PRC

STI COLLEGE GLOBAL CITY
STI Academic Center, University Parkway Drive, Bonifacio Global City, Taguig City
Name of Student: Eleanor Joy L. De Guzman_______________________________________________________________________________________________________________________
Accreditation Level: (if any) _____________________________________ Year Granted _____________________________________________________________________________________
Date School/Program was recognized: February 6, 2008___________
Number: 002______________________________________Year: 2008_______________________________________
First Course (if any): Licensed Vocational Nursing__________________ School Graduated From: Healthcare College of California
Year 2006-2007_________________________________
Year of Admission in the Bachelor of Science in Nursing Program: 2009___________________________________________________________________________________________________

Year Graduated (BSN Program): 2010-2011_________________________________________________________________________________________________________________________
I. Major Operations
No
1.
2.
Date of
Operation
Case
No.
August 10,
2010
August 20,
2010
Name of Patient
Diagnosis
100463
3
Vallicier, Ricardo
Ruptured Appendicitis
with General peritonitis
100464
0
Lorenzo, Melina
Chronic Anal Fissure
Operation
Performed
Type of
Anesthesia
Exploratory +
Laparotomy and
Appendectomy
General
Anesthesia
Hemorrhoid
Ectomy
Spinal
Anesthesia
Block
Name of
Surgeon/
Residents
Name of
Hospital
Dr. Allan
Joel
Morales, MD
Taguig Pateros
District Hospital
Dr. Joseph
Fuentes, MD
Taguig Pateros
District Hospital
Name O.R. Scrub

Nurse
Name and
Signature of
Qualified
Clinical
Instructor
Michelle
Agravante, RN
Lita Bacudio RN,

RM, MAN
Michelle
Agravante, RN
Lita Bacudio RN,

RM, MAN
Prepared by:
Noted by:
Concurred by:
Approved by:
ELEANOR JOY L. DE GUZMAN___

Signature Over Printed Name of Student
PETER V. AGRUDA_________________________
Signature Over Printed Name of Clinical Coordinator
Date Signed: _____________________________
Degree: R.N., M.A.N._____________________
a.) P.R.C. No.:0241249____________________
Valid Until :March 13, 2013____________
b.) P.N.A. No.:045107_____________________
Valid Until: October 31, 2012__________
JOEL U. BERNABE, RN, MAN_______

Signature Over Printed Name of Chief Nurse
Date Signed: _________________________
Degree: RN, D.P.A. ___________________
a.) P.R.C. No. 0242578________________
Valid Until: November 31, 2013____
b.) P.N.A. No. :01793___________________
Valid Until: October 31, 2011_______
c.) ANSAP No.: 00817___________________
Valid Until: _December 31,2011_____
MIGUEL E. MANGADA
__________
Signature Over Printed Name of College Dean
Date Signed: __________________________
Degree: R.N., R.P.T., PhD_______________
a.) P.R.C. No.: 105251__________________
Valid Until: September 29,2014______
b.) P.N.A. No.: 18289____________________
Valid Until: Lifetime__________________
c.) ADPCN No.: 1203____________________
Valid Until: May 26, 2012____________

Number: 002______________________________________Year: 2008_______________________________________
Year 2006-2007_________________________________

I. Major Operations
No
1.
2.
3.
Date of
Operation
Name and
Signature of
Qualified
Clinical
Instructor
Operation
Performed
Type of
Anesthesia
Name of
Surgeon/
Residents
G8P5 (5002)
Pregnancy Uterine FullTerm, Cephalic
Lower Segment
Caesarean Section
4 + Bilateral Tubal
Ligation
Subarachnoid
Block
Alexis Uy,
MD
Rizal Medical
Center
Jerome Tinte, RN
Teresita Llamas,
RN, MAN
De Leon, Gianna
Lope
G2P2 (2012)
Pregnancy Uterine
Footling Breech
Lower Segment
Caesarean Section
1
Subarachnoid
Block
Allan Joel
Morales, MD
Rizal Medical
Center
Enrico Reyes, RN
Teresita Llamas,
RN, MAN
Carlos, Bhingo
Elenozano
Chronic Cholecystitis
and Cholelithiasis
Open
Cholecystectomy
Continuous
Lumbar Epidural
Anesthesia
Reigelson
Mariano, MD
Rizal Medical
Center
Grace Rivera, RN
Teresita Llamas,
RN, MAN
Case No.
Name of Patient
Diagnosis
July 29,
2011
16467
Rafael, Sheryl
July 29,
2011
A098179
July 29,
2011
58056
Name of
Hospital
Name O.R. Scrub

Nurse
Prepared by:
Noted by:
Concurred by:

PETER V. AGRUDA_________________________
Date Signed: _____________________________
Degree: R.N., M.A.N._____________________
a.) P.R.C. No.:0241249____________________
b.) P.N.A. No.:045107_____________________
Louise Marie D. Flores_______

Date Signed: _________________________
Degree: RN, D.P.A. ___________________
a.) P.R.C. No. 0086759________________
Valid Until: March 31, 2012____
b.) P.N.A. No. :10355__________________
Valid Until: Lifetime
______
c.) ANSAP No.: 0316 _________________
Valid Until: _Lifetime
_____
Approved by:
MIGUEL E. MANGADA
__________
Date Signed: __________________________
Degree: R.N., R.P.T., PhD_______________
a.) P.R.C. No.: 105251__________________
b.) P.N.A. No.: 18289____________________
c.) ADPCN No.: 1203____________________
Valid Until: May 26, 2012____________

Accreditation Level: (if any) __________________________________ Year Granted: ________________________________________________________________________________________
Date School/Program was recognized: February 6, 2008
Number: 002____________________________________ Year: 2008____________________________________________
First Course (if any): Licensed Vocational in Nursing____________ School Graduated From: Healthcare College of California
Year: 2006-2007______________________________________
Year of Admission in the Bachelor of Science in Nursing Program: 2009____________________________________________________________________________________________________

Year Graduated (BSN Program): 2010 -2011_________________________________________________________________________________________________________________________
II. Minor Operations
No
Date of
Operation
Case
No.
Name of Patient
Diagnosis
Operation
Performed
Type of
Anesthesia
Name of
Surgeon
Name of
Hospital
Name O.R. Scrub

Nurse
Name and
Signature of
Qualified
Clinical
Instructor
1.
September
19, 2010
3563
Tagalog, Michael
Gunshot
Suture
Local
Anesthesia
Reigelson
Mariano, MD
Rizal Medical
Center/
Emergency Room
Benjamin
Gutierrez, RN
Ingrid Caspillo
RN, MSN
2.
July 8,
2011
A0978
35
Acedo, Vanessa
G2P1 (1001)
Pregnancy Uterine
171/2 weeks AOG x
LMP Missed
Abortion
Exploratory +
Laparotomy and
Curettage
General
Anesthesia
Dalmacion,
MD
Rizal Medical
Center
Maria Casbel
Crisostomo, RN
Ingrid Caspillo,
RN, MSN
July 29,
2011
24247
Golloso, Kens Lean
Excision Biopsy
General
Endotracheal
Anesthesia
Samio Lazaro,
MD
Rizal Medical
Center/Operating
Room
Lourdes Mozo, RN
Teresita
Llamas, RN,
MAN
General
Endotracheal
Anesthesia
Jonadav
Martinez, MD
Rizal Medical
Center/ Operating
Room
JeromeTinte, RN
Teresita
Llamas, RN,
MAN
3.
4.
July 29,
2011
53213
Martinez, Tilda
Austria
Left Pyogenic
Granuloma
Adhesive Capsulitis
Right Shoulder +
Hypertrophic Scar
on Right Breast
Close
Manipulation +
Steroid Injection
Right Shoulder +
Revision of
Hypertrophic Scar
Right Breast
Prepared by:
Noted by:
Concurred by:
Approved by:

PETER AGRUDA_________________________
Date Signed: _____________________________
Degree: R.N., M.A.N._____________________
c.) P.R.C. No.:0241249____________________
d.) P.N.A. No.:045107_____________________

Date Signed: _________________________
Degree: RN, D.P.A. ___________________
a.) P.R.C. No. 0086759________________
b.) P.N.A. No. :10355__________________
______
c.) ANSAP No.: 0316 _________________
_____
MIGUEL E. MANGADA
__________
Date Signed: __________________________
Degree: R.N., R.P.T., PhD_______________
a.) P.R.C. No.: 105251__________________
b.) P.N.A. No.: 18289____________________
c.) ADPCN No.: 1203____________________
Valid Until: May 26, 2012____________

Number: 002______________________________________Year: 2008_______________________________________
Year 2006-2007_________________________________

II. Minor Operations

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

Nurse
1.
April 18,
2011
OP 8
Aurelia, Justin
Excess Profuse
Circumcision
Local
Anesthesia
Dr. Rogelio
Catapang,
MD
Air force General

Hospital
Yolanda Toribio,
RN
Name and
Signature of
Qualified
Clinical
Instructor
Marriane
Tejada Corpuz
RN, MAN
Prepared by:
Noted by:
Concurred by:
Approved by:

PETER V. AGRUDA______________________
Date Signed: _____________________________
Degree: R.N., M.A.N._____________________
a.) P.R.C. No.:0241249____________________
b.) P.N.A. No.:045107_____________________
_____________________________
Date Signed: _________________________
Degree: ________________________
a.) P.R.C. No. ___________________
Valid Until: ____ ____________
b.) P.N.A. No. : __________________
Valid Until: _________________
c.) ANSAP No.: _________________
Valid Until: _ _________________
MIGUEL E. MANGADA
__________
Date Signed: __________________________
Degree: R.N., R.P.T., PhD_______________
a.) P.R.C. No.: 105251__________________
b.) P.N.A. No.: 18289____________________
c.) ADPCN No.: 1203____________________
Valid Until: May 26, 2012__________

Name of Student: _Eleanor Joy L. De Guzman ______________________________________________________________________________________________________________________
Accreditation Level: (if any) _________________________________________ Year Granted: _________________________________________________________________________________
Date School/Program was Recognized: February 6, 2008_________________ Number :002_____________________________________ Year: 2008____________________________________
First Course (if any): Licensed Vocational in Nursing____________________School Graduated From: Healthcare College of California
Year: 2006-2007______________________

Year Graduated (BSN Program): 2010-2011__________________________________________________________________________________________________________________________
III. Actual Deliveries
No
Date of
Operation
Case
No.
Name of Patient
1.
Operation
Performed
Type of
Anesthesia
G2P1
(1001) Pregnancy
Uterine 40 weeks 6/7
days
Normal
Spontaneous
Delivery
Local
Anesthesia
Diagnosis
Name of
Surgeon
Name of
Hospital
Name O.R.
Scrub Nurse
Name and
Signature of
Qualified
Clinical
Instructor
Frederick
Diamante, MD
Rizal Medical
Center
Amy
Curangon,RN
Ingrid Caspillo,
RN, MSN
July 7,
2011
A09781
7
Cabito, Micah
July 8,
2011
32240
Rodil, Jhoanna
G5 P4 (4004)
Pregnancy Uterine 37
weeks
Normal
Spontaneous
Delivery
Local
Anesthesia
Jo Ann Vivar,
MD
Rizal Medical
Center
Amy
Curangon,RN
3.
July 13,
2011
A09792
6
Jayah, Margie
G1P0 Pregnancy
Uterine
Normal
Spontaneous
Delivery
Local
Anesthesia
Jo Ann Vivar,
MD
Rizal Medical
Center
Renato Caray,
RN
Ingrid Caspillo,
RN, MSN
4.
August 20,
2010
A09782
0
Escao, Lulu II
G5 P2 Pregnancy
Uterine 37 weeks
Normal
Spontaneous
Delivery
Local
Anesthesia
Frederick
Diamante, MD
Rizal Medical
Center
Ma. Casbel
Crisostomo,
RN
Ingrid Caspillo,
RN, MSN
August 20,
2010
1004642
Samaniego, Fraces
J.
G4 P4 (4004)
Pregnancy Uterine,
38-39 weeks Age of
Gestation, Breech
Presentation in Labor
Normal
Spontaneous
Delivery
Local
Anesthesia
Frederick
Diamante, MD
Rizal Medical
Center
Ma. Casbel
Crisostomo,
RN
Ingrid Caspillo,
RN, MSN
2.
5.
Ingrid Caspillo,
RN, MSN
Prepared by:
Noted by:
Concurred by:
Approved by:

PETER V. AGRUDA_________________________
Date Signed: _____________________________
Degree: R.N M.A.N._____________________
c.) P.R.C. No.:0241249____________________
Valid Until: March 13, 2013____________
d.) P.N.A. No.:045107_____________________

Date Signed: _________________________
Degree: RN, D.P.A. ___________________
a.) P.R.C. No. 0086759________________
Valid Until: March 31, 2012________
b.) P.N.A. No. :10355__________________
______
c.) ANSAP No.: 0316 _________________
_____
MIGUEL E. MANGADA
__________
Date Signed: __________________________
Degree: R.N., R.P.T., PhD_______________
a.) P.R.C. No.: 105251__________________
b.) P.N.A. No.: 18289____________________
c.) ADPCN No.: 1203____________________
Valid Until: May 26, 2012____________

Name of Student: Eleanor Joy L. De Guzman _______________________________________________________________________________________________________________________
Accreditation Level: (if any) _______________________________________
Year Granted _________________________________________________________________________________
Date School/Program was recognized: February 6, 2008_______________
Number: 002____________________________________Year: 2008_____________________________________
First Course (if any): Licensed Vocational in Nursing_____________________School Graduated From: Healthcare College of California
Year: 2006-2007__________________________

Year Graduated (BSN Program): 2010 -2011_________________________________________________________________________________________________________________________
IV. Deliveries Assisted
Name O.R.
Scrub Nurse
Operation
Performed
Type of
Anesthesia
G5P2, Pregnancy Uterine

37 weeks Age of
Gestation, Cephalic in
Labor
Normal
Spontaneous
Delivery
Local
Anesthesia
Frederick
Diamante, MD
Rizal Medical
Center
Ma. Casbel
Crisostomo,
RN
Ingrid
Caspillo, RN,
MSN
Cotas, Regina
Mae
G2 P1 (1001) Pregnancy
Uterine 40 weeks Age of
Gestation
Normal
Spontaneous
Delivery
Local
Anesthesia
Czarina
Artienda, MD
Rizal Medical
Center
Mary Jean
Panes, RN
Ingrid
Caspillo, RN,
MSN
A097824
Diaz, Severina
G2 P1 (1001) Pregnancy
Uterine, 39-40 weeks Age
of Gestation
Normal
Spontaneous
Delivery
Local
Anesthesia
Jo Ann C.
Vivar, MD
Rizal Medical
Center
Ma. Casbel
Crisostomo,
RN
Ingrid
Caspillo, RN,
MSN
July 18,
2011
10-04630
Quintana,
Sharon
G6 P6, 38-39 weeks Age

of Gestation,
Normal
Spontaneous
Delivery
Local
Anesthesia
Gabaldon, MD
Rizal Medical
Center
Ma. Casbel
Crisostomo,
RN
Ingrid
Caspillo, RN,
MSN
July 18,
2011
A097821
8
Pajamosan,
Jaymaylyn
G1 P0 Pregnancy Uterine,
38 weeks 6/7 days, 2.8kgs
Normal
Spontaneous
Delivery
Local
Anesthesia
Dr. Jo Ann C.
Vivar, MD
Rizal Medical
Center
Ma. Casbel
Crisostomo,
RN
Ingrid
Caspillo, RN,
MSN
No
Date of
Operation
Case No.
Name of Patient
1.
July 7,
2011
A097820
Escaloi, Lulu II
2.
July 7,
2011
A097815
3.
July 8,
2011
4.
5.
Name of
Hospital
Name and
Signature of
Qualified
Clinical
Instructor
Name of
Surgeon /
Residents
Diagnosis
Prepared by:
Noted by:
Concurred by:
Approved by:

