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6 views

DR Index

Uploaded by

Hamza Malik
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Basilan State College

College of Health and Sciences


DEPARTMENT OF NURSING
Isabela City, Basilan
Zamboanga Peninsula

Name of Student: _______________________________________Rotation No. & Date:____________________________________


Year Level:_____________________________________________ Hospital/Area of Assignment: BASILAN GENERAL HOSPITAL____

IMMEDIATE CARE OF NEWBORN

Date Performed Patient’s INITIALS (only) IMMEDIATE NEWBORN CORD D.R Nurse On Duty SUPERVISED BY:
and Case Number CARE PERFORMED (Name and Signature) Clinical Instructor
Time Started (not applicable for Birthing/ Indicate where performed e.g. (If Midwife on Duty, Name and Signature
Lying-In Clinics/ Homes) D.R., Nursery, NICU, or Home Signature is not Required)

Noted By:

LOU NORMAN H. FLORES, MAN, RN


CLINICAL COORDINATOR
Basilan State College
College of Health and Sciences
DEPARTMENT OF NURSING
Isabela City, Basilan
Zamboanga Peninsula

Name of Student: _________________________________________ Rotation No. & Date:____________________________________


Year Level:_______________________________________________ Hospital/Area of Assignment: BASILAN GENERAL HOSPITAL____

ACTUAL DELIVERY FORM

Date Performed Patient’s INITIALS (only) PROCEDURE PERFORMED D.R Nurse On Duty SUPERVISED BY:
and Case Number (Name and Signature) Clinical Instructor
Time Started (not applicable for Birthing/ (If Midwife on Duty, Name and Signature
Lying-In Clinics/ Homes) Signature is not Required)

Noted By:

LOU NORMAN H. FLORES, MAN, RN


CLINICAL COORDINATOR

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