sensitively shares this Date Date Date information with Signature Signature Signature Justifies the use of and performs a speculum *O E/CD CI Date Date Date examination Signature Signature Signature Justifies the use of and performs high, low and *O E/CD CI Date Date Date swabs Signature Signature Signature Justifies the use of and performs MRSA swabs for *O/E *E/CD CD/CI Date Date Date screening Signature Signature Signature Justifies the use of and collects a mid-stream CD CD/CI CI Date Date Date sample Signature Signature Signature In partnership with the multidisciplinary team O/E CD CI provides care for with Date Date Date complex pregnancies
sensitively shares this information with Date Date Date Justifies the use of and performs a speculum examination *O Signature E/CD Signature CI Signature Date Date Date Justifies the use of and performs high, low and swabs *O Signature E/CD Signature CI Signature Date Date Date Justifies the use of and performs MRSA swabs for screening *O/E Signature *E/CD Signature CD/CI Signature Date Date Date Justifies the use of and collects a mid-stream sample CD Signature CD/CI Signature CI Signature Date Date Date In partnership with the multidisciplinary team provides care for with complex pregnancies O/E Signature CD Signature CI Signature Date Date Date