Mindanao Sanitarium & Hospital College: Brgy San Miguel, Iligan City 9200

Mindanao Sanitarium & Hospital College
Brgy San Miguel, Iligan City 9200
Name of the Student: Muamir A. Alingan

Name & Address of School: Mindanao Sanitarium & Hospital College, Brgy. San Miguel, Iligan City School code: 1362
Accreditation Level: Level 1 Year Granted: February 28, 2008
Date School Program was Recognized: Oct. 17, 2002 Number: 0043 Year: 2002
First Course (If any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated from the BSN Program: 2011
I. MAJOR OPERATIONS
Signature of
Operation Type of Name of O.R. Scrub
NO. Date of Operation Case No. Name of Patient Diagnosis Name of Surgeon Name of Hospital O.R. Scrub
Performed Anesthesia Nurse
Nurse
Pelvic Laparotomy,
Mindanao
Ectopic Pregnancy Salpingectomy, Celso R. Borces,
1 December 13, 2009 177724 Pamlian, Asnairah Spinal Anesthesia Dr. Abdusalam, Sanitarium &
Right R.N
Hospital
Adneosiolysis
Cholecystectomy Mindanao
Debalucos, Ma. Spinal Epidural Emmanuel C.
2 June 15, 2010 107357 Cholelithiasis with IOC Dr. Joseph Daroy Sanitarium &
Victoria Anesthesia Hechanova, R.N
(cholongioram) Hospital
Cystoscopy,
Mindanao
Transurethral Jandy Lou Tagolgol,
3 October 20, 2010 188748 Lindongan, Magandia Bladder Mass T/C TCCA Spinal Anesthesia Dr. Omar Burungawan Sanitarium &
Resection of R.N
Hospital
Bladder Tumor
Debridement,
Open Reduction
Mindanao
Fracture Open Type III-B and Application of Erwin jay Resabal,
4 November 17, 2010 189588 Radto, Azimah Axillary Block Dr.Thaddeus Abad Sanitarium &
Radius External Fixation R.N
Hospital
Right, Tendon
Repair Right
Delivered Alive baby girl in
Cesarean Section Mindanao
Operative Delivery, G8P5P6 Spinal Epidural Jandy Lou Tagolgol,
5 November 17, 2010 154829 Baguio, Bessie with Bilateral Tubal Dr. Yu Sanitarium &
38-39 weeks transverse in Anesthesia R.N
ligation Hospital
Labor
Prepared by: Supervised by: Noted by: Concurred by: Approved by:
Muamir A. Alingan CONIELYN C. MUTIA, MAN, RN LUCY MAY L. BUCAYAN, MN, RN NOEMI T. MORENTE, RN, MAN G’TER G. GAID, RN, MAN
Signature Over Printed Signature Over Printed Name Signature Over Printed Name of Signature Over Printed Name of Signature Over Printed
Name of Student of Clinical Instructor Clinical Coordinator Chief Nurse (MSH) Name of Dean
Date Signed:_____________ Date Signed:______________ Date Signed:______________ Date Signed:______________ Date Signed:______________
a.) PRC No.: 0181808 a.) PRC No.: 0284464 a.) PRC: 0161458 a.) PRC No.: 0302269
Valid Until: August 15, 2012 Valid Until: November 12, 2011 Valid Until: October 1, 2011 Valid Until: September 13, 2012
b.) PNA No.: 024359 b.) PNA No.: 15666 b.) PNA: 15898 __ b.) PNA No: 16832
Valid Until: October 31, 2010 Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime
c.) ANSAP No: 05068 c.) ADPCN No.: 0768
Valid Until: June 15, 2010 Valid Until: 2010

