Divine Word Hospital - 3A Ward

Shift: Afternoon 2 - 10pm

Patient

Student Name

Rm. #

CC
Name

Medicines

Age/Sex

Arbas

Benitez

Catindoy

Dy

Ella

Herrera

See Pharma Schedule

for Medicines to be
given
(Oral
and Parenteral)

Lunario

Perasol

Repol

Sajorda

Yu

Zeta

See Pharma Schedule

for Medicines to be
given
(Oral
and Parenteral)

CI: Mrs. Pearanda RN, MAN

IV
Type

Time Started/Due

Others / Time
(eg. CBG, q 4hr VS)

Pharma Schedule

Medicine (Oral and Paren

Student Name

Rm. #

Patient Name
3PM

Arbas

Benitez

Catindoy

Dy

Ella

Herrera

4PM

5PM

6PM

Lunario

Perasol

Repol

Sajorda

Yu

Zeta

ne (Oral and Parenteral)

7PM

8PM

9PM

10PM

PRN

Attendance Sheet

Attendance Sheet

Group:______ CI: _______________ Date: ____________

Group:______ CI: _______________ Date: ____________

Area: __________________________Shift:_____________
Name
Time Arrived
Signature

Area: __________________________ Shift:_____________

Name
Time Arrived
Signature

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