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    Surgical Procedure Performed: O.R. Minor Form

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    baskal27
    This document is a record of a surgical scrub performed by a student nurse named Angeleen Elizabeth Cortez at the Zamboanga City Medical Center on March 6, 2010. It notes that she assisted with a wound suturing procedure under local anesthesia for a patient with the initials A.B. and case number 303020. The scrub was supervised by clinical instructor Ma. Divine Grace Marquez and occurred from 5:30-6:00AM. The document was reviewed and approved by the clinical coordinator Sarah Taupan and dean Gloria Florendo.

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    Surgical Procedure Performed: O.R. Minor Form

    Uploaded by

    baskal27
    49 views1 page
    This document is a record of a surgical scrub performed by a student nurse named Angeleen Elizabeth Cortez at the Zamboanga City Medical Center on March 6, 2010. It notes that she assisted with a wound suturing procedure under local anesthesia for a patient with the initials A.B. and case number 303020. The scrub was supervised by clinical instructor Ma. Divine Grace Marquez and occurred from 5:30-6:00AM. The document was reviewed and approved by the clinical coordinator Sarah Taupan and dean Gloria Florendo.

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    Prc Surgical

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    This document is a record of a surgical scrub performed by a student nurse named Angeleen Elizabeth Cortez at the Zamboanga City Medical Center on March 6, 2010. It notes that she assisted with a wound suturing procedure under local anesthesia for a patient with the initials A.B. and case number 303020. The scrub was supervised by clinical instructor Ma. Divine Grace Marquez and occurred from 5:30-6:00AM. The document was reviewed and approved by the clinical coordinator Sarah Taupan and dean Gloria Florendo.

    Copyright:

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

    Surgical Procedure Performed: O.R. Minor Form

    Uploaded by

    baskal27
    This document is a record of a surgical scrub performed by a student nurse named Angeleen Elizabeth Cortez at the Zamboanga City Medical Center on March 6, 2010. It notes that she assisted with a wound suturing procedure under local anesthesia for a patient with the initials A.B. and case number 303020. The scrub was supervised by clinical instructor Ma. Divine Grace Marquez and occurred from 5:30-6:00AM. The document was reviewed and approved by the clinical coordinator Sarah Taupan and dean Gloria Florendo.

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    Download as doc, pdf, or txt
    of 1

    ODC Form 2B

    O.R. MINOR
    FORM
    WESTERN MINDANAO STATE UNIVERSITY
    Normal Road, Baliwasan, Zamboanga City, Philippines
    Telephone No. (062) 992-0315 / Fax No. (062) 992-4238 / E-mail: cn@wmsu.edu.ph / Web-Site: www.wmsu.edu.ph
    Accredited by: AACCUP / Level II Re-accredited / February 2009
    SURGICAL SCRUB in Zamboanga City Medical Center, Zamboanga City
    Hospital, Municipality/City/Province

    Prepared by:
    Printed Name with Signature of Student: CORTEZ, ANGELEEN ELIZABETH B.

    Date Performed Patient’s INITIALS (only) SUPERVISED BY:


    SURGICAL PROCEDURE O.R. Nurse On Duty
    and Clinical Instructor
    PERFORMED (Name and Signature)
    Time Started Case Number Name and Signature

    March 06, 2010 A.B Wound Suturing under local Rebecca Ramchand R.N Ma. Divine Grace Marquez R.N
    anesthesia
    5:30 A.M 303020

    Noted by: SARAH S. TAUPAN, R.N., M.N. Approved by: GLORIA G. FLORENDO, R.N., M.N., Ph.D.
    Clinical Coordinator, PRC I.D. No. 0150766 Valid Until: January 17, 2012 Dean, PRC I.D. No. 0054293 Valid Until: January 3, 2013 ___
    Date document is signed: Time: Date document is signed: Time: ___
    Please specify Highest Nursing Degree Earned: Master in Nursing _______ Specify Highest Nursing Degree Earned: Master in Nursing ___

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