Professional Documents
Culture Documents
IMMEDIATE
NEWBORN
CORD CARE
IMMEDIATE NEWBORN CORD CARE in DR. AMANDO D. COPE MEMORIAL HOSPITAL, Tabaco City
Hospital/Home, Lying-in Clinic, Municipality/City Province
Prepared by:
Printed Name with Signature of Student: KAIZIRIN O. SALINAS
Patients INITIALS
(only)
Date Performed and
Time Started
Noted by:
Case Number
(not applicable for
Birthing/Lying-in
Clinics/Homes)
VILMA U. BORLAGDAN, RN
(Printed Name and Signature)
Clinical Coordinator, PRC I.D. No. 0083327 Valid Until:
Date document is signed: _________________ Time: ____________
Approved by:
SUPERVISED BY
Clinical Instructor
Name and Signature
IMMEDIATE NEWBORN CORD CARE in DR. AMANDO D. COPE MEMORIAL HOSPITAL, Tabaco City
Hospital/Home, Lying-in Clinic, Municipality/City Province
Prepared by:
Printed Name with Signature of Student: AICCA REANNA S. DESIPEDA
Patients INITIALS
(only)
Date Performed and
Time Started
Noted by:
Case Number
(not applicable for
Birthing/Lying-in
Clinics/Homes)
VILMA U. BORLAGDAN, RN
(Printed Name and Signature)
Clinical Coordinator, PRC I.D. No. 0083327 Valid Until:
Approved by:
SUPERVISED BY
Clinical Instructor
Name and Signature
Patients INITIALS
(only)
Date Performed and
Time Started
Noted by:
Case Number
(not applicable for
Birthing/Lying-in
Clinics/Homes)
VILMA U. BORLAGDAN, RN
(Printed Name and Signature)
Approved by:
SUPERVISED BY
Clinical Instructor
Name and Signature
Patients INITIALS
(only)
Date Performed and
Time Started
Noted by:
Case Number
(not applicable for
Birthing/Lying-in
Clinics/Homes)
VILMA U. BORLAGDAN, RN
Approved by:
SUPERVISED BY
Clinical Instructor
Name and Signature
Patients INITIALS
(only)
Date Performed and
Time Started
Case Number
(not applicable for
Birthing/Lying-in
Clinics/Homes)
SUPERVISED BY
Clinical Instructor
Name and Signature
Noted by:
VILMA U. BORLAGDAN, RN
Approved by:
MARIA RENEE O. COPE, RN
(Printed Name and Signature)
(Printed Name and Signature)
Clinical Coordinator, PRC I.D. No. 0083327 Valid Until:
Dean, PRC I.D. No. 0090644
Valid Until:
Date document is signed: _________________ Time: ____________
Date document is signed: _________________ Time: ___________
Please specify Highest Nursing Degree Earned: MAN
Please specify Highest Nursing Degree Earned: MAN,
PhD Form 4
ODC
Republic of the Philippines
IMMEDIATE
AMANDO COPE COLLEGE
NEWBORN
CORD CARE
COLLEGE OF NURSING
Baranghawon, Tabaco City
Telephone Nos. (052) 830-2770 / 487-4454
CHED Recognition No. 316-2007
IMMEDIATE NEWBORN CORD CARE in DR. AMANDO D. COPE MEMORIAL HOSPITAL, Tabaco City
Hospital/Home, Lying-in Clinic, Municipality/City Province
Prepared by:
Printed Name with Signature of Student: JAMELA FAYE M. BAYABAN
Patients INITIALS
(only)
Date Performed and
Time Started
Case Number
(not applicable for
Birthing/Lying-in
Clinics/Homes)
SUPERVISED BY
Clinical Instructor
Name and Signature
Noted by:
VILMA U. BORLAGDAN, RN
Approved by:
MARIA RENEE O. COPE, RN
(Printed Name and Signature)
(Printed Name and Signature)
Clinical Coordinator, PRC I.D. No. 0083327 Valid Until:
Dean, PRC I.D. No. 0090644
Valid Until:
Date document is signed: _________________ Time: ____________
Date document is signed: _________________ Time: ___________
Please specify Highest Nursing Degree Earned: MAN
Please specify Highest Nursing Degree Earned: MAN,
PhD Form 4
ODC
Republic of the Philippines
IMMEDIATE
AMANDO COPE COLLEGE
NEWBORN
CORD
CARE
COLLEGE OF NURSING
Baranghawon, Tabaco City
Telephone Nos. (052) 830-2770 / 487-4454
CHED Recognition No. 316-2007
IMMEDIATE NEWBORN CORD CARE in DR. AMANDO D. COPE MEMORIAL HOSPITAL, Tabaco City
Hospital/Home, Lying-in Clinic, Municipality/City Province
Prepared by:
Printed Name with Signature of Student: MARLA F. ARANDELA
Patients INITIALS
(only)
Date Performed and
Time Started
Case Number
(not applicable for
Birthing/Lying-in
Clinics/Homes)
SUPERVISED BY
Clinical Instructor
Name and Signature
Noted by:
VILMA U. BORLAGDAN, RN
(Printed Name and Signature)
Clinical Coordinator, PRC I.D. No. 0083327 Valid Until:
Date document is signed: _________________ Time: ____________
Please specify Highest Nursing Degree Earned: MAN
Approved by: