City of Manila UNIVERSIDAD DE MANILA (formerly City College of Manila) A.J.

Villegas Street Mehan Gardens, Manila

Name of Student: Balane, Fatima Grace V. Name & Address of School: Universidad de Manila (formerly CCM)- A.J.Villegas St. Mehan Gardens, Manila Accreditation Level (If any):_________Year Granted: ______ Date School/ Program was recognized: April 26, 1995 Number: ____ Year: 1995

First Course (If any): N/A School Graduated From: N/A Year: N/A Year of Admission in the Bachelor of Science in Nursing Program: 2008 Year Graduated (BSN Program): 2012

V. CORD CARE
No . 1 2 3 4 5 Case No. 661491 661509 661515 661537 661543 Date Performed July 5, 2010 July 6, 2010 July 6, 2010 July 7, 2010 July 7, 2010 Name of Baby Baby boy Salawa Baby Girl Nava Baby Boy Rebao Baby Boy Agulto Baby Boy Cacho Gender of Baby Male Female Male Male Male Name of Mother Rose Ann Salawa Ann Trixa Nava Elura Rebao Carla Agulto Amelia Cacho Age 25 18 26 26 29 Name of Hospital Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center Name&Signature of Qualified Clinical Instructor Eva Marie Grace Reci, RN Eva Marie Grace Reci, RN Eva Marie Grace Reci, RN Eva Marie Grace Reci, RN Eva Marie Grace Reci, RN Supervised by:

Pastora M. Baro, RN, MAN Pastora M. Baro, RN, MAN Pastora M. Baro, RN, MAN Pastora M. Baro, RN, MAN Pastora M. Baro, RN, MAN

Noted By: _________________________ Asuncion C. Balisado, RN, MAN Chief Nurse, OMMC PRC Lic. No. 0116547 Valid Until: August 15, 2012 PNA No. 14782 Lifetime Membership ANSAP No. 09-0866 Valid Until:

Concurred by: _________________________ Liberty Alcarion, RN, MAN Dean College of Nursing, UDM PRC Lic. No. 0110390 Valid Until: July 4, 2015 PNA No. 16455 Lifetime Membership ADPCN No. Valid Until:

City of Manila UNIVERSIDAD DE MANILA (formerly City College of Manila) A.J. Villegas Street Mehan Gardens, Manila
Name of Student: Viojan,Jenny Rose R. Name & Address of School: Universidad de Manila (formerly CCM)- A.J.Villegas St. Mehan Gardens, Manila Accreditation Level (If any):_________Year Granted: ______ Date School/ Program was recognized: April 26, 1995 Number: ____ Year: 1995 First Course (If any): N/A School Graduated From: N/A Year: N/A Year of Admission in the Bachelor of Science in Nursing Program: 2008 Year Graduated (BSN Program): 2012

IV. DELIVERIES ASSISTED

No. 1 Case No. 2163172 Diagnosis Pregnancy Uterine, Gravidity 4; Parity 3; 40 weeks Age of Gestation Pregnancy Uterine, Gravidity 2; Parity 1; 36 weeks and 2 days Age of Gestation Pregnancy Uterine, Gravidity 3; Parity 2; 41 weeks and 3 days Age of Gestation Pregnancy Uterine, Gravidity 1; Parity 0; 27 weeks and 1 day Age of Gestation Pregnancy Uterine, Gravidity 1; Parity 0; 39 weeks Age of Gestation Name of Mother Age Date of Delivery Time of Delivery 10:31 am Gender of Baby Boy Type of Delivery Name of Hospital Name & Signature of Qualified Clinical Instructor Maria Antonette Ramil, RN Maria Antonette Ramil, RN Maria Antonette Ramil, RN Maria Antonette Ramil, RN Maria Antonette Ramil, RN Supervised by:

Aquino, Roselyn Lumage

34

June 21, 2010

Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery

Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center

Elizabeth D. Cruz, RN,MAN Elizabeth D. Cruz, RN,MAN Elizabeth D. Cruz, RN,MAN Elizabeth D. Cruz, RN,MAN Elizabeth D. Cruz, RN,MAN

