Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
(Formerly DR. YANGAS FRANCISCO BALAGTAS COLLEGES) 182 Mc Arthur Highway, Wakas, Bocaue, Bulacan Tel.Nos.(044)692-3097/692-5291/Fax No. (044)920-0289 Website:www.thedycian.com PACUCOALEVEL 1 STATUS, March 2, 2009-March 2011
PROCEDURE PERFORMED
SUPERVISED BY
Clinical Instructor Name and Signature
Case Number
(not applicable for Birthing/Lying-in Clinical/Homes)
Noted by: ______________________________________________ Print Name and Signature Clinical Coordinator, PRC I.D. No. _________ Valid Until ________ Date document is signed: ________________ Time ____________ Please specify Highest Nursing Degree Earned: ________________
Approved by: __PROF. TEODORA M. DELOS REYES, RN, DNS Print Name and Signature Dean, PRC I.D. No. ___0055264__ Valid Until _April 2012______ Date document is signed: ________________ Time ____________ Please specify Highest Nursing Degree Earned: ________________
PROCEDURE PERFORMED
ASSISTED DELIVERY
SUPERVISED BY
Clinical Instructor Name and Signature
Case Number
(not applicable for Birthing/Lying-in Clinical/Homes)
Noted by: ______________________________________________ Print Name and Signature Clinical Coordinator, PRC I.D. No. _________ Valid Until ________ Date document is signed: ________________ Time ____________ Please specify Highest Nursing Degree Earned: ________________
Approved by: __PROF. TEODORA M. DELOS REYES, RN, DNS Print Name and Signature Dean, PRC I.D. No. ___0055264__ Valid Until _April 2012______ Date document is signed: ________________ Time ____________ Please specify Highest Nursing Degree Earned: ________________
Nurse On Duty
(Name and Signature) (If Midwife on Duty, Signature Not Required)
SUPERVISED BY
Clinical Instructor Name and Signature
PERFORMED
Noted by: ______________________________________________ Print Name and Signature Clinical Coordinator, PRC I.D. No. _________ Valid Until ________ Date document is signed: ________________ Time ____________ Please specify Highest Nursing Degree Earned: ________________
Approved by: __PROF. TEODORA M. DELOS REYES, RN, DNS Print Name and Signature Dean, PRC I.D. No. ___0055264__ Valid Until _April 2012______ Date document is signed: ________________ Time ____________ Please specify Highest Nursing Degree Earned: ________________
Noted by: ______________________________________________ Print Name and Signature Clinical Coordinator, PRC I.D. No. _________ Valid Until ________ Date document is signed: ________________ Time ____________ Please specify Highest Nursing Degree Earned: ________________
Approved by: __PROF. TEODORA M. DELOS REYES, RN, DNS Print Name and Signature Dean, PRC I.D. No. ___0055264__ Valid Until _April 2012______ Date document is signed: ________________ Time ____________ Please specify Highest Nursing Degree Earned: ________________
Noted by: ______________________________________________ Print Name and Signature Clinical Coordinator, PRC I.D. No. _________ Valid Until ________ Date document is signed: ________________ Time ____________ Please specify Highest Nursing Degree Earned: ________________
Approved by: __PROF. TEODORA M. DELOS REYES, RN, DNS Print Name and Signature Dean, PRC I.D. No. ___0055264__ Valid Until _April 2012______ Date document is signed: ________________ Time ____________ Please specify Highest Nursing Degree Earned: ________________