2008 2009 SCRUBS-Debbie

(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING

Bacolod City

Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009___________________________________________________________________________________

I. MAJOR OPERATION

No.Date of

OperationCase No. Name of Patient Diagnosis

Operation Performed

Type of Anesthesia

Name of Surgeon Name of Hospital

Name of O.R. Scrub

Nurse

Supervised by: Name of Faculty

5 June 15,2009

01113192

Yanzon,Rocky Infected,fracture, open type III-A, complete transverse distal third radius, right;Status post debridement

Repeat Debridement Re-application of pins radius,Right

GENERAL Michelle Madalogdog

Corazon Locsin Montelibano Memorial Regional Hospital

Bryan Pablo Jolo,Joemarie, RN

Date Signed______Degree: RNPRC No:0263127 Valid Until:June 4, 2012PNA No:021544Valid Until:October 31,2010

Prepared by: Noted by: Concurred by: Approved by:

DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN JORESLYN P. BALA-AN, RN, MN, Ma.edHELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean

Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN, Ma.ed Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0091019 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 24, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 03879 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifeline Member Valid Until: October 31, 2010


Bacolod City


I. MAJOR OPERATION

No.Date of


Operation Performed

Type of Anesthes

ia

Name of Surgeon

Name of Hospital

Name of O.R. Scrub Nurse


1 August 25,2008

01069097

Barbasa, Leslie Ann

Gravida 2 Para 2(2002)pregnancy uterine full term cephalic;cephalo pelvic disproportion

Repeat Low Transverse caesarian section(2x)with Bilateral Tubal Ligation(Modified Pomeroy)

SPINAL

Mae Irene Rife


Jaime Sibug,RN Belle C. Paparon,

RN,MNDate Signed______Degree:RN,MNPRC No:0086493Valid Until:August 22,2010PNA No:10553Valid Until:Lifetime member

2 August 25,2008

01069197

Alimon,Fricy Gravida 2 Para 1 (1011)pregnancy uterine full term,frank breech

Primary Low Transverse Caesarian section


DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN JORESLYN P. BALA-AN, RN, MN, Ma.ed HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean

Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN, Ma.ed Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0091019 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 24, 2011 Valid Until: November 15, 2011

b) PNA No. 045487 b) PNA No. 03879 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifeline Member Valid Until: October 31, 2010


Bacolod City


I. MAJOR OPERATION

No.Date of


Operation Performed

Type of Anesthesia Name of Surgeon Name of Hospital



3 December 19,2008

126766 Sy, Sybil kristine Acute Supperative Appendicitis

Appendectomy

Spinal Sebastian Tabuga The Doctors’

Hospital Incorporated

Dario LausaClavano,Maricon ,RN, MNDate Signed______Degree: RN, MNPRC No: 0080619Valid Until: May 3, 2011PNA No: 11009Valid Until: Lifetime Member


DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN EDITHA L. BAYONETA, RN, MN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean

Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0125661 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: August 8 2012 Valid Until: November 15, 2011

b) PNA No. 045487 b) PNA No. 19677 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010


Bacolod City

Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 2009___________________________________________________________________________________

I. MAJOR OPERATION

No.Date of

Operation

Case No.

Name of Patient Diagnosis

Operation Performed

Type of Anesthesi

a

Name of Surgeon

Name of Hospital

Name of O.R. Scrub

Nurse


4May

12,2009 170170 Acolentava, Leo

Open Depressed Comminuted skull fx

with brain Evisceration Right

Parietal Area.

Craniotomy 1st

Debridement and Elevation

of open comminuted

depressed skull fx. Right

parietal area Dueraraphy

General Bacalian,

StevenWestern Visayas Medical Center

Edgar Lamprea,R

N

Rex AraniadorDate Signed______Degree:RNPRC No:0203953Valid Until: January 26,2010PNA No:030898Valid Until: December 21, 2009


DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN FREIDA G. SORONGON, RN,MAN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean

Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MAN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0028836 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: August 16, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 17428 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010


Bacolod City


II. MINOR OPERATION

No.

Date of Operatio

n

Case No. Name of Patient Diagnosis

Operation Performed

Type of Anesthesi

a




3May 22, 2009

1109

Cardinas, Joshua Uncircumcised Penis

Circumcision

LocalDaniel T. Paez Dr. Jose C. Locsin

Memorial Maternity

Clinic

Arlene G. Chu, RN

Donna P. Javelona, RNDate Signed: Degree: RNPRC No.: 0263971Valid Until: February 8, 2013PNA No.: 045622Valid Until: October 31, 2010

4 1128

Cordero, Ryan Rey

Uncircumcised Penis

Circumcision

Local


DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN ARLENE G. CHU, RN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Public Health Nurse III Signature Over Printed Name of the Dean

Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0088075 a) PRC No. 56974

Valid Until: February 8, 2012 Valid Until: February 6, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 044403 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: October 31, 2010 Valid Until: October 31, 2010


Bacolod City


II. MINOR OPERATION

No.

Date of Operatio

n


Operation Performed

Type of Anesthesi

a




1 April 25, 2008

0014514

Legarda, Wilson Incised Wound, Index Finger, Right Hand

Suturing, wound, Index Finger, Hand, Right

Local Mahal GauzeTeresita L. Jalandoni Provincial Hospital

Janet M. PaezBeverly Legada, RN, MNDate Signed: Degree: RN, MNPRC No.: 0126093Valid Until: October 4, 2010PNA No.: 044830 Valid Until: October 31, 2010


DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN MA. TERESA O. SEVERINO, RN, MN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean

Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN Degree: RN, MN, Ed. D.

a) PRC No. 0239072 a) PRC No. 0101938 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: April 27, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 174418 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010


Bacolod City

Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009_________________________________________________________________________________

III. ACTUAL DELIVERIES

No.

Case No. Diagnosis

Name of Mother Age

Date of Delivery

Time of Delivery

Gender of

Baby

Name of Hospital Type of Delivery

Supervised by: Name of Qualified C.I.

5 00-28-39

Pregnancy Uterine Full Term, Gravida 4 Para 4

Panta, Hedilita

32 July 6, 2009 3:18 AM Female

Well Family Midwife Clinic

Normal Spontaneous Vaginal Delivery



DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN EDITH M. MONTIBOR, RM HELEN V. CORREA, RN, MN, Ed.D.

Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Clinic Manager Signature Over Printed Name of the Dean

Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RM Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0084399 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: November 12, 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: October 31, 2010


Bacolod City


IV. ASSISTED DELIVERIESNo.

Case No.

Diagnosis Name of Patient Age Date of Delivery

Time of Delivery

Gender of Baby

Name of Hospital Type of Delivery Supervised by: Name of Qualified C.I.

1 01117494


Piamonte, Aireen 21 June 18, 2009

12:34 AM

Female Corazon Locsin Montelibano Memorial Regional Hospital


Maricar S. Begasa, RN,MNDate Signed: Degree: RN,MNPRC No.: 0317625Valid Until: January 5, 2011PNA No.: 044522Valid Until: October 31, 2010

2 01117541


Sangasin, Michelle

23 June 18, 2009

4:45 AM Female Normal Spontaneous Vaginal Delivery

3 01117542


Espinosa, Hannah Marie

22 June 18, 2009

5:43 AM Female Normal Spontaneous Vaginal Delivery





Bacolod City


IV. ASSISTED DELIVERIESNo.

Case No.

Diagnosis Name of Patient Age Date of Delivery

Time of Delivery

Gender of Baby

Name of Hospital Type of Delivery Supervised by: Name of Qualified C.I.

