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  • WWW - Ust.edu - PH: ODC Form 2 B O.R. Circulating FORM Major

    Transféré par

    Nerissa Neri Natata
    13 vues1 page
    The document is a form for tracking surgical circulating experiences at the University of Santo Tomas in Manila, Philippines. It includes fields to record the patient's initials, date and time of the procedure, case number, surgical procedure performed, operating room nurse on duty, and clinical instructor who supervised. The form must be signed by the student, clinical coordinator, and dean to verify completion.

    Description originale:

    prc

    Titre original

    PRC Circu

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    © © All Rights Reserved

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    The document is a form for tracking surgical circulating experiences at the University of Santo Tomas in Manila, Philippines. It includes fields to record the patient's initials, date and time of the procedure, case number, surgical procedure performed, operating room nurse on duty, and clinical instructor who supervised. The form must be signed by the student, clinical coordinator, and dean to verify completion.

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    © All Rights Reserved
    Téléchargez comme DOCX, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    13 vues1 page

    WWW - Ust.edu - PH: ODC Form 2 B O.R. Circulating FORM Major

    Transféré par

    Nerissa Neri Natata
    The document is a form for tracking surgical circulating experiences at the University of Santo Tomas in Manila, Philippines. It includes fields to record the patient's initials, date and time of the procedure, case number, surgical procedure performed, operating room nurse on duty, and clinical instructor who supervised. The form must be signed by the student, clinical coordinator, and dean to verify completion.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme DOCX, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 1

    UNIVERSITY OF SANTO TOMAS

    Espaa Boulevard, Sampaloc, Manila, Philippines 1015


    Tel. Nos. 406-1611 loc. 8241 Telefax 731-5738; / Website www.ust.edu.ph
    Accredited by PACUCOA, Level III Accredited Status, August 2015

    ODC Form 2 B
    O.R. Circulating FORM
    Major

    SURGICAL CIRCULATING in _____________________________________________________


    Hospital, Municipality/City/Province
    Prepared by:
    Printed Name and Signature of Student ______________________________________________________
    Patients INITIAL Only
    Date Performed
    And
    Time Started

    Case Number

    SURGICAL PROCEDURE
    PERFORMED

    O.R. Nurse on Duty


    (Name and Signature)

    SUPERVISED BY
    Clinical Instructor
    Name and Signature

    Noted by: __________________________________________________________

    _______________________________________________

    (Print Name and Signature)

    (Print Name and Signature)

    Clinical Coordinator, PRC I.D. No. ______________ Valid Until: ___________

    Dean, PRC I.D. No. __________________ Valid Until: _____________

    Date document is signed: ________________________Time: ________________

    Date document is signed: _________________Time: ________________

    Please specify Highest Nursing Degree Earned: ____________________________

    Specify Highest Nursing Degree Earned: __________________________

    (STRICTLY NO DESIGNATES)
    AA: 19-00-FO06

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