2008 2009 scrubs-debbie
TRANSCRIPT
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009___________________________________________________________________________________
I. MAJOR OPERATION
No.Date of
OperationCase No. Name of Patient Diagnosis
Operation Performed
Type of Anesthesia
Name of Surgeon Name of Hospital
Name of O.R. Scrub
Nurse
Supervised by: Name of Faculty
5 June 15,2009
01113192
Yanzon,Rocky Infected,fracture, open type III-A, complete transverse distal third radius, right;Status post debridement
Repeat Debridement Re-application of pins radius,Right
GENERAL Michelle Madalogdog
Corazon Locsin Montelibano Memorial Regional Hospital
Bryan Pablo Jolo,Joemarie, RN
Date Signed______Degree: RNPRC No:0263127 Valid Until:June 4, 2012PNA No:021544Valid Until:October 31,2010
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN JORESLYN P. BALA-AN, RN, MN, Ma.edHELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN, Ma.ed Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0091019 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 24, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 03879 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifeline Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009___________________________________________________________________________________
I. MAJOR OPERATION
No.Date of
OperationCase No. Name of Patient Diagnosis
Operation Performed
Type of Anesthes
ia
Name of Surgeon
Name of Hospital
Name of O.R. Scrub Nurse
Supervised by: Name of Faculty
1 August 25,2008
01069097
Barbasa, Leslie Ann
Gravida 2 Para 2(2002)pregnancy uterine full term cephalic;cephalo pelvic disproportion
Repeat Low Transverse caesarian section(2x)with Bilateral Tubal Ligation(Modified Pomeroy)
SPINAL
Mae Irene Rife
Corazon Locsin Montelibano Memorial Regional Hospital
Jaime Sibug,RN Belle C. Paparon,
RN,MNDate Signed______Degree:RN,MNPRC No:0086493Valid Until:August 22,2010PNA No:10553Valid Until:Lifetime member
2 August 25,2008
01069197
Alimon,Fricy Gravida 2 Para 1 (1011)pregnancy uterine full term,frank breech
Primary Low Transverse Caesarian section
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN JORESLYN P. BALA-AN, RN, MN, Ma.ed HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN, Ma.ed Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0091019 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 24, 2011 Valid Until: November 15, 2011
b) PNA No. 045487 b) PNA No. 03879 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifeline Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009___________________________________________________________________________________
I. MAJOR OPERATION
No.Date of
OperationCase No. Name of Patient Diagnosis
Operation Performed
Type of Anesthesia Name of Surgeon Name of Hospital
Name of O.R. Scrub Nurse
Supervised by: Name of Faculty
3 December 19,2008
126766 Sy, Sybil kristine Acute Supperative Appendicitis
Appendectomy
Spinal Sebastian Tabuga The Doctors’
Hospital Incorporated
Dario LausaClavano,Maricon ,RN, MNDate Signed______Degree: RN, MNPRC No: 0080619Valid Until: May 3, 2011PNA No: 11009Valid Until: Lifetime Member
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN EDITHA L. BAYONETA, RN, MN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0125661 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: August 8 2012 Valid Until: November 15, 2011
b) PNA No. 045487 b) PNA No. 19677 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 2009___________________________________________________________________________________
I. MAJOR OPERATION
No.Date of
Operation
Case No.
Name of Patient Diagnosis
Operation Performed
Type of Anesthesi
a
Name of Surgeon
Name of Hospital
Name of O.R. Scrub
Nurse
Supervised by: Name of Faculty
4May
12,2009 170170 Acolentava, Leo
Open Depressed Comminuted skull fx
with brain Evisceration Right
Parietal Area.
Craniotomy 1st
Debridement and Elevation
of open comminuted
depressed skull fx. Right
parietal area Dueraraphy
General Bacalian,
StevenWestern Visayas Medical Center
Edgar Lamprea,R
N
Rex AraniadorDate Signed______Degree:RNPRC No:0203953Valid Until: January 26,2010PNA No:030898Valid Until: December 21, 2009
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN FREIDA G. SORONGON, RN,MAN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MAN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0028836 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: August 16, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 17428 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009___________________________________________________________________________________
II. MINOR OPERATION
No.