2163281

Dela Torre, Lani Redondo Arriegado, Christina

21

June 22, 2010

8:07 am

Boy

2163365

27

June 22, 2010

12:52 am

Boy

2163542

Sarandin, Roseann Lachica Relucio, Aimie Mallari

16

June 23, 2010

9:39 am

Girl

2165549

17

June 28, 2010

10:49 am

Girl

Noted By: _________________________ Asuncion C. Balisado, RN, MAN Chief Nurse, OMMC PRC Lic. No. 0116547 Valid Until: August 15, 2012 PNA No. 14782 Lifetime Membership ANSAP No. 09-0866 Valid Until:

Concurred by: _________________________ Liberty Alcarion, RN, MAN Dean College of Nursing, UDM PRC Lic. No. 0110390 Valid Until: July 4, 2015 PNA No. 16455 Lifetime Membership ADPCN No. Valid Until:

City of Manila UNIVERSIDAD DE MANILA (formerly City College of Manila) A.J. Villegas Street Mehan Gardens, Manila

Name of Student: Viojan,Jenny Rose R. Name & Address of School: Universidad de Manila (formerly CCM)- A.J.Villegas St. Mehan Gardens, Manila Accreditation Level (If any):_________Year Granted: ______ Date School/ Program was recognized: April 26, 1995 Number: ____ Year: 1995

First Course (If any): N/A School Graduated From: N/A Year: N/A Year of Admission in the Bachelor of Science in Nursing Program: 2008 Year Graduated (BSN Program): 2012

III. DELIVERIES HANDLED

No.
1

Case No.
2163170

Diagnosis
Pregnancy Uterine, Gravidity 4; Parity 3; 37 weeks and 1 day Age of Gestation Pregnancy Uterine, Gravidity 2; Parity 1; 41 weeks and 3 days Age of Gestation Pregnancy Uterine, Gravidity 1; Parity 0; 39 weeks and 3 days Age of Gestation Pregnancy Uterine, Gravidity 2; Parity 1; 37 weeks Age of Gestation P Pregnancy Uterine, Gravidity 6; Parity 5; 38 weeks and 2 days Age of Gestation

Name of Mother

Ag e
26

Date of Delivery

Time of Delivery
7:40 am

Gender of Baby
Boy

Type of Delivery

Name of Hospital

Name & Signature of Qualified Clinical Instructor Maria Antonette M. Ramil, RN Maria Antonette M. Ramil, RN Maria Antonette M.Ramil, RN Maria Antonette M. Ramil, RN Maria Antonette M. Ramil, RN

Supervised by:

Pangilinan, Mary Grace Guevarra Mendoza, Elsie Lanan Caplis, Ruffa Mallari Asprer Jenalyn Arjona Tolentino, Yolanda Galicia

July 21, 2010

Normal Spontaneous Delivery

Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center

Elizabeth D. Cruz, RN,MAN Elizabeth D. Cruz, RN,MAN Elizabeth D. Cruz, RN,MAN Elizabeth D. Cruz, RN,MAN Elizabeth D. Cruz, RN,MAN

2163334

23

July 22, 2010

6:11 am

Girl

Normal Spontaneous Delivery

2163313

16

July 22, 2010

12:22 pm

Boy

Normal Spontaneous Delivery

2163526

23

June 23, 2010

6:14 am

Girl

Normal Spontaneous Delivery

2163549

35

June 23, 2010

10:55 am

Girl

Normal Spontaneous Delivery

Noted By: _________________________ Asuncion C. Balisado, RN, MAN Chief Nurse, OMMC PRC Lic. No. 0116547 Valid Until: August 15, 2012 PNA No. 14782 Lifetime Membership ANSAP No. 09-0866 Valid Until:

Concurred by: _________________________ Liberty Alcarion, RN, MAN Dean College of Nursing, UDM PRC Lic. No. 0110390 Valid Until: July 4, 2015 PNA No. 16455 Lifetime Membership ADPCN No. Valid Until:

