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STI College – Zamboanga

Unicon Building, Gen. Wood Street


Gov. Lim Avenue, Zamboanga City

Name of Student: Analain F. Wee


Name & Address of School: STI College-Zamboanga, Unicon Building, Gen. Wood Street Gov. Lim Avenue, Zamboanga City

Accreditation Level: (if any) Not applicable Year Granted: Not applicable
Date School/Program was Recognized: October 29, 2008 Number: 015 Year: 2008
Last Course (If any): Not applicable School Graduated from: Not applicable Year: Not applicable

Year of Admission in the Bachelor of Science in Nursing Program: 2005


Year Graduated in the BSN Program: 2009

III. HANDLED DELIVERIES


No Date of Time of Gender of Name of
Case No. Diagnosis Name of Mother Age Name of Hospital
. Delivery Delivery Baby Midwife/Nurse

Supervised By: Noted By: Concurred:


Approved by:

MA. REBECCA B. BULAKLAK,RN,RM CLEMENT P. MARAON, RN, MN, MAN MA. DOLORES B. PACATANG, RN
ANNA LISA B. ROSALEJOS, RN, MN
Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse
Signature over printed name of Dean
Date Signed: Date Signed: ________________________ Date Signed: ________________________ Date
Signed: ____________ ________
Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing
Degree: Bachelor of Science in Nursing
Master in Nursing
Master in Nursing
Master of Arts in Nursing
a. PRC No.: 0431164 a. PRC No.: 074214
a. PRC No.: 0353526
Valid Until: September 19,2010 a. PRC No.: 0273910 Valid Until: February 02, 2011
Valid Until: September 09, 2012
b. PNA No.: 017850 Valid Until: August 03, 2012 b. PNA No.: 18033
b. PNA No.: 016753
Valid Until: December 31, 2009 b. PNA No.: 016878 Valid Until: Lifetime Member
Valid Until: December 31, 2009
Valid Until: December 31, 2009 c. ANSAP No. 02629
c. ADPCN No.: 16688
Valid Until: December 31, 2009
Valid Until: December 31, 2009
STI College – Zamboanga
Unicon Building, Gen. Wood Street
Gov. Lim Avenue, Zamboanga City

G2 P2 A0 Pregnancy uterine
1 041658 full term in labor, Spontaneous Samira Aquino 25 Years Old
December 21,
10: 08 AM Male
Western Mindanao Vilma Nispiros,
2007 Medical Center RM
vaginal delivery alive baby boy

Prepared by: ANALAIN F. WEE

Signature over printed name of


Student
Supervised By: Noted By: Concurred:
Approved by:

MA. REBECCA B. BULAKLAK,RN,RM CLEMENT P. MARAON, RN, MN, MAN MA. DOLORES B. PACATANG, RN
ANNA LISA B. ROSALEJOS, RN, MN
Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse
Signature over printed name of Dean
Date Signed: Date Signed: ________________________ Date Signed: ________________________ Date
Signed: ____________ ________
Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing
Degree: Bachelor of Science in Nursing
Master in Nursing
Master in Nursing
Master of Arts in Nursing
a. PRC No.: 0431164 a. PRC No.: 074214
a. PRC No.: 0353526
Valid Until: September 19,2010 a. PRC No.: 0273910 Valid Until: February 02, 2011
Valid Until: September 09, 2012
b. PNA No.: 017850 Valid Until: August 03, 2012 b. PNA No.: 18033
b. PNA No.: 016753
Valid Until: December 31, 2009 b. PNA No.: 016878 Valid Until: Lifetime Member
Valid Until: December 31, 2009
Valid Until: December 31, 2009 c. ANSAP No. 02629
c. ADPCN No.: 16688
Valid Until: December 31, 2009
Valid Until: December 31, 2009
STI College – Zamboanga
Unicon Building, Gen. Wood Street
Gov. Lim Avenue, Zamboanga City

Name of Student: Analain F. Wee


Name & Address of School: STI College-Zamboanga, Unicon Building, Gen. Wood Street Gov. Lim Avenue, Zamboanga City

Accreditation Level: (if any) Not applicable Year Granted: Not applicable
Date School/Program was Recognized: October 29, 2008 Number: 015 Year: 2008
Last Course (If any): Not applicable School Graduated from: Not applicable Year: Not applicable

Year of Admission in the Bachelor of Science in Nursing Program: 2005


Year Graduated in the BSN Program: 2009

II. MINOR OPERATIONS


No Date of Type of Name of
Case No. Name of Patient Diagnosis Operation Performed Name of Surgeon Name of O.R Scrub Nurse
. Operation Anesthesia Hospital

Supervised By: Noted By: Concurred:


Approved by:

MA. REBECCA B. BULAKLAK,RN,RM CLEMENT P. MARAON, RN, MN, MAN MA. DOLORES B. PACATANG, RN
ANNA LISA B. ROSALEJOS, RN, MN
Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse
Signature over printed name of Dean
Date Signed: Date Signed: ________________________ Date Signed: ________________________ Date
Signed: ____________ ________
Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing
Degree: Bachelor of Science in Nursing
Master in Nursing
Master in Nursing
Master of Arts in Nursing
a. PRC No.: 0431164 a. PRC No.: 074214
a. PRC No.: 0353526
Valid Until: September 19,2010 a. PRC No.: 0273910 Valid Until: February 02, 2011
Valid Until: September 09, 2012
b. PNA No.: 017850 Valid Until: August 03, 2012 b. PNA No.: 18033
b. PNA No.: 016753
Valid Until: December 31, 2009 b. PNA No.: 016878 Valid Until: Lifetime Member
Valid Until: December 31, 2009
Valid Until: December 31, 2009 c. ANSAP No. 02629
c. ADPCN No.: 16688
Valid Until: December 31, 2009
Valid Until: December 31, 2009
STI College – Zamboanga
Unicon Building, Gen. Wood Street
Gov. Lim Avenue, Zamboanga City