4 01119148


Sembran, Mary Jean

20 June 27, 2009

7:38 PM Male Corazon Locsin Montelibano Memorial Regional Hospital


Moly V. Calamay, RNDate Signed: Degree: RNPRC No.: 0262640Valid Until: November 6, 2012PNA No.: 044699Valid Until: October 31,2010

5 01119180


Javier, Anadhem 15 June 27, 2009

8:32 PM Male Normal Spontaneous Vaginal Delivery





Bacolod City


V. CORD DRESSING

No. Case No. Date Performed

Name of Baby Gender of Baby

Name of Mother Age Name of Hospital Supervised by: Name of Qualified C.I.

3 00-09-32 January

1 ,2009Lambayong, kristina

female

Anna Lambayong

24


Peter John C. Dela Cruz, RMT,RN,MANDate Signed______Degree: RMT,RN,MANPRC No:0362275Valid Until; March 28, 2011PNA No:045621Valid Until: Oct 31, 2010

4 00-09-43 February

10,2009Duermi, Rosalie

female

Kathrina Duermi

19


DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN DOLORES P. PEDROSO, MN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Clinic Manager Signature Over Printed Name of the Dean

Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: MN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0057738 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 26, 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 045219 Valid Until: October 21, 2010 Valid Until: October 31, 2010


Bacolod City


V. CORD DRESSING




5 00-28-31 June 30, 2009 Caratao, Baby Girl

Female

Caratao, Dolores

21




DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN EDITH M. MONTIBOR, RM HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Clinic Manager Signature Over Printed Name of the Dean



Bacolod City


V. CORD DRESSING




1 09000919 January

31 ,2009Arricivita, Baby Boy

Male

Arricivita,Elengie

33 Ignacio Lacson Arroyo Sr.

Memorial District HospitalJoemarie M. Jolo, RNDate Signed: Degree: RNPRC No.: 0263127Valid Until: June 4, 2012PNA No.: 021544Valid Until: October 31, 2010


DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN ROSE MARY P. GAYARES, RN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean

Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0034577 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: December 25, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 021546 b) PNA No. 045219 Valid Until: October31, 2010 Valid Until: October 31. 2010 Valid Until: October 31, 2010


Bacolod City



No. Case No. Diagnosis

Name of Mother Age

Date of Delivery

Time of Delivery

Gender of

Baby

Name of Hospital Type of Delivery

Supervised by: Name of Qualified

C.I.2 01112737 Pregnancy

Uterine Full Term, Gravida 1 Para 1

Yayola, Jolyn 23 May 18, 2009

8:39PM Male Corazon Locsin Montelibano Memorial Regional Hospital

Normal Spontaneous Vaginal Delivery Moly V. Calamay, RN

Date Signed: Degree: RNPRC No.: 0262640Valid Until: November 6, 2012PNA No.: 044699Valid Until: October 31,2010





Bacolod City



No.

Case No. Diagnosis

Name of Mother Age

Date of Delivery

Time of Delivery

Gender of

BabyName of Hospital Type of Delivery

Supervised by: Name of Qualified C.I.

3 01119387


Chavez, Stacylyn

18 June 28, 2009

8:33PM Female



Maricar S. Begasa, RN,MNDate Signed: Degree: RN,MNPRC No.: 0317625Valid Until: January 5, 2011PNA No.: 044522Valid Until: October 31, 2010

4 01119405


Ramirez, Ara 19June 28, 2009

9:34PM Female






Bacolod City

Name of Student: VALIENTE, MARVIC JOHNEL JAVA __________________ Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: ________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ___________Year Admission in the Bachelor of Science in Nursing Program: June 2004____________________________________________________________Year Graduated (BSN Program): October 14, 2009________________________________________________________________________________

I. MAJOR OPERATIONNo.

Date of Operation

Case No.

