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  • O.R. Circulating Form 1A

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    Maej Marie Oraga
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    Silliman University, located in Dumaguete City, Philippines, has received re-accreditation status from May 2022 to May 2027 by the Philippine Accrediting Association of Schools, Colleges and Universities. The document also provides forms for students to record details of surgical scrubs performed, including the date, time, patient's initials, surgical procedure, supervising nurse and clinical instructor.

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    Silliman University, located in Dumaguete City, Philippines, has received re-accreditation status from May 2022 to May 2027 by the Philippine Accrediting Association of Schools, Colleges and Universities. The document also provides forms for students to record details of surgical scrubs performed, including the date, time, patient's initials, surgical procedure, supervising nurse and clinical instructor.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views1 page

    O.R. Circulating Form 1A

    Uploaded by

    Maej Marie Oraga
    Silliman University, located in Dumaguete City, Philippines, has received re-accreditation status from May 2022 to May 2027 by the Philippine Accrediting Association of Schools, Colleges and Universities. The document also provides forms for students to record details of surgical scrubs performed, including the date, time, patient's initials, surgical procedure, supervising nurse and clinical instructor.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    SILLIMAN UNIVERSITY

    6200 Dumaguete City, Philippines


    Email: sucn@su.edu.ph
    Tel. No. (035) 422-6002 local 500 or 501

    LEVEL IV RE-ACCREDITED STATUS BY PHILIPPINE ACCREDITING ASSOCIATION OF SCHOOLS, COLLEGES AND


    UNIVERSITIES (PAASCU) – MAY 2022-MAY 2027)

    SURGICAL SCRUB in__________________________________________________


    Hospital, Municipality/City/Province O.R. FORM 1A
    O.R. SCRUB FORM
    Prepared by:
    Print Name and Signature of Student:______________________________________________________

    Date Performed and Patient’s INITIAL Only SURGICAL PROCEDURE O.R. Nurse On Duty SUPERVISED BY
    Time Started PERFORMED (Name and Signature) Clinical Instructor
    Case Number Name and Signature

    (STRICTLY NO DESIGNATES)
    [These Forms must be printed at the back of the 1st page of the Competency-Based Performance Evaluation Checklist]

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