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Roosevelt College System Institute of Nursing and Health Education Sumulong Hi-Way Cainta, Rizal

Related Learning Experience LEADERSHIP AND MANAGEMENT

ACCOMPLISHMENT OF NURSING FORMS

NAME: Maureen Monique Sumilhig HOSPITAL: Good Samaritan Nursing Homes Inc

DURATION OF EXPOSURE: February 15, 2012

CRITERIA

CRITERIA

1
5 EXCELLENT 4 VERY SATISFACTORY 3 SATISFACTORY 2 NEEDS IMPROVEMENT 1 - POOR

Patients profile

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Medication sheet

Vital signs sheet

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_______________________________ MAUREEN MONIQUE SUMILHIG Student Staff Nurse

TPR sheet

Nurses notes (DAR method)

Neatness

Promptness

CONFORME: Signature of Student Nurse

TOTAL

33/35

Prepared By: _________________________________________ MARIE AURORA GIELBERT A. MARIANO Student Head Nurse

Noted By: ______________________________________ MS. KAMILLE PATRICIA R. ASILO, RN Clinical Instructor

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