PETER V. AGRUDA___________________
Date Signed: _____________________________
Degree: R.N., M.A.N._____________________
e.) P.R.C. No.:0241249____________________
f.) P.N.A. No.:045107_____________________

Date Signed: _________________________
Degree: RN, D.P.A. ___________________
a.) P.R.C. No. 0086759________________
b.) P.N.A. No. :10355__________________
______
c.) ANSAP No.: 0316 _________________
_____
MIGUEL E. MANGADA
__________
Date Signed: __________________________
Degree: R.N., R.P.T., PhD_______________
a.) P.R.C. No.: 105251__________________
b.) P.N.A. No.: 18289____________________
c.) ADPCN No.: 1203____________________
Valid Until: May 26, 2012____________

Name of Student: Eleanor Joy L. De Guzman ______________________________________________________________________________________________________________________
Accreditation Level: (if any) _______________________________________
Year Granted: _________________________________________________________________________________
Date School/Program was Recognized: February 6, 2008___________________Number: 002__________________________________

First Course (if any): Licensed Vocational Nurse______________
Year: 2008________________________________
School Graduated From: Healthcare College of California__
Year: 2006-2007___________________________

Year Graduated (BSN Program): 2010 -2011__________________________________________________________________________________________________________________________
V. Cord Dressing
Case No.
Name of Patient
Operation
Performed
July 6,
2011
42625
Baby Girl Tapalce
Cord Care
July 7,
2011
098707
Baby Girl Reyes
Cord Care
3.
July 8,
2011
10-04526
Baby Girl Basario
Cord Care
4.
July 8,
2011
A097825
Baby Girl Bilo
Cord Care
July 13,
2011
A097912
Baby Boy Cellada
Cord Care
No
1.
2.
5.
Date of
Operation
Name of Surgeon /
Residents
Name of Hospital
Name O.R. Scrub

Nurse
Name and Signature of

Qualified Clinical
Instructor
Jo Ann C. Vivar, MD
Rizal Medical Center
Mary Jean Panes, RN
Ingrid Caspillo, RN, MSN
Iluminada Dizon, MD
Mary Jean Panes, RN
Jonadav Martinez, MD
Rizal Medical Center /

Delivery Room
Maria Casbel
Crisostomo, RN
Jo Ann C. Vivar, MD
Rizal Medical Center /
Maria Casbel
Crisostomo, RN
Jo Ann C. Vivar, MD
Renato Caray, RN
Prepared by:
Noted by:
Concurred by:
Approved by:

PETER V. AGRUDA___________________
Date Signed: _____________________________
Degree: R.N., M.A.N._____________________
a.) P.R.C. No.:0241249____________________
b.) P.N.A. No.:045107_____________________

Date Signed: _________________________
Degree: RN, D.P.A. ___________________
a.) P.R.C. No. 0086759________________
b.) P.N.A. No. :10355__________________
______
c.) ANSAP No.: 0316 _________________
_____
MIGUEL E. MANGADA
__________
Date Signed: __________________________
Degree: R.N., R.P.T., PhD_______________
a.) P.R.C. No.: 105251__________________
b.) P.N.A. No.: 18289____________________
c.) ADPCN No.: 1203____________________
Valid Until: May 26, 2012____________
Name
Miguel E. Mangada
Peter V. Agruda, RN, MAN
Joel U. Bernabe, RN, MAN
POSITION
Dean
Clinical Coordinator
Chief Nurse Taguig
Pateros District
Hospital
PRC #
105251
0241249
VALID UNTIL
September 29, 2011
March 13, 2013
PNA
18289
045107
VALID UNTIL
Lifetime
October 31, 2012
0242578
November 30, 2013
01793
ADPCN
1203
VALID UNTIL
May 26, 2012
ANSAP
VALID UNTIL
May 26, 2012
October 31, 2012
October 31, 2011
00817
December 31, 2011
Louise Marie D. Flores, RN, DPA
Chief Nurse
0086759
March 31, 2012
10355
Lifetime
0316
Lifetime
Luz P. Padua, RN, MAN, Ph.D.
Chief Nurse Quirino

