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MSU-ILIGAN INSTITUTE OF TECHNOLOGY

COLLEGE OF NURSING

Student Name: __________________________________ Level/Group: _____________

Date/s of Care: _______________ Area of Assignment: __________________________

Clinical Instructor: ________________________________

RUBRICS:

SCORE:

Requirements Day 1 Day 2 Day 3


GO/SO
NA 1
NA 2
PA & ROS
DxLT
OB Hx
G&D
MMDST
AnaPhysio
DS
PathoPhysio
NCP
SMSOI
CM
DP
Parto
LS
TPR Sheet
EndoSheet
TOTAL
OVERALL
GRADE

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