Professional Documents
Culture Documents
ODC Form 1C
CORD CARE FORM
IMMEDIATE NEWBORN CORD CARE in ____ Ilocos Training and Regional Medical Center, San Fernando City La Union ___ Prepared by: Paul Melan G. Pangilinan ____________________
Date Performed and Time Started October 14, 2010 12:32 PM October 14, 2010 1:28 PM October 14, 2010 3:24 PM Patients INITIALS Case Number Baby Boy D. Nursery Editha Balancio Sheila Maria Batoon SUPERVISED BY Clinical Instructor
Nurse On Duty
Baby Boy P.
Nursery
Baby Boy L.
Nursery
Noted by: __________ Judith Odanee G. Magwilang__________ Clinical Coordinator, PRC I.D. No.: 0213569 Valid Until: March/07/2012 Date document is signed: _________________ Time: _____________ Highest Nursing Degree Earned: Master of Arts in Education, Major in Maternal and Child Nursing, MANc
Approved by: __________ Marian Grace A. Gascon__________ Dean, PRC I.D. No. 0058389 Valid Until: February/01/2012 Date document is signed: ____________ Time: _________________________ Highest Nursing Degree Earned: Master of Arts in Nursing