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  • Pres. Diosdado Macapagal BLVD., Metropolitan Park, Pasay City 1302

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    Victor Conde
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    This document contains forms for documenting actual delivery and immediate newborn care performed by nursing students. The forms include fields for the date and time of the procedure, the patient's initials, the procedure performed, and signatures of the supervising nurse or midwife and clinical instructor to verify supervision of the student.

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    This document contains forms for documenting actual delivery and immediate newborn care performed by nursing students. The forms include fields for the date and time of the procedure, the patient's initials, the procedure performed, and signatures of the supervising nurse or midwife and clinical instructor to verify supervision of the student.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    10 views1 page

    Pres. Diosdado Macapagal BLVD., Metropolitan Park, Pasay City 1302

    Uploaded by

    Victor Conde
    This document contains forms for documenting actual delivery and immediate newborn care performed by nursing students. The forms include fields for the date and time of the procedure, the patient's initials, the procedure performed, and signatures of the supervising nurse or midwife and clinical instructor to verify supervision of the student.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    MANILA TYTANA COLLEGES Manila Doctors College Of Nursing Pres. Diosdado Macapagal Blvd.

    , Metropolitan Park, Pasay City 1302


    ACTUAL DELIVERY in ___ ________________________________________________________ Prepared by: Printed Name with Signature of Student ______________________________________________ D.R. FORM ACTUAL DELIVERY FORM

    Date Performed And Time Started

    Patients INITIALS (only) CASE NUMBER not applicable for Birthing, Lying-In Clinics/Homes

    PROCEDURE PERFORMED

    D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required

    SUPERVISED BY Clinical Instructor Name and Signature

    IMMEDIATE NEWBORN CORD CARE in _______________________________________________________


    Prepared by: Printed Name with Signature of Student ______________________________________________

    ICNB Form IMMEDIATE CARE OF THE NEWBORN FORM

    Date Performed And Time Started

    Patients INITIALS (only) CASE NUMBER not applicable for Birthing, Lying-In Clinics/Homes

    PROCEDURE PERFORMED

    D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required

    SUPERVISED BY Clinical Instructor Name and Signature

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