prc (marc) cases

8/3/2019 Prc (Marc) Cases

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The Philippine Women’s Universityand it’s Affiliate Schools for Men and Women1743 Taft Avenue, Manila, Philippines 1004

Granted Autonomous Status by the Commission on Higher Education in June 2008

Name of Student: _Tomas, Marconi M.__________________________________________________________________________________________________________________ Name & Address of School: _The Philippine Women’s University, Taft Avenue Manila_________________________________________________________________________ Accreditation Level (if any): _Level II PAASCU Re-accredited____________________ Year Granted: _November 23, 2007_________________________________________ Date School/ Program was Recognized: _July 01, 1968____________ Number: _S-289___________________ Year: _1968_________________________________ First Course (if any): _None________________ School Graduated From: _Not Applicable__________________ Year: _Not Applicable_____________________________ Year of Admission in the Bachelor of Science in Nursing Program: _June 2008________________________________________________________________________________

Year Graduated (BSN Program): _September 03, 2011____________________________________________________________________________________________________

I . Major Operat ions

No. Dateof

Operation

CaseNo.

Name of Patient Diagnosis Operation Performed Type of Anesthesia

N ame o f Su rge on N ame of Hospital

Name of O.R.Scrub Nurse

Supervised by: Name &Signature Clinical Instruct

1. 01/13/11 A095414 Evelyn Esguerra Diabetes mellitus Left (L) foot Below Knee Amputation Left (L) Sub-Arachnoid

Block

Dr. JaimeeL.Tamayo

Rizal MedicalCenter

Benedicto A.Josef JR.

Melva S. Bonifacio, RN M2. 01/13/11 A-068975 Glena A. Gadut Gravida Three (3) Par ity Three (3) , Pregnancy

Uterine Full Term Delivery to a Live Baby BoyRepeat Lower Segment Caesarean

Section (LSCS) and Ligation of Right(R) Fallopian Tube

Sub-Arachnoid

Block

Dr. Lilian A.Rodrigo

Rizal MedicalCenter

Vicente D.Morato

Melva S. Bonifacio, RN M3. 03/21/11 26003 Alma Veceina Meningioma Right (R) Temporal Area Craniotomy and Excision of

Hemangioma and DuraplastyGeneral

EndotrachealAnesthesia

Dr. Almario G.Jabson

Rizal MedicalCenter

Cecilia C. Sube

Melva S. Bonifacio, RN M4. 03/28/11 A097052 Jamina

MonaloconGravida Two (2) Parity Zero (0) (0010)

Pregnancy Uterine, Thirty-Two (32)One/Seventh (1/7) weeks, Age Of Gestation by

Last Menstrual Period, Transverse in Labor

Gravida Two (2) Parity One (1)Pregnancy Uterine, Preterm Delivery

via Lower Segment Caesarean Sectionto a Live Baby Boy

SpinalAnesthesia

Dr. Lilian A.Rodrigo

Rizal MedicalCenter Joel I. Torres

Melva S. Bonifacio, RN M

5. 03/29/11 6788 Cefirino Plana Jr Nasal Polyps Gr. II Right (R) Functional Endoscopic Sinus Surgery GeneralEndotrachealAnesthesia

Dr. Lean MelissaSamio

Rizal MedicalCenter

Delrine Rose M.De Jesus

Melva S. Bonifacio, RN M

Prepared by: Noted by: Concurred by: Approved by:

______________________ ______________________ _____________________________ __________________________ MYRNA S. RIVERAClinical Coordinator, PWU

Date Signed: ____________

Degree: _RN, MAN_______ a) PRC No.: _70309_______ Valid until: _March 28, 2012

b) PNA No.: _16969_______ Valid until: _Lifetime______

MA. EDNA F. DOMINGUEZDean, College of Nursing PWU

Date Signed: ______________

Degree: _RN, MAN_________ a) PRC No: _0111067______ Valid until: _Nov. 8, 2014____

b) PNA No.: _18720_______ Valid until: _Lifetime_______ c) ADPCN No.: _18338_____ Valid until: _May 31, 2012___

MARCONI M. TOMASStudent Nurse

LOUISE MARIE D. FLORESChief Nurse of Rizal Medical Center

Date Signed: ________________

Degree: _ RN, MAN, DPA_____ a) PRC No.: _0086759_______ Valid until: _ March 18, 2012__

b) PNA No.: _10355_________ Valid until: _Lifetime__________ c) ANSAP No.: _0316________ Valid until: _Lifetime__________





Name of Student: _Tomas, Marconi M.__________________________________________________________________________________________________________________ Name & Address of School: _The Philippine Women’s University, Taft Avenue Manila_________________________________________________________________________ Accreditation Level (if any): _Level II PAASCU Re-accredited____________________ Year Granted: _November 23, 2007_________________________________________ Date School/ Program was Recognized: _July 01, 1968____________ Number: _S-289___________________ Year: _1968_________________________________ First Course (if any): _None________________ School Graduated From: _Not Applicable__________________ Year: _Not Applicable_____________________________

Year of Admission in the Bachelor of Science in Nursing Program: _June 2008________________________________________________________________________________ Year Graduated (BSN Program): _September 03, 2011____________________________________________________________________________________________________

II. Minor OperationsNo. Date

of Operation

CaseNo.

