Minor Operations: Mismen C. Felices, R.N., M.A.N

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WESTERN MINDANAO STATE UNIVERSITY

COLLEGE OF NURSING
Zamboanga City

Name of Student: Rotation No. & Date:


Yr. level: Hospital & Area of Assignment:

MINOR OPERATIONS

Date and Time Supervised by:


Name of Patient & Operation Performed & Name & Signature of
of Operation & Name of Surgeon Name & Signature of
Diagnosis Type of Anesthesia OR Scrub Nurse
Case no. Clinical Instructor

Noted by:
Mismen C. Felices, R.N., M.A.N Sarah S. Taupan, R.N., M.N.
NURSE SUPERVISOR ZCMC NURSE TRAINING COORDINATOR

WESTERN MINDANAO STATE UNIVERSITY


COLLEGE OF NURSING
Zamboanga City
Name of Student: Rotation No. & Date:
Yr. level: Hospital & Area of Assignment:

MAJOR OPERATIONS

Date and Time Supervised by:


Operation Performed Name & Signature of OR
of Operation & Name of Patient & Diagnosis Name of Surgeon Name & Signature of Clinical
& Type of Anesthesia Scrub Nurse
Case no. Instructor

Noted by:
Mismen C. Felices, R.N., M.A.N Sarah S. Taupan, R.N., M.N.
NURSE SUPERVISOR ZCMC NURSE TRAINING COORDINATOR CLINICAL COORDINATOR

WESTERN MINDANAO STATE UNIVERSITY


COLLEGE OF NURSING
Zamboanga City

Name of Student: Rotation No. & Date:


Yr. level: Hospital & Area of Assignment:

ACTUAL DELIVERIES
Supervised by:
Case no. & Name & Age of Date & Time of Gender of Name & Signature of
Type of Delivery Name & Signature of
Diagnosis Mother Delivery Baby Nurse on Duty
Clinical Instructor

Noted by:
Mismen C. Felices, R.N., M.A.N Sarah S. Taupan, R.N., M.N.
NURSE SUPERVISOR ZCMC NURSE TRAINING COORDINATOR CLINICAL COORDINATOR

WESTERN MINDANAO STATE UNIVERSITY


COLLEGE OF NURSING
Zamboanga City

Name of Student: Rotation No. & Date:


Yr. level: Hospital & Area of Assignment:

DELIVERY ASSISTED

Supervised by:
Case no. & Name & Age of Date & Time of Gender of Name & Signature of
Type of Delivery Name & Signature of Clinical
Diagnosis Mother Delivery Baby Nurse/Midwife on Duty
Instructor
Noted by:
Mismen C. Felices, R.N., M.A.N Sarah S. Taupan, R.N., M.N.
NURSE SUPERVISOR ZCMC NURSE TRAINING COORDINATOR CLINICAL COORDINATOR

WESTERN MINDANAO STATE UNIVERSITY


COLLEGE OF NURSING
Zamboanga City

Name of Student: Rotation No. & Date:


Yr. level: Hospital & Area of Assignment:

CORD CARE

Supervised by:
Date of Operation Gender of Name & Signature of
Name of Baby Name of Mother Age Name & Signature of Clinical
& Case no. Baby Nurse/Midwife on Duty
Instructor
Noted by:
Mismen C. Felices, R.N., M.A.N Sarah S. Taupan, R.N., M.N.
NURSE SUPERVISOR ZCMC NURSE TRAINING COORDINATOR CLINICAL COORDINATOR

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