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Republic of the Philippines

UNIVERSITY OF EASTERN PHILIPPINES


University Town, Northern Samar

COLLEGE OF NUSING AND ALLIED HEALTH SCIENCES

I & O SHEET

CLINICAL AREA: PEDIATRIC WARD

STUDENT NURSE NAME OF PATIENT INPUT OUTPUT


ORAL IVF NGT OTHERS URINE NGT CTT OTHERS

Prepared by: MARIA KRISTIA S. TALACAY


Student Head Nurse
ZALDE B. TUBALLAS
Student Head Nurse Noted by: MARYFLOR CAGRO, RN, MAN
Clinical Instructor
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar

COLLEGE OF NUSING AND ALLIED HEALTH SCIENCES

MEDICATION SHEET

CLINICAL AREA: PEDIATRIC WARD

STUDENT NURSE NAME OF PATIENT DRUGS ACTION DOSAGE FREQUENCY TIME OF


ADMINISTRATION

Prepared by: MARIA KRISTIA S. TALACAY


Student Head Nurse
ZALDE B. TUBALLAS
Student Head Nurse Noted by: MARYFLOR CAGRO, RN, MAN
Clinical Instructor
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar

COLLEGE OF NUSING AND ALLIED HEALTH SCIENCES

VITAL SIGNS MONITORING SHEET

CLINICAL AREA: PEDIATRIC WARD

STUDENT NURSE NAME OF PATIENT TIME: TIME:


BP T P R BP T P R

Prepared by: MARIA KRISTIA S. TALACAY


Student Head Nurse
ZALDE B. TUBALLAS
Student Head Nurse Noted by: MARYFLOR CAGRO, RN, MAN
Clinical Instructor
Republic of the Philippines
UNIVERSITY OF EASTERN PHILIPPINES
University Town, Northern Samar

COLLEGE OF NUSING AND ALLIED HEALTH SCIENCES

I V MONITORING SHEET

CLINICAL AREA: PEDIATRIC WARD

STUDENT NAME OF IV TIME OF LEVEL 1st 2nd 3rd REMARKS


NURSE PATIENT IVF RATE ml/hr ml/min ROUNDS OF IVF
T
I
A
D
T
I
A
D
T
I
A
D
T
I
A
D

Prepared by: MARIA KRISTIA S. TALACAY


Student Head Nurse
ZALDE B. TUBALLAS
Student Head Nurse Noted by: MARYFLOR CAGRO, RN, MAN
Clinical Instructor

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