Date of Operatio
n
Case No. Name of Patient Diagnosis
Operation Performed
Type of Anesthesi
a
Name of Surgeon Name of Hospital
Name of O.R. Scrub Nurse
Supervised by: Name of Faculty
3May 22, 2009
1109
Cardinas, Joshua Uncircumcised Penis
Circumcision
LocalDaniel T. Paez Dr. Jose C. Locsin
Memorial Maternity
Clinic
Arlene G. Chu, RN
Donna P. Javelona, RNDate Signed: Degree: RNPRC No.: 0263971Valid Until: February 8, 2013PNA No.: 045622Valid Until: October 31, 2010
4 1128
Cordero, Ryan Rey
Uncircumcised Penis
Circumcision
Local
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN ARLENE G. CHU, RN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Public Health Nurse III Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0088075 a) PRC No. 56974
Valid Until: February 8, 2012 Valid Until: February 6, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 044403 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: October 31, 2010 Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009___________________________________________________________________________________
II. MINOR OPERATION
No.
Date of Operatio
n
Case No. Name of Patient Diagnosis
Operation Performed
Type of Anesthesi
a
Name of Surgeon Name of Hospital
Name of O.R. Scrub Nurse
Supervised by: Name of Faculty
1 April 25, 2008
0014514
Legarda, Wilson Incised Wound, Index Finger, Right Hand
Suturing, wound, Index Finger, Hand, Right
Local Mahal GauzeTeresita L. Jalandoni Provincial Hospital
Janet M. PaezBeverly Legada, RN, MNDate Signed: Degree: RN, MNPRC No.: 0126093Valid Until: October 4, 2010PNA No.: 044830 Valid Until: October 31, 2010
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN MA. TERESA O. SEVERINO, RN, MN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN Degree: RN, MN, Ed. D.
a) PRC No. 0239072 a) PRC No. 0101938 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: April 27, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 174418 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009_________________________________________________________________________________
III. ACTUAL DELIVERIES
No.
Case No. Diagnosis
Name of Mother Age
Date of Delivery
Time of Delivery
Gender of
Baby
Name of Hospital Type of Delivery
Supervised by: Name of Qualified C.I.
5 00-28-39
Pregnancy Uterine Full Term, Gravida 4 Para 4
Panta, Hedilita
32 July 6, 2009 3:18 AM Female
Well Family Midwife Clinic
Normal Spontaneous Vaginal Delivery
Donna P. Javelona, RNDate Signed: Degree: RNPRC No.: 0263971Valid Until: February 8, 2013PNA No.: 045622Valid Until: October 31, 2010
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN EDITH M. MONTIBOR, RM HELEN V. CORREA, RN, MN, Ed.D.
Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Clinic Manager Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RM Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0084399 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: November 12, 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009_________________________________________________________________________________
IV. ASSISTED DELIVERIESNo.
Case No.
Diagnosis Name of Patient Age Date of Delivery
Time of Delivery
Gender of Baby
Name of Hospital Type of Delivery Supervised by: Name of Qualified C.I.
1 01117494
Pregnancy Uterine Full Term, Gravida 3 Para 3
Piamonte, Aireen 21 June 18, 2009
12:34 AM
Female Corazon Locsin Montelibano Memorial Regional Hospital
Normal Spontaneous Vaginal Delivery
Maricar S. Begasa, RN,MNDate Signed: Degree: RN,MNPRC No.: 0317625Valid Until: January 5, 2011PNA No.: 044522Valid Until: October 31, 2010
2 01117541
Pregnancy Uterine Full Term, Gravida 2 Para 2
Sangasin, Michelle
23 June 18, 2009
4:45 AM Female Normal Spontaneous Vaginal Delivery
3 01117542
Pregnancy Uterine Full Term, Gravida 1 Para 1
Espinosa, Hannah Marie
22 June 18, 2009
5:43 AM Female Normal Spontaneous Vaginal Delivery
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN JORESLYN P. BALA-AN, RN, MN, Ma.ed HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN, Ma.ed Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0091019 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 24, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 03879 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifeline Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009_________________________________________________________________________________
IV. ASSISTED DELIVERIESNo.
Case No.
Diagnosis Name of Patient Age Date of Delivery
Time of Delivery
Gender of Baby
Name of Hospital Type of Delivery Supervised by: Name of Qualified C.I.
4 01119148
Pregnancy Uterine Full Term, Gravida 1 Para 1
Sembran, Mary Jean
20 June 27, 2009
7:38 PM Male Corazon Locsin Montelibano Memorial Regional Hospital
Normal Spontaneous Vaginal Delivery
Moly V. Calamay, RNDate Signed: Degree: RNPRC No.: 0262640Valid Until: November 6, 2012PNA No.: 044699Valid Until: October 31,2010
5 01119180
Pregnancy Uterine Full Term, Gravida 1 Para 1
Javier, Anadhem 15 June 27, 2009
8:32 PM Male Normal Spontaneous Vaginal Delivery
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN JORESLYN P. BALA-AN, RN, MN, Ma.ed HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN, Ma.ed Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0091019 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 24, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 03879 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifeline Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009___________________________________________________________________________________
V. CORD DRESSING
No. Case No. Date Performed
Name of Baby Gender of Baby
Name of Mother Age Name of Hospital Supervised by: Name of Qualified C.I.
3 00-09-32 January
1 ,2009Lambayong, kristina
female
Anna Lambayong
24
Well Family Midwife Clinic
Peter John C. Dela Cruz, RMT,RN,MANDate Signed______Degree: RMT,RN,MANPRC No:0362275Valid Until; March 28, 2011PNA No:045621Valid Until: Oct 31, 2010
4 00-09-43 February
10,2009Duermi, Rosalie
female
Kathrina Duermi
19
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN DOLORES P. PEDROSO, MN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Clinic Manager Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: MN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0057738 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 26, 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 045219 Valid Until: October 21, 2010 Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009___________________________________________________________________________________
V. CORD DRESSING
No. Case No. Date Performed
Name of Baby Gender of Baby
Name of Mother Age Name of Hospital Supervised by: Name of Qualified C.I.
5 00-28-31 June 30, 2009 Caratao, Baby Girl
Female
Caratao, Dolores
21
Well Family Midwife Clinic
Donna P. Javelona, RNDate Signed: Degree: RNPRC No.: 0263971Valid Until: February 8, 2013PNA No.: 045622Valid Until: October 31, 2010
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN EDITH M. MONTIBOR, RM HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Clinic Manager Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RM Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0084399 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: November 12, 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009___________________________________________________________________________________
V. CORD DRESSING
No. Case No. Date Performed
Name of Baby Gender of Baby
Name of Mother Age Name of Hospital Supervised by: Name of Qualified C.I.
1 09000919 January
31 ,2009Arricivita, Baby Boy
Male
Arricivita,Elengie
33 Ignacio Lacson Arroyo Sr.
Memorial District HospitalJoemarie M. Jolo, RNDate Signed: Degree: RNPRC No.: 0263127Valid Until: June 4, 2012PNA No.: 021544Valid Until: October 31, 2010
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN ROSE MARY P. GAYARES, RN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0034577 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: December 25, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 021546 b) PNA No. 045219 Valid Until: October31, 2010 Valid Until: October 31. 2010 Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009_________________________________________________________________________________
III. ACTUAL DELIVERIES
No. Case No. Diagnosis
Name of Mother Age
Date of Delivery
Time of Delivery
Gender of
Baby
Name of Hospital Type of Delivery
Supervised by: Name of Qualified
C.I.2 01112737 Pregnancy
Uterine Full Term, Gravida 1 Para 1
Yayola, Jolyn 23 May 18, 2009
8:39PM Male Corazon Locsin Montelibano Memorial Regional Hospital
Normal Spontaneous Vaginal Delivery Moly V. Calamay, RN
Date Signed: Degree: RNPRC No.: 0262640Valid Until: November 6, 2012PNA No.: 044699Valid Until: October 31,2010
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN JORESLYN P. BALA-AN, RN, MN, Ma.ed HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN, Ma.ed Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0091019 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 24, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 03879 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifeline Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009_________________________________________________________________________________
III. ACTUAL DELIVERIES
No.
