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Nursing Clinical Procedures

The document is from the University of Luzon College of Nursing. It provides forms for immediate newborn cord care and surgical scrubbing. The college of nursing is located in Dagupan City, Pangasinan and has been accredited at Level III with its first reaccredited status by the Philippine Association of Colleges of Nursing from August 2018 to 2023. The forms require information such as the patient's initials, date, time, and signatures of those who performed and supervised the procedures.

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Katrina Cave
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75 views3 pages

Nursing Clinical Procedures

The document is from the University of Luzon College of Nursing. It provides forms for immediate newborn cord care and surgical scrubbing. The college of nursing is located in Dagupan City, Pangasinan and has been accredited at Level III with its first reaccredited status by the Philippine Association of Colleges of Nursing from August 2018 to 2023. The forms require information such as the patient's initials, date, time, and signatures of those who performed and supervised the procedures.

Uploaded by

Katrina Cave
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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University of Luzon

COLLEGE OF NURSING
PEREZ BLVD., DAGUPAN CITY, 2400 ODC Form 1C
IMMEDIATE CORD CARE
Phone No. (075) 515-8177 / Fax No. (075) 515 – 5767
FORM
Email Address: [email protected] WEBSITE: www.ul.edu.ph
Accreditation Granted: Level III First Reaccredited Status
Accreditation Agency: PACUCOA
Inclusive Date of Accreditation: August 2018 – 2023

IMMEDIATE NEWBORN CORD CARE in CUISON-ZABALA BIRTHING HOME, DAGUPAN CITY, PANGASINAN
Hospital/Home/Lying-In Clinic, Municipality/City/Province

Prepared by:
Printed Name: DELA CRUZ JESTIAN RYLL B. . Signature of Student:

Patient’s INITIAL (only) Immediate Newborn Cord Care D.R. Nurse On Duty SUPERVISED BY:
Date Performed and PERFORMED (Name and Signature)
Case Number Clinical Instructor
Time Started Indicate where performed e.g. D.R., (If Midwife on Duty,
(Not Applicable for Birthing/
Nursery, NICU or Home Signature Not Required)
(Name and Signature)
Lying-in Clinics/Homes)

Noted by: DIVINAGRACIA C. CORRIGAN Approved by: ELLEN P. GABRIEL


CLINICAL COORDINATOR DEAN
PRC I.D No. 0094704 Valid Until: PRC I.D No. 0124715 Valid Until:
PNA No.: 2408 Valid Until: Life Member PNA No.: 17448 Valid Until: Life Member
Date Document Signed: Time: Date Document Signed: Time:
Highest Nursing Degree Earned: RN; MAN Highest Nursing Degree Earned: RN; MAN

(STRICTLY NO DESIGNATES)
University of Luzon
COLLEGE OF NURSING ODC Form 2A
PEREZ BLVD., DAGUPAN CITY, 2400 SURGICAL SCRUB
Phone No. (075) 515-8177 / Fax No. (075) 515 – 5767 (Major) FORM
Email Address: [email protected] WEBSITE: www.ul.edu.ph
Accreditation Granted: Level III First Reaccredited Status
Accreditation Agency: PACUCOA
Inclusive Date of Accreditation: August 2018 – 2023

SURGICAL SCRUB (Major) in CUISON HOSPITAL INCORPORATED, DAGUPAN CITY, PANGASINAN


Hospital/Municipality/City/Province

Prepared by:
Printed Name: DELA CRUZ JESTIAN RYLL B. Signature of Student:

Patient’s INITIAL (only) SUPERVISED BY:


Date Performed and SURGICAL PROCEDURE O.R. Nurse On Duty
Clinical Instructor
Time Started PERFORMED (Name and Signature)
Case Number (Name and Signature)

Noted by: DIVINAGRACIA C. CORRIGAN Approved by: ELLEN P. GABRIEL


CLINICAL COORDINATOR DEAN
PRC I.D No. 0094704 Valid Until: PRC I.D No. 0124715 Valid Until:
PNA No.: 2408 Valid Until: Life Member PNA No.: 17448 Valid Until: Life Member
Date Document Signed: Time: Date Document Signed: Time:
Highest Nursing Degree Earned: RN; MAN Highest Nursing Degree Earned: RN; MAN

(STRICTLY NO DESIGNATES)
University of Luzon
COLLEGE OF NURSING
PEREZ BLVD., DAGUPAN CITY, 2400
Phone No. (075) 515-8177 / Fax No. (075) 515 – 5767
Email Address: [email protected] WEBSITE: www.ul.edu.ph
Accreditation Granted: Level III First Reaccredited Status
Accreditation Agency: PACUCOA
Inclusive Date of Accreditation: August 2018 – 2023

Noted by: DIVINAGRACIA C. CORRIGAN Approved by: ELLEN P. GABRIEL


CLINICAL COORDINATOR DEAN
PRC I.D No. 0094704 Valid Until: PRC I.D No. 0124715 Valid Until:
PNA No.: 2408 Valid Until: Life Member PNA No.: 17448 Valid Until: Life Member
Date Document Signed: Time: Date Document Signed: Time:
Highest Nursing Degree Earned: RN; MAN Highest Nursing Degree Earned: RN; MAN

(STRICTLY NO DESIGNATES)

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