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COLLEGE OF THE HOLY SPIRIT OF MANILA COLLEGE OF NURSING 163 E. Mendiola St.

, Manila Telefax: (02) 7347921 HEAD NURSING

Name: ______________________ Hospital: __________________ Ward: __________

Section & Group: _________________ Duration of Exposure: ________________

BED SIDE CONFERENCE


5 Excellent 4 Very Satisfactory 5 3 Satisfactory 4 3 2 Needs Improvement 2 1 1 Poor

CRITERIA History Demographic Data Assessment Diagnostics Medical Surgical Procedures Rapport to Client Ability to Answer questions

TOTAL REMARKS

PREPARED BY: ______________________

Clinical Instructor: ___________________ Date: ___________________

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