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    Minor or Format Template

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    Kwesi Yasay
    Kweisi Gem Lantaca Yasay, a nursing student at Capitol University Medical City, completed surgical scrubs for five procedures between November 2012 and October 2013. The procedures included the removal of an external fixator and pins, cystoscopy and ureteroscopy to extract a kidney stone, incision of the femur bone, lumpectomy, and colonoscopy. The scrubs were supervised by Jessele B. Janioso and documented for completion of clinical requirements.

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    Minor or Format Template

    Uploaded by

    Kwesi Yasay
    13 views2 pages
    Kweisi Gem Lantaca Yasay, a nursing student at Capitol University Medical City, completed surgical scrubs for five procedures between November 2012 and October 2013. The procedures included the removal of an external fixator and pins, cystoscopy and ureteroscopy to extract a kidney stone, incision of the femur bone, lumpectomy, and colonoscopy. The scrubs were supervised by Jessele B. Janioso and documented for completion of clinical requirements.

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    Nursing Form

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    Kweisi Gem Lantaca Yasay, a nursing student at Capitol University Medical City, completed surgical scrubs for five procedures between November 2012 and October 2013. The procedures included the removal of an external fixator and pins, cystoscopy and ureteroscopy to extract a kidney stone, incision of the femur bone, lumpectomy, and colonoscopy. The scrubs were supervised by Jessele B. Janioso and documented for completion of clinical requirements.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    13 views2 pages

    Minor or Format Template

    Uploaded by

    Kwesi Yasay
    Kweisi Gem Lantaca Yasay, a nursing student at Capitol University Medical City, completed surgical scrubs for five procedures between November 2012 and October 2013. The procedures included the removal of an external fixator and pins, cystoscopy and ureteroscopy to extract a kidney stone, incision of the femur bone, lumpectomy, and colonoscopy. The scrubs were supervised by Jessele B. Janioso and documented for completion of clinical requirements.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Capitol University

    College of Nursing
    Corrales Ext. & Osmea Ext. Sts., Cagayan de Oro City
    (CHED 070: PACUCOA Level 3, June 14, 1982 Manila)


    SURGICAL SCRUB in Capitol University Medical City, Cagayan de Oro City
    Hospital, City


    Prepared by: KWESI GEM LANTACA YASAY Year of Admission in the BSN Program: June 2009
    Printed Name and Signature of Student: KWESI GEM LANTACA YASAY Year Graduated in BSN Program: March 2014


















    No. Date Performed
    Time
    Started
    Case
    No.
    Patients Name SURGICAL PROCEDURE PERFORMED
    Supervised by
    Name and Signature of C.I.
    1

    November 20, 2012

    11:28 AM

    023833

    Marty N. Vicente
    Removal of External Fixator and pin and application of
    short leg posterior mold.


    Jessele B. Janioso , R.N., M.N.
    2
    September 24,
    2013

    1:55 PM

    001551

    Leonila Maus

    Cystoscopy, Ureteroscopy Right Basket Extraction of
    Stone, Failed Double J Stenting


    Jessele B. Janioso , R.N., M.N.
    3

    September 30,
    2013

    1:25 PM

    030920

    Janine Custodio

    Incision Deep with Bearing of Bone Cortex Femur


    Jessele B. Janioso , R.N., M.N.
    4

    October 1, 2013

    1:20 PM

    030945

    Cristina Abanador

    Lumpectomy


    Jessele B. Janioso , R.N., M.N.
    5

    October 7, 2013

    7:55 AM

    022928

    Evangeline Beja

    Colonscopy

    Jessele B. Janioso , R.N., M.N.
    Approved by: Fidela B. Ansale, R.N., M.A.N.
    (Print Name & Signature)

    Dean, PRC I.D. No.: 0085045 Valid Until: February 7, 2016_______
    Date Document is signed: ____________ Time: _______________
    Highest Nursing Degree Earned: MASTER OF ARTS IN NURSING__



    Noted by: Honeylou A. Oponda, R.N., M.A, M.A.N.
    (Print Name & Signature)

    Clinical Coordinator, PRC I.D. No.: 0217896 Valid Until: January 6, 2016
    Date Document is signed: __________________ Time: _________________
    Highest Nursing Degree Earned: MASTER OF ARTS IN NURSING__



    Approved by: Fidela B. Ansale, R.N., M.A.N. ____
    (Print Name & Signature)

    Dean, PRC I.D. No.: 0085045 Valid Until: February 7, 2016_______
    Date Document is signed: ____________ Time: _______________
    Highest Nursing Degree Earned: MASTER OF ARTS IN NURSING__



    ODC Form 2B
    O.R. CIRCULATING FORM
    ODC Form 2A
    O.R. SCRUB FORM
    Minor

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