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    CN Actual - GPH - Corcino

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    John Robert Corcino
    1) The document is a surgical scrub form from the Dr. Catalino Gallego Nava Provincial Hospital documenting a surgical procedure performed by a student. 2) It lists the date and time of August 10, 2022 at 1:30 PM for a primary low transverse cesarean section procedure on a patient with the initials D.A.O. and case number B22-0382. 3) The form was supervised by Clinical Instructor Carlane P. Torres, PhD, RN and the O.R. nurse on duty was Ian H. Sermonia, RN.

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    CN Actual - GPH - Corcino

    Uploaded by

    John Robert Corcino
    19 views1 page
    1) The document is a surgical scrub form from the Dr. Catalino Gallego Nava Provincial Hospital documenting a surgical procedure performed by a student. 2) It lists the date and time of August 10, 2022 at 1:30 PM for a primary low transverse cesarean section procedure on a patient with the initials D.A.O. and case number B22-0382. 3) The form was supervised by Clinical Instructor Carlane P. Torres, PhD, RN and the O.R. nurse on duty was Ian H. Sermonia, RN.

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    Cn Actual - Gph - Corcino

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    1) The document is a surgical scrub form from the Dr. Catalino Gallego Nava Provincial Hospital documenting a surgical procedure performed by a student. 2) It lists the date and time of August 10, 2022 at 1:30 PM for a primary low transverse cesarean section procedure on a patient with the initials D.A.O. and case number B22-0382. 3) The form was supervised by Clinical Instructor Carlane P. Torres, PhD, RN and the O.R. nurse on duty was Ian H. Sermonia, RN.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views1 page

    CN Actual - GPH - Corcino

    Uploaded by

    John Robert Corcino
    1) The document is a surgical scrub form from the Dr. Catalino Gallego Nava Provincial Hospital documenting a surgical procedure performed by a student. 2) It lists the date and time of August 10, 2022 at 1:30 PM for a primary low transverse cesarean section procedure on a patient with the initials D.A.O. and case number B22-0382. 3) The form was supervised by Clinical Instructor Carlane P. Torres, PhD, RN and the O.R. nurse on duty was Ian H. Sermonia, RN.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    UNIVERSITY OF SAN AGUSTIN ODC Form 2B

    GENERAL LUNA STREET, ILOILO CITY O.R. CIRCULATING


    Tel. No.: (033)337-48-41 to 44 Local 259, Fax No.: (033)337-44-03, E-mail Address: [email protected], Web-Site: www.usa.edu.ph FORM
    SURGICAL SCRUB in Dr. Catalino Gallego Nava Provincial Hospital, Jordan, Guimaras
    Hospital, Municipality/City/Province

    Prepared by:
    Printed Name and Signature of Student: _JOHN ROBERT C. CORCINO_

    Date Performed Patient’s INITIALS (only) O.R. Nurse on Duty SUPERVISED BY


    and Case Number SURGICAL PROCEDURE PERFORMED (Name and Signature) Clinical Instructor
    Time Started Name and Signature

    August 10,2022 D.A.O.


    PRIMARY LOW TRANSVERSE CESAREAN SECTION IAN H. SERMONIA, RN CARLANE P. TORRES, PhD, RN
    1:30 PM B22-0382

    Noted: Dr. Carlane P. Torres, R.N.____________________________________________ Approved: Dr. Louie P. Hijalda, R.N.__________________________________________
    (Print Name and Signature) (Print Name and Signature)
    Clinical Coordinator, PRC I.D. No. 0317254 Valid Until: March 4, 2025__________ Dean, PRC I.D. No. 0188653_______________ Valid Until May 9, 2026 ________ _
    Date document is signed:_________________ Time:__________________________ Date document is signed:_________________ Time:____________________________
    Please Specify Highest Nursing Degree Earned:___ PhD__________________________ Please Specify Highest Nursing Degree Earned: __PhD _________________________

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