UST FACE-TO-FACE CLERKSHIP CHECKLIST

ALWAYS MUST BRING:

Own Ballpen
Face Mask
Face Shield
ID or Proof of enrollment
UST Health Declaration Forms (USTH or Thommeds)
StaySafe App

A. GENERAL & ENROLLMENT

Download the StaySafeApp, and register.
RT-PCR SWAB IN USTH
Reminders: Venue is located at Tan Yan Kee Building, in front of Central Library
V-Neck Type A or Type B uniform (Scrubs)
ID or proof of enrollment
Accomplished COVID-19 Waiver
RT-PCR Request Form (Printed & Filled Out)
RT-PCR Case Investigation Form (Printed & Filled Out)
N95 FITTING & ID PHOTO TAKING
UST Health Declaration Forms
Reminder: Done when entering hospital premises.
UST Hospital: Scan QR Code and fill up the form.
UST Health Service (ThOMedSS): https://thomedss.ust.edu.ph > Covid
Tracker > New Declaration
StaySafe App: Download the app and register. Scan USTH QR Code upon entry.

B. MEDICAL CLEARANCE & PHYSICAL EXAM

For those who are scheduled with the UST Health Service
Read the Health Service Physical Exam Procedure document.
On the day of Physical Exam (Schedule Date: __________, Time: __________ )
Own Ballpen
Face mask + Face shield
ID or Registration Form
Health Service Consent Form (Print and Fill out; Signed by parent/legal guardian)
LAB TEST RESULTS(Reminder: X-ray at most 1 month from scheduled date of PE; the rest at most 2 weeks prior schedule)
CBC
Urinalysis
Fecalysis
Anti-HBs
HBsAg
Chest X-ray

Last updated: 04 JULY 2021

 Original/copy of your baby book and immunization record.
Vaccines required for clerkship *May be subject to update
MMR
Varicella
Hepatitis B
Influenza
Anti-pneumonia (PCV)

For those who opted for a private physician

Uploaded the PDF file of medical certificate through this google form:
https://forms.gle/jQkRTnQBENdTVzuSA

C. CLINICAL WORKSHOPS & DUTY

Materials Needed:
Surgical Masks (Qty. _____)
kN95 or kf94 (Qty. _____)
N95 mask (From N95 fitting)
Alcohol
Disinfectant
Disposable isolation gowns (Qty. _____)
Spunlace non-woven disposable surgical gowns for SURG & OB-GYNE (Qty. _____)
Ball pen
Stethoscope
Penlight
BP App
Otoscope
Ophthalmoscope
Pre-order through bulk buy:
Reminders: Pre-orders through the CCC is until July 6, TUESDAY. Payment is due the following
day July 7, WEDNESDAY

Pre-order through CCC.

Payment of orders to CCC Secretary Luis Sta. Ana ( 09399263402)
Claim order.

D. OTHERS
● COVID-19 WAIVER
Accomplished form with signature of clerk and parent/guardian
Upload waiver in Google Drive
● UST Masterclass in ED Ultrasound
Sign-up or register for workshop (https://bit.ly/USTMasterclass_July)
Attend workshops on July 30-31, 2021

Last updated: 04 JULY 2021