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University of Bohol COLLEGE OF NURSING City of Tagbilaran OPERATING ROOM NURSING EXPERIENCE NAME: Torres
Bernadette Ann
Culpa
CLASS:
ADDRESS:078-1 C.P.G. East Ave., Tagbilaran City, Bohol
2009 (Family Name) Case NO.
Date Admitted
037196
(First Name) Date Operated
March 14,2007
March 14, 2007
(Middle Name) Name of Patient
Cagalitan , Elisa H.
Surgeon: Dr. Lyn O. Sarigumba 042965
Diagnosis
Agency
Pregnancy Uterine 42 1/7 weeks Age Of Gestation, Cephalic In Latent Labor, fetal compromise(variable deceleration with slow recovery)secondary to oligohydramnios, postdatism intrauterine growth restriction
Governor Celestino Gallares Memorial Hospital
Operation Performed
Emergency Cesarean Section
Supervised by:
Mrs. Rossini C. Birad Mrs. Merlin C. Pieras
May 28,2008 Surgeon: Dr. Raymond Anthony Jude R. Maniwang
May 30, 2008
Calacat , Nemesio B.
Chronic Calculus Cholecystitis
Governor Celestino Gallares Memorial Hospital
Cholecystectomy with Intra-Operative Cholangiogram
Mrs. Azucena F. Salaum Mr. Godofredo L. Batingal Jr
August 12,2008 047066
August 14, 2008
Surgeon: Dr. Blanche Marie H. Formilleza August 14,2008
Macabudbud, Marigine E.
Procedentia Uteri, Relaxed Vaginal Outlet
Vaginal Hysterectomy with AnteriorPosterior Colporraphy
Mrs. Josefina S. Remoreras Mrs. Maria Nadine A. Lagura
August 16, 2008
Saloma , April John H.
05-0019457
Supracondylar Fracture Right Humerus Secondary to Fall
Surgeon: Dr. Erwin A. Mondragon 20080130596
Governor Celestino Gallares Memorial Hospital
July 4,2008
Governor Celestino Gallares Memorial Hospital
Open Reduction Internal Fixation Cross-Pinning Elbow Right
Mrs. Azucena F. Salaum Mr. Godofredo L. Batingal Jr
July 4, 2008
Canteros, Diosdado M.
Surgeon: Dr. Ronald L. Ramiro
Hydrops Gallbladder with Gallstones Pancreatitis
Ramiro Community Hospital
Cholecystostomy Mrs. Clareta C. Acierto Mrs. Jasmin T. Catamora
Summary:
Total Major:5 BERNADETTE ANN C. TORRES
Student’s Signature over Printed Name
(MRS.) ANICETA D. BONGCAS
GCGMH, OR Supervisor
(MRS) GLORIA M. INCON
RCH, OR-DR Supervisor
Certified correct:
(MRS) LALAINE LAO-DOMAPIAS
(MRS.) CASILDA C. LAPEZ
UBCN, OR Coordinator
UBCN, RLE Coordinator
(MRS) ISABELITA G. MARGATE
DEAN, College of Nursing
University of Bohol COLLEGE OF NURSING City of Tagbilaran OPERATING ROOM NURSING EXPERIENCE NAME: Torres
Bernadette Ann
Culpa
ADDRESS:078-1 C.P.G. East Ave., Tagbilaran City, Bohol
CLASS: 2009 (Family Name) Case No.
Date Admitted
070015582
July 11, 2007
(First Name)
(Middle Name)
Date Operated
Name of Patient
Diagnosis
July 13, 2007
Legaspi, Rufo Jr.
Undescended Testes Left
Surgeon: Dr. Zaldy O. Buac 033857
February 1, 2008 Surgeon: Dr. Juvy U. Doroon
February 1, 2008
Tungol, Ephraim M.
1.5 Laceration Lower Lid Right Eye
34944 Surgeon: Dr. Giselle Penelope L. Camacho 044600
August 13, 2008 Surgeon: Dr. Clint Peter G. Tibon
Summary Total Minor:
February 15, 2008
August 14, 2008
Vallejo, Gualberto F. Sr.
