BENGUET STATE UNVERSITY BENGUET STATE UNVERSITY

College of Nursing College of Nursing

La Trinidad, Benguet La Trinidad, Benguet
INTRAPARTUM CARE and INTRAPARTUM CARE and
IMMEDIATE NEWBORN IMMEDIATE NEWBORN
CARE CASE SLIP CARE CASE SLIP

Actual Delivery Assisted Delivery Newborn Care

Actual Delivery Assisted Delivery Newborn Care
Name (Initials): Case #:
Name (Initials): Case #:
Intrapartum Care
Intrapartum Care
Age: Gravida: Para:
Age: Gravida: Para:
Date of Delivery: Time:
Date of Delivery: Time:
Sex of the Baby:
Sex of the Baby:
Final Diagnosis:
Final Diagnosis:

Obstetrician:
Obstetrician:
Nurse-on-duty:
Nurse-on-duty:
Name of Student:
Name of Student: Clinical Facilitator:
Clinical Facilitator: Immediate Newborn Care
Immediate Newborn Care Date of Delivery: Type of Delivery:
Date of Delivery: Type of Delivery: Time: Sex:
Time: Sex: Name of Mother (initials):
Name of Mother (initials): Final Diagnosis:
Final Diagnosis:

Pediatrician:
Pediatrician: Nurse-on-duty:
Nurse-on-duty: Name of Student:
Name of Student: Clinical Facilitator:
Clinical Facilitator:

BENGUET STATE UNVERSITY

College of Nursing
La Trinidad, Benguet
BENGUET STATE UNVERSITY INTRAPARTUM CARE and
College of Nursing IMMEDIATE NEWBORN
La Trinidad, Benguet CARE CASE SLIP
INTRAPARTUM CARE and
IMMEDIATE NEWBORN Actual Delivery Assisted Delivery Newborn Care
CARE CASE SLIP
Case #:
Name (Initials):
Actual Delivery Assisted Delivery Newborn Care Intrapartum Care
Age: Gravida: Para:
Case #:
Date of Delivery: Time:
Name (Initials):
Sex of the Baby:
Intrapartum Care
Final Diagnosis:
Age: Gravida: Para:
Date of Delivery: Time:
Sex of the Baby:
Obstetrician:
Final Diagnosis:
Nurse-on-duty:
Name of Student:
Clinical Facilitator:
Obstetrician:
Nurse-on-duty: Immediate Newborn Care
Date of Delivery: Type of Delivery:
Name of Student:
Time: Sex:
Clinical Facilitator:
Name of Mother (initials):
Immediate Newborn Care
Final Diagnosis:
Date of Delivery: Type of Delivery:
Time: Sex:
Name of Mother (initials): Pediatrician:
Final Diagnosis: Nurse-on-duty:
Name of Student:
Clinical Facilitator:
Pediatrician:
Nurse-on-duty:
Name of Student:
Clinical Facilitator: