WALATRINITY UNIVERSITY OF ASIA ST. LUKES COLLEGE OF NURSING O.R., D.R.

, CORD CARE REQUIREMENTS GUIDELINES STRICT COMPLIANCE IN THE GUIDELINES 1. General Considerations:
1.1. All Batch 2012 are to use the forms provided.

1.1.1. No part of the forms can be modified nor revised unless stated. 1.1.2. Forms should not exceed the inch margin on all sides.
1.2. All Batch 2012 are to complete the following cases: 1.2.1. 3 Scrub Major Operations (maximum of 2 similar cases, 2 students may

share a case on certain circumstances) and (maximum of 2 surgical procedure performed if the case has multiple procedure)
1.2.2. 3 Circulating Major Operations (maximum of 2 similar cases, 1 case per

student)
1.2.3. 3 Actual Delivery Cases (1 student per case) 1.2.4. 3 Initial Cord Care Cases (1 student per case)

1.3. In the event of any addition or revision in the guidelines, a memorandum will be posted in the bulletin board (On the left side of the Faculty Rooms Door). 1.3.1. All section heads are to sign in the form provided. 1.3.2. Once signed, it is understood that the section heads have agreed to the memorandum. 1.3.3. Section heads are given 4 days to sign on the memorandum. 1.3.4. Failure to sign within 4 days, the section head will be subjected to noncompliance. 1.3.5. If the section head is not able to sign due to reasons of absence or disagreement, the section head is required to inform the PRC head. Failure to do so will have the section head subjected to noncompliance.

1.3.6. It is the responsibility of the section heads to disseminate the information for proper compliance of the whole batch. 1.4. Wait for announcements on when to print the PRC forms
1.5. IN THE EVENT OF FAILURE TO COMPLY TO THE GUIDELINES OR A PART

THERE OF, THE ENTIRE SECTION WILL BE IMPOSED OF: 1.5.1. PHP 500 FINE PER SECTION. 1.5.2. TWO (2) WEEKS WILL BE GIVEN TO THE SECTION TO PAY FOR THE FINE AND TO RESOLVE THE VIOLATION. FAILURE TO DO SO WILL SUBJECT THE CLASS TO ANOTHER VIOLATION AND ANOTHER FINE OF 500 PHP. 1.5.3. IF A CLASS FAILED TO COMPLY WITH THE REQUIREMENTS FOR THE THIRD TIME, THE PRC FORMS OF THE ENTIRE CLASS WILL NOT BE INCLUDED IN THE PRC COMMITTEES PROCESSING. 1.6. Paper Specifications: 1.6.1. Brand: Corona 1.6.2. Size: 8.5 x 13 1.6.3. Substance 20-24 2. Heading 2.1. Font style: Arial; size: 11
2.2. Name Hospital: St. Lukes Medical Center

2.2.1. Bold
2.3. Name of the Student: SURNAME, FIRST NAME MIDDLE NAME

2.3.1. ALL CAPS 2.3.2. Bold 3. Other Considerations: 3.1. PRC forms should be separate per institution. 3.2. If the cases dont fit a single form, another form may be used.

3.3. Always use Gtech 0.4 for signatures and when something is needed to be filled up. 4. Major Operation (Scrub and Circulating) 4.1. Font style: Arial; size: 8 4.2. Contents of the table should be center aligned. 4.3. Diagnostic procedures are not considered surgical cases. 4.4. Date of Operation: (Month Day, Year) January 1, 2011
4.5. Time Started: HH:MM AM/PM (8:00 PM or 8:08 AM)

4.6. Case Number: Hospital Number

4.7. Name of Patient: INITIALS(only)

Ex: J.D.C. 4.8. Operation Preformed 4.8.1. No abbreviations 4.8.2. For long contents, you may move it 1 line up or 2 lines up. 4.8.3. Indicate if the operation was done on the left or right unless if the operated part can only be seen on one side. 4.8.4. Capitalize all the first letter of every word except for the articles (the, a, of, .) 4.9. OR Nurse on Duty 4.9.1. First Name M.I. Surname,
4.9.2. Titles: Ms. or Mr

Example: Mr. Juan P. Dela Cruz

4.9.3. The OR Nurse will sign above their printed name.

4.9.4. IF YOU PERFORMED AS CIRCULATING NURSE INDICATE THE NAME OF THE CIRCULATING NURSE 4.9.5. IF YOU PERFORM ED AS SCRUB NURSE INDICATE THE NAME OF THE SCRUB NURSE 4.10.Supervised by Qualified Clinical Instructor: 4.10.1. 4.10.2. First Name M.I. Surname, Titles: R.N., M.A.N.

Example: Juan P. Dela Cruz R.N., M.A.N. 4.10.3. The clinical instructions will sign above their printed name.
5. Actual Deliveries and Immediate Newborn Cord Care

5.1. Font style: Arial; size: 8 5.2. Contents of the table should be center aligned
5.3. Shalom cases: Maximum of 2 per category. There should be at least one case

per category that is done in a hospital. 5.4. Case Number: Hospital Number 5.4.1. Shalom Cases: 5.4.1.1. 5.4.1.2. First 6 numbers: YYMMDDXXXX 2008 January/February/March cases: YYMMDDXXXX (10 digit Example: Date: January 1, 2009 (090101XXXX) case #) April 2009 present: YYMMDDXXXXX (11 digit case #) 5.5. Date of Delivery: Month Day, Year (January 1, 2009)
5.6. Time of Delivery: HH:MM AM/PM (8:00 PM or 8:08 AM)

5.7. Type of Delivery: Normal Spontaneous Delivery 5.8. DR Nurse on Duty 5.8.1. First Name M.I. Surname,
5.8.2. Titles: Ms. or Mr

Example: Mr. Juan P. Dela Cruz

5.8.3. The DR Nurse will sign above their printed name.

5.9. Supervised by Qualified Clinical Instructor: 5.9.1. First Name M.I. Surname, 5.9.2. Titles: R.N., M.A.N. Example: Juan P. Dela Cruz R.N., M.A.N. 5.9.3. The clinical instructions will sign above their printed name.