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  • 1022 A Cases Form Surgical Scrub

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    Catherine Aterado
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    This document summarizes a surgical scrub that was performed at the Virgen Milagrosa Medical Center in San Carlos City, Pangasinan. It notes that the patient's initials were A.C.R. and that the surgical procedure performed was a right herniotomy. The surgical scrub was supervised by Clinical Instructor Brando M. Rayray Jr., RN and performed by OR Nurse Eric R. Ellorda, RN. The document was noted by Merly B. Cabuang, RN, MAN and approved by Ma. Theresa R. Aguilan, RN, MAN.

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    1022-A-cases-form-Surgical-Scrub

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    This document summarizes a surgical scrub that was performed at the Virgen Milagrosa Medical Center in San Carlos City, Pangasinan. It notes that the patient's initials were A.C.R. and that the surgical procedure performed was a right herniotomy. The surgical scrub was supervised by Clinical Instructor Brando M. Rayray Jr., RN and performed by OR Nurse Eric R. Ellorda, RN. The document was noted by Merly B. Cabuang, RN, MAN and approved by Ma. Theresa R. Aguilan, RN, MAN.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    6 views1 page

    1022 A Cases Form Surgical Scrub

    Uploaded by

    Catherine Aterado
    This document summarizes a surgical scrub that was performed at the Virgen Milagrosa Medical Center in San Carlos City, Pangasinan. It notes that the patient's initials were A.C.R. and that the surgical procedure performed was a right herniotomy. The surgical scrub was supervised by Clinical Instructor Brando M. Rayray Jr., RN and performed by OR Nurse Eric R. Ellorda, RN. The document was noted by Merly B. Cabuang, RN, MAN and approved by Ma. Theresa R. Aguilan, RN, MAN.

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    FM-CON-1022-A

    Revision No. 00
    VIRGEN MILAGROSA COLLEGE OF Effectivity Date: Nov.5, 2018
    UNIVERSITY FOUNDATION NURSING

    PACUCOA: LEVEL III RE-ACCREDITED


    SURGICAL SCRUB IN VIRGEN MILAGROSA MEDICAL CENTER, SAN CARLOS CITY, PANGASINAN
    Hospital, Municipality/City/Province

    Prepared by:

    _____________________

    NAME AND SIGNATURE

    Patient’s Initial Only


    O.R. NURSE ON DUTY SUPERVISED BY
    Date Performed and SURGICAL PROCEDURE
    (Name and Signature) Clinical Instructor
    Time Started PERFORMED
    Case Number Name and Signature

    A.C.R RIGHT HERNIOTOMY ERIC R. ELLORDA, RN BRANDO M. RAYRAY JR., RN

    Noted by: Approved by:


    _____________________________________ _________________________________________
    MERLY B. CABUANG, RN, MAN MA. THERESA R. AGUILAN, RN, MAN
    Clinical Coordinator, PRC, I.D No. 0190590 Valid Until July 5,2024 Dean, PRC I.D. No. 0191539 Valid Until May 19, 2025
    Date document is signed: __________________ Time: ____________ Date document is signed: _____________ Time: ________
    Please specify Highest Nursing Degree Earned: MAN Please specify Highest Nursing Degree Earned: MAN

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