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Clerks Skills
Clerks Skills
NAME:______________________________
DATE OF ROTATION:___________________
PELVIC EXAMINATION
NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL NO
1
2
3
4
5
NON STRESS TEST
NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL NO
1
2
3
4
5
CESAREAN SECTION
NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL NO
1
2
3
4
5
CURETTAGE
NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL
NO
1
2
3
FOLEY CATHETER INSERTION
NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL
NO
1
2
3
IV INSERTION
NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL
NO
1
2
3