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Nursing Services: Summary of Shifting of Grades

1) This document appears to be a summary of shifting grades form from the Ilocos Training and Regional Medical Center for nursing students on clinical duty. 2) It includes fields for the name of the college or university the student attends, their address, dates and days of duty, area of assignment, a table to list students' names, level/section, grades, and remarks. 3) At the bottom are lines for the clinical instructor and nurse in charge of training to sign showing they prepared and received the form.

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76 views1 page

Nursing Services: Summary of Shifting of Grades

1) This document appears to be a summary of shifting grades form from the Ilocos Training and Regional Medical Center for nursing students on clinical duty. 2) It includes fields for the name of the college or university the student attends, their address, dates and days of duty, area of assignment, a table to list students' names, level/section, grades, and remarks. 3) At the bottom are lines for the clinical instructor and nurse in charge of training to sign showing they prepared and received the form.

Uploaded by

motzmoty
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

DEPARTMENT OF HEALTH ND-TER-004- 1


CENTER FOR HEALTH DEVELOPMENT No. 1 – LUPangIlocos
ILOCOS TRAINING AND REGIONAL MEDICAL CENTER
San Fernando City, La Union
PHIC Accredited Healthcare Provider Mother & Baby Friendly Hospital “No Smoking” Healthcare Facility
Tel: (072) 607-6418; (072) 607-6422; Telefax: (072) 700-3719 url address: http://www.doh.gov.ph/itrmc

NURSING SERVICES
Clinical Service, Education and Training, Research

SUMMARY OF SHIFTING OF GRADES


Name of College/ University: __________________________________________

Address: __________________________________________________

Date of Duty: __________________________________


Days of Duty: __________________________________

AREA of ASSIGNMENT: __________________________________

No. Name of Student Level/Section Grade Remarks

Prepared by: _________________________________________


Signature above Printed Name (Clinical Instructor)

Received by: ___________________________________________________


Signature above Printed Name (Nurse V- In Charge of Training)

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