Year Graduated from the BSN Program: 2011 ________
II. MINOR OPERATIONS

Signature of
Operation Type of Name of O.R. Scrub
NO. Date of Operation Case No. Name of Patient Diagnosis Name of Surgeon Name of Hospital O.R. Scrub
Performed Anesthesia Nurse
Nurse
Suturing of Open Wound at Lanao del Norte
1 August 28, 2009 007295 Fernandez, Glenn Suturing Local Anesthesia Dr. Grace joy Yańez Wilma Oliveros, R.N
Left upper lip Provincial Hospital
Mindanao
Mahilom, Jheane Juliver Job Garcia,
2 April 26, 2010 000014 Cleft Lip Cheiloplasty Local Anesthesia Dr. Butch Mapayo Sanitarium &
Claude R.N
Hospital
Mindanao
Bilateral Juliver Job Garcia,
3 April 26, 2010 000086 Sarri, Rosalyn Bilateral Cleft Lip Local Anesthesia Dr. Cembrano Sanitarium &
Cheiloplasty R.N
Hospital
Re-suturing,
Hematoma formation at left Kolambugan Tristan Jediah V.
4 June 28, 2010 5110705 Panimdim, Warlito M. Incision and Local Anesthesia Dr. Glenn Fuentes
Leg District Hospital Labitad, R.N
Drainage
Mindanao
Lacerated Wound Sole Left Debridement of Emmanuel C.
5 July 13, 2010 169976 Maito, Pundaodaya Local Anesthesia Dr. Abner Dela cruz Sanitarium &
foot 3 ½ inches Left foot Hechanova, R.N
Hospital
Muamir A. Alingan DARILYN G. LITERATUS, MN, RN LUCY MAY L. BUCAYAN, MN, RN NOEMI T. MORENTE, MAN, RN TRANSFIGURACION C. LEE, MN, RN G’TER G. GAID, MAN, RN
Signature Over Printed Signature Over Printed Name Signature Over Printed Name of Signature Over Printed Name of Signature over Printed Name Signature Over Printed
Name of Student of Clinical Instructor Clinical Coordinator Chief Nurse (MSH) Chief Nurse (LNPH) Name of Dean
Date Signed:_________ Date Signed:______________ Date Signed:______________ Date Signed:______________ Date Siganed:____________ Date Signed:_____________
a.) PRC No.: 0301632 a.) PRC No.: 0284464 a.) PRC: 0161458 a.) PRC No.: 0059574 a.) PRC No.: 0302269
Valid Until: November 25, 2009 Valid Until: November 12, 2011 Valid Until: October 1, 2011 Valid Until: August 6, 2011 Valid Until:September 13, 2012
b.) PNA No.: 16829 b.) PNA No.: 15666 b.) PNA: 15898 __ b.) PNA No.: 13935_______ b.) PNA No:
16832
Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime
c.) ANSAP No: 05068 c.) ANSAP No.: 0513 c.) ADPCN No.: 0768
Valid Until: June 15, 2010 Valid Until: Lifetime Valid Until: 2010
CONIELYN C. MUTIA, MAN, RN
Signature Over Printed Name DAILINA R. PERANG, MN, RN
of Clinical Instructor Chief Nurse (Kolambugan Provincial
Date Signed:______________ Hospital)
a.) PRC: 0181808 Date Signed:_____________
Valid Until:August 15, 2012 a.) PRC No.: 091730_______
b.) PNA: 024359 Valid Until: July 12, 2011
Valid Until: October 31, 2010 b.) PNA No.: 018082
Valid Until: Dec. 2010
c.) ANSAP No.:71668
Valid Until: December 31, 2010


