LICEO DE CAGAYAN UNIVERSITY College of Nursing

Rodolfo N. Pelaez Boulevard Kauswagan, Cagayan de Oro City

School Code: 0835 Name of Student: Name and Address of School: Recognition and Accreditation Level: Year Granted: Date when school was recognized: CORCELES, EARVIN JODEL RUIZ Liceo de Cagayan University Rodolfo N. Pelaez Boulevard, Kauswagan, Cagayan de Oro City PACUCOA Level III AUTONOMOUS LEVEL First Course (if any): NOT APPLICABLE OCTOBER 2008 NOVEMBER 2009 School Graduated from: NOT APLLICABLE Year: NOT APPLICABLE June 1972 Year of Admission in the BSN Program: NOVEMBER 2007 Year Graduated (BSN Program): OCTOBER 2010

I. MAJOR OPERATIONS
Date of Operation No. Case No. Name of Patient Diagnosis Operation Performed
Open Reduction Interlocking Nailing Right Tibia Tonsillectomy Bilateral Appendectomy

Types of Anesthesia

Name of Surgeon

Name of Hospital

Name of Qualified OR Scrub Nurse

Signature of Qualified OR Scrub Nurse

January 5, 2009

581424

Capistrano, Jose Jr.

Fractured Tibia Distal 3rd Closed Fracture rd Fibula Distal 3

Spinal Anesthesia

Dr.Henry Fabe Dr. Ma. Rachel Saracho Dr. Jose Red Dr. Leonora Leyson

January 19, 2009

367658

Villegas, Ian Villanueva, Gary Agbayani, Tiffany Dianne

Chronic Hypertrophic Tonsils Bilateral

General Anesthesia General Anesthesia Spinal Anesthesia

September 19, 2009

625118

Appendicitis Delivered Term Operative Apgar 7 Alive Baby Girl Heavy Meconium Stained Amniotic Fluid 2.9 Kilograms by Arrest in Cervical Dilatation & Descent Secondary to Cephalopelvic Disproportion Gravida 1 Parity 1 Delivery Term Operative an Intra Uterine Fetal Death Baby Boy 1.8 kilograms Cord Coil once with Multiple Gestational Anomalies Impending Uterine Rupture Gravida 1 Parity 1
Concurred by:

Northern Mindanao Medical Center Northern Mindanao Medical Center JR Borja General Hospital Bukidnon Provincial Medical Center

Engilbert Uy, RN

Anna Katrina Epon, RN

Jarred Gamos, RN

September 6, 2010
Time Started: 12:18AM Time Ended: 1:50AM

20101004600

Primary Low Transverse Caesarean Section Classical Caesarean Section I

John Edward Estiva, RN

September 6, 2010
Time Started: 3:13AM Time Ended: 5:04AM

20101004705

Guilluano, Mary Grace

Spinal Anesthesia

Dr. Leonora Leyson

Bukidnon Provincial Medical Center

John Edward Estiva, RN

Prepared by:

Supervised by:

Noted by:

Concurred by:

Concurred by:

Approved by:

EARVIN JODEL R. CORCELES Name and Signature of Student

MARIA FRITZIE C. MERLAS OR Clinical Instructor Liceo de Cagayan University Date Signed: _____________ Degree: BSN, RN,MN PRC No: 0172988 Valid Until: March 25, 2013 PNA No: _____________ Valid Until: October 31, 2011

VIVIAN L. CEBALLOS RLE Chairperson /Clinical Instructor Liceo de Cagayan University Date Signed: ________________ Degree: BSN, RN, MAN PRC No: 0171698 Valid Until: September 7, 2011 PNA No: 17947 Valid Until: Lifetime Member

DOROTHEA N. ROQUE Chief Nurse Northern Mindanao Medical Center Date Signed: ___________ Degree: BSN, RN, MAN, EdD PRC No: 0041397 Valid Until: February 6, 2013 PNA No: _____________ Valid Until: December 31, 2011 ANSAP No.:____________ Valid Until: December 31,2011

LANNIE O. CAPINPUYAN Chief Nurse J.R Borja General hospital Date Signed: ________________ Degree: BSN, RN, MAN PRC No: 0118996 Valid Until: October 19, 2013 PNA No: _______ Valid Until: October 31, 2011 ANSAP NO: _______ Valid Until: Decenber 31, 2011

