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Republic of the Philippines

BATAAN PENINSULA STATE UNIVERSITY


COLLEGE OF NURSING AND MIDWIFERY

IV FLUID LEVEL Date:


Bed No. Name of Patient Type of IV Fluid and To Follow Level at Level at Level at
Regulation 6:00 AM 12:00 PM 2:00 PM

Staff Nurses:

Signature over Printed Name Signature over Printed Name Signature over Printed Name Signature over Printed Name

Student Head Nurse

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