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  • Lorma Colleges: ODC Form 1A Actual Delivery Form

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    This document summarizes two normal spontaneous deliveries that occurred at the Bacnotan District Hospital in La Union, Philippines. It records the date, time, patient initials, case number, procedure performed, nurse on duty, and person who supervised for each delivery. The clinical coordinator and dean of the LORMA COLLEGES nursing program in San Fernando, La Union signed off on the document.

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    Actual Del (1)

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    This document summarizes two normal spontaneous deliveries that occurred at the Bacnotan District Hospital in La Union, Philippines. It records the date, time, patient initials, case number, procedure performed, nurse on duty, and person who supervised for each delivery. The clinical coordinator and dean of the LORMA COLLEGES nursing program in San Fernando, La Union signed off on the document.

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    13 views1 page

    Lorma Colleges: ODC Form 1A Actual Delivery Form

    Uploaded by

    XTA_RICKY
    This document summarizes two normal spontaneous deliveries that occurred at the Bacnotan District Hospital in La Union, Philippines. It records the date, time, patient initials, case number, procedure performed, nurse on duty, and person who supervised for each delivery. The clinical coordinator and dean of the LORMA COLLEGES nursing program in San Fernando, La Union signed off on the document.

    Copyright:

    © All Rights Reserved
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    of 1

    ACTUAL DELIVERY in Bacnotan District Hospital, Poblacion, Bacnotan, La Union

    Prepared by: Cherry May Licuben Macasero Signature of the Student ____________________________
    Student

    Date Performed and
    Time Started
    Patients INITIAL
    Case Number
    PROCEDURE
    PERFORMED
    D.R. Nurse on Duty SUPERVISED BY

    June 21, 2011
    3:30 PM


    F.O.C.
    112909

    Normal Spontaneous
    Delivery


    Arnold C. Gurtiza, RN


    Aurelio M. Maego, RN, MAN
    (Thesis Writing II)


    June 22, 2011
    6:23 PM

    R.A.P.
    115910

    Normal Spontaneous
    Delivery


    Arnold C. Gurtiza, RN


    Aurelio M. Maego, RN, MAN
    (Thesis Writing II)





    Noted by: Honesto G. Alnas Approved by: Ludivina D. Magpali
    Clinical Coordinator Dean
    PRC I.D. No. 0248316 Valid Until: April 24, 2015 PRC I.D. No. 0186484 Valid Until: August 5, 2015
    Date Document is signed: ____________ Time: _________ Date Document is signed: ____________ Time: _________
    Highest Nursing Degree Earned: MAN Highest Nursing Degree Earned: MAN


    LORMA COLLEGES
    Carlatan, City of San Fernando, La Union
    (072) 700-2500, Fax Number 242-3628, Lorma.org
    (ACSCU-AA1 Level III RE ACCREDITED STATUS valid until April 2017)

    ODC Form 1A
    ACTUAL DELIVERY
    FORM

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