REPUBLIC OF THE PHILIPPINES

UNIVERSITY OF LA SALETTE
COLLEGE OF NURSING
Santiago City

Prepared By:
Name of Student: CARIAGA, CERELINA BALBUENA
Name & Address of School:UNIVERSITY OF LA SALETTE, Bachelor St., Dubinan East, Santiago City, Isabela, Philippines
Accreditation Level: (if any):PAASCU Accredited Level II Year Granted: 2002
Date School/Program was Recognized:January 24, 1996 Number:014
Year of Admission in the Bachelor of Nursing Program:2008
Year Graduated (BSN Program):2012

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 and Signature of Qualified C.I

1.

005546
Pregnancy Uterine Full Term,
38 Weeks Age Of Gestation,
Cephalic In Presentation, In
Labor, Gravida2, Parity1
Jhonalyn Taracatac 24 August 30, 2010 12:43 PM Male
Echague District
Hospital
Normal Spontaneous
Delivery


Felicita M. Balico RN, MAN

2.
1097-89
Pregnancy Uterine Full Term,
39weeks Age Of Gestation,
Cephalic In Presentation, In
Labor, Gravida1, Parity0
Jessica Uao 17 February 2, 2012 5:00AM Male
Southern Isabela
General Hospital
Normal Spontaneous
Delivery
Melba M. Vizcarra, RN

3.
593
Pregnancy Uterine Full
Term,40 Weeks Age Of
Gestation, Cephalic In
Presentation, In Labor,
Gravida4, Parity2
Remalyn Bareng 38 February 23, 2012 8:40 AM Female
Alicia Rural Health
Unit
Normal Spontaneous
Delivery
Jamie P. Gabriel, RN


4.

1113-40
Pregnancy Uterine Full Term,
42 Weeks Age Of Gestation,
Cephalic In Presentation, In
Labor, Gravida1, Parity0
Florence Requiso 38 February 24, 2012 2:00 PM Female
Alicia Rural Health
Unit
Normal Spontaneous
Delivery
Jamie P. Gabriel, RN

5.
1122-95
Pregnancy Uterine Full Term,
39 Weeks Age Of Gestation,
Cephalic In Presentation, In
Labor, Gravida2, Parity1
Arjhay Sartagoda 31 March 11, 2012 3:45 PM Male
Southern Isabela
General Hospital
Normal Spontaneous
Delivery
Melba M. Vizcarra, RN

Supervised by:


MELBA M. VIZCARRA RN, MPH
Clinical Instructor
Southern Isabela General Hospital
Santiago City, Isabela
Date Signed: ____________________
CTC No. : 04663311
Date Issued: March 9, 2012
Place Issued: Santiago City, Isabela
PRC No.:0061522
Valid Until: September 14, 2012
PNA No.: 2012-023618
Valid Until: October 31, 2012

Concurred by:


EUGENIAPIERA RN, MAN
Chief Nurse
Southern Isabela General Hospital
Santiago City, Isabela
Date Signed: ____________________
CTC No.: 22701697
Date Issued: January 6, 2012
Placed Issued: Santiago City, Isabela
PRC No.: 0051279
Valid Until: September 6, 2014
PNA No.: 15240
Valid Until: Lifetime





Supervised by:


JAIME GABRIEL RN, MSN
Clinical Instructor
Rural Health Unit
San Mateo, Isabela
Date Signed: ____________________
CTC No.: 012422594
Date Issued: February 5, 2012
Place Issued: Santiago City, Isabela
PRC No.: 0320189
Valid Until: December 18, 2014
PNA No.: 2012-048935
Valid Until: October 31, 2012

Concurred by:


DIETELINDA DELA PEA, RN, DPN
Head Nurse
Rural Health Unit San Mateo
Brgy.4, San Mateo, Isabela
Date Signed: ___________________
PRC No.: 0084612
Valid Until: May 22, 2012
PNA No.: 2012-023585
Valid Until: October 31, 2012
CTC No.: 04550538
Date Issued: January 10, 2012
Place Issued: San Mateo, Isabela






