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COLLEGE OF NURSING, PHARMACY, AND ALLIED HEALTH SCIENCES

DEPARTMENT OF NURSING

BSN - LEVEL III


Patient Assessment Sheet

Clinical Area: NOPH - Surgery I (Northwing)


Inclusive Date/s of Duty: __________________________________________________________________

DATE NAME OF STUDENT BED NUMBER NAME OF PATIENT ATTENDING


PHYSICIAN

PROCEDURES:
Morning care, medication administration (oral, IM, SQ, ID routes), assisting in IV insertion, IV regulation
and termination, wound care, nasogastric tube (NGT) feeding, suctioning, catheterization, RBS monitoring,
wound care, pin, cast and traction assessment, health teaching, and charting.

CLINICAL INSTRUCTOR:
Ourem Loren Z. Casinto, RN

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