City of Manila UNIVERSIDAD DE MANILA (formerly City College of Manila) A.J. Villegas Street Mehan Gardens, Manila
Name of Student: Viojan,Jenny Rose R. Name & Address of School: Universidad de Manila (formerly CCM)- A.J.Villegas St. Mehan Gardens, Manila Accreditation Level (If any):_________Year Granted: ______ Date School/ Program was recognized: April 26, 1995 Number: ____ Year: 1995 II. MINOR OPERATIONS
No. Date of Operation June 21, 2010 Case No. Name of Patient Diagnosis Operation Performed Complete Curretage Type of Anesthesia IV Sedation Name of Surgeon Name of Scrub Nurse Name of Hospital Name & Signature of Qualified Clinical Instructor Maria Antonette Ramil, RN Ms Santillan, RN Supervised by

First Course (If any): N/A School Graduated From: N/A Year: N/A Year of Admission in the Bachelor of Science in Nursing Program: 2008 Year Graduated (BSN Program): 2012

2163168

Sasutona, Joan

Early incomplete abortion

Dr. Patricia Joy Perez, MD Dr. Ana Lucero, MD

Nahleen Raquel, RN

Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center Ospital ng Maynila Medical Center

Angelito Villegas, RN, MAN Angelito Villegas, RN, MAN Angelito Villegas, RN, MAN

July 4, 2010

2171828

Zapiter, Jhon Lusmark

Carbuncle Plantar aspect of Left Foot

Incision and drainage

Local Anesthesia

Samuel Andronny Tibio

July 26, 2011

2337201

Madriaga, Edward

Foreign Body Ingestion

Rigid Esophagoscophy

General Endotracheal Anesthesia

Dr. Regino

Ms. Verma

Chona Balce, RN

Noted By: _________________________ Asuncion C. Balisado, RN, MAN Chief Nurse, OMMC PRC Lic. No. 0116547 Valid Until: August 15, 2012 PNA No. 14782 Lifetime Membership ANSAP No. 09-0866 Valid Until:

Concurred by: _________________________ Liberty Alcarion, RN, MAN Dean College of Nursing, UDM PRC Lic. No. 0110390 Valid Until: July 4, 2015 PNA No. 16455 Lifetime Membership ADPCN No. Valid Until:

City of Manila UNIVERSIDAD DE MANILA (formerly City College of Manila) A.J. Villegas Street Mehan Gardens, Manila
Name of Student: Viojan,Jenny Rose R. Name & Address of School: Universidad de Manila (formerly CCM) - A.J.Villegas St. Mehan Gardens, Manila Accreditation Level (If any):_________Year Granted: ______ Date School/ Program was recognized: April 26, 1995 Number: ____ Year: 1995 First Course (If any): N/A School Graduated From: N/A Year: N/A Year of Admission in the Bachelor of Science in Nursing Program: 2008 Year Graduated (BSN Program): 2012

II. MINOR OPERATIONS

No. Date of Operation Case No. Name of Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of Scrub Nurse Name of Hospital Name & Signature of Qualified Clinical Instructor Angelito Villegas, RN, MAN Angelito Villegas, RN, MAN

March 29, 2012 March 31, 2012

114624 117015

Roxas, Amelia Espinosa, Rigor

Granuloma on Left Ear Right Indirect Inguinal Hernia

Excision of granuloma left ear Mesh Herniorrhaphy Right

Local Anesthesia Sub-arachnoid Block

Rodel Velasquez, MD Dr. Danilo Sedutan, MD

Francis Macahis, RN Vergara Timoteo,RN

Gat Andres Bonifacio Memorial Medical Center Gat Andres Bonifacio Memorial Medical Center

Noted By: ________________________ Luhdivina V. Linezo, RN, MAN GABMMC PRC Lic. No. 104356 PNA No. 051151 Valid Until: October 2012 ANSAP No. 6222 Valid Until: May 2014

Concurred By: ________________________ Liberty Alcarion, RN, MAN Dean College of Nursing, UDM PRC Lic. No. 0110390 Valid Until: July 4, 2015 PNA No. 16455 Lifetime Membership ADPCN No. Valid Until: Chief Nurse,

City of Manila UNIVERSIDAD DE MANILA (formerly City College of Manila) A.J. Villegas Street Mehan Gardens, Manila

