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    De Ocampo, Pinky Rose Mojica: Lpu - St. Cabrini College of Allied Medicine, Inc ODC Form 5

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    Pinky Tenshi
    This document is an immediate newborn cord care form from Sto. Tomas General Hospital in Batangas, Philippines. It documents the cord care performed on a newborn baby boy delivered on April 7, 2010 at 11:42am. The cord care was performed in the delivery room by Pinky Rose Mojica and supervised by Irene Castor. The form was reviewed by the clinical coordinator, chief nurse, and dean of the college of allied medicine.

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    De Ocampo, Pinky Rose Mojica: Lpu - St. Cabrini College of Allied Medicine, Inc ODC Form 5

    Uploaded by

    Pinky Tenshi
    59 views1 page
    This document is an immediate newborn cord care form from Sto. Tomas General Hospital in Batangas, Philippines. It documents the cord care performed on a newborn baby boy delivered on April 7, 2010 at 11:42am. The cord care was performed in the delivery room by Pinky Rose Mojica and supervised by Irene Castor. The form was reviewed by the clinical coordinator, chief nurse, and dean of the college of allied medicine.

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    newborn

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    This document is an immediate newborn cord care form from Sto. Tomas General Hospital in Batangas, Philippines. It documents the cord care performed on a newborn baby boy delivered on April 7, 2010 at 11:42am. The cord care was performed in the delivery room by Pinky Rose Mojica and supervised by Irene Castor. The form was reviewed by the clinical coordinator, chief nurse, and dean of the college of allied medicine.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    59 views1 page

    De Ocampo, Pinky Rose Mojica: Lpu - St. Cabrini College of Allied Medicine, Inc ODC Form 5

    Uploaded by

    Pinky Tenshi
    This document is an immediate newborn cord care form from Sto. Tomas General Hospital in Batangas, Philippines. It documents the cord care performed on a newborn baby boy delivered on April 7, 2010 at 11:42am. The cord care was performed in the delivery room by Pinky Rose Mojica and supervised by Irene Castor. The form was reviewed by the clinical coordinator, chief nurse, and dean of the college of allied medicine.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    LPU - ST.

    CABRINI COLLEGE OF ALLIED MEDICINE, INC ODC Form 5


    Maharlika Highway, Sto Tomas, Batangas D.R. IMMEDIATE NEWBORN
    (043) 778 – 6107 CORD CARE FORM
    ISO 9001 – 2008 ACCREDITED
    ISO 9001-2008 IMMEDIATE NEWBORN CORD CARE IN Sto. Tomas General Hospital, San Roque, Sto. Tomas, Batangas
    Cert No: CI/4648
    Hospital/Municipality/City/Province

    Prepared by:
    Name of Student DE OCAMPO, PINKY ROSE MOJICA Signature of Student _________________________________

    Patient’s Initial Immediate Newborn Cord Care


    Date Performed SUPERVISED BY
    Case Number PERFORMED Nurse On
    and (not applicable for Birthing
    Clinical Instructor
    Time Started Indicate where performed e.g. D.R., Nursery, Duty Name and Signature
    Homes/Lying-In Clinics/Homes) NICU, or Home

    April 7, 2010 Baby Boy of I.M.G.


    Delivery Room Irene Castor Vilma Dela Cueva RN
    11:42 am 10-0055

    Noted by: REYNALYN M. BUENAOBRA-BOLA Concurred by: VILMA DELA CUEVA


    Clinical Coordinator Chief Nurse
    PRC I.D No. 0239014 Valid Until February 01, 2012 PRC I.D No. 0290479 Valid Until November 13, 2011
    PNA No. 2011-023897 Valid Until October 31, 2011 PNA No. Valid Until October 31, 2011
    Date document is signed: ________________ Time ___________ Date document is signed: __________________ Time: _________
    Highest Nursing Degree Earned: MAN Highest Nursing Degree Earned: MAN

    Approved by: DAISY A. VICENCIO


    Dean
    PRC I.D No. 0119313 Valid Until April 03, 2012
    PNA No. 2011-023896 Valid Until October 31, 2011
    ADPCN No. 18599 Valid Until May 31, 2012
    Date document is signed: __________________ Time ___________
    Highest Nursing Degree Earned: MAN

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