ELAINE RUTH U. SUMAY Chief Nurse Bukidnon Provincial Medical Center Date Signed: ___________ Degree: BSN, RN, MAN PRC No: 0115840 Valid Until: November 21, 2012 PNA No: 19482 Valid Until: Lifetime Member

MARIA CHONA V. PALOMARES Dean Liceo de Cagayan University Date Signed: _______________ Degree: BSN, RN, MAN PRC No.: 0080354 Valid Until: September 23, 2013 PNA No: 17266 Valid Until: Lifetime Member ADPCN No: 362 Valid Until: December 31, 2011

LICEO DE CAGAYAN UNIVERSITY College of Nursing

Rodolfo N. Pelaez Boulevard Kauswagan, Cagayan de Oro City

School Code: 0835 Name of Student: Name and Address of School: Recognition and Accreditation Level: Year Granted: Date when school was recognized: CORCELES, EARVIN JODEL RUIZ Liceo de Cagayan University Rodolfo N. Pelaez Boulevard, Kauswagan, Cagayan de Oro City PACUCOA Level III AUTONOMOUS LEVEL First Course (if any): NOT APPLICABLE OCTOBER 2008 NOVEMBER 2009 School Graduated from: NOT APLLICABLE Year: NOT APPLICABLE JUNE 1972 Year of Admission in the BSN Program: NOVEMBER 2007 Year Graduated (BSN Program): OCTOBER 2010

II. MINOR OPERATIONS

No. Date of Operation Case No. Name of Patient
Ladra, Frances Obidensyo, Lloyd Yam-oc, Webb

Diagnosis

Operation Performed
Excision of Right Ear Circumcision

Types of Anesthesia
Local Anesthesia Local Anesthesia Local Anesthesia

Name of Surgeon
Dr. Ernesto Estorba Dr. Angeles Alaba Dr. Arlene Diana

Name of Hospital

Name of Qualified OR Scrub Nurse

Almark Tabian, RN

Signature of Qualified OR Scrub Nurse

January 6, 2009

1840

Cyst at Right Ear

April 25, 2009

SP00048

Phimosis

Cagayan de Oro Medical Center Cagayan de Oro Polymedic General Hospital Bukidnon Provincial Medical Center

Jeremias Corpuz III, RN

August 26, 2010

238429

Lacerated Wound Left Forehead 4.0 Centimeters x 1.5 Centimeters; Left Cheek 1.0 Centimeter x 1.0 Centimeter; Left Chin 3.0 Centimeters x 1.5 Centimeters Foreign Body in Nostrils

Debridement and Suturing

Shery Tina Desagun, RN

September 4, 2010

577421

Reyes, Eurika

Removal of Foreign Body Debridement and Suturing

Intravenous sedation Local Anesthesia

Dr. Ana Victoria Nodado Dr. Ana Victoria Nodado

Bukidnon Provincial Medical Center Bukidnon Provincial Medical Center

Kaye Piana, RN

September 24, 2010

366812

Balatero, Bonifacio

Fracture Open Type II, Complete Displaced Left Middle Phalange

Noted by: Concurred by:

Kaye Piana, RN

Prepared by:

Supervised by:

Concurred by:

Concurred by:

Approved by:

EARVIN JODEL R. CORCELES Name and Signature of Student

MARIA RESURRECION J. DAO-AYAN OR Clinical Instructor Liceo de Cagayan University Date Signed: _____________ Degree: BSN, RN, MN PRC No: 22150 Valid Until: April 10, 2014 PNA No: 19490 Valid Until: Lifetime Member

VIVIAN L. CEBALLOS RLE Chairperson /Clinical Instructor Liceo de Cagayan University Date Signed: ___________ Degree: BSN, RN, MAN PRC No: 0171698 Valid Until: September 7, 2011 PNA No: 17947 Valid Until: Lifetime Member

CONSOLACION C. VERENDIA Chief Nurse Cagayan de Oro Medical Center Date Signed: ___________ Degree: RN, BSN, MAN PRC No: 0171698 Valid Until: September 7, 2011 PNA No: 17947 Valid Until: Lifetime Member ANSAP NO: _______

ELAINE RUTH U. SUMAY Chief Nurse Bukidnon Provincial Medical Center Date Signed: ___________ Degree: BSN, RN, MAN PRC No: 0115840 Valid Until: November 21, 2012 PNA No: 19482 Valid Until: Lifetime Member