G2P2A0 Pregnancy
Uterine full term in Western
December 21, Local
1
2007
041658 Samira Aquino labor, spontaneous Episiorrhaphy
Anesthesia
Dr. Livia Sana Mindanao Vilma Nisperos,RM
vaginal delivery Medical Center
alive baby boy

Prepared by: ANALAIN F. WEE

Signature over printed name of Student

Supervised By: Noted By: Concurred:


Approved by:

MA. REBECCA B. BULAKLAK,RN,RM CLEMENT P. MARAON, RN, MN, MAN MA. DOLORES B. PACATANG, RN
ANNA LISA B. ROSALEJOS, RN, MN
Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse
Signature over printed name of Dean
Date Signed: Date Signed: ________________________ Date Signed: ________________________ Date
Signed: ____________ ________
Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing
Degree: Bachelor of Science in Nursing
Master in Nursing
Master in Nursing
Master of Arts in Nursing
a. PRC No.: 0431164 a. PRC No.: 074214
a. PRC No.: 0353526
Valid Until: September 19,2010 a. PRC No.: 0273910 Valid Until: February 02, 2011
Valid Until: September 09, 2012
b. PNA No.: 017850 Valid Until: August 03, 2012 b. PNA No.: 18033
b. PNA No.: 016753
Valid Until: December 31, 2009 b. PNA No.: 016878 Valid Until: Lifetime Member
Valid Until: December 31, 2009
Valid Until: December 31, 2009 c. ANSAP No. 02629
c. ADPCN No.: 16688
Valid Until: December 31, 2009
Valid Until: December 31, 2009
STI College – Zamboanga
Unicon Building, Gen. Wood Street
Gov. Lim Avenue, Zamboanga City

Name of Student: Analain F. Wee


Name & Address of School: STI College-Zamboanga, Unicon Building, Gen. Wood Street Gov. Lim Avenue, Zamboanga City

Accreditation Level: (if any) Not applicable Year Granted: Not applicable
Date School/Program was Recognized: October 29, 2008 Number: 015 Year: 2008
Last Course (If any): Not applicable School Graduated from: Not applicable Year: Not applicable

Year of Admission in the Bachelor of Science in Nursing Program: 2005


Year Graduated in the BSN Program: 2009

II. MINOR OPERATIONS


No Date of Type of Name of
Case No. Name of Patient Diagnosis Operation Performed Name of Surgeon Name of O.R Scrub Nurse
. Operation Anesthesia Hospital

Supervised By: Noted By: Concurred:


Approved by:

MA. REBECCA B. BULAKLAK,RN,RM CLEMENT P. MARAON, RN, MN, MAN MA. DOLORES B. PACATANG, RN
ANNA LISA B. ROSALEJOS, RN, MN
Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse
Signature over printed name of Dean
Date Signed: Date Signed: ________________________ Date Signed: ________________________ Date
Signed: ____________ ________
Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing
Degree: Bachelor of Science in Nursing
Master in Nursing
Master in Nursing
Master of Arts in Nursing
a. PRC No.: 0431164 a. PRC No.: 074214
a. PRC No.: 0353526
Valid Until: September 19,2010 a. PRC No.: 0273910 Valid Until: February 02, 2011
Valid Until: September 09, 2012
b. PNA No.: 017850 Valid Until: August 03, 2012 b. PNA No.: 18033
b. PNA No.: 016753
Valid Until: December 31, 2009 b. PNA No.: 016878 Valid Until: Lifetime Member
Valid Until: December 31, 2009
Valid Until: December 31, 2009 c. ANSAP No. 02629
c. ADPCN No.: 16688
Valid Until: December 31, 2009
Valid Until: December 31, 2009
STI College – Zamboanga
Unicon Building, Gen. Wood Street
Gov. Lim Avenue, Zamboanga City

G2P2A0 Pregnancy
Uterine full term in Western
December 21, Local
1
2007
041658 Samira Aquino labor, spontaneous Episioraphy
Anesthesia
Dr. Livia Sana Mindanao Vilma Nisperos,RM
vaginal delivery Medical Center
alive baby boy

Prepared by: ANALAIN F. WEE

Signature over printed name of Student

Supervised By: Noted By: Concurred:


Approved by:

MA. REBECCA B. BULAKLAK,RN,RM CLEMENT P. MARAON, RN, MN, MAN MA. DOLORES B. PACATANG, RN
ANNA LISA B. ROSALEJOS, RN, MN
Signature over printed name of Clinical Instructor Signature over printed name of Clinical Coordinator Signature over printed name of Chief Nurse
Signature over printed name of Dean
Date Signed: Date Signed: ________________________ Date Signed: ________________________ Date
Signed: ____________ ________
Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing
Degree: Bachelor of Science in Nursing
Master in Nursing
Master in Nursing
Master of Arts in Nursing
a. PRC No.: 0431164 a. PRC No.: 074214
a. PRC No.: 0353526
Valid Until: September 19,2010 a. PRC No.: 0273910 Valid Until: February 02, 2011
Valid Until: September 09, 2012
b. PNA No.: 017850 Valid Until: August 03, 2012 b. PNA No.: 18033
b. PNA No.: 016753
Valid Until: December 31, 2009 b. PNA No.: 016878 Valid Until: Lifetime Member
Valid Until: December 31, 2009
Valid Until: December 31, 2009 c. ANSAP No. 02629
c. ADPCN No.: 16688
Valid Until: December 31, 2009
Valid Until: December 31, 2009

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