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  • Intrapartal Template

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    Reymar Padilla Torres
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    This document appears to be an actual delivery form from the School of Nursing at the University of Baguio. The form collects information about a delivery, including the hospital or location where it took place, the patient's name and case number, and the date and time the delivery started. It requires signatures from the student who performed the delivery, the nurse or midwife on duty, and a supervising clinical instructor.

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    This document appears to be an actual delivery form from the School of Nursing at the University of Baguio. The form collects information about a delivery, including the hospital or location where it took place, the patient's name and case number, and the date and time the delivery started. It requires signatures from the student who performed the delivery, the nurse or midwife on duty, and a supervising clinical instructor.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views1 page

    Intrapartal Template

    Uploaded by

    Reymar Padilla Torres
    This document appears to be an actual delivery form from the School of Nursing at the University of Baguio. The form collects information about a delivery, including the hospital or location where it took place, the patient's name and case number, and the date and time the delivery started. It requires signatures from the student who performed the delivery, the nurse or midwife on duty, and a supervising clinical instructor.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    S CHOOL OF N URSING Upper General Luna Road, 2600 Baguio City

    Te. #: (074) 442 4915, 442 3036; Fax #: ( 074 ) 442 3071; E-Mail: ub@ubaguio.edu

    ACTUAL DELIVERY in __________________________________________________ Hospital/ Home/ Lying in Clinic, Municipality/ City/ Province Prepared by: Printed Name and Signature of Student: _____________________________________________ Patients Name Case Number Date Performed and Time Started ( not applicable for
    Birthing/ Lying-in-Clinics/ Homes )

    D.R. Form ACTUAL DELIVERY FORM

    D.R. Nurse on Duty ( Name and Signature ) PROCEDURE PERFORMED ( If Midwife on Duty, signature not required )

    SUPERVISED BY Clinical Instructor ( Name and Signature )

    ( STRICTLY NO DESIGNATES )

    mbb

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