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Charge Nurse: _______________________ Clinical Instructor: _____________________ Student Nurse: _______________________ Room Name of Patient # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , IV Fluids @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ TPR gtts/min

gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min gtts/min I/O Procedures

Cebu Doctors University Hospital Endorsement Sheet

Date: ____________ Shift: ____________ Census: __________ Important Notes

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