Escabusa,, Antonia S.
Ruled In PTB III, Pleural Effusion Right
Pleomorphic Adenoma Right Submandibular Area
Agency
Operation Performed
Supervised by:
Governor Celestino Gallares Memorial Hospital
Orchiectomy
Mrs. Rossini C. Birad
Governor Celestino Gallares Memorial Hospital
Suturing
Governor Celestino Gallares Memorial Hospital
Thoracentesis
Governor Celestino Gallares Memorial Hospital
Excision of Submandibular Mass Right
Mrs. Maria Nadine A. Lagura Mr. Eleazar D. Lanzaderas Mr. Hector C. Rodriguez
Mrs. Ana Melisa B. Jagonos Ms. Elvira M. Cahanap Mrs. Azucena F. Salaum Mrs. Maria Nadine A. Lagura
4
BERNADETTE ANN C. TORRES
(MRS.) JOSEPHINE C. SEROJE
Student’s Signature over Printed Name GCGMH, OPD-ER Supervisor
(MRS.) ANICETA D. BONGCAS
(MRS.) LALAINE LAO-DOMAPIAS
GCGMH, OR Supervisor
UBCN, OR Coordinator
Certified correct:
(MRS.) ISABELITA G.
(MRS.) CASILDA C. LAPEZ
UBCN, RLE Coordinator
MARGATE
DEAN, College of Nursing
University of Bohol COLLEGE OF NURSING City of Tagbilaran OPERATING ROOM NURSING EXPERIENCE Name:_______________________________________________________________ (Family Name) (First Name) (Middle Name) Case NO.
Date Admitted
Date Operated
Name of Patient
Address:____________________________________
Diagnosis
Agency
Class:_________________
Operation Performed
Supervised by:
Surgeon:
Surgeon:
Surgeon:
Surgeon:
Surgeon:
Total Minor Cases:
__________________
_________________________
JOSEPHINE C. SEROJE
Student’s Signature over Printed Name GCGMH, OPD-ER Supervisor
ANICETA D. BONGCAS GCGMH, OR Supervisor
LALAINE LAO-DOMAPIAS UBCN, OR Coordinator
MRS. CASILDA C. LAPEZ UBCN, RLE Coordinator
Certified correct:
ISABELITA G. MARGATE DEAN, College of Nursing
University of Bohol COLLEGE OF NURSING City of Tagbilaran DELIVERY ROOM – NURSERY EXPERIENCE RECORD Name:
Torres
Bernadette Ann
Culpa
Address: 078-1 C.P.G. East Ave., Tagbilaran City, Bohol
CLASS:
2009 (Family Name) Case No.
Date of Delivery
(First Name) Name of Patient
(Middle Name) Diagnosis
Supervised by CI
Obstetrician/ Pediatrician
Mrs. Ma. Villa L. Uy
Mrs. Bienvenida P. Borja
Dr. Marie Ann N. Catambaca n
Mrs. Cora G. Garay
Mrs. Bienvenida P. Borja
NOD 20050033530
028107
20060015567
November 29, 2007
Escarten, Jenalyn
Pregnancy Uterine Full – Term
November 23, 2007
Carcallas, Janice
Pregnancy Uterine Full - Term
November 24, 2007
Tuyco, Maritess M.
Cesarean Section Mrs. Rosa T. Secretaria
37351
March 27, 2008
12034108
April 10, 2008
7277506
July 3, 2008
Summary:
Diez, Precy A.
Normal Spontaneous Vaginal Delivery
Iguiron, Rosalie S.
Pregnancy Uterine Full – Term
Pabe, Janice Marie E.
