Wesleyan University - Philippines

Mabini Extension, Cabanatuan City, Nueva Ecija, Philippines 3100

Tel Nos.: (044) 463-2162 / 2074 Loc. 122
Telefax: (044) 463-0596
www.wesleyan.edu.ph
Accreditation Level: III April 2017 – April 2021

SURGICAL SCRUB CASES (MAJOR)

___________________________
Prepared By: ACOSTA, ELIZA JANE G.

DATE PERFORMED PATIENT’S INITIALS

MAJOR SURGICAL PROCEDURE PERFORMED NURSE ON DUTY SUPERVISED BY
AND TIME STARTED CASE NUMBER

_________________________
January 21, 2019 AVM Total Abdominal Hysterectomy Salpingo – Oophorectomy _____________________________
Dan Aldrine D. Adrineda, RN
02:01 PM 599860 Antero - Posterior repair Peritoneal Fluid Cytology Jonathan M. Ocampo, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

_________________________
January 22, 2019 RVA _____________________________
Functional Endoscopic Sinus Surgery with Septoplasty Dan Aldrine D. Adrineda, RN
02:20 PM 398614 Jonathan M. Ocampo, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

_________________________
January 23, 2019 ETA _____________________________
Total Abdominal Hysterectomy Bilateral Salpingectomy Lester Allen Christian L. Arocena, RN
02:05 PM 494178 Jonathan M. Ocampo, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

Exploration Laparotomy of Hemoperitoneum _________________________

February 4, 2019 LBO _____________________________
Ligation of Mesenteric bleeding repair of Peritoneal fent Leslee A. Tangunan Jr., RN
09:30 AM 539526 Jonathan M. Ocampo, MAN, RN
Peritoneal Debridement and Suturing Dr. Paulino J. Garcia Memorial
Research and Medical Center

_________________________
February 6, 2019 SBS Open Reduction Plating Lateral Malleolus, Screw Fixation
Jenalyn Haze A. Abesamis, RN Jonathan M. Ocampo, MAN, RN
07:05 AM 624859 Medial Malleolus
Dr. Paulino J. Garcia Memorial
Research and Medical Center

Concurred by: Noted by: Approved by:

PINKY MIRIAM D. CANLAS, MAN, RN MA. CORAZON S. SALVADOR, PhD, RN JOSEPHINE O. SAMONTE, MAN, RN
Chief Nurse Program Head, Nursing OIC-Dean, College of Nursing & Allied Medical Sciences
Dr. PJGMRMC Wesleyan University – Philippines Wesleyan University – Philippines
Degree: Master of Arts in Nursing Degree: Doctor of Philosophy Degree: Master of Arts in Nursing
PRC No.: 0075648 Valid Until: September 22, 2021 PRC No.: 0116922 Valid Until: June 17, 2020 PRC No.: 0163005 Valid Until: December 25, 2020
PNA No.: 09873 Valid Until: Lifetime PNA No.: 17506 Valid Until: Lifetime ADPCN No.: 17-726 Valid Until: 2018 - 2019
Date Signed: _______________________ Date Signed: __________________________ Date Signed: _____________________
 Wesleyan University - Philippines
Mabini Extension, Cabanatuan City, Nueva Ecija, Philippines 3100
Tel Nos.: (044) 463-2162 / 2074 Loc. 122
Telefax: (044) 463-0596
www.wesleyan.edu.ph
Accreditation Level: III April 2017 – April 2021

SURGICAL SCRUB CASES (MINOR)

___________________________
Prepared By: ACOSTA, ELIZA JANE G.

DATE PERFORMED PATIENT’S INITIALS

MINOR SURGICAL PROCEDURE PERFORMED NURSE ON DUTY SUPERVISED BY
AND TIME STARTED CASE NUMBER

_________________________
January 21, 2019 DVB _____________________________
Femoral Catheter Insertion, Right Shiela Marie R. Mendiola, RN
09:22 PM 623422 Jonathan M. Ocampo, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

_________________________
January 22, 2019 IGEM _____________________________
Low Transverse Cesarean Section + Intrauterine Device Abegail May SP. Osorio, MAN, RN
06:02 PM 624140 Jonathan M. Ocampo, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

_________________________
January 22, 2019 MDC _____________________________
Excision Biopsy of Breast Mass, Right Lester Allen Christian L. Arocena, RN
09:13 PM 622934 Jonathan M. Ocampo, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

_________________________
January 28, 2019 CADF _____________________________
Bilateral Tubal Ligation Abegail May SP. Osorio, MAN, RN
02:06 PM 624225 Jonathan M. Ocampo, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

_________________________
January 28, 2019 CCC Lower Transverse Cesarian Section _____________________________
Lester Allen Christian L. Arocena, RN
07:49 PM 625561 + Intrauterine Device Insertion Jonathan M. Ocampo, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

