Cord Dress

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 June 17, 1985 None 2003 March 2007

Year granted Number School graduated from

: : :

2005 171 N/A

Year Year

: :

1985 N/A

V. CORD DRESSING No.

Case No.

Date Performed

Name of Baby

Gender of Baby

Name of Mother

Age

Name of Hospital

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

1.

134428

July 1, 2005

Baby Boy Tingcang

Male

Tingcang, Cherry

28

Gregorio T. Lluch Memorial Hospital

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

2.

134881

July 13, 2005

Baby Boy Basco

Male

Basco, Emily

32

Gregorio T. Lluch Memorial Hospital

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

3.

68101693

June 12, 2006

Baby Girl Toawis

Female

Tomawis, Faridah

27

St. Mary’s Maternal and Child Hospital

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

4.

106131

January 28, 2007

Baby Boy Sabang

Male

Sabang, Robelyn

24

Lanao del Norte Provincial Hospital

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

5.

106131

January 28, 2007

Baby Girl Nival

Female

Nival, Teofe

34

Lanao del Norte Provincial Hospital

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