Name of Patient Diagnosis Operation Performed Type of Anesthesia

Name of Surgeon Name of Hospital

Name of O.R.Scrub Nurse

Supervised by: Name &Signature Clinical Instruc

1. 01/19/11 9653 Margarita San JunBalitos

Sebaceous Cyst Left (L)Knee

Excision of Cyst Left (L)Knee

LocalAnesthesia

Dr. Marc Paul G. Pesta

ño Rizal MedicalCenter

Jerico P. CatocMinerva B. de Ala, RN M

2. 01/19/11 9373 Jomar Pario Lola Lipoma Left (L)Scapular Area

Excision of Mass Left (L)Scapular Area

LocalAnesthesia

Dr. Marc Paul G. Pesta

ño Rizal MedicalCenter

Jerico P. CatocMinerva B. de Ala, RN M

3. 01/26/11 A-095754 Rebecca Ison Right (R) Colonic Mass Colonoscopy IV-Sedation Dr. Ray I. Sarmiento Rizal MedicalCenter

Armida I. CangoMelva S. Bonifacio, RN

4.

03/03 /11 A-096714 Prince Ced ri ck F.

Abal

Rectal Polyp Polypectomy General

AnesthesiaMask

Dr. Jondav A. Mart inez Rizal Medical

Center

Mary Grace

Lanzanas Rivera Melva S. Bonifacio, RN 5. 08/25/11 08148 Apple Labor Foreign Body (Bullet)

Distal Forearm Left (L)Remova l of Foreign Body Local

AnesthesiaDr. Adjarael Jomal V. Malali Rizal Medical

Center Jerico P. Catoc

Minerva B. de Ala, RN M


______________________ ______________________ _____________________________ __________________________ MYRNA S. RIVERAClinical Coordinator, PWU


Degree: _RN, MAN_______

a) PRC No.: _70309_______ Valid until: _March 28, 2012 b) PNA No.: _16969_______ Valid until: _Lifetime______


Date Signed: ______________





Date Signed: ________________

Degree: _ RN, MAN, DPA_____ a) PRC No.: _0086759_______ Valid until: _ March 18, 2012__

b) PNA No.: _10355

_________ Valid until: _Lifetime__________ c) ANSAP No.: _0316________ Valid until: _Lifetime__________







III. Actual DeliveriesNo. Case No. Diagnosis Name of Mother Age Date of

Delivery

Time of Delivery

Gender of Baby

N ame of H os pit al Type of De li ve ry S up er vi se d b y: N ame & S ign at ur eClinical Instructor

1. 414464 Gravida One (1) Parity One (1) Pregnancy Uterine, Forty (40)One/Seventh (1/7) weeks, Age Of Gestation, Cephalic In Labor

Rochelle Merilles 24 08/01/11 07:43 p.m. Male Dr. Jose FabellaMemorial Hospital

Normal SpontaneousDelivery Janette M. Carlos, RM

2. 58988 Gravida One (1) Parity Zero (0) Pregnancy Uterine, Thirty-Six(36) Two/Seventh (2/7) weeks, Age Of Gestation

Evelyn Sampage 19 08/29/11 11:30 p.m. Male Rizal Medical Center Normal SpontaneousDelivery Gregorio A. Mendoza III, RN

3. A098527 Gravida Two (2) Parity One (1)(1001) Pregnancy Uterine,Thirty-Eight (38) One/Seventh (1/7) weeks, Age Of Gestation

by Last Menstrual Period, Cephalic In Labor

Jacqueline Hasim 21 08/16/11 05:28 p.m. Female Rizal Medical Center Normal SpontaneousDelivery Gregorio A. Mendoza III, RN

4. 417996 Gravida Five (5) Parity Five (5) Pregnancy Uterine, Forty (40)weeks, Age Of Gestation

Ma. Victoria Cerillo 31 09/15/11 04:30 p.m. Female Dr. Jose FabellaMemorial Hospital

Normal SpontaneousDelivery Herminigilda A. Dayao, R

5. 397777 Gravida One (1) Parity One (1) Pregnancy Uterine, Thirty-Eight (38) Four/Seventh (4/7) weeks, Age Of Gestation

Ma. Consuelo Carael 15 09/15/11 05:12 p.m. Male Dr. Jose FabellaMemorial Hospital

Normal SpontaneousDelivery Herminigilda A. Dayao, R


______________________ ______________________ _____________________________ _____________________________ __________________________ MYRNA S. RIVERAClinical Coordinator, PWU


Degree: _RN, MAN_______ a) PR C No.: _70309_______ Valid until: _March 28, 2012



Date Signed: ______________




MARIE THERESE A. PACABISChief Nurse of Dr. Jose FabellaMemorial Hospital

Date Signed: ________________

Degree: _ RN, MAN ___________ d) PRC No.: _0039563________ Valid until: _October 12, 2012___ e) PNA No.: _18153

