Assist

ILIGAN MEDICAL CENTER COLLEGE College of Nursing Midwifery and Health Aide Pala-o, Iligan City PROFESSIONAL REGULATION COMMISSION School Code 1198 RECORD OF OPERATING AND DELIVERY ROOM CASES AND CORD DRESSINGS Name Name and address of school Accreditation level (if any) Date school program was recognized First course (if any) Year of admission in the Bachelor of Science in Nursing program Year graduated (BSN Program)

: : : : : : :

Unabia, Giancarlo F. Iligan Medical Center College Pala-o, Iligan City PACUCOA LEVEL II Year granted : 2005 June 17, 1985 Number : 171 None School graduated from : N/A 2002 March 2007 IV. DELIVERIES ASSISTED Name of Mother Date of Delivery Time of Gender of Name of Hospital Delivery Baby Age

No.

Case No.

Diagnosis

1.

123996

Gravida 2 Para 1, Pregnancy Uterine Full Term

Dongor, Leonisa Blase

24

June 30, 2005

7:29 AM

Male

2.

134345

Gravida 1 Para 0, Pregnancy Uterine Full Term

Amarille, Analiziel Gravino

27

June 30, 2005

9:09 AM

3.

06322063

Gravida 7 Para 6, Pregnancy Uterine Full term

Domato, Minombao

44

May 11, 2006

4.

174388

Gravida 1 Para 0, Pregnancy Uterine Full term

Quezon, Remejane B.

23

5.

001477

Gravida 2 Para 1, Pregnancy Uterine Full Term

Mutia, Racma

24

Year Year

: :

1985 N/A

Type of Delivery

Supervised by: Name and Signature of Qualified C.I.

Gregorio T. Lluch Memorial Hospital

Normal Spontaneous Vaginal Delivery

Ms. Gloria Sheila Edmilao, RN, MAN PRC No. 0025695

Male

Gregorio T. Lluch Memorial Hospital

Normal Spontaneous Vaginal Delivery

Ms. Gloria Sheila Edmilao, RN, MAN PRC No. 0025695

3:03 PM

Female

St. Mary’s Maternal and Child Hospital

Normal Spontaneous Vaginal Delivery

Ms. Gay Belen C. Pee, RN, MN, MAN PRC No. 0197947

November 22, 2006

1:00 AM

Female

Gregorio T. Lluch Memorial Hospital

Normal Spontaneous Vaginal Delivery

Ms. Gloria Sheila Edmilao, RN, MAN PRC No. 0025695

January 18, 2007

6:43 AM

Female

Lanao del Norte Provincial Hospital

Normal Spontaneous Vaginal Delivery

Mr. Ruel Cagalawan, RN, MN PRC No. 0215408

CONCURRED BY:

CONCURRED BY:

CONCURRED BY:

APPROVED BY:

NOTED BY:

SUPERVISED BY:

MS. MYRNA P. SUAN, RN, MN Signature over printed name of Chief Nurse Gregorio T. Lluch Memorial Hospital Date signed: Degree: BSN, RN, MN a. PRC No.: 0078434 Valid until: April 8, 2009 b. PNA No. 4249 Valid until: Lifetime c. ANSAP No.: 025 Valid until: March 08, 2008

MS. CECILIA B.SARCENO RN, MN, MAN Signature over printed name of Chief Nurse St Mary’s Maternal and Child Hospital Date Signed: _____________________ Degree: BSN, RN, MN, MAN a. PRC No.: 0222077 Valid Until: February 1, 2008 b. PNA No.: 16814 Valid until: Lifetime c. ANSAP No.:0254 Valid Until: October 6, 2007

MS. TRANSFIGURACION C. LEE, RN, MN Signature over printed name of Chief Nurse Lanao Del Norte Provincial Hospital Date Signed: _____________________ Degree: BSN, RN, MN a. PRC No.: 0059574 Valid Until: August 6, 2008 b. PNA No.: 12-LO-0420-1 Valid Until: Lifetime c. ANSAP No.: 021 Valid Until: LIfetime

MS. ELIZABETH L. ALAGAR, RN, MAN Signature over printed name of Dean Iligan Medical Center College Date Signed: ____________________ Degree: BSN, RN, MAN a. PRC No.: 0089156 Valid Until: June 18, 2008 b. PNA No.: 14137 Valid Until: Lifetime c. ADPCN No.: 125 Valid Until: December 31, 2007

MS. MA. CRISTINA DARLYN Q. DOCOG RN, MAN Signature over printed name of Clinical Coordinator Iligan Medical Center College Date Signed: ____________________ Degree: BSN, RN, MAN a. PRC No.: 0181563 Valid Until: June 4, 2009 b. PNA No.: 16821 Valid Until: Lifetime

MS. SHEILA C. LABATA, RN, MM, MAN Signature over printed name of Assistant Dean Iligan Medical Center College Date Signed: ____________________ Degree: BSN, RN, MM, MAN a. PRC No.: 0167707 Valid until: June 15, 2008 b. PNA No.: 16807 Valid until: Lifetime

Prepared By:

Giancarlo F. Unabia