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  • Or Case Slips - 2022

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    KRISTOBAL PALEYAN
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    _________________________________________ Assistant: _________________________________________ Assistant: _________________________________________ (Name & Signature) (Name & Signature) (Name & Signature)

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    _________________________________________ Assistant: _________________________________________ Assistant: _________________________________________ (Name & Signature) (Name & Signature) (Name & Signature)

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    26 views1 page

    Or Case Slips - 2022

    Uploaded by

    KRISTOBAL PALEYAN
    _________________________________________ Assistant: _________________________________________ Assistant: _________________________________________ (Name & Signature) (Name & Signature) (Name & Signature)

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    SAINT LOUIS UNIVERSITY

    School of Nursing, Allied Health, and Biological Sciences


    A. Bonifacio Street, 2600 Baguio City
    (074) 442-3043; (074) 442-2793; (074) 442-8246 to 48
    FAX: (074) 442-2842
    Website: www.slu.edu.ph
    ACCREDITED BY: PAASCU, LEVEL 3 Accreditation Status, 2019-2023 OR CASE SLIPS

    SURGICAL SLIP SURGICAL SLIP SURGICAL SLIP

    Name of Student: ___________________________________ Name of Student: ___________________________________ Name of Student: ___________________________________


    Date :________________Time Started: ________ Date :________________Time Started: ________ Date :________________Time Started: ________
    Case number :________________ Case number :________________ Case number :________________
    Hospital :___________________________________ Hospital :___________________________________ Hospital :___________________________________
    ___________________________________ ___________________________________ ___________________________________

    Surgical procedure performed: Surgical procedure performed: Surgical procedure performed:


    ____________________________________ ____________________________________ ____________________________________
    ____________________________________ ____________________________________ ____________________________________
    ____________________________________ ____________________________________ ____________________________________

    Classification of Operation: Minor Major Classification of Operation: Minor Major Classification of Operation: Minor Major

    Type of Experience: Scrub Nurse Circulating Nurse Type of Experience: Scrub Nurse Circulating Nurse Type of Experience: Scrub Nurse Circulating Nurse

    O.R. Nurse: ___________________________________ O.R. Nurse: ___________________________________ O.R. Nurse: ___________________________________


    (Name & Signature) (Name & Signature) (Name & Signature)

    Clinical Instructor: _________________________________ Clinical Instructor: _________________________________ Clinical Instructor: _________________________________


    (Name & Signature) (Name & Signature) (Name & Signature)

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