Concurred by: Noted by: Approved by:

PINKY MIRIAM D. CANLAS, MAN, RN MA. CORAZON S. SALVADOR, PhD, RN JOSEPHINE O. SAMONTE, MAN, RN
Chief Nurse Program Head, Nursing OIC-Dean, College of Nursing & Allied Medical Sciences
Dr. PJGMRMC Wesleyan University – Philippines Wesleyan University – Philippines
Degree: Master of Arts in Nursing Degree: Doctor of Philosophy Degree: Master of Arts in Nursing
PRC No.: 0075648 Valid Until: September 22, 2021 PRC No.: 0116922 Valid Until: June 17, 2020 PRC No.: 0163005 Valid Until: December 25, 2020
PNA No.: 09873 Valid Until: Lifetime PNA No.: 17506 Valid Until: Lifetime ADPCN No.: 17-726 Valid Until: 2018 - 2019
Date Signed: _______________________ Date Signed: __________________________ Date Signed: _____________________
 Wesleyan University - Philippines
Mabini Extension, Cabanatuan City, Nueva Ecija, Philippines 3100
Tel Nos.: (044) 463-2162 / 2074 Loc. 122
Telefax: (044) 463-0596
www.wesleyan.edu.ph
Accreditation Level: III April 2017 – April 2021

DELIVERY CASES (ASSIST)

___________________________
Prepared By: ACOSTA, ELIZA JANE G.

DATE PERFORMED PATIENT’S INITIALS

PROCEDURE PERFORMED NURSE ON DUTY SUPERVISED BY
AND TIME STARTED CASE NUMBER

________________________
November 8, 2018 BAD _____________________________
Normal Spontaneous Delivery Melania M. Rayo, MAN, RN
02:06 PM 606910 Jannie R. Gabayan, MSN, RN
Dr. Paulino J. Garcia Memorial Research
and Medical Center

_________________________
November 9, 2018 CPV _____________________________
Normal Spontaneous Delivery Analyn J. Mendoza, MAN, RN
04:40 PM 607254 Jannie R. Gabayan, MSN, RN
Dr. Paulino J. Garcia Memorial Research
and Medical Center

________________________
November 22, 2018 GMA _____________________________
Normal Spontaneous Delivery Melania M. Rayo, MAN, RN
05:14 PM 603233 Jannie R. Gabayan, MSN, RN
Dr. Paulino J. Garcia Memorial Research
and Medical Center

________________________
November 29, 2018 KDT _____________________________
Normal Spontaneous Delivery Melania M. Rayo, MAN, RN
04:41 PM 611509 Jannie R. Gabayan, MSN, RN
Dr. Paulino J. Garcia Memorial Research
and Medical Center

_________________________
December 6, 2018 ZQB _____________________________
Normal Spontaneous Delivery Melania M. Rayo, MAN, RN
01:32 PM 613215 Jannie R. Gabayan, MSN, RN
Dr. Paulino J. Garcia Memorial Research
and Medical Center

Concurred by: Noted by: Approved by:

PINKY MIRIAM D. CANLAS, MAN, RN MA. CORAZON S. SALVADOR, PhD, RN JOSEPHINE O. SAMONTE, MAN, RN
Chief Nurse Program Head, Nursing OIC-Dean, College of Nursing & Allied Medical Sciences
Dr. PJGMRMC Wesleyan University – Philippines Wesleyan University – Philippines
Degree: Master of Arts in Nursing Degree: Doctor of Philosophy Degree: Master of Arts in Nursing
PRC No.: 0075648 Valid Until: September 22, 2021 PRC No.: 0116922 Valid Until: June 17, 2020 PRC No.: 0163005 Valid Until: December 25, 2020
PNA No.: 09873 Valid Until: Lifetime PNA No.: 17506 Valid Until: Lifetime ADPCN No.: 17-726 Valid Until: 2018 - 2019
Date Signed: _______________________ Date Signed: __________________________ Date Signed: _____________________
 Wesleyan University - Philippines
Mabini Extension, Cabanatuan City, Nueva Ecija, Philippines 3100
Tel Nos.: (044) 463-2162 / 2074 Loc. 122
Telefax: (044) 463-0596
www.wesleyan.edu.ph
Accreditation Level: III April 2017 – April 2021

DELIVERY CASES (ACTUAL)

___________________________
Prepared By: ACOSTA, ELIZA JANE G.

DATE PERFORMED PATIENT’S INITIALS

PROCEDURE PERFORMED NURSE ON DUTY SUPERVISED BY
AND TIME STARTED CASE NUMBER

________________________
November 8, 2018 SMPC _____________________________
Normal Spontaneous Delivery Melania M. Rayo, MAN, RN
01:43 PM 606789 Jannie R. Gabayan, MSN, RN
Dr. Paulino J. Garcia Memorial Research
and Medical Center