__________ Valid until: _Lifetime__________ f) ANSAP No.: _257__________ Valid until: _Lifetime__________


Date Signed: ________________

Degree: _ RN, MAN, DPA_____ a) PRC No.: _ 0086759

_______ Valid until: _ March 18, 2012

__ b) PNA No.: _10355

_________ Valid until: _Lifetime__________ c) ANSAP No.: _ 0316

________ Valid until: _Lifetime__________







IV. Deliveries AssistedNo. Case No. Diagnosis Name of Patient Age Date of

DeliveryTime of Delivery

Gender of Baby

Name of Hospital Type of Delivery

Supervised by: Name & Signatuof Qualified Clinical Instructo

1. A096412 Gravida Two (2) Parity One (1) (2002) Thirty-Seven (37) weeks, AgeOf Gestation, Cephalic In Labor

Clarisse Adao 21 02/17/11 12:05 a.m. Female Rizal Medical Center NormalSpontaneous

Delivery Gregorio A. Mendoza III, RN M

2. 400784 Gravida One (1) Parity One (1) Pregnancy Uterine, Thirty-Nine (39)Five/Seventh (5/7) weeks, Age Of Gestation, Cephalic In Labor

Rachelle MarianneManaois 19 08/01/11 03:36 p.m. Male Dr. Jose Fabella

Memorial Hospital Normal

SpontaneousDelivery Janette M. Carlos, RM

3. A098628 Gravida Two (2) Parity One (1) (1001) Thirty-Seven 37 weeks, Age Of Gestation, by Ultrasound Oligohydramnios

Myla Gonzales 24 08/22/11 10:18 p.m. Female Rizal Medical Center NormalSpontaneous


4. 50742 Gravida Two (2) Parity One (1) (1001) Pregnancy Uterine, Thirty-Nine(39) weeks, Age Of Gestation, Cephalic In Labor Imminent Delivery Estrella Griotal 29 08/22/11 04:25 p.m. Female Rizal Medical Center NormalSpontaneousDelivery Gregorio A. Mendoza III, RN M

5. A098759 Gravida One (1) Parity Zero (0) Pregnancy Uterine, Thirty-Two (32)Three/Seventh (3/7) weeks, Age Of Gestation by Last Menstrual Period,

Cepha

lic In Labor Imminent Delivery

Maribel Galang 21 08/31/11 03:54 a.m. Male Rizal Medical Center NormalSpontaneous



______________________ ______________________ _____________________________ _____________________________ __________________________ MYRNA S. RIVERAClinical Coordinator, PWU





Date Signed: ______________




MARIE THERESE A. PACABISChief Nurse of Dr. Jose FabellaMemorial Hospital

Date Signed: ________________

Degree: _ RN, MAN ___________ d) PRC No.: _0039563________ Valid until: _October 12, 2012___ e) PNA No.: _18153

__________ Valid until: _Lifetime__________ f) ANSAP No.: _257__________ Valid until: _Lifetime__________


Date Signed: ________________

Degree: _ RN, MAN, DPA_____ a) PRC No.: _ 0086759 _______ Valid until: _ March 18, 2012

__ b) PNA No.: _10355

_________ Valid until: _Lifetime__________ c) ANSAP No.: _ 0316

________ Valid until: _Lifetime__________







V. Cord DressingNo. Case No. Date

PerformedName of Baby Gender of

BabyName of Mother Age Name of Hospital Supervised by: Name & Signature

of Qualified Clinical Instructor

1. 60442 08/17/11 Baby Boy Sumapal Male Noemeriza Sumapal 27 Rizal Medical Center Marilyn D. Dorol, RN MAN

2. 50770 08/17/11 Baby Girl Go Female Virginia Camarao Go 32 Rizal Medical Center Marilyn D. Dorol, RN MAN

3. 52534 08/22/11 Baby Girl Mendoza Female Cristina Mendoza 28 Rizal Medical Center Gregorio A. Mendoza III, RN MA

4. 54063 08/22/11 Baby Girl Labjata Female Riza Crizel Labjata 26 Rizal Medical Center Gregorio A. Mendoza III, RN MA

5. A0985759 08/31/11 Baby Boy Chan Male Ma. Pacencia Chan 38 Rizal Medical Center Gregorio A. Mendoza III, RN MA


______________________ ______________________ _____________________________ __________________________

MYRNA S. RIVERAClinical Coordinator, PWU





Date Signed: ______________

Degree: _RN, MAN_________ a) PRC No: _0111067______

Valid until: _Nov. 8, 2014____ b) PNA No.: _18720_______ Valid until: _Lifetime_______ c) ADPCN No.: _18338_____ Valid until: _May 31, 2012___



Date Signed: ________________

Degree: _ RN, MAN, DPA_____ a) PRC No.: _ 0086759 _______ Valid until: _ March 18, 2012 __

b) PNA No.: _10355 _________ Valid until: _Lifetime__________ c) ANSAP No.: _ 0316 ________ Valid until: _Lifetime__________

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