Name of Patient

Diagnosis Operation Performed

Type of Anesthesia

Name of Surgeon

Name of Hospital



3 January

16, 2009123656

Palacio, Vicente

Acute Intestion Secondary to Intestinal Tuberculosis and Tabes Mesenteries

Exploratory Lap Adhesiiolysis with One Drain

General Endotracheal

Sebastian Tabuga

The Doctors’ Hospital Incorporated

Leonardo Gallardo, RN

YOLY H. PABILLO, RN, MNDate Signed: PRC No.: 0088398Valid Until: February 12, 2012PNA No.: 061319Valid Until: December 31, 2009


MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN EDITHA L. BAYONETA, RN, MN HELEN V. CORREA, RN, MN, Ed.D.Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0125661 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: August 8, 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 19677 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010


Bacolod City


I. MAJOR OPERATIONNo.

Date of Operation

Case No.

Name of Patient

Diagnosis Operation Performed

Type of Anesthesia

Name of Surgeon

Name of Hospital



5 March 1, 2009

09-0276

Yulatic, Alma Gravida 2

Para2, Pregnancy Uterine Full Term; Frank Breech

Primary Low Transverse Cesarean Section

Spinal Norma Calicdan Teresita L. Jalandoni Provincial Hospital

Helen Jimenea, RNTRINA P. PANTALEON, RNDate Signed: PRC No.: 0461440Valid Until: March 22, 2010PNA No.: 044577Valid Until: October 31, 2010


MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN MA. TERESA O. SEVERINO, RN, MAN HELEN V. CORREA, RN, MN, Ed.D.

Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MAN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0101938 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: April 27, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 174418 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010


Bacolod City


II. MINOR OPERATION

No.

Date of Operatio

n

Case No.


Operation Performed

Type of Anesthesi

a

Name of Surgeon

Name of Hospital



4

December 12, 2008

01987036

Legame, Rene

Complte Transection, Extensor Digitorum Cummis Tendon, Hand, Left

Tenorrhapy Local Shaun Borres Corazon

Locsin Montelibano Memorial Regional Hospital

Jerry Trayfalgar RAFAEL C. MARMOLEJO III, RN

Date Signed: PRC No.: 0260390Valid Until: June 31, 2010 PNA No.: 045285Valid Until: October 31, 2010

5 01095191

Lizano, Romilo

Lacerated Wound 2cm, 1st Digit, Foot, Right

Suturing, Wound, Lacerated, 1st Digit, Foot, Right

Local Juan Del Rio Graciano Mugar


MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN JORESLYN P. BALA-AN, RN, MN, Ma.ed HELEN V. CORREA, RN, MN, Ed.D.



Bacolod City


II. MINOR OPERATION

No.

Date of Operation


Operation Performed

Type of Anesthesia

Name of Surgeon

Name of Hospital

Name of O.R. Scrub

Nurse


1 May 10, 2008

106312

Aloro, Enrico Gatric Outlet Obstruction Secondary to Pyloro-Anral Mass

Esophagu-Gastro Duodenoscopy aand Biopsy

Local Ric Lobaton The Doctors’ Hospital Incorporated

NESTOR IGNACIO D. TALAGON JR., RN, PTRPDate Signed: PRC No.: 0263971Valid Until: February 8, 2013PNA No.: 045622Valid Until: October 31, 2010

2 106192

Banguanga,Kenshin

Dysplsastic Hip, Right, Status Post Release of Soft Tissue and

Closed Reduction


Jose Maria Coruña

Debridement of Acetabulum


MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN EDITHA L. BAYONETA, RN, MN HELEN V. CORREA, RN, MN, Ed.D.Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0125661 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: August 8, 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 19677 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010


Bacolod City


V. CORD DRESSING

No. Case No.

Date Performed Name of Baby Gender of Baby


2 124360 November 20,

2008Alintana, Baby Girl

Female

Alintana. Jovelyn

32 The Doctors’ Hospital

Incorporated MA. LEONORA S. GAMBOA, RN, MNDate Signed: PRC No.: 0240549Valid Until: September 1, 2012PNA No.: 044523Valid Until: October 31, 2010


MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN EDITHA L. BAYONETA, RN, MN HELEN V. CORREA, RN, MN, Ed.D.Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0125661 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: August 8 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 19677 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010


Bacolod City


V. CORD DRESSING

No. Case No.