Memorial Medical
Center
0187482
July 25, 2012
11959
Lifetime
00004
Lifetime
Date School/Program was recognized: February 6, 2008

No. 002 Series of 2008

PRC

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STI COLLEGE GLOBAL CITY

Number: 002______________________________________Year: 2008_______________________________________

Year of Admission in the Bachelor of Science in Nursing Program: 2009___________________________________________________________________________________________________

Chronic Anal Fissure

Name O.R. Scrub

Lita Bacudio RN,

Lita Bacudio RN,

ELEANOR JOY L. DE GUZMAN___

JOEL U. BERNABE, RN, MAN_______

STI COLLEGE GLOBAL CITY

Number: 002______________________________________Year: 2008_______________________________________

Year of Admission in the Bachelor of Science in Nursing Program: 2009___________________________________________________________________________________________________

Name O.R. Scrub

ELEANOR JOY L. DE GUZMAN___

Louise Marie D. Flores_______

STI COLLEGE GLOBAL CITY

Number: 002____________________________________ Year: 2008____________________________________________

Year of Admission in the Bachelor of Science in Nursing Program: 2009____________________________________________________________________________________________________

Name O.R. Scrub

Golloso, Kens Lean

ELEANOR JOY L. DE GUZMAN___

Louise Marie D. Flores_______

STI COLLEGE GLOBAL CITY

Number: 002______________________________________Year: 2008_______________________________________

Year of Admission in the Bachelor of Science in Nursing Program: 2009___________________________________________________________________________________________________

II. Minor Operations

Name O.R. Scrub

Air force General

ELEANOR JOY L. DE GUZMAN___

STI COLLEGE GLOBAL CITY

Year of Admission in the Bachelor of Science in Nursing Program: 2009____________________________________________________________________________________________________

ELEANOR JOY L. DE GUZMAN___

Louise Marie D. Flores_______

STI COLLEGE GLOBAL CITY

Year Granted _________________________________________________________________________________

Date School/Program was recognized: February 6, 2008_______________

Number: 002____________________________________Year: 2008_____________________________________

Year of Admission in the Bachelor of Science in Nursing Program: 2009____________________________________________________________________________________________________

G5P2, Pregnancy Uterine

G6 P6, 38-39 weeks Age

ELEANOR JOY L. DE GUZMAN___

Louise Marie D. Flores_______

STI COLLEGE GLOBAL CITY

Year Granted: _________________________________________________________________________________

Date School/Program was Recognized: February 6, 2008___________________Number: 002__________________________________

School Graduated From: Healthcare College of California__

Year of Admission in the Bachelor of Science in Nursing Program: 2009____________________________________________________________________________________________________

Baby Girl Tapalce

Baby Girl Reyes

Baby Girl Basario

Baby Girl Bilo

Baby Boy Cellada

Name O.R. Scrub

Name and Signature of

Rizal Medical Center

Mary Jean Panes, RN

Ingrid Caspillo, RN, MSN

Rizal Medical Center

Mary Jean Panes, RN

Ingrid Caspillo, RN, MSN

Rizal Medical Center /

Ingrid Caspillo, RN, MSN

Rizal Medical Center /

Number: 002Year: 2008_

Number: 002Year: 2008_

Number: 002 Year: 2008________

Number: 002Year: 2008_

Number: 002Year: 2008_

Date School/Program was Recognized: February 6, 2008_Number: 002________________