Case No. Diagnosis
Name of Mother Age
Date of Delivery
Time of Delivery
Gender of
BabyName of Hospital Type of Delivery
Supervised by: Name of Qualified C.I.
3 01119387
Pregnancy Uterine Full Term, Gravida 1 Para 1
Chavez, Stacylyn
18 June 28, 2009
8:33PM Female
Corazon Locsin Montelibano Memorial Regional Hospital
Normal Spontaneous Vaginal Delivery
Maricar S. Begasa, RN,MNDate Signed: Degree: RN,MNPRC No.: 0317625Valid Until: January 5, 2011PNA No.: 044522Valid Until: October 31, 2010
4 01119405
Pregnancy Uterine Full Term, Gravida 2 Para 2
Ramirez, Ara 19June 28, 2009
9:34PM Female
Normal Spontaneous Vaginal Delivery
Prepared by: Noted by: Concurred by: Approved by:
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN JORESLYN P. BALA-AN, RN, MN, Ma.ed HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN, Ma.ed Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0091019 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 24, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 03879 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifeline Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: VALIENTE, MARVIC JOHNEL JAVA __________________ Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: ________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ___________Year Admission in the Bachelor of Science in Nursing Program: June 2004____________________________________________________________Year Graduated (BSN Program): October 14, 2009________________________________________________________________________________
I. MAJOR OPERATIONNo.
Date of Operation
Case No.
Name of Patient
Diagnosis Operation Performed
Type of Anesthesia
Name of Surgeon
Name of Hospital
Name of O.R. Scrub Nurse
Supervised by: Name of Faculty
3 January
16, 2009123656
Palacio, Vicente
Acute Intestion Secondary to Intestinal Tuberculosis and Tabes Mesenteries
Exploratory Lap Adhesiiolysis with One Drain
General Endotracheal
Sebastian Tabuga
The Doctors’ Hospital Incorporated
Leonardo Gallardo, RN
YOLY H. PABILLO, RN, MNDate Signed: PRC No.: 0088398Valid Until: February 12, 2012PNA No.: 061319Valid Until: December 31, 2009
Prepared by: Noted by: Concurred by: Approved by:
MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN EDITHA L. BAYONETA, RN, MN HELEN V. CORREA, RN, MN, Ed.D.Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0125661 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: August 8, 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 19677 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: VALIENTE, MARVIC JOHNEL JAVA __________________ Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: ________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ___________Year Admission in the Bachelor of Science in Nursing Program: June 2004____________________________________________________________Year Graduated (BSN Program): October 14, 2009________________________________________________________________________________
I. MAJOR OPERATIONNo.
Date of Operation
Case No.
Name of Patient
Diagnosis Operation Performed
Type of Anesthesia
Name of Surgeon
Name of Hospital
Name of O.R. Scrub Nurse
Supervised by: Name of Faculty
5 March 1, 2009
09-0276
Yulatic, Alma Gravida 2
Para2, Pregnancy Uterine Full Term; Frank Breech
Primary Low Transverse Cesarean Section
Spinal Norma Calicdan Teresita L. Jalandoni Provincial Hospital
Helen Jimenea, RNTRINA P. PANTALEON, RNDate Signed: PRC No.: 0461440Valid Until: March 22, 2010PNA No.: 044577Valid Until: October 31, 2010
Prepared by: Noted by: Concurred by: Approved by:
MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN MA. TERESA O. SEVERINO, RN, MAN HELEN V. CORREA, RN, MN, Ed.D.
