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Newborn Care Procedures at Lorma Medical

This document records three instances of immediate newborn cord care performed at the Lorma Medical Center in April 2010. It lists the date, time, patient name and case number for each procedure. Nurse Jennie N. Dela Cruz performed the cord care in all three cases, which were supervised by either Jonalyn D. Padilla or Winckle Briones. The document was prepared by nursing student Zebeah Angela A. Balgos and signed by the Clinical Coordinator and Dean to approve the procedures.

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Zebeah Angela Balgos Valdez
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131 views4 pages

Newborn Care Procedures at Lorma Medical

This document records three instances of immediate newborn cord care performed at the Lorma Medical Center in April 2010. It lists the date, time, patient name and case number for each procedure. Nurse Jennie N. Dela Cruz performed the cord care in all three cases, which were supervised by either Jonalyn D. Padilla or Winckle Briones. The document was prepared by nursing student Zebeah Angela A. Balgos and signed by the Clinical Coordinator and Dean to approve the procedures.

Uploaded by

Zebeah Angela Balgos Valdez
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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ODC Form 4

LORMA COLLEGES D.R. IMMEDIATE


Carlatan, San Fernando City, La Union NEWBORN CORD CARE
FORM
Phone 888 2616 /fax: (072) 242-3628 /lorma.org
(ACSCU-AAI Level II Re-Accredited, August 31 2007-April 2012)

IMMEDIATE NEWBORN CORD CARE in Lorma Medical Center, Carlatan, City of San Fernando, La Union

Prepared by: Balgos, Zebeah Angela A. Signature of Student: _________________________


Student

Date Performed Patient’s Name


and Immediate Newborn Cord Care Performed D.R. Nurse/Midwife SUPERVISED BY
Time Started Case Number On Duty

April 09, 2010 Baby Girl Hortaliza Delivery Room Jennie N. Dela Cruz, RN
1:45am Jonalyn D. Padilla, RN, MAN (Thesis Writing I)

April 10, 2010 Baby Girl Santos Delivery Room Jennie N. Dela Cruz, RN
7:30pm Winckle Briones, RN, MAN (33 units)

April 10, 2010 Baby Girl de Vera Delivery Room Jennie N. Dela Cruz, RN
9:10pm Winckle Briones, RN, MAN (33 units)

Noted by: Marie Grace M. Nones Concurred by: OFELIA C. PULIDO


Clinical Coordinator Chief Nurse
PRC I.D No. 0165388 Valid Until : December 06,2011 PRC I.D No. 23699 Valid Until : October 28, 2012
PNA No. 015126 Valid Until : December 2010 PNA No.00943 Valid Until : Lifetime
Date document is signed: _________________________ Time __________________ ANSAP No. 205 Valid Until: Lifetime
Highest Nursing Degree Earned: MAN Date document is signed: _____________ Time: ____________________
Highest Nursing Degree Earned: MAN

Approved by: LUDIVINA D. MAGPALI


Dean
PRC I.D No. 0186484 Valid Until: August 5,2012
PNA No. 15945 Valid Until: Lifetime
ADPCN No. 347 Valid Until: Dec, 2011
Date document is signed: _________________________ Time
___________________ Highest Nursing Degree Earned: MAN

ODC Form 3
D.R. ASSIST FORM
LORMA COLLEGES
Carlatan, San Fernando City, La Union
Phone 888 2616 /fax: (072) 242-3628 /lorma.org
(ACSCU-AAI Level II Re-Accredited, August 31 2007-April 2012)

ASSISTED DELIVERY in Lorma Medical Center, Carlatan, City of San Fernando, La Union

Prepared by: Balgos, Zebeah Angela A. Signature of Student: ________________________


Student

Date Performed PROCEDURE PERFORMED D.R. Nurse/Midwife SUPERVISED BY


and Patient’s Name On Duty
Time Started
Case Number

April 01, 2010 D.E.B. Normal Spontaneous Delivery Glorifina G. Dacumos, RN


6:19am 305858 Jonalyn D. Padilla, RN, MAN (Thesis Writing I)

April 02, 2010 R.F.N. Normal Spontaneous Delivery Glorifina G. Dacumos, RN


10:20am 30596 Winckle Briones, RN, MAN (33 units)

April 03, 2010 V.A.L. Normal Spontaneous Delivery Glorifina G. Dacumos, RN


2:41am 220545 Winckle Briones, RN, MAN (33 units)