Name of Student: Viojan,Jenny Rose R. Name & Address of School: Universidad de Manila (formerly CCM) - A.J.Villegas St. Mehan Gardens, Manila Accreditation Level (If any):_________Year Granted: ______ Date School/ Program was recognized: April 26, 1995 Number: ____ Year: 1995

First Course (If any): N/A School Graduated From: N/A Year: N/A Year of Admission in the Bachelor of Science in Nursing Program: 2008 Year Graduated (BSN Program): 2012

I.MAJOR OPERATIONS
No. Date of Operation Case No. Name of Patient Diagnosis Operation Performed Type of Anesthesia Name of Surgeon Name of Scrub nurse Name of Hospital Name & Signature of Qualified Clinical Instructor Supervised by

March 1,2012 March 31, 2012

11640 1 92130

Torio, Vanessa Rosalinda Maasin

Gravidity: 4, Parity: 3 Pregnancy Uterine, 39 weeks Age Of Gestation Gravidity: 2, Parity:1 Pregnancy Uterine, 39 weeks Age Of Gestation

Low Transverse CS II Repeat Low Transverse CS II with Bilateral Tubal Ligation

SubArachnoid Block SubArachnoid Block

Ma. LourdesAlonzo, MD

Bryan Salvador

Gat Andres Bonifacio Memorial Medical Center Gat Andres Bonifacio Memorial Medical Center

Angelito Villegas, RN, MAN Angelito Villegas, RN, MAN

Ailiene Assuncion, MD

Gemma Lagronio

Noted By: ________________________ Luhdivina V. Linezo, RN, MAN Chief Nurse, GABMMC PRC Lic. No. 104356 PNA No. 051151 Valid Until: October 2012 ANSAP No. 6222 Valid Until: May 2014

Concurred By: ________________________ Liberty Alcarion, RN, MAN Dean College of Nursing, UDM PRC Lic. No. 0110390 Valid Until: July 4, 2015 PNA No. 16455 Lifetime Membership ADPCN No. Valid Until:

City of Manila UNIVERSIDAD DE MANILA (formerly City College of Manila) A.J. Villegas Street Mehan Gardens, Manila
Name of Student: Viojan,Jenny Rose R. Name & Address of School: Universidad de Manila (formerly CCM) - A.J.Villegas St. Mehan Gardens, Manila Accreditation Level (If any):_________Year Granted: ______ Date School/ Program was recognized: April 26, 1995 Number: ____ Year: 1995 First Course (If any): N/A School Graduated From: N/A Year: N/A Year of Admission in the Bachelor of Science in Nursing Program: 2008 Year Graduated (BSN Program): 2012

No.

Date of Operation
July 27, 2011

Case No.
1636403

Name of Patient
Villamea, Marjorie Santos

Diagnosis

I.MAJOR OPERATIONS Operation Type of Performed Anesthesia

Open Cholesystectomy General Endotracheal Anesthesia

Name of Surgeon
Angelica Montesa, MD

Name of Hospital

Name & Signature of Qualified Clinical Instructor Ospital ng Maynila Medical Center

Calculus of the gallbladder

Ms. Cerva

April 12, 2012

166064 4

Esmelita Marie Pring

Abnormal Uterine Bleeding secondary to Myoma

Exploratory laparotomy, Total Abdominal Hysterectomy Bilateral SalphingoOopherectomy Open Cholecystectomy

General Endotracheal Anesthesia

Dr. Voltaire S. Dela Cruz

Ospital ng Maynila Medical Center

Kate Balingit, RN, MAN

April 13, 2012

166010 8

Robelin Regaton Loteryo

Calculus of Gallbladder

Continuous Lumbar Epidural Anesthesia

Dr. De Guzman

Ospital ng Maynila Medical Center

Kate Balingit, RN, MAN

Noted By: _________________________ Asuncion C. Balisado, RN, MAN Chief Nurse, OMMC 0116547 Valid Until: August 15, 2012 PNA No. 14782 Membership ANSAP No. 09-0866 Valid Until:

Concurred by: _________________________ Liberty Alcarion, RN, MAN Dean College of Nursing, UDM PRC Lic. No. 0110390 Valid Until: July 4, 2015 PNA No. 16455 Lifetime Membership ADPCN No. Valid Until:

PRC Lic. No. Lifetime