DAILY CLINICAL EXPOSURE FILE

Day _________ Date: ___________ Area: _________ Shift: _______ Clinical Instructor_________________________

Endorsement
CENSUS:
Last total: _______ Admission/s: _________Discharge/s: _______MGH: ______Trans in: ________Trans out: _______
Present total: _________
IM ROD: ______________________________Surgical ROD: _______________________

Patients Name/ V/S DIET IVF Watch out for: For follow up: Medications & other
Physician/ Room No. special endorsement:
 CLINICAL PROGRESS PORTFOLIO
Ateneo de Davao University, School of Nursing

Patients Name/ V/S DIET IVF Watch out for: For follow up: Medications & other
Physician/ Room No. special endorsement:
 CLINICAL PROGRESS PORTFOLIO
Ateneo de Davao University, School of Nursing

Patients Name/ V/S DIET IVF Watch out for: For follow up: Medications & other
Physician/ Room No. special endorsement:
 Patients Name/ V/S DIET IVF Watch out for: For follow up: Medications & other
Physician/ Room No. special endorsement:
 CLINICAL PROGRESS PORTFOLIO
Ateneo de Davao University, School of Nursing

Patients Name/ V/S DIET IVF Watch out for: For follow up: Medications & other
Physician/ Room No. special endorsement:
 CLINICAL PROGRESS PORTFOLIO
Ateneo de Davao University, School of Nursing
Medications to Administer

Date Patients Brand Generic Name Dosage Route/Time DRUG STUDY-

Name/Room No. Name C’I’s SIGNATURE
 CLINICAL PROGRESS PORTFOLIO
Ateneo de Davao University, School of Nursing
Medications to Administer

Date Patients Brand Name Generic Dosage Route/Time DRUG STUDY-

Name/Room No. Name C’I’s SIGNATURE
 CLINICAL PROGRESS PORTFOLIO
Ateneo de Davao University, School of Nursing
Medications to Administer

Date Patients Brand Name Generic Dosage Route/Time DRUG STUDY-

Name/Room No. Name C’I’s SIGNATURE
 CLINICAL PROGRESS PORTFOLIO
Ateneo de Davao University, School of Nursing
Medications to Administer

Date Patients Brand Name Generic Dosage Route/Time DRUG STUDY-

Name/Room No. Name C’I’s SIGNATURE
 CLINICAL PROGRESS PORTFOLIO
Ateneo de Davao University, School of Nursing
Medications to Administer

Date Patients Brand Name Generic Dosage Route/Time DRUG STUDY-

Name/Room No. Name C’I’s SIGNATURE