GEORGE MICHAEL P. LIM Chief Nurse Cagayan de Oro Polymedic General Hospital Date signed:_______________ Degree: BSN, RN, MN PRC no.: 300900 Valid until: July 17, 2011 PNA no.: 19270 Valid until: Lifetime Member ANSAP no.:_______ Valid until: December 31, 2011

MARIA CHONA V. PALOMARES Dean Liceo de Cagayan University Date Signed: ______________ Degree: BSN, RN, MAN PRC No.: 0080354 Valid Until: September 23, 2013 PNA No: 17266 Valid Until: Lifetime Member ADPCN No: 362 Valid Until: December 31,

LICEO DE CAGAYAN UNIVERSITY College of Nursing

Rodolfo N. Pelaez Boulevard Kauswagan, Cagayan de Oro City

School Code: 0835 Name of Student: Name and Address of School: Recognition and Accreditation Level: Year Granted: Date when school was recognized: CORCELES, EARVIN JODEL RUIZ Liceo de Cagayan University Rodolfo N. Pelaez Boulevard, Kauswagan, Cagayan de Oro City PACUCOA Level III AUTONOMOUS LEVEL First Course (if any): NOT APPLICABLE October 2008 November 2009 School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE JUNE 1972 Year of Admission in the BSN Program: NOVEMBER 2007 Year Graduated (BSN Program): OCTOBER 2010

III. HANDLED DELIVERIES

No.
1

Case No.
005464

Diagnosis
Delivery Spontaneous to a Female Stillbirth Birth Weight 1480 Grams, Cephalic Presentation, Gravida 2 Parity 1 Fetal Death Normal Spontaneous Vaginal Delivery Delivered to Alive Baby Girl Cephalic Presentation Birth Weight 2.3 Kilograms Age of Gestation 39 weeks and 5 Days Gravida 4 Parity 4 Apgar 9 Delivered Term Spontaneous Alive Baby Boy, Cephalic Presentation, Apgar 8, Birth Weight 3 Kilograms, Gravida 2 Parity 2 Pregnancy Uterine Full Term Delivered via Normal Spontaneous Vaginal Delivery Alive Baby Boy 3.3 Kilograms Birth Weight Cephalic Presentation Apgar 9, Gravida 1 Parity 1 Pregnancy Uterine Full Term Delivered via Normal Spontaneous Vaginal Delivery Alive Baby Boy, 4 Kilograms Birth Weight Cephalic Presentation Apgar 9, Gravida 9 Parity 9
Noted by:

Name of Mother
Macadag-um, Liza

Age
21

Date of Delivery
July 24, 2008

Time of Delivery
5:18AM

Gender of Baby
Female

Name of Hospital
Bukidnon Provincial Hospital Maramag Alubijid Rural Health Unit

Type of Delivery
Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery
Concurred by:

Name and Signature of Qualified DR Clinical Instructor

Ma. Resurrecion J. Dao- Ayan RN, MN

Alzo, Leonie

26

000118

January 18, 2010

9:10AM

Female

Rowena B. Chua RN, MN

20101004712

Galorport, Nenea

25

September 6, 2010 September 20, 2010

7:15AM

Male

Bukidnon Provincial Medical Center Northern Mindanao Medical Center Northern Mindanao Medical Center

Ma Resurrecion J. Dao- Ayan, RN, MN

764280

Agad, Mary Rose

23

8:23AM

Male

Judith T. Dalman, RN, MAN

Talisic, Jona

36

523466

September 20, 2010

Concurred by:

9:34AM

Male

Judith T. Dalman, RN, MAN

Approved by:

Prepared by:

Concurred by:

Concurred by:

EARVIN JODEL R. CORCELES Name and Signature of Student

VIVIAN L. CEBALLOS RLE Chairperson /Clinical Instructor Liceo de Cagayan University Date Signed: ________________ Degree: BSN, RN, MAN PRC No: 0171698 Valid Until: September 7, 2011 PNA No: 17947 Valid Until: Lifetime Member

EPPIE L. ENGUITO Chief Nurse Bukidnon Povincial Hospital Maramag Date Signed: ___________ Degree: BSN, RN, MAN, PRC No: _______ Valid Until: March 14, 2012 PNA No: 19480 Valid Until: Lifetime Member

XENIA C. APDIAN Public Health Nurse II Alubijid Rural Health Unit Date Signed: ___________ Degree: BSN, RN PRC No: 227335 Valid Until: October 13, 2013 PNA No: ___________ Valid Until: October 31, 2011