________________________
November 9, 2018 RMN _____________________________
Normal Spontaneous Delivery Melania M. Rayo, MAN, RN
04:10 PM 607160 Jannie R. Gabayan, MSN, RN
Dr. Paulino J. Garcia Memorial Research
and Medical Center

_________________________
November 22, 2018 JDC _____________________________
Normal Spontaneous Delivery Melania M. Rayo, MAN, RN
04:28 PM 610224 Jannie R. Gabayan, MSN, RN
Dr. Paulino J. Garcia Memorial Research
and Medical Center

________________________
November 29, 2018 AGR _____________________________
Normal Spontaneous Delivery Melania M. Rayo, MAN, RN
04:05 PM 490199 Jannie R. Gabayan, MSN, RN
Dr. Paulino J. Garcia Memorial Research
and Medical Center

_________________________
December 6, 2018 TTM _____________________________
Normal Spontaneous Delivery Melania M. Rayo, MAN, RN
09:04 PM 573957 Jannie R. Gabayan, MSN, RN
Dr. Paulino J. Garcia Memorial Research
and Medical Center

Concurred by: Noted by: Approved by:

PINKY MIRIAM D. CANLAS, MAN, RN MA. CORAZON S. SALVADOR, PhD, RN JOSEPHINE O. SAMONTE, MAN, RN
Chief Nurse Program Head, Nursing OIC-Dean, College of Nursing & Allied Medical Sciences
Dr. PJGMRMC Wesleyan University – Philippines Wesleyan University – Philippines
Degree: Master of Arts in Nursing Degree: Doctor of Philosophy Degree: Master of Arts in Nursing
PRC No.: 0075648 Valid Until: September 22, 2021 PRC No.: 0116922 Valid Until: June 17, 2020 PRC No.: 0163005 Valid Until: December 25, 2020
PNA No.: 09873 Valid Until: Lifetime PNA No.: 17506 Valid Until: Lifetime ADPCN No.: 17-726 Valid Until: 2018 - 2019
Date Signed: _______________________ Date Signed: __________________________ Date Signed: _____________________
 Wesleyan University - Philippines
Mabini Extension, Cabanatuan City, Nueva Ecija, Philippines 3100
Tel Nos.: (044) 463-2162 / 2074 Loc. 122
Telefax: (044) 463-0596
www.wesleyan.edu.ph
Accreditation Level: III April 2017 – April 2021

IMMEDIATE NEWBORN CORD CARE CASES

___________________________
Prepared By: ACOSTA, ELIZA JANE G.

DATE PERFORMED PATIENT’S INITIALS

IMMEDIATE NEWBORN CORD CARE PERFORMED IN NURSE ON DUTY SUPERVISED BY
AND TIME STARTED CASE NUMBER

_________________________
March 7,2018 BABY BOY A _____________________________
Delivery Room Analyn J. Mendoza, MAN, RN
11:08 AM 634065 Jocelyn S. Carvajal, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

_________________________
March 7, 2018 BABY GIRL B _____________________________
Delivery Room Analyn J. Mendoza, MAN, RN
01:30 PM 634100 Jocelyn S. Carvajal, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

_________________________
March 13, 2018 BABY GIRL M _____________________________
Delivery Room Wendy Pearl L. Diga, MAN, RN
08:35 AM 635319 Jocelyn S. Carvajal, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

_________________________
March 13, 2018 BABY GIRL O _____________________________
Delivery Room Wendy Pearl L. Diga, MAN, RN
11: 35 AM 635380 Jocelyn S. Carvajal, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

_________________________
March 14, 2018 BABY BOY A _____________________________
Delivery Room Wendy Pearl L. Diga, MAN, RN
09:54 PM 635540 Jocelyn S. Carvajal, MAN, RN
Dr. Paulino J. Garcia Memorial
Research and Medical Center

Concurred by: Noted by: Approved by:

PINKY MIRIAM D. CANLAS, MAN, RN MA. CORAZON S. SALVADOR, PhD, RN JOSEPHINE O. SAMONTE, MAN, RN
Chief Nurse Program Head, Nursing OIC-Dean, College of Nursing & Allied Medical Sciences
Dr. PJGMRMC Wesleyan University – Philippines Wesleyan University – Philippines
Degree: Master of Arts in Nursing Degree: Doctor of Philosophy Degree: Master of Arts in Nursing
PRC No.: 0075648 Valid Until: September 22, 2021 PRC No.: 0116922 Valid Until: June 17, 2020 PRC No.: 0163005 Valid Until: December 25, 2020
PNA No.: 09873 Valid Until: Lifetime PNA No.: 17506 Valid Until: Lifetime ADPCN No.: 17-726 Valid Until: 2018 - 2019
Date Signed: _______________________ Date Signed: __________________________ Date Signed: _____________________