This document is a cord care form used by Jose Rizal University. It contains fields to record information about a surgical scrub performed in a hospital, including the date and time, patient initials and case number, who performed the immediate newborn cord care and where, and the attending nurse and supervisor. Spaces are also provided for notes and approval signatures from the clinical instructor and dean.
Copyright:
Attribution Non-Commercial (BY-NC)
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Download as DOCX, PDF, TXT or read online from Scribd
This document is a cord care form used by Jose Rizal University. It contains fields to record information about a surgical scrub performed in a hospital, including the date and time, patient initials and case number, who performed the immediate newborn cord care and where, and the attending nurse and supervisor. Spaces are also provided for notes and approval signatures from the clinical instructor and dean.
This document is a cord care form used by Jose Rizal University. It contains fields to record information about a surgical scrub performed in a hospital, including the date and time, patient initials and case number, who performed the immediate newborn cord care and where, and the attending nurse and supervisor. Spaces are also provided for notes and approval signatures from the clinical instructor and dean.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online from Scribd
This document is a cord care form used by Jose Rizal University. It contains fields to record information about a surgical scrub performed in a hospital, including the date and time, patient initials and case number, who performed the immediate newborn cord care and where, and the attending nurse and supervisor. Spaces are also provided for notes and approval signatures from the clinical instructor and dean.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online from Scribd
Date Performed and Patient’s Initials (only) Immediate Newborn Cord Care DR Nurse on Duty Supervised by Performed Time Started Case Number (Not Applicable for (Name and Signature) Clinical Instructor Birthing/Lying- In Clinics/Homes) (Indicate where performed, i.e. DR, Nursery, NICU, or Home) (If Midwife on Duty, Signature Not Required) (Name and Signature) Noted by: _______________________________________________________ Approved by: _______________________________________________________
Printed Name and Signature Printed Name and Signature
Clinical Instructor, PRC ID no.: ______________________ Valid until: ___________ Dean, PRC ID no.: ______________________ Valid until: ___________
Date document is signed: _________________________ Time: ___________ Date document is signed: _________________________ Time: ___________
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