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MAN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0101938 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: April 27, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 174418 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: VALIENTE, MARVIC JOHNEL JAVA __________________ Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: ________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ___________Year Admission in the Bachelor of Science in Nursing Program: June 2004____________________________________________________________Year Graduated (BSN Program): October 14, 2009________________________________________________________________________________
II. MINOR OPERATION
No.
Date of Operatio
n
Case No.
Name of Patient Diagnosis
Operation Performed
Type of Anesthesi
a
Name of Surgeon
Name of Hospital
Name of O.R. Scrub Nurse
Supervised by: Name of Faculty
4
December 12, 2008
01987036
Legame, Rene
Complte Transection, Extensor Digitorum Cummis Tendon, Hand, Left
Tenorrhapy Local Shaun Borres Corazon
Locsin Montelibano Memorial Regional Hospital
Jerry Trayfalgar RAFAEL C. MARMOLEJO III, RN
Date Signed: PRC No.: 0260390Valid Until: June 31, 2010 PNA No.: 045285Valid Until: October 31, 2010
5 01095191
Lizano, Romilo
Lacerated Wound 2cm, 1st Digit, Foot, Right
Suturing, Wound, Lacerated, 1st Digit, Foot, Right
Local Juan Del Rio Graciano Mugar
Prepared by: Noted by: Concurred by: Approved by:
MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN JORESLYN P. BALA-AN, RN, MN, Ma.ed HELEN V. CORREA, RN, MN, Ed.D.
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN, Ma.ed Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0091019 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 24, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 03879 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifeline Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: VALIENTE, MARVIC JOHNEL JAVA __________________ Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: ________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ___________Year Admission in the Bachelor of Science in Nursing Program: June 2004____________________________________________________________Year Graduated (BSN Program): October 14, 2009________________________________________________________________________________
II. MINOR OPERATION
No.
Date of Operation
Case No. Name of Patient Diagnosis
Operation Performed
Type of Anesthesia
Name of Surgeon
Name of Hospital
Name of O.R. Scrub
Nurse
Supervised by: Name of Faculty
1 May 10, 2008
106312
Aloro, Enrico Gatric Outlet Obstruction Secondary to Pyloro-Anral Mass
Esophagu-Gastro Duodenoscopy aand Biopsy
Local Ric Lobaton The Doctors’ Hospital Incorporated
NESTOR IGNACIO D. TALAGON JR., RN, PTRPDate Signed: PRC No.: 0263971Valid Until: February 8, 2013PNA No.: 045622Valid Until: October 31, 2010
2 106192
Banguanga,Kenshin
Dysplsastic Hip, Right, Status Post Release of Soft Tissue and
Closed Reduction
General Endotracheal
Jose Maria Coruña
Debridement of Acetabulum
Prepared by: Noted by: Concurred by: Approved by:
MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN EDITHA L. BAYONETA, RN, MN HELEN V. CORREA, RN, MN, Ed.D.Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0125661 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: August 8, 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 19677 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: VALIENTE, MARVIC JOHNEL JAVA __________________ Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: ________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ___________Year Admission in the Bachelor of Science in Nursing Program: June 2004____________________________________________________________Year Graduated (BSN Program): October 14, 2009________________________________________________________________________________
V. CORD DRESSING
No. Case No.
Date Performed Name of Baby Gender of Baby
Name of Mother Age Name of Hospital Supervised by: Name of Qualified C.I.