Noted by: Marie Grace M. Nones Concurred by: OFELIA C. PULIDO


Clinical Coordinator Chief Nurse
PRC I.D No. 0165388 Valid Until : December 06,2011 PRC I.D No. 23699 Valid Until : October 28, 2012
PNA No. 015126 Valid Until : December 2010 PNA No.00943 Valid Until : Lifetime
Date document is signed: _________________________ Time __________________ ANSAP No. 205 Valid Until: Lifetime
Highest Nursing Degree Earned: MAN Date document is signed: _____________ Time: ____________________
Highest Nursing Degree Earned: MAN

Approved by: LUDIVINA D. MAGPALI


Dean
PRC I.D No. 0186484 Valid Until: August 5,2012
PNA No. 15945 Valid Until: Lifetime
ADPCN No. 347 Valid Until: Dec, 2011
Date document is signed: _________________________ Time
___________________ Highest Nursing Degree Earned: MAN

LORMA COLLEGES
Carlatan, San Fernando City, La Union
ODC Form 2
ACTUAL DELIVERY FORM
Phone 888 2616 /fax: (072) 242-3628 /lorma.org
(ACSCU-AAI Level II Re-Accredited, August 31 2007-April 2012)

ACTUAL DELIVERY in Caba Medicare and Community Hospital, Caba, La Union

Prepared by: Balgos, Zebeah Angela A. Signature of Student: ________________________


Student
Patient’s Name
Date Performed PROCEDURE PERFORMED D.R. Nurse/Midwife SUPERVISED BY
and Case Number On Duty
Time Started
August 28, 2009 A.D.P. Normal Spontaneous Delivery Medy Maglaya, RN
9:48pm C-18045 Rhodora Rulloda, RN, MAN (27 units)

January 07, 2010 E.A.M. Normal Spontaneous Delivery Mary Grace Maglaya, RN
10:15pm C-19211 Rhodora Rulloda, RN, MAN (27 units)

August 28, 2009 V.O.D. Normal Spontaneous Delivery Medy Maglaya, RN


6:35pm C-18181 Rhodora Rulloda, RN, MAN (27 units)

September 20, 2009 M.S.R. Normal Spontaneous Delivery Medy Maglaya, RN


9:25am C-18583 Rhodora Rulloda, RN, MAN (27 units)

Noted by: Marie Grace M. Nones Concurred by: CHONA B. GACHALLAN


Clinical Coordinator Nurse IV, Nursing Service Department
PRC I.D No. 0165388 Valid Until : December 06,2011 PRC I.D No. 0175519 Valid Until : January 16, 2011
PNA No. 015126 Valid Until : December 2010 PNA No. 011383 Valid Until : October 31, 2010
Date document is signed: _________________________ Time __________________ Date document is signed: _____________ Time: ____________________
Highest Nursing Degree Earned: MAN Highest Nursing Degree Earned: MAN

Approved by: LUDIVINA D. MAGPALI


Dean
PRC I.D No. 0186484 Valid Until: August 5,2012
PNA No. 15945 Valid Until: Lifetime
ADPCN No. 347 Valid Until: Dec, 2011
Date document is signed: _________________________ Time
___________________ Highest Nursing Degree Earned: MAN

LORMA COLLEGES
Carlatan, San Fernando City, La Union
ODC Form 1 O.R.
Scrub Form Minor
Phone 888 2616 /fax: (072) 242-3628 /lorma.org
(ACSCU-AAI Level II Re-Accredited, August 31 2007-April 2012)

SURGICAL SCRUB in Caba Medicare and Community Hospital, Caba, La Union

Prepared by: Balgos, Zebeah Angela A. Signature of Student: ________________________


Student
Patient’s Name
Date Performed PROCEDURE PERFORMED D.R. Nurse/Midwife SUPERVISED BY
and Case Number On Duty
Time Started
January 13, 2010 E.G.M. Bilateral Tubal Ligation Rolyn D. De Vera, RN
10:15am A-17274 Rhodora Rulloda, RN, MAN (27 units)

Noted by: Marie Grace M. Nones Concurred by: CHONA B. GACHALLAN


Clinical Coordinator Nurse IV, Nursing Service Department
PRC I.D No. 0165388 Valid Until : December 06,2011 PRC I.D No. 0175519 Valid Until : January 16, 2011
PNA No. 015126 Valid Until : December 2010 PNA No. 011383 Valid Until : October 31, 2010
Date document is signed: _________________________ Time __________________ Date document is signed: _____________ Time: ____________________
Highest Nursing Degree Earned: MAN Highest Nursing Degree Earned: MAN

Approved by: LUDIVINA D. MAGPALI


Dean
PRC I.D No. 0186484 Valid Until: August 5,2012
PNA No. 15945 Valid Until: Lifetime
ADPCN No. 347 Valid Until: Dec, 2011
Date document is signed: _________________________ Time
___________________ Highest Nursing Degree Earned: MAN

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