Supervised by:


FELICITA B. BALICO, RN,MAN
Clinical Instructor
Echague District Hospital
Echague, Isabela
Date Signed:___________________
CTC No: 18389504
Date Issued: January 16, 2012
Place Issued: San Isidro, Isabela
a). PRC No. 0085028
Valid Until: September 2013
b). PNA No: 006766
Valid Until: January 2013

Concurred by:

JOSEPHINE D. FORONDA
Chief Nurse
Echague District Hospital
Echague, Isabela
Date Signed: _________________________
CTC No.:04518647
Date Issued: March 9, 2012
Placed Issued: Cauayan City, Isabela
PRC No.: 0115029
Valid Until: April 17, 2013




Noted by:


MARIA THERESAG. SANTOS RN, MSN
Clinical Coordinator, College of Nursing
University of La Salette
Santiago City, Isabela
Date Signed: __________________
CTC No.:04543860
Date Issued: February 21, 2012
Placed Issued: Alicia, Isabela
PRC No.: 0322506
Valid Until: September 20, 2013
PNA No.: 2012-023674
Valid Until: October 31, 2012

Approved by:


MAY C. TARUC, RN, MSN
Dean College of Nursing
University of La Salette
Santiago City, Isabela
Date Signed: ____
CTC No.: 04663323
Date Issued: March 12, 2012
Placed Issued: Ramon, Isabela
PRC No.: 09192369
Valid Until: May 12, 2014
PNA No.: 2012-023552
Valid Until: October 31, 2012
ADCPN No: 11-039
Valid Until: December 2014

Valid Until: December 2014




REPUBLIC OF THE PHILIPPINES
UNIVERSITY OF LA SALETTE
COLLEGE OF NURSING
Santiago City

Prepared By:
Name of Student: CARIAGA, CERELINA BALBUENA
Name & Address of School:UNIVERSITY OF LA SALETTE, Bachelor St., Dubinan East, Santiago City, Isabela, Philippines
Accreditation Level: (if any):PAASCU Accredited Level II Year Granted: 2002
Date School/Program was Recognized:January 24, 1996 Number:014
Year of Admission in the Bachelor of Nursing Program:2008
Year Graduated (BSN Program):2012

IV. DELIVERIES ASSISTED


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 and Signature of Qualified C.I

1.

1093-51
Pregnancy Uterine Full Term, 38
Weeks Age Of Gestation, Cephalic
In Presentation, In Labor, Gravida3,
Parity2
Rosalyn Regindin 34 January 26, 2012 11:40 PM Male
Southern Isabela General
Hospital
Normal Spontaneous Delivery Melba M. Vizcarra, RN

2.
1107-08
Pregnancy Uterine Full Term, 39
Weeks Age Of Gestation, Cephalic
In Presentation, In Labor, Gravida2,
Parity1
Amelia Bad-ang 38 February 16, 2012 5:25 AM Female
Southern Isabela General
Hospital
Normal Spontaneous Delivery Melba M. Vizcarra, RN

3.

594
Pregnancy Uterine Full Term, 38
Weeks Age Of Gestation, Cephalic
In Presentation, In Labor, Gravida3,
Parity2
Nida Tamap 31 February 23, 2012 3:45 PM Female Alicia Rural Health Unit Normal Spontaneous Delivery Jamie P. Gabriel, RN


4.

1116-24
Pregnancy Uterine Full Term, 38
Weeks Age Of Gestation, Cephalic
In Presentation, In Labor, Gravida2,
Parity1
Jenny Garis 22 February 29, 2012 10:19 PM Female
Southern Isabela General
Hospital
Normal Spontaneous Delivery Melba M. Vizcarra, RN

5.
1146-26
Pregnancy Uterine Full Term, 36
Weeks Age Of Gestation, Transverse
In Presentation, In Labor, Gravida4,
Parity3
Fovie Lawayan 42 February 27, 2012 6:30 AM Male
Southern Isabela General
Hospital
Normal Spontaneous Delivery Melba M. Vizcarra, RN











Supervised by:


JAIME GABRIEL RN, MSN
Clinical Instructor
Rural Health Unit
San Mateo, Isabela
Date Signed: ____________________
CTC No.: 012422594
Date Issued: February 5, 2012
Place Issued: Santiago City, Isabela
PRC No.: 0320189
Valid Until: December 18, 2014
PNA No.: 2012-048935
Valid Until: October 31, 2012


Concurred by:


DIETELINDA DELA PEA, RN,
DPN
Head Nurse
Rural Health Unit San Mateo
Brgy.4, San Mateo, Isabela
Date Signed: ___________________
PRC No.: 0084612
Valid Until: May 22, 2012
PNA No.: 2012-023585
Valid Until: October 31, 2012
CTC No.: 04550538
Date Issued: January 10, 2012
Place Issued: San Mateo, Isabela


Concurred by:


EUGENIA PIERA RN, MAN
Chief Nurse
Southern Isabela General Hospital
Santiago City, Isabela
Date Signed: ____________________
CTC No.: 22701697
Date Issued: January 6, 2012
Placed Issued: Santiago City, Isabela
PRC No.: 0051279
Valid Until: September 6, 2014
PNA No.: 15240
Valid Until: Lifetime


Noted by:


JOSEPHINE D. FORONDA
Chief Nurse
Echague District Hospital
Echague, Isabela
Date Signed:
_________________________

CTC No.:04518647
Date Issued: March 9, 2012
Placed Issued: Cauayan City, Isabela
PRC No.: 0115029
Valid Until: April 17, 2013

Noted by:


MARIA THERESA G. SANTOS RN, MSN
Clinical Coordinator, College of Nursing
University of La Salette
Santiago City,Isabela
Date Signed:
_________________________
CTC No.:04543860
Date Issued: February 21, 2012
Placed Issued: Alicia, Isabela
PRC No.: 0322506
Valid Until: September 20, 2013
PNA No.: 2012-023674
Valid Until: October 31, 2012

Approved by:


MAY C. TARUC, RN, MSN
Dean College of Nursing
University of La Salette
Santiago City, Isabela
Date Signed: ____
CTC No.: 04663323
Date Issued: March 12, 2012
Placed Issued: Ramon, Isabela
PRC No.: 09192369
Valid Until: May 12, 2014
PNA No.: 2012-023552
Valid Until: October 31, 2011
ADCPN No: 11-039
Valid Until: December 2014







REPUBLIC OF THE PHILIPPINES
UNIVERSITY OF LA SALETTE
COLLEGE OF NURSING
Santiago City

Prepared By:
Name of Student: CARIAGA, CERELINA BALBUENA
Name & Address of School: UNIVERSITY OF LA SALETTE, Bachelor St., Dubinan East, Santiago City, Isabela, Philippines
Accreditation Level: (if any): PAASCU Accredited Level II Year Granted: 2002
Date School/Program was Recognized: January 24, 1996 Number: 014
Year of Admission in the Bachelor of Nursing Program: 2008
Year Graduated (BSN Program):2012

V. CORD DRESSING


No.


Case
No.

Date of Delivery

Name of Baby

Gender of Baby

Name of Mother

Age

Name of Hospital

Type of Delivery

Supervised by:
Name and Signature of Qualified C.I

1.

1101-82

February 7, 2012

Bb. Girl Tomita

Female

Mareline Tomita

27

Southern Isabela General Hospital

Normal Spontaneous Delivery

Melba M. Vizcarra, RN

2.