ELAINE RUTH U. SUMAY Chief Nurse Bukidnon Provincial Medical Center Date Signed: ________ Degree: BSN, RN, MAN PRC No: 0115840 Valid Until: November 21, 2012 PNA No: 19482 Valid Until: Lifetime Member

DOROTHEA N. ROQUE Chief Nurse Northern Mindanao Medical Center Date Signed: ___________ Degree: BSN, RN, MAN, EdD PRC No: 0041397 Valid Until: February 6, 2013 PNA No: ___________ Valid Until: October 31, 2011 ANSAP NO: ___________

MARIA CHONA V. PALOMARES Dean Liceo de Cagayan University Date Signed: _____________ Degree: BSN, RN, MAN PRC No.: 0080354 Valid Until: September 23, 2013 PNA No: 17266 Valid Until: Lifetime Member ADPCN No: 362 Valid Until: December 31, 2011

LICEO DE CAGAYAN UNIVERSITY College of Nursing

Rodolfo N. Pelaez Boulevard Kauswagan, Cagayan de Oro City

School Code: 0835

Name of Student: Name and Address of School: Recognition and Accreditation Level: Year Granted: Date when school was recognized:

CORCELES, EARVIN JODEL RUIZ Liceo de Cagayan University Rodolfo N. Pelaez Boulevard, Kauswagan, Cagayan de Oro City PACUCOA Level III AUTONOMOUS LEVEL First Course (if any): NOT APPLICABLE OCTOBER 2008 NOVEMBER 2009 School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE JUNE 1972 Year of Admission in the BSN Program: SUMMER 2008 Year Graduated (BSN Program): OCTOBER 2010

IV. ASSISTED DELIVERIES

Case No.
No. 1 003706 Normal Spontaneous Vaginal Delivery Delivered Baby Boy Cephalic Presentation at 3.3 Kilograms 40 weeks Age of Gestation Gravida 2 Parity 2 Normal Spontaneous Vaginal Delivery Delivered Baby Girl Cephalic Presentation at 3.5 Kilograms 39 weeks and 4 days Gravida 2 Parity 2, Apgar 9 Delivery Term Spontaneous, Apgar 8, Alive Baby Boy 3 Kilograms, Gravida 1 Parity 1, Cephalic Presentation Pregnancy Uterine Full Term Delivered via Normal Spontaneous Vaginal Delivery Alive Baby Boy, 2.4 Kilograms Birth Weight Cephalic Presentation, Apgar 9, Gravida 1 Parity 1 Pregnancy Uterine Full Term Delivered via Normal Spontaneous Vaginal Delivery Alive Baby Boy, 2.7 Kilograms Birth Weight Cephalic Presentation, Apgar 9, Gravida 1 Parity 1
Noted by:

Diagnosis

Name of Mother
Samante, Royen

Age
19

Date of Delivery
November 1, 2009

Time of Delivery
8:30AM

Gender of Baby
Male

Name of Hospital
Alubijid Rural Health Unit

Types of Delivery
Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery

Name and Signature of Qualified DR Clinical Instructor

Rowena B. Chua RN, MN

003269

Opena, Anabelle

20

November 15, 2009

7:30AM

Female

Alubijid Rural Health Unit

Rowena B. Chua RN, MN

20101004706

Quinto, Charlotte

16

September 6, 2010

2:38AM

Male

Bukidnon Provincial Medical Center Northern Mindanao Medical Center Northern Mindanao Medical Center

Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery

Ma. Resurrecion J. Dao-Ayan, RN MN

494837

Sumile, Marjorie

33

September 20, 2010

7:50AM

Male

Judith T. Dalman, RN, MAN

A92497

Nocillado, Hazel Agnes

Concurred by:

16

September 20, 2010

12:32PM

Male

Judith T. Dalman, RN, MAN

Prepared by:

Concurred by:

Concurred by:

Approved by:

EARVIN JODEL R. CORCELES Name and Signature of Student

VIVIAN L. CEBALLOS RLE Chairperson /Clinical Instructor Liceo de Cagayan University Date Signed: ________________ Degree: BSN, RN, MAN PRC No: 0171698 Valid Until: September 7, 2011 PNA No: 17947 Valid Until: Lifetime

XENIA C. APDIAN Public Health Nurse II Alubijid Rural Health Unit Date Signed: ___________ Degree: BSN, RN PRC No: 227335 Valid Until: October 13,2013 PNA No: ___________ Valid Until: October 31, 2011

