Академический Документы
Профессиональный Документы
Культура Документы
Prepared by:
Printed Name with Signature of Student: ___________________
Prepared by:
Printed Name with Signature of Student: ___________________________________
Date Performed Patient’s INITALS (only) Immediate Newborn Cord Care Nurse On-Duty SUPERVISED BY
(Name AND Signature)
And PERFORMED Clinical Instructor
Case Number (If Midwife on Duty, signature is not
Time Started Indicate where performed required) Name AND Signature
(n/a for Birthing Homes/Lying-In Clinics)
SURGICAL CIRCULATING in ________________________________________________
Hospital, Municipality/City/Province
O.R. Form 1A
O.R. CIRCULATING
FORM
Prepared by:
Printed Name with Signature of Student: GARCES, MARISSA
Prepared by:
Printed Name with Signature of Student: ___________________________________