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  • Holy Angel University: Surgical Scrub (Major Cases)

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    Alyssa Nicole Pangilinan
    11 views5 pages
    The document appears to be a log or record from Holy Angel University for nursing students to record their supervised clinical experiences related to surgical procedures, deliveries, and newborn care. It includes sections for students to record information like the date, patient's initials, hospital, procedure performed, and supervisor's signature. The log separates experiences into categories like surgical scrub, circulating nurse, actual deliveries, and immediate newborn care.

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    The document appears to be a log or record from Holy Angel University for nursing students to record their supervised clinical experiences related to surgical procedures, deliveries, and newborn care. It includes sections for students to record information like the date, patient's initials, hospital, procedure performed, and supervisor's signature. The log separates experiences into categories like surgical scrub, circulating nurse, actual deliveries, and immediate newborn care.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views5 pages

    Holy Angel University: Surgical Scrub (Major Cases)

    Uploaded by

    Alyssa Nicole Pangilinan
    The document appears to be a log or record from Holy Angel University for nursing students to record their supervised clinical experiences related to surgical procedures, deliveries, and newborn care. It includes sections for students to record information like the date, patient's initials, hospital, procedure performed, and supervisor's signature. The log separates experiences into categories like surgical scrub, circulating nurse, actual deliveries, and immediate newborn care.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 5

    HOLY ANGEL UNIVERSITY

    #1 Holy Angel Avenue, Sto. Rosario, Angeles City Philippines 2009


    Telefax: 888-2514 /888-1754 /888-1290/ local 1190
    Email Address: hau@hau.edu.ph
    Website: http://www.hau.edu.ph

    SURGICAL SCRUB
    (Major Cases)

    Name and Student Number: _____________________________________

    Patient’s INITIAL
    (only) SUPERVISED BY
    SURGICAL PROCEDURE O.R. Nurse on Duty
    Date Performed Hospital Clinical Instructor
    PERFORM (Name and Signature)
    Case Number Name and Signature
    HOLY ANGEL UNIVERSITY
    #1 Holy Angel Avenue, Sto. Rosario, Angeles City Philippines 2009
    Telefax: 888-2514 /888-1754 /888-1290/ local 1190
    Email Address: hau@hau.edu.ph
    Website: http://www.hau.edu.ph

    SURGICAL SCRUB
    (Minor Cases)

    Name and Student Number: _____________________________________

    Patient’s INITIAL (only) SUPERVISED BY


    SURGICAL PROCEDURE O.R. Nurse on Duty
    Date Performed Hospital Clinical Instructor
    Case Number PERFORM (Name and Signature)
    Name and Signature
    HOLY ANGEL UNIVERSITY
    #1 Holy Angel Avenue, Sto. Rosario, Angeles City Philippines 2009
    Telefax: 888-2514 /888-1754 /888-1290/ local 1190
    Email Address: hau@hau.edu.ph
    Website: http://www.hau.edu.ph

    CIRCULATING NURSE

    Name and Student Number: _____________________________________

    Patient’s INITIAL
    (only) SUPERVISED BY
    SURGICAL PROCEDURE O.R. Nurse on Duty
    Date Performed Hospital Clinical Instructor
    PERFORM (Name and Signature)
    Case Number Name and Signature
    HOLY ANGEL UNIVERSITY
    #1 Holy Angel Avenue, Sto. Rosario, Angeles City Philippines 2009
    Telefax: 888-2514 /888-1754 /888-1290/ local 1190
    Email Address: hau@hau.edu.ph
    Website: http://www.hau.edu.ph

    ACTUAL DELIVERIES

    Name and Student Number: _____________________________________

    Patient’s Name Nurse on Duty


    PROCEDURE
    Date Performed (Name and Signature) SUPERVISED BY
    Hospital/ PERFORM
    and Case Number (If Midwife on Duty, Clinical Instructor
    Institution
    Time Started (not applicable for Signature is not Name and Signature
    Birthing/Lying-In Clinic/Homes) ASSISTED DELIVERY
    required)
    HOLY ANGEL UNIVERSITY
    #1 Holy Angel Avenue, Sto. Rosario, Angeles City Philippines 2009
    Telefax: 888-2514 /888-1754 /888-1290/ local 1190
    Email Address: hau@hau.edu.ph
    Website: http://www.hau.edu.ph

    IMMEDIATE NEWBORN CARE

    Name and Student Number: _____________________________________

    Immediate Newborn Cord Care Nurse on Duty


    Date Performed Patient’s Name (Name and Signature) SUPERVISED BY
    Hospital/ PERFORMED
    and (If Midwife on Duty, Clinical Instructor
    Institution Case Number Indicate where performed e.g. D.R.,
    Time Started (not applicable for
    Signature is not Name and Signature
    Birthing/Lying-In Clinic/Homes)
    Nursery, NICU, or Home required)

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