LOG OF PATIENTS SEEN AND PROCEDURES PERFORMED
Date Patient’s Department Diagnosis Procedures Supervisor’ Monitor’s
Name & performed s signature signature &
Age date
10/28- PEDIATRICS HISTORY AND
12/22/ NARIO, PNEUMONIA NON PE
24 JOHN KIEL SEVERE
4M/M
10/28- PEDIATRICS HISTORY AND
12/22/ NAVARRO BRONCHIAL PE
24 FRANCES ASTHMA NOT IN
ANN 9/F ACUTE
EXACERBATION
10/28- PEDIATRICS HISTORY AND
12/22/ NACON, ACUTE KIDNEY PE
24 NARODIN INJURY SECONDARY
6/M TO LEPTOSPIROSIS
10/28- PEDIATRICS HISTORY AND
12/22/ BAURACA UPPER PE
24 N AIZEN RESPIRATORY
11/M TRACT INFECTION
10/28- PEDIATRICS HISTORY AND
12/22/ DALUMPI ACUTE PEPTIC PE
24 NES, DISEASE
ARVIN
6/M
10/28- PEDIATRICS HISTORY AND
12/22/ MACALAG NEPHROTIC PE
24 AY SYNDROME
FRANCIS
13/M
10/28- PEDIATRICS NB care,
12/22/ Herrera, Full Term, 39 weeks assist in NB
24 baby boy age of gestation by delivery,
Ballard Scoring, EINC, Ballard
scoring
Birth weight 3200
g, Birth Length
52cm, Appropriate
for Gestational Age,
cephalic
Presentation,
delivered via CS
secondary to
scarred uterus, live
baby boy, APGAR
score 8,9
10/28- PEDIATRICS NB care,
12/22/ Bautista, Preterm, 39weeks assist in NB
24 baby boy age of gestation by delivery,
Ballard Scoring, EINC, Ballard
scoring
Birth weight 3500,
Birth Length 51cm,
appropriate for
Gestational Age,
cephalic
presentation,
delivered via CS
secondary to
scarred uterus, live
baby boy APGAR
score 8,9
10/28- PEDIATRICS NB care,
12/22/ Castillo, Full Term, 39weeks assist in NB
24 Baby Boy age of gestation by delivery,
Ballard Scoring, EINC, Ballard
scoring
Birth weight 2700g,
Birth Length 51cm,
Large for
Gestational Age,
breech
Presentation,
delivered via CS sec
malpresentation,
live baby boy,
APGAR score 7,9
10/28- PEDIATRICS NB care,
12/22/ MARANTA Preterm, 30 weeks assist in NB
24 L, BB girl age of gestation by delivery,
Ballard Scoring, EINC, Ballard
scoring
Birth weight 700 g,
Birth Length 33 cm,
small for
Gestational Age,
breech
presentation,
delivered via CS
secondary to
nonreassuring fetal
status, live baby
girl, APGAR score
8,9; Respiratory
distress syndrome
vs Neonatal
pneumonia
10/28- PEDIATRICS NB care,
12/22/ Cordero, Preterm, 34 weeks assist in NB
24 BB girl age of gestation by delivery,
Ballard Scoring, EINC, Ballard
scoring
Birth weight 1600
g, Birth Length 40
cm, appropriate for
Gestational Age,
cephalic
Presentation,
delivered via NSD,
live baby Girl,
APGAR score 8,9;
t/c Gastroschisis
10/28- PEDIATRICS NB care,
12/22/ Yang, Fullterm, 28 weeks assist in NB
24 baby girl age of gestation by delivery,
Ballard Scoring, EINC, Ballard
scoring
Birthweight 750g,
Birth Length 32cm,
small for
Gestational Age,
Cephalic
Presentation,
delivered via NSD,
live baby girl,
APGAR score 6,8
10/28- PEDIATRICS
12/22/ Santos, NEONATAL NGT/OGT
24 sofia PNEUMONIA INSERTION
10D/F
10/28- PEDIATRICS
12/22/ Yap, CNS INFECTION LUMBAR TAP
24 abegail
4M/F
10/28- PEDIATRICS
12/22/ Bondad, PNEUMONIA IV LINE
24 Charles NONSEVERE INSERTION
6/M
10/28- PEDIATRICS
12/22/ Alba, Elvin NEPHROTIC IFC
24 16/M SYNDROME INSERTION
10/28- PEDIATRICS
12/22/ MARANTA Preterm, 30 weeks UMBI CATH
24 L , BABY age of gestation by INSERTION
GIRL Ballard Scoring,
Birth weight 700 g,
Birth Length 33 cm,
small for
Gestational Age,
breech
presentation,
delivered via CS
secondary to
nonreassuring fetal
status, live baby
girl, APGAR score
8,9; Respiratory
distress syndrome
vs Neonatal
pneumonia
10/28- PEDIATRICS
12/22/ BAYANI, Chiarri Type II NEW BORN
24 BABY GIRL Ventilator SCREENING
Associated
Pneumonia
10/28- PEDIATRICS
12/22/ LORDES, PNEUMONIA NGT/OGT
24 KARL 3/M SEVERE INSERTION
10/28- PEDIATRICS
12/22/ Cruz, HENOCH-SCHONLEI History and
24 Jasper N PURPURA PE
3/M
10/28- PEDIATRICS
12/22/ Danilo, CONTACT History and
24 Angel DERMATITIS PE
4m/F
10/28- PEDIATRICS
12/22/ Fabila, ACUTE History and
24 Ann Nari GASTROENTERITIS PE
5/F
10/28- PEDIATRICS
12/22/ Manalo, T/C ANAL SKIN TAG History and
24 Mark PE
Andrew
9M/M
10/28- PEDIATRICS
12/22/ Sebego, GENERALIZED History and
24 Carl TONIC CLONIC PE
Joseph SEIZURE
2M/M
10/28- PEDIATRICS
12/22/ Arcilla, Jae BREASTFEEDING History and
24 17/M JAUNDICE VS ABO PE
IMCOMPATIBILITY
(use additional sheets if necessary)
Name of Clinical Clerk rotator _____________________________
Signature_______________________________
