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I. Initiating/ Maintaining Peripheral Infusion: Diagnosis

Freisan Chen M. Mandumotan completed a 3-day basic intravenous therapy training program for nurses at Mercy Community Hospital. The training program covered initiating and maintaining peripheral infusions, administering intravenous drugs, and administering and maintaining blood and blood components. Freisan successfully performed peripheral intravenous insertions and administered medications and blood products on three patients under the supervision of the certified trainer Elizabeth S. Tangub.

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74 views1 page

I. Initiating/ Maintaining Peripheral Infusion: Diagnosis

Freisan Chen M. Mandumotan completed a 3-day basic intravenous therapy training program for nurses at Mercy Community Hospital. The training program covered initiating and maintaining peripheral infusions, administering intravenous drugs, and administering and maintaining blood and blood components. Freisan successfully performed peripheral intravenous insertions and administered medications and blood products on three patients under the supervision of the certified trainer Elizabeth S. Tangub.

Uploaded by

FreisanChenMandumotan
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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3+3+1 ACCOMPLISHED REQUIREMENTS of 3-DAY

BASIC INTRAVENOUS THERAPY TRAINING PROGRAM for NURSES

Name of Registered Nurse: Freisan Chen M, Manumotan, RN PRC Number: 0900770

Name of Hospital Offering IV Training: Mercy Community Hospital, Inc. Provider Number: 212

Date of IV Training Program Attended: February 8, 9 and 10, 2018 Venue: Mother Richard Embser Dining Hall

I. Initiating/ Maintaining Peripheral Infusion

Patient Name of Age Date Time Kind of Site Type of Dose Rate Signature Over Printed Name of License No.
No. Patient Infusion Cannula Certified Trainer/Preceptor
99669 Hollanes, 60 2/ 17/2018 1:05 pm PNSS Left Metacarpal ONC 1L 20gtts/min
Gwendolyn Vein Gauge 20 ELIZABETH S TANGUB, RN,MN 09-024186
167228 Vega, 60 2/17/2018 2:40 pm PNSS Left Cephalic ONC 1L 20gtts/min
Luceno Vein Gauge 18 ELIZABETH S TANGUB, RN,MN 09-024186
50319 Natividad, 84 2/14/2018 10:50 am PNSS Right Cephalic ONC 1L 10gtts/min
Cabili Vein Gauge 20 ELIZABETH S TANGUB, RN,MN 09-024186
II. Administer Intravenous Drugs

Patient Name of Age Date Time Drugs Dose Diagnosis Signature Over Printed Name License No.
No. Patient Incorporated of Certified Trainer/Preceptor
135680 Talaba, 79 2/14/2018 10 am Vigocid 2.25 Parkinson’s Dse:Hemolytic Anemia; HPN 2
Virgilio gm ELIZABETH S TANGUB, RN,MN 09-024186
167116 Balan, Paz 80 2/14/2018 2:09 Ceftriaxone 1 gm Acute Bacterial Infection R/O Colon
pm Cancer ELIZABETH S TANGUB, RN,MN 09-024186
135680 Talaba, 79 1/14/2018 2:30 Metoclopromide 5 gm Parkinson’s Dse:Hemolytic Anemia; HPN 2
Virgilio pm ELIZABETH S TANGUB, RN,MN 09-024186
III. Administering and Maintaining Blood and Blood Components

Patient Name of Age Date Time Volume/Blood IV Insertion Type of Diagnosis Signature Over Printed Name License No.
No. Patient Type/ Rate Cannula of Certified Trainer/Preceptor
Components/
167189 Luna, 58 2/15/2018 5:00 250cc/ Type 0- Right Metacarpal ONC
Rosenda PM PRBC/ 20gtts Vein Gauge 18 ELIZABETH S TANGUB, RN,MN 09-024186

Submitted by: FREISAN CHEN M.MANDUMOTAN Date Submitted: March 24, 2018 Received by: Approved by: SR. FRANCISCA L. MARGATE RSM, RN,

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