University of Perpetual Help System

City of Biñan, Laguna

NCM 105 Activity Sheet
Section E Group no. 19
Area: _________________ Date: ________________
Shift: _________________ CI: ___________ _______

SIGNATURESTUDENT’S

SIGNATUREC.I.

PERFORMANCE
ACTIVITIES

REMARKS
TIME-OUT
TIME-IN
GROUP MEMBERS

1. Ciolo, Katherine Mae J.

2. Crisostomo, John Carlo C.
3. De Las Alas, Katren Rose A.
4. Delos Reyes, Maria Laura A.
5. Fabian, Ryan Jay A.
6. Fernando, Schenly V.
7. Futami, Megumi A.
8. Galban, Justin Allen A.
9. Guerrero, Justin Craig M.
10.Guico, Jonas H.
11.Magpantay,Jessa Rose G.
12.Nuñez, Eissel Jannet S.
13.Valerio, Daniel Chito

University of Perpetual Help System

City of Biñan, Laguna
NCM 105 Activity Sheet
Section E Group no. 19
Area: _________________ Name of Student Patient Room no.
Date: ________________
Shift: _________________ 1. Ciolo, Katherine Mae J.
CI: ___________________
2. Crisostomo, John Carlo C.
3. De Las Alas, Katren Rose A.
Activities: 4. Delos Reyes, Maria Laura A.
o Vital signs taking
5. Fabian, Ryan Jay A.
& recording
o Bedside care
6. Fernando, Schenly V.
o Oral/IV 7. Futami, Megumi A.
Medications 8. Galban, Justin Allen A.
o I/O monitoring 9. Guerrero, Justin Craig M.
o Nurses notes/ 10. Guico, Jonas H.
Charting 11. Magpantay,Jessa Rose
G.
12. Nuñez, Eissel Jannet S.
13. Valerio, Daniel Chito