Contra Mindonoo Universi
‘Colege of Nuring
FUNDAMENTALS OF NURSING PRACTICE, RLE
Procedure Chectist
Name of Students | Cony wat. DANI JEL
GlinicalTnstructor, | yyy. WOR {mH LV. EQOA, NAD, ERY, LOT
Donning and Removing Sterile Gloves (Closed Method)
A. Direction: Write your answers on the space provided.
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Possible Nursing Diagnoses
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Provide your hasessment ndings/rafonale on the box. You are rated based on the
performance nics.
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Tima fica cah deca Sat eae AT
idemtiy using agency protocol. Explain | “Gitoy ametby and YON A. Reg A,
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2 Perform hand hygenc and Obscrve OUT | Paw eee
Serna fecion proventon | Wt Sas taken tre aera
procedures ESA Re
|S. Provide for client privacy. —=~S~*~S~S~SC mg
Peres Coen |
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“. Open the package of stevie gloves | Pegur enn puta WA
ir te Go eg fn hc | al