Handle and Assist
Handle and Assist
Handle and Assist
J Marist Brothers
Notre Dame of Kidapawan College
Kidapawan City
DELIVERY ROOM
HANDLE/ASSIST
Name of Patient:
Address:
Gravida:
Labor started at:
BOW ruptured at:
Placenta expelled at:
Date Delivered:
Admitting Diagnosis:
Post-Partum Diagnosis:
Age:
Para:
Status:
Abortion:
Date:
Date:
Date:
Time Delivered:
Attending Physician:
Nurse on Duty:
Handled by (student):
Assisted by (student):
Cord Dress by (student):
School:
Case No:
Living:
Gender of NB:
Midwife:
Clinical Instructor:
Confirmed by:
Signature over Printed Name
Age:
Para:
Status:
Abortion:
Date:
Date:
Date:
Time Delivered:
Attending Physician:
Nurse on Duty:
Handled by (student):
Assisted by (student):
Cord Dress by (student):
School:
Clinical Instructor:
Case No:
Living:
Gender of NB:
Midwife:
Confirmed by:
Signature over Printed Name