1103-47

February 10, 2012

Bb. Girl Agustin

Female

Shirley Agustin

26

Southern Isabela General Hospital

Normal Spontaneous Delivery

Melba M. Vizcarra, RN

3.
1104-10 February 11, 2012 Bb. Girl Bareng Female Remalyn Bareng 24

Southern Isabela General Hospital

Normal Spontaneous Delivery

Melba M. Vizcarra, RN

4.

595

February 24, 2012

Bb. Boy Valdez

Male

Mary Joy Valdez

21
Alicia Rural Health Unit Normal Spontaneous Delivery Jamie P. Gabriel, RN

5.

604


March 1, 2012

Bb. Boy Galayan

Male

Lorena Galayan

24 Alicia Rural Health Unit Normal Spontaneous Delivery Jamie P. Gabriel, RN






Supervised by:


MELBA M. VIZCARRA RN, MPH
Clinical Instructor
Southern Isabela General Hospital
Santiago City, Isabela
Date Signed: ____________________
CTC No. : 04663311
Date Issued: March 9, 2012
Place Issued: Santiago City, Isabela
PRC No.:0061522
Valid Until: September 14, 2012
PNA No.: 2012-023618
Valid Until: October 31, 2012



Concurred by:


EUGENIA PIERA RN, MAN
Chief Nurse
Southern Isabela General Hospital
Santiago City, Isabela
Date Signed: ____________________
CTC No.: 22701697
Date Issued: January 6, 2012
Placed Issued: Santiago City, Isabela
PRC No.: 0051279
Valid Until: September 6, 2014
PNA No.: 15240
Valid Until: Lifetime



Supervised by:


JAIME GABRIEL RN, MSN
Clinical Instructor
Rural Health Unit
San Mateo, Isabela
Date Signed: ____________________
CTC No.: 012422594
Date Issued: February 5, 2012
Place Issued: Santiago City, Isabela
PRC No.: 0320189
Valid Until: December 18, 2014
PNA No.: 2012-048935
Valid Until: October 31, 2012

Concurred by:


DIETELINDA DELA PEA, RN, DPN
Head Nurse
Rural Health Unit San Mateo
Brgy.4, San Mateo, Isabela
Date Signed: ___________________
PRC No.: 0084612
Valid Until: May 22, 2012
PNA No.: 2012-023585
Valid Until: October 31, 2012
CTC No.: 04550538
Date Issued: January 10, 2012
Place Issued: San Mateo, Isabela


Noted by:


MARIA THERESA G. SANTOS RN, MSN
Clinical Coordinator, College of Nursing
University of La Salette
Santiago City,Isabela
Date Signed:
_________________________
CTC No.:04543860
Date Issued: February 21, 2012
Placed Issued: Alicia, Isabela
PRC No.: 0322506
Valid Until: September 20, 2013
PNA No.: 2012-023674
Valid Until: October 31, 2012

Approved by:


MAY C. TARUC, RN, MSN
Dean College of Nursing
University of La Salette
Santiago City, Isabela
Date Signed: ____
CTC No.: 04663323
Date Issued: March 12, 2012
Placed Issued: Ramon, Isabela
PRC No.: 09192369
Valid Until: May 12, 2014
PNA No.: 2012-023552
Valid Until: October 31, 2011
ADCPN No: 11-039
Valid Until: December 2014


\






REPUBLIC OF THE PHILIPPINES
UNIVERSITY OF LA SALETTE
COLLEGE OF NURSING
Santiago City
Prepared By:
Name of Student: BAYUBAY, MERRILL HANS SORIANO
Name & Address of School:UNIVERSITY OF LA SALETTE, Bachelor St., Dubinan East, Santiago City, Isabela, Philippines
Accreditation Level: (if any):PAASCU Accredited Level II Year Granted: 2002
Date School/Program was Recognized:January 24, 1996 Number: 014
Year of Admission in the Bachelor of Nursing Program:2008
Year Graduated (BSN Program):2012

II. MINOR OPERATIONS


No. Case No. Date of Operation Name of Patient Diagnosis Operation
Performed
Type of
Anesthesia
Name of Surgeon Name of
Hospital
Name of OR/Scrub
Nurse
Signature of
OR/Scrub Nurse

1.

