This document contains forms from the Camarines Sur Polytechnic Colleges related to actual delivery and immediate newborn cord care. The actual delivery form is for recording information about a delivery procedure performed, including date, case number, nurse on duty, and supervisor. The immediate newborn cord care form similarly records details of immediate care of a newborn, such as date, case number, procedure performed, nurse on duty, and supervisor. Both forms specify that they are for procedures conducted in a hospital, home, or lying-in clinic in a given municipality, city or province.
This document contains forms from the Camarines Sur Polytechnic Colleges related to actual delivery and immediate newborn cord care. The actual delivery form is for recording information about a delivery procedure performed, including date, case number, nurse on duty, and supervisor. The immediate newborn cord care form similarly records details of immediate care of a newborn, such as date, case number, procedure performed, nurse on duty, and supervisor. Both forms specify that they are for procedures conducted in a hospital, home, or lying-in clinic in a given municipality, city or province.
This document contains forms from the Camarines Sur Polytechnic Colleges related to actual delivery and immediate newborn cord care. The actual delivery form is for recording information about a delivery procedure performed, including date, case number, nurse on duty, and supervisor. The immediate newborn cord care form similarly records details of immediate care of a newborn, such as date, case number, procedure performed, nurse on duty, and supervisor. Both forms specify that they are for procedures conducted in a hospital, home, or lying-in clinic in a given municipality, city or province.
This document contains forms from the Camarines Sur Polytechnic Colleges related to actual delivery and immediate newborn cord care. The actual delivery form is for recording information about a delivery procedure performed, including date, case number, nurse on duty, and supervisor. The immediate newborn cord care form similarly records details of immediate care of a newborn, such as date, case number, procedure performed, nurse on duty, and supervisor. Both forms specify that they are for procedures conducted in a hospital, home, or lying-in clinic in a given municipality, city or province.
Nabua, Camarines Sur San Miguel Nabua, Camarines Sur CSPC-F-COL(CHS)-53 Tel./Fax No.: (054) 288-4421-23 Website: www.cspc.edu.ph Email: chs@cspc.edu.ph AACCUP Accredited Level III Re-Accredited, October 1, 2016-September 30, 2020 ACTUAL DELIVERY in ________________________________________ Hospital/Home/Lying-In Clinic, Municipality/City/Province DR Form ACTUAL DELIVERY FORM Prepared by: __ ___________________________ __
Patient’s INITIAL Only
Date Performed Case Number D.R. Nurse On Duty SUPERVISED BY and (not applicable for PROCEDURE (Name and Signature) Clinical Instructor Time Started Birthing/Lying-In PERFORMED (If Midwife on Duty, Signature Not Name and Signature Clinics/Homes) Required)
IMMEDIATE NEWBORN CORD CARE in ________________________________________
Hospital/Home/Lying-In Clinic, Municipality/City/Province ICNB Form IMMEDIATE CARE OF THE Prepared by: __ ____________________________ __ NEWBORN Form
Patient’s INITIAL Only
Date Performed Case Number Immediate Newborn Cord Care D.R. Nurse On Duty SUPERVISED BY and (not applicable for PERFORMED (Name and Signature) Clinical Instructor Time Started Birthing/Lying-In Indicate where performed e.g. DR, (If Midwife on Duty, Signature Not Name and Signature Clinics/Homes) Nursery, NICU or Home Required)
SUBSCRIBED AND SWORN to before me this day of 2021 at Nabua, Camarines Sur, Philippines