2 124360 November 20,
2008Alintana, Baby Girl
Female
Alintana. Jovelyn
32 The Doctors’ Hospital
Incorporated MA. LEONORA S. GAMBOA, RN, MNDate Signed: PRC No.: 0240549Valid Until: September 1, 2012PNA No.: 044523Valid Until: October 31, 2010
Prepared by: Noted by: Concurred by: Approved by:
MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN EDITHA L. BAYONETA, RN, MN HELEN V. CORREA, RN, MN, Ed.D.Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0125661 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: August 8 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 19677 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifetime Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: VALIENTE, MARVIC JOHNEL JAVA __________________ Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: ________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ___________Year Admission in the Bachelor of Science in Nursing Program: June 2004____________________________________________________________Year Graduated (BSN Program): October 14, 2009________________________________________________________________________________
V. CORD DRESSING
No. Case No.
Date Performed Name of Baby Gender of Baby
Name of Mother Age Name of Hospital Supervised by: Name of Qualified C.I.
3 010986
01February 19, 2009
Gustilo, Jonathan Male
Gustilo, Sheena Mae
23
Corazon Locsin Montelibano Memorial Regional Hospital
MA. LEONORA S. GAMBOA, RN, MNDate Signed: PRC No.: 0240549Valid Until: September 1, 2012PNA No.: 044523Valid Until: October 31, 2010
4 01098623
February 19, 2009
Cañete, Arialyn Female
Cañete, Jocelyn
24
Prepared by: Noted by: Concurred by: Approved by:
MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN JORESLYN P. BALA-AN, RN, MN, Ma.ed HELEN V. CORREA, RN, MN, Ed.D.
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN, Ma.ed Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0091019 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 24, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 03879 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: Lifeline Member Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: VALIENTE, MARVIC JOHNEL JAVA __________________ Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: ________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ___________Year Admission in the Bachelor of Science in Nursing Program: June 2004____________________________________________________________Year Graduated (BSN Program): October 14, 2009________________________________________________________________________________
III. ACTUAL DELIVERIES
No. Case No. DiagnosisName of Mother Age
Date of Delivery
Time of Delivery
Gender of Baby Name of Hospital Type of Delivery
Supervised by: Name of Qualified
C.I.
3 00-23-83 Pregnancy Uterine Full
Term, Gravida 1 Para 1
Malacay, Cristie
18 October 26, 2008
5:48 A.M FemaleWell Family
Midwife Clinic-Villamonte
Normal Spontaneous
Vaginal DeliveryDonna P. Javelona, RNDate Signed: PRC No.: 0263971Valid Until: February 8, 2013PNA No.: 045622Valid Until: October 31, 2010
4 00-25-30 Pregnancy Uterine Full
Term, Gravida 1 Para 1
Rubino, Charity 24 January 25, 2009
2:25 P.M FemaleNormal
Spontaneous Vaginal Delivery
Prepared by: Noted by: Concurred by: Approved by:
MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN EDITH M. MONTIBOR, RM HELEN V. CORREA, RN, MN, Ed.D.
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RM Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0084399 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: November 12, 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: VALIENTE, MARVIC JOHNEL JAVA __________________ Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: ________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ___________Year Admission in the Bachelor of Science in Nursing Program: June 2004____________________________________________________________Year Graduated (BSN Program): October 14, 2009________________________________________________________________________________
V. CORD DRESSING
No. Case No.
Date Performed Name of Baby Gender of Baby
Name of Mother Age Name of Hospital Supervised by: Name of Qualified C.I.
5 00-25-
66February 28, 2009
Cango, Jhian Gabriel
Male
Cango, Jonah
23 Well Family Midwife Clinic-
Villamonte Donna P. Javelona, RNDate Signed: PRC No.: 0263971Valid Until: February 8, 2013PNA No.: 045622Valid Until: October 31, 2010
Prepared by: Noted by: Concurred by: Approved by:
MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN EDITH M. MONTIBOR, RM HELEN V. CORREA, RN, MN, Ed.D.
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RM Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0084399 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: November 12, 2012 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 045219 Valid Until: October 31, 2010 Valid Until: October 31, 2010
(FORMERLY WEST NEGROS COLLEGE)COLLEGE OF NURSING
Bacolod City
Name of Student: VALIENTE, MARVIC JOHNEL JAVA __________________ Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: ________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ___________Year Admission in the Bachelor of Science in Nursing Program: June 2004____________________________________________________________Year Graduated (BSN Program): October 14, 2009________________________________________________________________________________
II. MINOR OPERATION
No.