011614

June 22, 2010

Jeoffrey Marinay

Multiple Laceratio at the Right Foot

Wound Suturing

Local anesthesia

Honorario Caramancion,
MD

Echague District
Hospital

Felicita B.Balico, RN


2.

1083-21

January 15, 2012

OJ Ezikiel Olivar

Burn Secondary, Third Lateral
Aspect Left Foot

Repeat Debridement

Intravenous Sedation

German Mabbayad, MD

Southern Isabela General
Hospital

Marion Capili, RN


3.

1108-64

February 18, 2012

Lilibeth Razonables

Intrauterine Fetal Demish

Dilatation and Curettage

Intravenous Sedation

Roselyn Dadural, MD

Southern Isabela General
Hospital

Rose Mendoza, RN


4.

1078-23

February 27, 2012

Evelyn Palen

Multiparity, Gravida3, Parity3

Bilateral Tubal Ligation

Subarachnoid Block

Roselyn Dadural, MD

Southern Isabela General
Hospital

Rose Mendoza, RN


5.

1124-31

March 13, 2012

Mimilin Tandas

H. Mole Rule Out Missed Abortion

Dilatation and Curettage

Subarachnoid Block

Roselyn Dadural, MD

Southern Isabela General
Hospital


Rose Mendoza, RN




Supervised by:


MELBA M. VIZCARRA RN, MPH
Clinical Instructor
Southern Isabela General Hospital
Santiago City, Isabela
Date Signed: ____________________
CTC No. : 04663311
Date Issued: March 9, 2012
Place Issued: Santiago City, Isabela
PRC No.:0061522
Valid Until: September 14, 2012
PNA No.: 2012-023618
Valid Until: October 31, 2012



Concurred by:


EUGENIA PIERA RN, MAN
Chief Nurse
Southern Isabela General Hospital
Santiago City, Isabela
Date Signed: ____________________
CTC No.: 22701697
Date Issued: January 6, 2012
Placed Issued: Santiago City, Isabela
PRC No.: 0051297
Valid Until: September 6, 2014
PNA No.: 15240
Valid Until: Lifetime



Supervised by:


FELICITA B. BALICO, RN,MAN
Clinical Instructor
Echague District Hospital
Echague, Isabela
Date Signed:___________________
CTC No
Date Issued
Place Issued
a). PRC No.
Valid Until
b). PNA No.
Valid Until
: 18389504
: January 16, 2012
: San Isidro, Isabela
: 0085028
: September 2013
: 006766
:January 2013


Concurred by:

JOSEPHINE D. FORONDA
Chief Nurse
Echague District Hospital
Echague, Isabela
Date Signed:
__________________
_______
CTC No.:04518647
Date Issued: March 9, 2012
Placed Issued: Cauayan City,
Isabela
PRC No.: 0115029
Valid Until: April 17, 2013

Noted by:


MARIA THERESA G. SANTOS RN, MSN
Clinical Coordinator, College of Nursing
University of La Salette
Santiago City,Isabela
Date Signed:
_________________________
CTC No.:04543860
Date Issued: February 21, 2012
Placed Issued: Alicia, Isabela
PRC No.: 0322506
Valid Until: September 20, 2013
PNA No.: 2012-023674
Valid Until: October 31, 2012

Approved by:


MAY C. TARUC, RN, MSN
Dean College of Nursing
University of La Salette
Santiago City, Isabela
Date Signed: ____
CTC No.: 04663323
Date Issued: March 12, 2012
Placed Issued: Ramon, Isabela
PRC No.: 09192369
Valid Until: May 12, 2014
PNA No.: 2012-023552
Valid Until: October 31, 2012
ADCPN No: 11-039
Valid Until: December 2014