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Chinese General Hospital and Medical Center

Department of Pediatrics
Clerkship Rotation

CLERKS’ SKILLS CHECKLIST

NAME: ____________________________
Group: ___________
Date of Rotation: _________

Welcome to Pediatrics! We hope you make the most of your face-to-face rotation with us.

For each skill, please indicate the Date Observed/Attempted, Place of Rotation (Payward, NSU
Pay, Charity NSU or Charity Ward), and a space for signature of the nurse/resident you
observed or guided you during your attempt.

Sample Format:
Observed Attempted
IV Insertion Payward Charity Ward
July 28, 2022 July 28, 2022

Juan Dela Cruz, MD Juan Dela Cruz, MD


Lic. No. 0123456 Lic. No. 0123456

The numbers in parentheses indicate the minimum number of times Observed/Attempted.


Spaces with no numbers mean you are expected to observe or attempt as many as you can
during your rotation with us.

Enjoy!

Observed Attempted
IV insertion (5)

Blood extraction

Urinary catheter (5)


insertion

Rev. 28 July, 2022


Chinese General Hospital and Medical Center
Department of Pediatrics
Clerkship Rotation

OGT/NGT insertion (5)

PPD

BCG vaccine

Suctioning

Umbilical Vein
Catheter insertion

Intubation

EINC (Catching
newborn)

EINC (Proper
latching)

Newborn screening

Hearing screening

Rev. 28 July, 2022

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