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FOUNDATION UNIVERSITY

COLLEGE OF NURSING
Dr. Miciano Road, DUMAGUETE CITY 6200
Tel. No.: (035)422-9167 local 110
Fax No.: (035) 225-0617 Email: cn@foundationu.com
Actual Deliveries in NEGROS ORIENTAL PROVINCIAL HOSPITAL, Dumaguete City Negros Oriental

DR Form 1A
Actual Delivery
Form

Prepared by: JUEZAN, CHRISTIANNE REY QUINAMOT

Date Performed
&
Time Started

Patients initial
only

Procedure Performed

Case number

D.R. Nurse on Duty


(Name & Signature)

Supervised by Clinical Instructor


(Name & Signature)

December 11, 2013


8:21 A.M.

R. G. A.
10016487

Handled

Mary Ann P. Ollena


BSN-RN, RM

Socorro Paquita Young Palarpalar


RN,RM

January 9, 2014
7:38 A.M.

S. A.
10065293

Handled

Mary Ann P. Ollena


BSN-RN, RM

Socorro Paquita Young Palarpalar


RN,RM

January 15, 2014


1:50 A.M.

G. A. P.
10215781

Handled

Maita K. Sinco
BSN-RN

Socorro Paquita Young Palarpalar


RN,RM

FOUNDATION UNIVERSITY
COLLEGE OF NURSING
Dr. Miciano Road, DUMAGUETE CITY 6200
Tel. No.: (035)422-9167 Local 110
Fax No.: (035) 225-0617 Email: cn@foundationu.com
Immediate Newborn Care in NEGROS ORIENTAL PROVINCIAL HOSPITAL, Dumaguete City, Negros Oriental

DR Form 1B
Cord Care
Form

Prepared by: JUEZAN, CHRISTIANNE REY QUINAMOT

Date Performed
&
Time Started

Patients initial only

December 11, 2013


9:05 A.M.

Bb. Girl, I.
1021157

December 12, 2013


10:32 A.M.

January 15, 2014


1:17 A.M.

D.R. Nurse on Duty


(Name & Signature)

Supervised by Clinical Instructor


(Name & Signature)

Initial Care of the Newborn

Mary Ann P. Ollena


BSN-RN, RM

Socorro Paquita Young Palarpalar


RN,RM

Bb. Boy, M.
10211906

Initial Care of the Newborn

Mary Ann P. Ollena


BSN-RN, RM

Socorro Paquita Young Palarpalar


RN,RM

Bb. Girl, Q.
10215792

Initial Care of the Newborn

Maita K. Sinco
BSN-RN

Socorro Paquita Young Palarpalar


RN,RM

Procedure Performed
Case number

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