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LUNA STREET, LA PAZ, ILOILO CITY Tel. No. (033) 320 0870 Local 143, Fax (033) 320 2623, con@wvsu.edu.ph, www.wvsu.edu.ph (Level III Re-Accredited Status by AACCUP, December 2006) IMMEDIATE NEWBORN CORD CARE in ANGEL SALAZAR MEMORIAL GENERAL HOSPITAL, SAN JOSE, ANTIQUE Prepared by: Printed Name and Signature of Student
Date Performed and Time Started 4-13-11 10:30 P.M. 4-14-11 10:41 P.M.
PERFORMED
(Indicate area performed)
Cord Care Delivery Room Cord Care Delivery Room Julie G. Osunero, R.N. Alexis V. Escarza, R.N. Dinafe F. Cervera, R.N. Alexis V. Escarza, R.N.
Noted by: VIRGINIA F. FEDERISO, R.N.,M.A.N. Clinical Coordinator, PRC I.D. No. 160176 Valid Until: _May 21, 2012____ Date document is signed: ____________________ Time:____________________ Highest Nursing Degree Earned: Master of Arts in Nursing
Approved by: DAISY C. VILLAROSA, R.N., M.S.N.____________ Dean, PRC I.D. No. 0043891_____________ Valid Until: July 2, 2014__ Date document is signed: _______________ Time: ________________ Highest Nursing Degree Earned: Master of Science in Nursing_______