III. ACTUAL DELIVERIES

Time of Gender of
`NO. Case No. Diagnosis Name of Patient Age Date of Delivery Name of Hospital Type of Delivery Supervised by:
Delivery Baby
PUFT Delivery Spontaneous Christopher
Lanao del Norte Provincial Normal Spontaneous Josefina F.
1 003724 an alive Bb. Girl Cephalic Serenio, Marivic 30 June 23, 2010 12:00 NN Female jem Botanas,
Hospital Vaginal Delivery Apat, RN
weight 2.4 kg G5P5 R.N
Delivered Live Birth Bb. Boy Conielyn C.
birth weight 7.5 lbs. APGAR November 17, Mindanao Sanitarium & Normal Spontaneous Mutia,MAN, Mirmalyn Rose
2 189453 Nejarda, Lynneh Michelle 24 12:54 AM Male
Score 8,10 by Normal 2010 Hospital Delivery RN D. Revelo, RN
Spontaneous Delivery
PUFT Spontaneous Delivery Normal Spontaneous Darilyn G.
December 17, Lanao del Norte Provincial Aida G. Sagal,
3 004200 an Alive Bb. Girl, Cephalic Magbanwa, Jean Rose F. 20 2:01 PM Female Vaginal Delivery with Literatus, R.N.,
2010 Hospital BSN,RN
weight 2.65 kg G1P1 Episiotomy MAN
PUFT Spontaneous Delivery Darilyn G.
December 21, Lanao del Norte Provincial Normal Spontaneous Aida G. Sagal,
4 002408 an Alive Bb. Boy, Cephalic Ebcay, Faith U. 25 1:15 AM Male Literatus, R.N.,
2010 Hospital Delivery BSN,RN
weight 3.8 kg G3P3 MAN
PUFT Normal Spontaneous Normal Spontaneous Darilyn G.
December 21, Lanao del Norte Provincial Josefina F.
5 004209 Delivery an Alive Bb. Boy, Francisco, Genalyn A. 35 3:03 AM Male Delivery with Literatus, R.N.,
2010 Hospital Apat, RN
Cephalic weight 2.5 kg G1P1 Episiotomy MAN
Muamir A. Alingan DARILYN G. LITERATUS, MN, RN LUCY MAY L. BUCAYAN, MN, RN NOEMI T. MORENTE, MAN, RN G’TER G. GAID, MAN, RN
Valid Until: November 25, 2009 Valid Until: November 12, 2011 Valid Until: October 1, 2011 Valid Until: September 13, 2012
b.) PNA No.: 16829 b.) PNA No.: 15666 b.) PNA: 15898 ________ b.) PNA No: 16832
Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime
CONIELYN C. MUTIA, MAN, RN TRANSFIGURACION C. LEE, MN, RN

Signature Over Printed Name Signature over Printed Name
of Clinical Instructor Chief Nurse (LNPH)
c.) PRC: 0181808 Date Signed:_____________
Valid Until:August 15, 2012 a.) PRC No.: 0059574______
d.) PNA: 024359 Valid Until:August 6, 2011
Valid Until: October 31, 2010 b.) PNA No.:13935_
Valid Until:Lifetime______
c.) ANSAP No.:0513_______
Valid Until: Lifetime

IV. DELIVERIES ASSISTED

Time of Gender of
NO. Case No. Diagnosis Name of Patient Age Date of Delivery Name of Hospital Type of Delivery Supervised by:
Delivery Baby
G1P1 PUFT Delivery Darilyn G.
December 13, Lanao del Norte Provincial Normal Spontaneous Betty R. Bihag,
1 000934 Spontaneous Alive Baby Girl Abne, Marilyn 35 12:40 AM Female Literatus, MN,
2009 Hospital Vaginal Delivery BSN, RN
Cephalic RN
Darilyn G.
PUFT Delivery Spontaneous Lanao del Norte Provincial Normal Spontaneous Josefina F.
2 010770 Ladlad, Joy 26 January 4, 2010 12:47 PM Female Literatus, MN,
Alive Baby Girl Cephalic Hospital Vaginal Delivery Apat, RN
RN
PUFT Delivery Spontaneous Darilyn G.
Kolambugan District Normal Spontaneous Andyrio A.
3 0013557 to an Alive Baby Boy, weight Dandoy, Marichu B. 35 April 12, 2010 8:45 AM Male Literatus, MN,
Hospital Vaginal Delivery Martinez, RN
6 lbs., Cephalic, G1P0 RN
Conielyn C.
Primi Gravida PUFT, NSVD Mindanao Sanitarium & Normal Spontaneous Mutia, MAN, Koly E.
4 188494 Caparoso, Glendie 26 October 12, 2010 1:06 PM Male
Male neonate with A.S of 8-9 Hospital Vaginal Delivery RN Openiano, RN
Conielyn C.
Mindanao Sanitarium & Normal Spontaneous Mutia, MAN, Mirmalyn Rose
5 192885 Maruhom, Almerah B. 19 February 22, 2011 9:25 AM Male
Hospital Vaginal Delivery RnN D. Revelo, RN
Muamir A. Alingan DARILYN G. LITERATUS, MN, RN LUCY MAY L. BUCAYAN, MN, RN NOEMI T. MORENTE, MAN, RN G’TER G. GAID, MAN, RN
Valid Until: November 25, 2009 Valid Until: November 12, 2011 Valid Until: October 1, 2011 Valid Until: September 13, 2012
b.) PNA No.: 16829 b.) PNA No.: 15666 b.) PNA: 15898 __ b.) PNA No: 16832
Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime
TRANSFIGURACION C. LEE, MN, RN DAILINA R. PERANG, MN, RN
Signature over Printed Name Chief Nurse (Kolambugan Provincial
Chief Nurse (LNPH) Hospital)
Date Signed:_____________ Date Signed:_____________
a.) PRC No.: 0059574______ a.) PRC No.:091730
Valid Until:August 6, 2011 Valid Until: July 12, 2011
b.) PNA No.:13935_ b.) PNA No.: 018082
Valid Until:Lifetime______ Valid Until: Dec. 2010
c.) ANSAP No.:0513_______ c.) ANSAP No.:71668

