B U L A C A N S TATE U N I V E R S I T Y

COLLEGE OF NURSING
City of Malolos, Bulacan
ENDORSEMENT SHEET
Pediatric Ward
Date:
Name of Patient

Diagnosis

IV Fluids/BT

Medication Treatment

Diet

Special Endorsement

Coleen Lou S. Badic

BSN-4A Group 3

Clinical Instructor

B U L A C A N S TATE U N I V E R S I T Y
COLLEGE OF NURSING
City of Malolos, Bulacan
MEDICATION LIST
Pediatric Ward
Date:
Name of Patient

Name of Student

Medication to be given
(route, frequency, dosage, time)

Computation

Coleen Lou S. Badic

BSN-4A Group 3

Clinical Instructor

B U L A C A N S TATE U N I V E R S I T Y
COLLEGE OF NURSING
City of Malolos, Bulacan
STUDENT ASSIGNMENT SHEET
Pediatric Ward
Date:
Name of Patient

Name of Student

Diagnosis

IV Fluids/BT

Diet

Special Endorsement

Coleen Lou S. Badic

BSN-4A Group 3

Clinical Instructor