM RN MAN Dean, PRC I.D. No. 0010878 Valid Until 2011 Date document is signed: _______________ Time _______ Degree Earned: Master of Arts in Nursing

    OUR LADY OF FATIMA UNIVERSITY 120 McArthur Highway, Valenzuela City Tel. 432-6026/293-2703 to 06 PACUCOA Level II Accredited ASSISTED DELIVERY in PASO DE BLAS LYING IN CLINIC Prepared by: Printed Name and Signature of Student____________________________________________
    Date Performed and Time Started Patient's INITIAL Only Case Number ASSISTED DELIVERY PROCEDURE PERFORMED D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required) SUPERVISED BY Clinical Instructor Name and Signature

    Noted by: ____________________________________ Aida V. Garcia, RN MAN Clinical Coordinator, PRC I.D. No. 0196716 Valid Until MARCH 2011 Date document is signed: _______________ Time __________ Degree Earned: Master of Arts in Nursing

    Approved by: ____________________________________________________ Lurceli L. Santos, RM RN MAN Dean, PRC I.D. No. 0010878 Valid Until 2011 Date document is signed: _______________ Time _______ Degree Earned: Master of Arts in Nursing

    OUR LADY OF FATIMA UNIVERSITY 120 McArthur Highway, Valenzuela City Tel. 432-6026/293-2703 to 06 PACUCOA Level II Accredited IMMEDIATE NEWBORN CORD CARE in PASO DE BLAS LYING IN CLINIC Prepared by: Printed Name and Signature of Student____________________________________________
    Date Performed and Time Started Patient's INITIAL Only Case Number Immediate Newborn Cord Care PERFORMED Indicate where performed e.g. D.R., Nursery, NICU or Home D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature not required) SUPERVISED BY Clinical Instructor Name and Signature

    Noted by: ____________________________________ Aida V. Garcia, RN MAN Clinical Coordinator, PRC I.D. No. 0196716 Valid Until MARCH 2011 Date document is signed: _______________ Time __________ Degree Earned: Master of Arts in Nursing

    Approved by: ____________________________________________________ Lurceli L. Santos, RM RN MAN Dean, PRC I.D. No. 0010878 Valid Until 2011 Date document is signed: _______________ Time _______ Degree Earned: Master of Arts in Nursing

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