Normal Spontaneous Vaginal Delivery
Mrs. Bienvenida P. Borja
Mrs. Cora G. Garay
Mrs. Bienvenida P. Borja
Ms. Judee Baguio
Ms. Dulce Amor P. Amora
Ms. Judee Baguio
Dr. Marie Ann N. Catambaca n
Mrs. Clareta C. Acierto
Dr. Alice R. Ladaga
Agency
Type of Experience
Governor Celestino Gallares Memorial Hospital Governor Celestino Gallares Memorial Hospital Governor Celestino Gallares Memorial Hospital Governor Celestino Gallares Memorial Hospital Ramiro Community Hospital
Cord dress
Ramiro Community Hospital
Cord dress
Handle
Assist
Cord dress
Handle
Handle :2 Assist :1 Cord dress:3 BERNADETTE ANN C. TORRES HELEN AUXTERO Student’s Signature over Printed Name GCGMH,DR/NICU Supervisor
GLORIA M. INCON RCH, OR Supervisor
MA. CONSUELO C. FORMILLEZA UBCN,DR/NICU Coordinator Certified correct:
MRS. CASILDA C. LAPEZ UBCN, RLE Coordinator
ISABELITA G. MARGATE DEAN, College of Nursing
University of Bohol COLLEGE OF NURSING City of Tagbilaran DELIVERY ROOM – NURSERY EXPERIENCE RECORD Name:_______________________________________________________________ (Family Name) (First Name) (Middle Name) Case No.
Date of Delivery
Name of Patient
Diagnosis
Address:____________________________________
Supervised by NOD CI
Obstetrician/ Pediatrician
Class:_________________
Agency
Type of Experience
Pregnancy Uterine Full – Term
Assist
Pregnancy Uterine Full - Term
Assist
Pregnancy Uterine Full - Term
Assist
Pregnancy Uterine Full - Term
Assist
Pregnancy Uterine Full – Term
Assist
Summary: Handle :____ Assist :____ Cord dress:____
___________________________ Student’s Signature over Printed Name
MA. CONSUELO C. FORMILLEZA UBCN,DR/NICU Coordinator
MRS. CASILDA C. LAPEZ UBCN, RLE Coordinator Certified correct:
ISABELITA G. MARGATE DEAN, College of Nursing
Bernadette Ann
Culpa
CLASS:
ADDRESS:078-1 C.P.G. East Ave., Tagbilaran City, Bohol
2009 (Family Name) Case NO.
Date Admitted
037196
(First Name) Date Operated
March 14,2007
March 14, 2007
(Middle Name) Name of Patient
Cagalitan , Elisa H.
Surgeon: Dr. Lyn O. Sarigumba 042965
Diagnosis
Agency
Pregnancy Uterine 42 1/7 weeks Age Of Gestation, Cephalic In Latent Labor, fetal compromise(variable deceleration with slow recovery)secondary to oligohydramnios, postdatism intrauterine growth restriction
Governor Celestino Gallares Memorial Hospital
Operation Performed
Emergency Cesarean Section
Supervised by:
Mrs. Rossini C. Birad Mrs. Merlin C. Pieras
May 28,2008 Surgeon: Dr. Raymond Anthony Jude R. Maniwang
May 30, 2008
Calacat , Nemesio B.
Chronic Calculus Cholecystitis
Governor Celestino Gallares Memorial Hospital
Cholecystectomy with Intra-Operative Cholangiogram
Mrs. Azucena F. Salaum Mr. Godofredo L. Batingal Jr
August 12,2008 047066
August 14, 2008
Surgeon: Dr. Blanche Marie H. Formilleza August 14,2008
Macabudbud, Marigine E.
Procedentia Uteri, Relaxed Vaginal Outlet
Vaginal Hysterectomy with AnteriorPosterior Colporraphy
Mrs. Josefina S. Remoreras Mrs. Maria Nadine A. Lagura
August 16, 2008
Saloma , April John H.
05-0019457
Supracondylar Fracture Right Humerus Secondary to Fall
Surgeon: Dr. Erwin A. Mondragon 20080130596
Governor Celestino Gallares Memorial Hospital
July 4,2008
Governor Celestino Gallares Memorial Hospital
Open Reduction Internal Fixation Cross-Pinning Elbow Right
Mrs. Azucena F. Salaum Mr. Godofredo L. Batingal Jr
July 4, 2008
Canteros, Diosdado M.
