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  • Pilar College: ODC Form 2B O.R. Circulating Form

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    Dwyane James
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    This document is a surgical scrub form from Pilar College in Zamboanga City, Philippines. It details a total abdominal hysterectomy with bilateral salpingo-oophorectomy procedure performed on Ellen Nalzaro on August 14, 2010 at 8:55 pm in Cuidad Medical Zamboanga hospital. The form lists the student, Aprillyn B. Hadjail, who prepared it, the operating nurse Edelyn Sison Uy, and was supervised by and approved by clinical instructors Jofrey A. Wong and Jocelyn C. Loquias respectively.

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    APS2

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    This document is a surgical scrub form from Pilar College in Zamboanga City, Philippines. It details a total abdominal hysterectomy with bilateral salpingo-oophorectomy procedure performed on Ellen Nalzaro on August 14, 2010 at 8:55 pm in Cuidad Medical Zamboanga hospital. The form lists the student, Aprillyn B. Hadjail, who prepared it, the operating nurse Edelyn Sison Uy, and was supervised by and approved by clinical instructors Jofrey A. Wong and Jocelyn C. Loquias respectively.

    Copyright:

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    23 views1 page

    Pilar College: ODC Form 2B O.R. Circulating Form

    Uploaded by

    Dwyane James
    This document is a surgical scrub form from Pilar College in Zamboanga City, Philippines. It details a total abdominal hysterectomy with bilateral salpingo-oophorectomy procedure performed on Ellen Nalzaro on August 14, 2010 at 8:55 pm in Cuidad Medical Zamboanga hospital. The form lists the student, Aprillyn B. Hadjail, who prepared it, the operating nurse Edelyn Sison Uy, and was supervised by and approved by clinical instructors Jofrey A. Wong and Jocelyn C. Loquias respectively.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    ODC Form 2B

    O.R. CIRCULATING
    Form
    PILAR COLLEGE
    P.O BOX 283
    Zamboanga City 7000
    PHILIPPINES
    SURGICAL SCUB in Cuidad Medical Zamboanga, Zamboanga City, Philippines

    Prepared by:
    Name & Signature of Student Aprillyn B. Hadjail

    Date Performed and Patient’s Name SURGICAL PROCEDURE O.R. Nurse on Duty Supervised By
    Time Started PERFORMED (Name and Signature) Clinical Instructor
    Case Number Name and Signature

    August 14, 2010 Nalzaro, Ellen Total Abdominal Hysterectomy with Edelyn Sison Uy, RN Jofrey A. Wong, RN, MN
    8:55 pm 43231 Bilateral Salphingo- Oophorectomy

    Noted by: JOFREY A. WONG, RN, MN Approved by: JOCELYN C. LOQUIAS, RN, MAN
    Clinical Coordinator, PRC I.D. No. 0352086 Valid until: May 09, 2012 Dean, PRC I.D. No. 0080831 Valid until: December 19, 2012
    Date document signed ________________________Time ________________ Date document signed ________________Time____________________
    Highest Nursing Degree Earned: Master of Nursing Highest Nursing Degree Earned: Master of Arts in Nursing

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