Date of Operatio
n
Case No.
Name of Patient Diagnosis
Operation Performed
Type of Anesthesia
Name of Surgeon
Name of Hospital
Name of O.R. Scrub Nurse
Supervised by: Name of Faculty
1May 10, 2008
106312 Aloro, Enrico Gastric Outlet Obstruction Secondary to Pyloro-Antral Mass
Esophago-Gastro Duodenoscopy
Local Ric LobatonCorazon Locsin Montelibano Memorial Regional Hospital
Jerry Trayfalgar RAFAEL C. MARMOLEJO III, RN
Date Signed: PRC No.: 0263971Valid Until: February 8, 2013PNA No.: 045622Valid Until: October 31, 20102 106193 Banguanga,
KenshinDysplastic Hip, Right, S/P Release of Soft Tissue and Debridement of
Closed Reduction
General Endotracheal
Jose Maria Coru
Graciano Mugar
Acetabulum
Prepared by: Noted by: Concurred by: Approved by:
MARVIC JOHNEL J. VALIENTE WILSIE A. BELECINA, RN, MN JORESLYN P. BALA-AN, RN, MN, Ma.ed HELEN V. CORREA, RN, MN, Ed.D.
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN, MN, Ma.ed Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0091019 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: May 24, 2011 Valid Until: November 15, 2011
Valid Until: October 31, 2010
Name of Student: DUREZA,DEBBIE MARIEL LIRA________________________Name & Address of School: West Negros University, Burgos Street, bacolod City_______Accreditation Level (if any): _________________________________________________ Year Granted: _________________________Date of School Program was Recognized: ____Effective_SY 1995 - 1996______________ Number: C-R- 013 S. 1995______ Year: ___1995_____First Course (if any): ________________________________________ School Graduated From: ________________________ Year: ____________Year Admission in the Bachelor of Science in Nursing Program: June 2005____________________________________________________________Year Graduated (BSN Program): October 14, 2009___________________________________________________________________________________
II. MINOR OPERATION
No.
Date of Operatio
n
Case No. Name of Patient Diagnosis
Operation Performed
Type of Anesthesi
a
Name of Surgeon Name of Hospital
Name of O.R. Scrub Nurse
Supervised by: Name of Faculty
2 January 30,209
09000779
Lindayao,Jelmar Gonzaga
Incised Wound, 4cm Long Cutting the Nailbed, Left Thumb
Suturing of Wound
Local Ma.Lalaine Teorima
Ignacio Lacson Arroyo Sr. Memorial District Hospital
Gina GarridoJoemarie M. Jolo, RNDate Signed: Degree: RNPRC No.: 0263127Valid Until: June 4, 2012PNA No.: 021544Valid Until: October 31, 2010
Prepared by: Noted by: Concurred by: Approved by
DEBBIE MARIEL L. DUREZA WILSIE A. BELECINA, RN, MN ROSE MARY P. GAYARES, RN HELEN V. CORREA, RN, MN, Ed.D.Signature Over Printed Name of Student Signature Over Printed Name of Clinical Coordinator Signature Over Printed Name of Chief Nurse Signature Over Printed Name of the Dean
Date Signed: _______________ Date Signed: _______________ Date Signed: _______________Degree: RN, MN Degree: RN Degree: RN, MN, Ed. D.a) PRC No. 0239072 a) PRC No. 0034577 a) PRC No. 56974 Valid Until: February 8, 2012 Valid Until: December 25, 2011 Valid Until: November 15, 2011b) PNA No. 045487 b) PNA No. 021546 b) PNA No. 045219 Valid Until: October31, 2010 Valid Until: October 31. 2010 Valid Until: October 31, 2010
Clinic