ELAINE RUTH U. SUMAY Chief Nurse Bukidnon Provincial Medical Center Date Signed: ________ Degree: BSN, RN, MAN PRC No: 0115840 Valid Until: November 21, 2012 PNA No: 19482 Valid Until: Lifetime Member ANSAP NO: _______

DOROTHEA N. ROQUE Chief Nurse Northern Mindanao Medical Center Date Signed: ___________ Degree: BSN, RN, MAN, EdD PRC No: 0041397 Valid Until: February 6, 2013 PNA No: ___________ Valid Until: October 31, 2011

MARIA CHONA V. PALOMARES Dean Liceo de Cagayan University Date Signed: ______________ Degree: BSN, RN, MAN PRC No.: 0080354 Valid Until: September 23, 2013 PNA No: 17266 Valid Until: Lifetime Member ADPCN No:362 Valid Until: December 31,

LICEO DE CAGAYAN UNIVERSITY College of Nursing

Rodolfo N. Pelaez Boulevard Kauswagan, Cagayan de Oro City

School Code: 0835 Name of Student: Name and Address of School: Recognition and Accreditation Level: Year Granted: Date when school was recognized: CORCELES, EARVIN JODEL RUIZ Liceo de Cagayan University Rodolfo N. Pelaez Boulevard, Kauswagan, Cagayan de Oro City PACUCOA Level III AUTONOMOUS LEVEL First Course (if any): NOT APPLICABLE OCTOBER 2008 NOVEMBER 2009 School Graduated from: NOT APPLICABLE Year NOT APPLICABLE JUNE 1972 Year of Admission in the BSN Program: NOVEMBER 2007 Year Graduated (BSN Program): OCTOBER 2010

V. IMMEDIATE NEWBORN CARE

No.
1

Case No.
12470

Date Performed
September 19, 2008

Name of Baby
Gagani, Baby Girl

Gender of Baby
Female

Name of Mother
Gagani, Tabetha

Age
29

Name of Hospital
Bukidnon Provincial Hospital Maramag Northern Mindanao Medical Center

Types of Delivery
Cesarean Section

Name and Signature of Qualified DR Clinical Instructor

Ma. Resurrecion J. Dao-ayan RN, MN

709116

March 15, 2010

Time: 5:55PM

Bantilian, Baby Boy

Male

Bantilian, Mercelina

33

Cesarean Section Judith T. Dalman RN, MAN

720441

March 15, 2010

Time: 9:10PM

Managutan, Baby Girl

Female

Managutan, Leah

35

Northern Mindanao Medical Center

Normal Spontaneous Vaginal Delivery

Judith T. Dalman RN, MAN

709120

March 15, 2010

Time: 9:40PM

Jayectin, Baby Boy

Male

Jayectin, Gladys Jean

22

Northern Mindanao Medical Center Northern Mindanao Medical Center

Concurred by:

Cesarean Section Judith T. Dalman RN, MAN Normal Spontaneous Vaginal Delivery

767181

September 20, 2010

Juntiilla, Baby Boy

Male

Juntilla, Shereen Jean

17

Judith T. Dalman RN, MAN

Approved by:

Prepared by:

Noted by:

Concurred by:

EARVIN JODEL R. CORCELES Name and Signature of Student

VIVIAN L. CEBALLOS RLE Chairperson /Clinical Instructor Liceo de Cagayan University Date Signed: ________________ Degree: BSN, RN, MAN PRC No: 0171698 Valid Until: September 7, 2011 PNA No: 17947 Valid Until: Lifetime Member

EPPIE L. ENGUITO Chief Nurse Bukidnon Povincial Hospital Maramag Date Signed: ___________ Degree: BSN, RN, MAN, PRC No: _______ Valid Until: March 14, 2012 PNA No: 19480 Valid Until: Lifetime Member ANSAP NO: 00905

DOROTHEA N. ROQUE Chief Nurse Northern Mindanao Medical Center Date Signed: ___________ Degree: BSN, RN, MAN, EdD PRC No: 0041397 Valid Until: February 6, 2013 PNA No: ___________ Valid Until: October 31, 2011 ANSAP NO: ___________ Valid Until: December 21, 2011

MARIA CHONA V. PALOMARES Dean Liceo de Cagayan University Date Signed: ______________ Degree: BSN, RN, MAN PRC No.: 0080354 Valid Until: September 23, 2013 PNA No: 17266 Valid Until: Lifetime Member ADPCN No:362 Valid Until: December 31, 2011