V. CORD DRESSING
Gender of Name of Hospital/Lying In Clinic/
NO. Case No. Date Performed Name of Baby Name of Mother Age Supervised by:
Baby Home Delivery
Darilyn G.
Esterlina Celso
1 0012918 Feruary 16, 2010 Baby Boy Tomimbang Male Tomimbang, Janice 23 Kolambugan District Hospital Literatus, MN,
MN, RN
RN
Darilyn G.
Josefina F. Apat,
2 0159968 June 22, 2010 Baby Girl Ventures Female Ventures, Romelyn 39 Lanao del Norte Provincial Hospital Literatus, MN,
RN
RN
Darilyn G.
Josefina F. Apat,
3 021309 December 17, 2010 Baby Boy Palma Male Palma, Janna Grace R. 18 Lanao del Norte Provincial Hospital Literatus, MN,
RN
RN
Darilyn G.
Josefina F. Apat,
4 021326 December 17, 2010 Baby Boy Pikitpikit Male Pikitpikit, Elenita A. 42 Lanao del Norte Provincial Hospital Literatus, MN,
RN
RN
Darilyn G.
Betty R. Bihag,
5 021572 December 25, 2010 Baby Boy Burlado Male Burlado, Jocelyn M. 33 Lanao del Norte Provincial Hospital Literatus, MN,
BSN, RN
RN
Muamir A. Alingan DARILYN G. LITERATUS, MN, RN LUCY MAY L. BUCAYAN, MN, RN TRANSFIGURACION C. LEE, MN, RN G’TER G. GAID, MAN, RN
Signature Over Printed Signature Over Printed Name Signature Over Printed Name of Signature over Printed Name Signature Over Printed
Name of Student of Clinical Instructor Clinical Coordinator Chief Nurse (LNPH) Name of Dean
Date Signed:_____________ Date Signed:______________ Date Signed:______________ a) PRC No.: 0059574______ Date Signed:______________
a.) PRC No.: 0301632 a.) PRC No.: 0284464 Valid Until:August 6, 2011 a.) PRC No.: 0302269
Valid Until: November 25, 2009 Valid Until: November 12, 2011 b) PNA No.:13935_ Valid Until: September 13, 2012
b.) PNA No.: 16829 b.) PNA No.: 15666 Valid Until:Lifetime______ b.) PNA No: 16832
Valid Until: Lifetime Valid Until: Lifetime c) ANSAP No.:0513_______ Valid Until: Lifetime
Valid Until: Lifetime c.) ADPCN No.: 0768
Valid Until: 2010
DAILINA R. PERANG, MN, RN

Chief Nurse (Kolambugan Provincial
Hospital)
Date Signed:_____________
a.) PRC No.:091730
Valid Until: July 12, 2011
b.) PNA No.: 018082
Valid Until: Dec. 2010
c.) ANSAP No.:71668
Valid Until: December 31, 2010

Mindanao Sanitarium & Hospital College: Brgy San Miguel, Iligan City 9200

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Mindanao Sanitarium & Hospital College: Brgy San Miguel, Iligan City 9200

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Mindanao Sanitarium & Hospital College

Brgy San Miguel, Iligan City 9200

Name of the Student: Muamir A. Alingan

Name of the Student: Muamir A. Alingan

II. MINOR OPERATIONS