3 010986

01February 19, 2009

Gustilo, Jonathan Male

Gustilo, Sheena Mae

23


MA. LEONORA S. GAMBOA, RN, MNDate Signed: PRC No.: 0240549Valid Until: September 1, 2012PNA No.: 044523Valid Until: October 31, 2010

4 01098623

February 19, 2009

Cañete, Arialyn Female

Cañete, Jocelyn

24





Bacolod City



No. Case No. DiagnosisName of Mother Age

Date of Delivery

Time of Delivery

Gender of Baby Name of Hospital Type of Delivery

Supervised by: Name of Qualified

C.I.

3 00-23-83 Pregnancy Uterine Full

Term, Gravida 1 Para 1

Malacay, Cristie

18 October 26, 2008

5:48 A.M FemaleWell Family

Midwife Clinic-Villamonte

Normal Spontaneous

Vaginal DeliveryDonna P. Javelona, RNDate Signed: PRC No.: 0263971Valid Until: February 8, 2013PNA No.: 045622Valid Until: October 31, 2010

4 00-25-30 Pregnancy Uterine Full

Term, Gravida 1 Para 1

Rubino, Charity 24 January 25, 2009

2:25 P.M FemaleNormal

Spontaneous Vaginal Delivery


MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN EDITH M. MONTIBOR, RM HELEN V. CORREA, RN, MN, Ed.D.



Bacolod City


V. CORD DRESSING

No. Case No.



5 00-25-

66February 28, 2009

Cango, Jhian Gabriel

Male

Cango, Jonah

23 Well Family Midwife Clinic-

Villamonte Donna P. Javelona, RNDate Signed: PRC No.: 0263971Valid Until: February 8, 2013PNA No.: 045622Valid Until: October 31, 2010


MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN EDITH M. MONTIBOR, RM HELEN V. CORREA, RN, MN, Ed.D.



Bacolod City


II. MINOR OPERATION

No.

Date of Operatio

n

Case No.


Operation Performed

Type of Anesthesia

Name of Surgeon

Name of Hospital



1May 10, 2008

106312 Aloro, Enrico Gastric Outlet Obstruction Secondary to Pyloro-Antral Mass

Esophago-Gastro Duodenoscopy

Local Ric LobatonCorazon Locsin Montelibano Memorial Regional Hospital

Jerry Trayfalgar RAFAEL C. MARMOLEJO III, RN

Date Signed: PRC No.: 0263971Valid Until: February 8, 2013PNA No.: 045622Valid Until: October 31, 20102 106193 Banguanga,

KenshinDysplastic Hip, Right, S/P Release of Soft Tissue and Debridement of

Closed Reduction


Jose Maria Coru

Graciano Mugar

Acetabulum



Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN, Ma.ed Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0091019 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 24, 2011 Valid Until: November 15, 2011

Valid Until: October 31, 2010


II. MINOR OPERATION

No.

Date of Operatio

n


Operation Performed

Type of Anesthesi

a




2 January 30,209

09000779

Lindayao,Jelmar Gonzaga

Incised Wound, 4cm Long Cutting the Nailbed, Left Thumb

Suturing of Wound

Local Ma.Lalaine Teorima

Ignacio Lacson Arroyo Sr. Memorial District Hospital

Gina GarridoJoemarie M. Jolo, RNDate Signed: Degree: RNPRC No.: 0263127Valid Until: June 4, 2012PNA No.: 021544Valid Until: October 31, 2010

Prepared by: Noted by: Concurred by: Approved by

DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN ROSE MARY P. GAYARES, RN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean

Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0034577 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: December 25, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 021546 b) PNA No. 045219 Valid Until: October31, 2010 Valid Until: October 31. 2010 Valid Until: October 31, 2010

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2008 2009 SCRUBS-Debbie