Surgeon: Dr. Ronald L. Ramiro
Hydrops Gallbladder with Gallstones Pancreatitis
Ramiro Community Hospital
Cholecystostomy Mrs. Clareta C. Acierto Mrs. Jasmin T. Catamora
Summary:
Total Major:5 BERNADETTE ANN C. TORRES
Student’s Signature over Printed Name
(MRS.) ANICETA D. BONGCAS
GCGMH, OR Supervisor
(MRS) GLORIA M. INCON
RCH, OR-DR Supervisor
Certified correct:
(MRS) LALAINE LAO-DOMAPIAS
(MRS.) CASILDA C. LAPEZ
UBCN, OR Coordinator
UBCN, RLE Coordinator
(MRS) ISABELITA G. MARGATE
DEAN, College of Nursing
University of Bohol COLLEGE OF NURSING City of Tagbilaran OPERATING ROOM NURSING EXPERIENCE NAME: Torres
Bernadette Ann
Culpa
ADDRESS:078-1 C.P.G. East Ave., Tagbilaran City, Bohol
CLASS: 2009 (Family Name) Case No.
Date Admitted
070015582
July 11, 2007
(First Name)
(Middle Name)
Date Operated
Name of Patient
Diagnosis
July 13, 2007
Legaspi, Rufo Jr.
Undescended Testes Left
Surgeon: Dr. Zaldy O. Buac 033857
February 1, 2008 Surgeon: Dr. Juvy U. Doroon
February 1, 2008
Tungol, Ephraim M.
1.5 Laceration Lower Lid Right Eye
34944 Surgeon: Dr. Giselle Penelope L. Camacho 044600
August 13, 2008 Surgeon: Dr. Clint Peter G. Tibon
Summary Total Minor:
February 15, 2008
August 14, 2008
Vallejo, Gualberto F. Sr.
Escabusa,, Antonia S.
Ruled In PTB III, Pleural Effusion Right
Pleomorphic Adenoma Right Submandibular Area
Agency
Operation Performed
Supervised by:
Governor Celestino Gallares Memorial Hospital
Orchiectomy
Mrs. Rossini C. Birad
Governor Celestino Gallares Memorial Hospital
Suturing
Governor Celestino Gallares Memorial Hospital
Thoracentesis
Governor Celestino Gallares Memorial Hospital
Excision of Submandibular Mass Right
Mrs. Maria Nadine A. Lagura Mr. Eleazar D. Lanzaderas Mr. Hector C. Rodriguez
Mrs. Ana Melisa B. Jagonos Ms. Elvira M. Cahanap Mrs. Azucena F. Salaum Mrs. Maria Nadine A. Lagura
4
BERNADETTE ANN C. TORRES
(MRS.) JOSEPHINE C. SEROJE
Student’s Signature over Printed Name GCGMH, OPD-ER Supervisor
(MRS.) ANICETA D. BONGCAS
(MRS.) LALAINE LAO-DOMAPIAS
GCGMH, OR Supervisor
UBCN, OR Coordinator
Certified correct:
(MRS.) ISABELITA G.
(MRS.) CASILDA C. LAPEZ
UBCN, RLE Coordinator
MARGATE
DEAN, College of Nursing
University of Bohol COLLEGE OF NURSING City of Tagbilaran OPERATING ROOM NURSING EXPERIENCE Name:_______________________________________________________________ (Family Name) (First Name) (Middle Name) Case NO.
