Professional Documents
Culture Documents
Try PRC 1
Try PRC 1
Form 1A
O.R. SCRUB FORM
Major
ATENEO DE ZAMBOANGA UNIVERSITY
La Purisima Street, Zamboanga City, Philippines
Tel. No.(63)(62)991-0871 to 76/Fax No. (63)(62) 0010870/E-mail: http://mail.adzu.edu.ph/Website: www.adzu.edu.ph
Accreditation by: PAASCU and CHED Accredited Level III/ Year Granted: May 20, 2014-2019
SURGICAL SCRUB in ZAMBOANGA DOCTORS HOSPITAL,INC., ZAMBOANGA CITY
Hospital, Municipality/ City/ Province
Prepared by:
Name of Student: PASTOR, CHERUBIM FAITH ENRIQUEZ Signature of Student__________________________
September 11, 2017 E.C.J. Open reduction with internal fixation, Kim Irish Lee, RN
Eva R. Relao, RN MN
1:57 PM 68217 lateral pinning distal humerus left
Date document is signed: _______________________ Time: ______________ Date document is signed: ________________________ Time: __________
Highest Degree Earned: MASTERS IN NURSING Highest Degree Earned: MASTER OF ARTS IN NURSING
O.R Form 1B
O.R. CIRCULATING
ATENEO DE ZAMBOANGA UNIVERSITY FORM Major
La Purisima Street, Zamboanga City, Philippines
Tel. No.(63)(62)991-0871 to 76/Fax No. (63)(62) 0010870/E-mail: http://mail.adzu.edu.ph/Website: www.adzu.edu.ph
Accreditation by: PAASCU and CHED Accredited Level III/ Year Granted: May 20, 2014-2019
SURGICAL SCRUB in ZAMBOANGA DOCTORS HOSPITAL,INC., ZAMBOANGA CITY
Hospital, Municipality/ City/ Province
Prepared by:
Name of Student: PASTOR, CHERUBIM FAITH ENRIQUEZ Signature of Student__________________________
Date document is signed: _______________________ Time: ______________ Date document is signed: ________________________ Time: __________
Highest Degree Earned: MASTERS IN NURSING Highest Degree Earned: MASTER OF ARTS IN NURSING