Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
neil0523

neil0523

Ratings: (0)|Views: 76 |Likes:
Published by neil0522

More info:

Published by: neil0522 on Oct 18, 2008
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOC, PDF, TXT or read online from Scribd
See more
See less

06/16/2009

pdf

text

original

 
ST. MARY’S COLLEGETagum City
 
Name of Student:__Neil Ian E. Barco__________________________________________________________________________________________________________________________________________________________________ Name & Address of School:St. Mary;s College .Kilometer 55 National Highway Tagum cityAccreditation Level (if any):________________________________________________________Year Granted________________________________________________________________________________________________________ Date School/Program was Recognized:________________________________________________Number________________________________________Year_______________________________________________________________ First Course (if any):______________________________________________________________ School Graduated From____________________________ Year_____________________________________________________________ Year of Admission in the Bachelor of Science in Nursing Program:____________________________________________________________________________________________________________________________________________ Year Graduated (BSN Program):______________________________________________________________________________________________________________________________________________________________________ 
III. Actual DeliveriesNo.CaseNo.Diagnosis Name of Mother Age33Date of DeliveryTime of Delivery Gender of BabyName of HospitalType of DeliverySupervised by:Name & Signature of  Qualified C.I.
1250653
 Julieta Pagay33 July 26,20087:40pmMaleDavaoRegionalHospitalNormalSpontaneousVaginalDelivery
 .2.345
 
Prepared By:
_______________ 
Neil Ian E. Barco
 
 
 ____________________ Signature over printed name of student Noted by:
Concurred by: Approved by
: ________ 
Josefina S. Balote R.N,MN_________ 
 ______ 
Ma. Mercy C. Coral RN, MHA_________ 
 ______ 
Aida C. Hangad RN,MAN
____________ Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean of NursingDate Signed:_______________________________ Date Signed:__________________________Date Signed:___________________________Degree: ________________________ 
 
 ___________ Degree:______________________________Degree: ________________________________ a.)PRC No.: _______________________________ a.) PRC No.:____________________________a.) PRC No.: ___________
 
 ________________ Valid until: _______________________________ Valid Until:_____ ____________________ Valid until: __________________________ b.)PNA No.: _________ 
 
 _____________________ b.) PNA No.:____________________________b.) PNA No.: _________________
 
 __________ Valid until: _____________________ 
 
 __________ Valid Until:__________________________ Valid until: ___________________
 
 _______ c.) ANSAP No.:________ 
 
 _________________ c.) ADPCN No.: __________________________ Valid Until:________________ 
 
 __________ Valid until:__________________ 
 
 __________ 
 
ST. MARY’S COLLEGETagum City
Name of Student:__Neil Ian E. BarcoName & Address of School: St. Mary;s College .Kilometer 55 National Highway Tagum cityAccreditation Level (if any):________________________________________________________Year Granted_______________________________________________________________________________________________________ Date School/Program was Recognized:________________________________________________Number________________________________________Year_______________________________________________________________ First Course (if any):______________________________________________________________ School Graduated From____________________________ Year____________________________________________________________ Year of Admission in the Bachelor of Science in Nursing Program:__________________________________________________________________________________________________________________________________________ Year Graduated (BSN Program):_____________________________________________________________________________________________________________________________________________________________________ 
V. Cord Dressing
No.CaseNo.DatePerformed
 
Name of BabyGender oBaby
 
Name of MotherAge
 
Name of Hospital
Supervised by: Name& Signature of Qualified C.I.
1
250485
July 24, 2008
Isaac CamamaraMaleJaneza CamamaraDavao Regional Hospital
 .2250504
July 24, 2008
MaleLigaya JameroDavao Regional Hospital
.345
 
Prepared By:_________________Neil Ian E. Barco__________________ 
Signature over printed name of student
Noted by: Concurred by: Approved by: Josefina S, Balote RN, MN Ma. Mercy C. Coral RN, MHA _________
Aida C. Hangad RN,MAN
Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean of NursingDate Signed:_______________________________________ Date Signed:___________________________________Date Signed:___________________________Degree: ___________________________________________ Degree:_______________________________________Degree: ________________________________ a.)PRC No.:_________________________________________ a.) PRC No.:____________________________________a.) PRC No.: ________________________________________ Valid until:_________________________________________ Valid Until:_________________________________ Valid until:_______________________________________b.)PNA No.:_________________________________________ b.) PNA No.:_______________________________________b.) PNA No.: _________________________________________ Valid until:__________________________________________ Valid Until:___________________________________ Valid until: _______________________________________ c.) ANSAP No.:_________________________________ c.) ADPCN No.:_______________________________________ Valid Until:__________________________________________________ 
Validuntil:______________________________________________ 
 
ST. MARY’S COLLEGETagum City
 
Name of Student: Neil Ian E. BarcoName & Address of School:_St. Mary;s College , National Highway Tagum CityAccreditation Level (if any):________________________________________________________Year Granted______________________________________________________________________________________________ Date School/Program was Recognized:________________________________________________Number________________________________________Year______________________________________________________ First Course (if any):______________________________________________________________ School Graduated From____________________________ Year____________________________________________________ Year of Admission in the Bachelor of Science in Nursing Program:___________________________________________________________________________________________________________________________________ Year Graduated (BSN Program):_____________________________________________________________________________________________________________________________________________________________ 
IV. Deliveries Assisted
No.CaseNo.Diagnosis
 
Pregnancy Uterine 29 6/7 weeks age of gestation cephalicdelivered spontaneously to a
Name of Mother Age
 
Date of DeliveryTime of Delivery
 
Gender of BabyName of HospitalType of DeliverySupervised by:Name
 
& Signature of 
 
Qualified C.I.
1250572live baby boy apgar score 6 & 8 birth weight 3195 grams, birthlength 51 centimeters,Michelle P.Garalde24 July 25,20087:09pmMaleDavaoRegionalHospitalNormalSpontaneousVaginalDeliveryGravida 1 Parity 1 (1001).2259195Pregnancy Uterine 36-37 weeks age of gestation cephalicdelivered spontaneously to Joylyn M.Sulapas19October 9,20087:12pmMaleDavaoRegionalHospitalNormalSpontaneousVaginalDeliveryalive baby boy apgar score 8 & 9 birth weight 1852 grams, birthlength 41 centimeters,Gravida 1 Parity 1 (1001) Mild preeclampsia
.345 
Prepared By:______________ Neil Ian E. Barco _______________ 
Signature over printed name of studeny 
Noted by: Concurred by: Approved by:_____Josefina S, Balote RN, MN ___ ______________ Ma. Mercy C. Coral RN, MHA _______________ _____
Aida C. Hangad RN,MAN
_______________
 
____
Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse Signature over printed name of Dean of NursingDate Signed:_______________________________ Date Signed:__________________________Date Signed:___________________________

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->