Date Admitted
Date Operated
Name of Patient
Address:____________________________________
Diagnosis
Agency
Class:_________________
Operation Performed
Supervised by:
Surgeon:
Surgeon:
Surgeon:
Surgeon:
Surgeon:
Total Minor Cases:
__________________
_________________________
JOSEPHINE C. SEROJE
Student’s Signature over Printed Name GCGMH, OPD-ER Supervisor
ANICETA D. BONGCAS GCGMH, OR Supervisor
LALAINE LAO-DOMAPIAS UBCN, OR Coordinator
MRS. CASILDA C. LAPEZ UBCN, RLE Coordinator
Certified correct:
ISABELITA G. MARGATE DEAN, College of Nursing
University of Bohol COLLEGE OF NURSING City of Tagbilaran DELIVERY ROOM – NURSERY EXPERIENCE RECORD Name:
Torres
Bernadette Ann
Culpa
Address: 078-1 C.P.G. East Ave., Tagbilaran City, Bohol
CLASS:
2009 (Family Name) Case No.
Date of Delivery
(First Name) Name of Patient
(Middle Name) Diagnosis
Supervised by CI
Obstetrician/ Pediatrician
Mrs. Ma. Villa L. Uy
Mrs. Bienvenida P. Borja
Dr. Marie Ann N. Catambaca n
Mrs. Cora G. Garay
Mrs. Bienvenida P. Borja
NOD 20050033530
028107
20060015567
November 29, 2007
Escarten, Jenalyn
Pregnancy Uterine Full – Term
November 23, 2007
Carcallas, Janice
Pregnancy Uterine Full - Term
November 24, 2007
Tuyco, Maritess M.
Cesarean Section Mrs. Rosa T. Secretaria
37351
March 27, 2008
12034108
April 10, 2008
7277506
July 3, 2008
Summary:
Diez, Precy A.
Normal Spontaneous Vaginal Delivery
Iguiron, Rosalie S.
Pregnancy Uterine Full – Term
Pabe, Janice Marie E.
Normal Spontaneous Vaginal Delivery
Mrs. Bienvenida P. Borja
Mrs. Cora G. Garay
Mrs. Bienvenida P. Borja
Ms. Judee Baguio
Ms. Dulce Amor P. Amora
Ms. Judee Baguio
Dr. Marie Ann N. Catambaca n
Mrs. Clareta C. Acierto
Dr. Alice R. Ladaga
Agency
Type of Experience
Governor Celestino Gallares Memorial Hospital Governor Celestino Gallares Memorial Hospital Governor Celestino Gallares Memorial Hospital Governor Celestino Gallares Memorial Hospital Ramiro Community Hospital
Cord dress
Ramiro Community Hospital
Cord dress
Handle
Assist
Cord dress
Handle
Handle :2 Assist :1 Cord dress:3 BERNADETTE ANN C. TORRES HELEN AUXTERO Student’s Signature over Printed Name GCGMH,DR/NICU Supervisor
GLORIA M. INCON RCH, OR Supervisor
MA. CONSUELO C. FORMILLEZA UBCN,DR/NICU Coordinator Certified correct:
MRS. CASILDA C. LAPEZ UBCN, RLE Coordinator
ISABELITA G. MARGATE DEAN, College of Nursing
University of Bohol COLLEGE OF NURSING City of Tagbilaran DELIVERY ROOM – NURSERY EXPERIENCE RECORD Name:_______________________________________________________________ (Family Name) (First Name) (Middle Name) Case No.
Date of Delivery
Name of Patient
Diagnosis
Address:____________________________________
Supervised by NOD CI
Obstetrician/ Pediatrician
Class:_________________
Agency
Type of Experience
Pregnancy Uterine Full – Term
Assist
Pregnancy Uterine Full - Term
Assist
Pregnancy Uterine Full - Term
Assist
Pregnancy Uterine Full - Term
Assist
Pregnancy Uterine Full – Term
Assist
Summary: Handle :____ Assist :____ Cord dress:____
___________________________ Student’s Signature over Printed Name
MA. CONSUELO C. FORMILLEZA UBCN,DR/NICU Coordinator
MRS. CASILDA C. LAPEZ UBCN, RLE Coordinator Certified correct:
ISABELITA G. MARGATE DEAN, College of Nursing
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