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University of Perpetual Help System

City of Biñan, Laguna


NCM 104 Activity Sheet
Section E Group no. 19
Area: _________________ Date: ________________
Shift: _________________ CI: ___________ _______

SIGNATURESTUDENT’S

SIGNATUREC.I.

PERFORMANCE
ACTIVITIES
TIME-OUT

REMARKS
TIME-IN

GROUP MEMBERS

1. Ciolo,Katherine Mae J.
2. Crisostomo, John Carlo C.
3. De Las Alas,Katren Rose A.
4. Delos Reyes,Maria Laura A.
5. Englis, Mary Joyce A.
6. Fabian, Ryan Jay A.
7. Futami, Megumi A.
8. Galban, Justin Allen A.
9. Guce,Irene P.
10. Guerrero,Justin Craig M.
11. Guico, Jonas H.
12. Nuñez, Eissel Jannet S.

University of Perpetual Help System


City of Biñan, Laguna
NCM 104 Activity Sheet
Section E Group no. 19
Area: _________________ Date: ________________
Shift: _________________ CI: ___________ ________

Activities:
o Vital signs taking
& recording
o Bedside care
o Oral/IV
medications
o I/O monitoring
o Nurses notes/
Charting
University of Perpetual Help System
City of Biñan, Laguna
NCM 104 Activity Sheet
Section E Group no. 19
Area: _________________ Date: ________________
Shift: _________________ CI: ___________ _______

Name of Student Patient Room no.

1. Ciolo,Katherine Mae J.
2. Crisostomo, John Carlo C.
3. De Las Alas,Katren Rose A.
4. Delos Reyes, Maria Laura A.
5. Englis, Mary Joyce A.
6. Fabian, Ryan Jay A.
7. Futami, Megumi A.
8. Galban, Justin Allen A.
9. Guce,Irene P.
10. Guerrero,Justin Craig
M.
11. Guico, Jonas H.
12. Nuñez, Eissel Jannet S.

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