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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 III. ACTUAL DELIVERIES Name of Mother Date of Time of Gender of Name of Hospital Delivery Delivery Baby Age
No.
Case No.
Diagnosis
1.
122340
Gravida 2 Para 1, Pregnancy Uterine Full Term
Olandag, Ana Mojado
26
June 30, 2005
12:35 PM
Male
2.
06322149
Gravida 3 Para 2, Pregnancy Uterine Full term
Tupaz, Consolacion
35
June 6, 2006
10:25 PM
3.
06322155
Gravida 5 Para 4, Pregnancy Uterine Full Term
Mangcas, Walida
30
June 7, 2006
4.
79253
Gravida 2 Para 1, Pregnancy Uterine Full Term
Lagat, Junamay D.
19
5.
106131
Gravida 3 Para 2, Pregnancy Uterine Full Term
Penaranda, Merlyn
35
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
St. Mary’s Maternal and Child Hospital
Normal Spontaneous Vaginal Delivery
Ms. Gay Belen C. Pee, RN, MN, MAN PRC No. 0197947
10:43 PM
Female
St. Mary’s Maternal and Child Hospital
Normal Spontaneous Vaginal Delivery
Ms. Gay Belen C. Pee, RN, MN, MAN PRC No. 0197947
August 1, 2006
3:03 PM
Male
Kolambugan District Hospital
Normal Spontaneous Vaginal Delivery
Mr. Ruel Cagalawan, RN, MN PRC No. 0215408
January 17, 2007
7:36 AM
Male
Lanao del Norte Provincial Hospital
Normal Spontaneous Vaginal Delivery
Mr. Ruel Cagalawan, RN, MN PRC No. 0215408
CONCURRED BY:
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, 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. DAILINA R. PERANG, RN, MN Signature over printed name of Chief Nurse Kolambugan District Hospital Date Signed: _________________ Degree: BSN, RN, MN a. PRC No.: 0091730 Valid Until: July 12, 2008 b. PNA No.: 35574 Valid Until: December 7, 2007 c. ANSAP No.: 3961 Valid Until: March 8, 2008
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
: : : : : : :
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 III. ACTUAL DELIVERIES Name of Mother Date of Time of Gender of Name of Hospital Delivery Delivery Baby Age
No.
Case No.
Diagnosis
1.
122340
Gravida 2 Para 1, Pregnancy Uterine Full Term
Olandag, Ana Mojado
26
June 30, 2005
12:35 PM
Male
2.
06322149
Gravida 3 Para 2, Pregnancy Uterine Full term
Tupaz, Consolacion
35
June 6, 2006
10:25 PM
3.
06322155
Gravida 5 Para 4, Pregnancy Uterine Full Term
Mangcas, Walida
30
June 7, 2006
4.
79253
Gravida 2 Para 1, Pregnancy Uterine Full Term
Lagat, Junamay D.
19
5.
106131
Gravida 3 Para 2, Pregnancy Uterine Full Term
Penaranda, Merlyn
35
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
St. Mary’s Maternal and Child Hospital
Normal Spontaneous Vaginal Delivery
Ms. Gay Belen C. Pee, RN, MN, MAN PRC No. 0197947
10:43 PM
Female
St. Mary’s Maternal and Child Hospital
Normal Spontaneous Vaginal Delivery
Ms. Gay Belen C. Pee, RN, MN, MAN PRC No. 0197947
August 1, 2006
3:03 PM
Male
Kolambugan District Hospital
Normal Spontaneous Vaginal Delivery
Mr. Ruel Cagalawan, RN, MN PRC No. 0215408
January 17, 2007
7:36 AM
Male
Lanao del Norte Provincial Hospital
Normal Spontaneous Vaginal Delivery
Mr. Ruel Cagalawan, RN, MN PRC No. 0215408
CONCURRED BY:
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, 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. DAILINA R. PERANG, RN, MN Signature over printed name of Chief Nurse Kolambugan District Hospital Date Signed: _________________ Degree: BSN, RN, MN a. PRC No.: 0091730 Valid Until: July 12, 2008 b. PNA No.: 35574 Valid Until: December 7, 2007 c. ANSAP No.: 3961 Valid Until: March 8, 2008
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
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