Madriaga, Rona Frances A.
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SOUTHEAST ASIAN COLLEGE, INC. COLLEGE OF NURSING 6N Ramirez St., Welcome Rotonda, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 357 S-2004
Name of Student: RONA FRANCES ALONZO MADRIAGA Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 6 N. Ramirez St., Welcome Rotonda, Quezon City Accreditation Level (if any): N/A Year Granted: N/A . Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980 First Course (if any): N/A School Graduated From: N/A Year: N/A . Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): March 2008 No. 1 2 3 4 5
Date of Operation May 09, 2007 July 27, 2007 August 18, 2007 January 21, 2008 January 29, 2008
Case No.
Name of Patient
07-05004767
Arnel Caverias Bonbon
07-07052226 07-08052437 14378 14426
Carolina Grande Yolanda Tan Remolla Binolan Veronica Tadeo
Diagnosis Indirect Inguinal Hernia, Left Cystolithiasis Myoma Uteri Gravida5 Para3 Pregnancy Uterine Full Term Cephalic in Labor Gravida3 Para3 Voluntary Surgical Sterilization
I. MAJOR OPERATIONS Operation Performed Type of Anesthesia Hernioraphy, Left Spinal Anesthesia
Name of Surgeon Nelson Dy, MD
Cystolithotomy
Spinal Anesthesia
Pondenio Pahutan, MD
Spinal Anesthesia
Rey Delos Reyes, MD
Spinal Anesthesia
Caudad Ramos, MD
Intravenous Sedation
Caudad Ramos, MD
Total Abdominal Hysterectomy with Bilateral Salphingo Ooperectomy Cesarean Section Bilateral Tubal Ligation
Noted by: Tonnette E. Dela Rea, RN Signature over printed Name of Chief Date Signed: __________________ Degree: BSN a.) PRC No.: 0311700 Valid No.: November 2011 b.) PNA NO.: 17983 Valid until: Lifetime Membership
Vivian M. Formento, RN Nurse Signature over printed Name of Chief Nurse Date Signed: __________________ Degree: BSN a.) PRC No.: 0090274 Valid No.: February 20, 2011 b.) PNA NO.: 11242 Valid until: Lifetime Membership
Name of Hospital United Doctors Medical Center United Doctors Medical Center United Doctors Medical Center Montano Ramos General Hospital Montano Ramos General Hospital
Name &Signature of OR Scrub Nurse
Name & Signature of Clinical Instructor
____________________ Jemma Grace Paulo, RN
______________________ Manny Mamaril, RN, MAN
__________________ Adelina E. Caoile, RN
______________________ Manny Mamaril, RN, MAN
__________________ Raul T. Tumolva, RN
______________________ Manny Mamaril, RN, MAN
__________________ Tonnette E. Dela Rea, RN
__________________ Dearly Gumapos, RN
__________________ Tonnette E. Dela Rea, RN
__________________ Dearly Gumapos, RN
Concurred by:
Approved by:
Lily M. Quilala, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: ________________ Degree: BSN, MAN a.) PRC No.: 0131751 Valid No.: October 19, 2011 b.) PNA NO.: 32143 Valid until: December 2008
Delia M. Tan, RN, MAN Signature over printed Name of Dean Date Signed: ____________ Degree: BSN, MAN a.) PRC No.: 0068971 Valid No.: May 2, 2009 b.) PNA NO.: 4277 Valid until: Lifetime Membership c.) ADCPN No.: 564 Valid until: December 2008
SOUTHEAST ASIAN COLLEGE, INC. COLLEGE OF NURSING 6N Ramirez St., Welcome Rotonda, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 357 S-2004
Name of Student: RONA FRANCES ALONZO MADRIAGA Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 6 N. Ramirez St., Welcome Rotonda, Quezon City Accreditation Level (if any): N/A Year Granted: N/A . Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980 First Course (if any): N/A School Graduated From: N/A Year: N/A . Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): March 2008
No. 1 2 3 4 5
Date of Operation July 3, 2206 July 4, 2206 July 8, 2206 July 10, 2206 July 12, 2206
Case No. 06-07001852 06-07001860 06-07001915 06-07001931 06-07001965
Name of Patient Aida Pina Arnel Fabian Cherry Bautista Rodrigo Mejia Gloria Tobia
Diagnosis Mild Rectocele Umbilical Hernia
Operation Performed
II. MINOR OPERATIONS Type of Anesthesia
Left Anterior Posterior Repair
General Anesthesia
Herniorraphy
Spinal Anesthesia
Voluntary Surgical Sterilization
Bilateral Tubal Ligation
Gastric Bleeding
Colonoscopy with Gastric Biopsy
Local Anesthesia
Dilatation and Curettage
Intravenous Sedation
Gravida1 Para0 10 Weeks Age of Gestation
Spinal Anesthesia
Name of Surgeon
Rosalinda Chua, MD Denton Aumentado, MD Elizabeth Felipe, MD Boyet Gonzalez, MD Carotina Paula Martin, MD
Name of Hospital United Doctors Medical Center United Doctors Medical Center United Doctors Medical Center United Doctors Medical Center United Doctors Medical Center
Name &Signature of OR Scrub Nurse
Name & Signature of Clinical Instructor
__________________ Dickson Miciano, RN
_______________________ Manny Mamaril, RN, MAN
__________________ Dickson Miciano, RN
_______________________ Manny Mamaril, RN, MAN
____________________ Jemma Grace Paulo, RN
_______________________ Manny Mamaril, RN, MAN
__________________ Raul T. Tumolva, RN
_______________________ Manny Mamaril, RN, MAN
__________________ Dickson Miciano, RN
Noted by:
Concurred by:
Approved by:
Vivian M. Formento, RN Signature over printed Name of Chief Nurse Date Signed: ________________________ Degree: BSN a.) PRC No.: 0090274 Valid No.: February 20, 2011 b.) PNA NO.: 11242 Valid until: Lifetime Membership
Lily M. Quilala, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: ______________________ Degree: BSN, MAN a.) PRC No.: 0131751 Valid No.: October 19, 2011 b.) PNA NO.: 32143 Valid until: December 2008
Delia M. Tan, RN, MAN Signature over printed Name of Dean Date Signed: _______________________ Degree: BSN, MAN a.) PRC No.: 0068971 Valid No.: May 2, 2009 b.) PNA NO.: 4277 Valid until: Lifetime Membership c.) ADCPN No.: 564
_______________________ Manny Mamaril, RN, MAN
SOUTHEAST ASIAN COLLEGE, INC. COLLEGE OF NURSING 6N Ramirez St., Welcome Rotonda, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 357 S-2004
Name of Student: RONA FRANCES ALONZO MADRIAGA Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 6 N. Ramirez St., Welcome Rotonda, Quezon City Accreditation Level (if any): N/A Year Granted: N/A . Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980 First Course (if any): N/A School Graduated From: N/A Year: N/A . Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): March 2008 Valid until:
No. 1 2 3 4 5
Case No. 01-1290 01-1293 01-1291 01-1289 01-1292
Diagnosis
Name of Mother
Age
Gravida4 Para3 Pregnancy Uterine Full Term Cephalic in Labor
Gemma Batianilla
28
Gravida3 Para2 Pregnancy Uterine Full Term Cephalic in Labor
Evangelene Francisco
33
Gravida1 Para0 Pregnancy Uterine Full Term Cephalic in Labor
Beverly Ynopia
21
Gravida1 Para0 Pregnancy Uterine Full Term Cephalic in Labor
Jenelyn Gapuan
Gravida1 Para0 Pregnancy Uterine Full Term Cephalic in Labor
Daylen Celis
Date of Delivery August 14, 2007
III. ACTUAL DELIVERIES Time of Gender Name of Hospital Delivery of Baby 1:10PM Female Niugan Lying-in, Malabon
Type of Delivery
December 2008
Supervised by (Name & Signature of Qualified Clinical Instructor)
Normal Spontaneous Delivery __________________ Marissa Magsalay, RN
August 16, 2007
5:30 AM
Female
Niugan Lying-in, Malabon
Normal Spontaneous Delivery __________________ Marissa Magsalay, RN
August 14, 2007
11:20AM
Male
Niugan Lying-in, Malabon
Normal Spontaneous Delivery __________________ Marissa Magsalay, RN
21
August 13, 2007
2:35PM
Male
Niugan Lying-in, Malabon
Normal Spontaneous Delivery __________________ Marissa Magsalay, RN
19
August 15, 2007
11:45AM
Male
Niugan Lying-in, Malabon
Normal Spontaneous Delivery __________________ Marissa Magsalay, RN
Noted by:
Concurred by:
Approved by:
Benjamin A. De Guzman, RN, RM, MAN Signature over printed Name of Chief Nurse Date Signed: ________________________ Degree: BSN, MAN a.) PRC No.: 100631 Valid No.: January 28, 2010 b.) PNA NO.: 18088 Valid until: Lifetime Membership
Lily M. Quilala, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: ______________________ Degree: BSN, MAN a.) PRC No.: 0131751 Valid No.: October 19, 2011 b.) PNA NO.: 32143 Valid until: December 2008
Delia M. Tan, RN, MAN Signature over printed Name of Dean Date Signed: _______________________ Degree: BSN, MAN a.) PRC No.: 0068971 Valid No.: May 2, 2009 b.) PNA NO.: 4277 Valid until: Lifetime Membership
SOUTHEAST ASIAN COLLEGE, INC. COLLEGE OF NURSING 6N Ramirez St., Welcome Rotonda, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 357 S-2004
Name of Student: RONA FRANCES ALONZO MADRIAGA Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 6 N. Ramirez St., Welcome Rotonda, Quezon City Accreditation Level (if any): N/A Year Granted: N/A . Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980 First Course (if any): N/A School Graduated From: N/A Year: N/A . Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): March 2008 c.) ADCPN No.: 564 Valid until: December 2008
No. 1 2 3 4 5
Case No. 356945 339269 264825 339472 195078
Diagnosis
Name of Patient
Age
Gravida1 Para0 Pregnancy Uterine Full Term Cephalic in Labor
Princess Pacaliwagan
23
Gravida3 Para2 Pregnancy Uterine Full Term Cephalic in Labor
Bernadette Entas
Gravida1 Para1 Pregnancy Uterine Full Term Cephalic in Labor
Irene Montalbo
Gravida3 Para2 Pregnancy Uterine Full Term Cephalic in Labor
Charito Uriante
Gravida3 Para1 Pregnancy Uterine Full Term Cephalic in Labor
Shiela Atienza
Date of Delivery January 4, 2008
IV. DELIVERIES ASSISTED Time of Gender of Name of Hospital Delivery Baby 6:51AM Female Batangas Regional Hospital
Type of Delivery
Supervised by (Name & Signature of Qualified Clinical Instructor)
Normal Spontaneous Delivery ______________________ Melva Cleotilde Reno, RN
21
January 4, 2008
2:15PM
Male
Batangas Regional Hospital
Normal Spontaneous Delivery _____________________ Melva Cleotilde Reno, RN
32
January 4, 2008
3:05PM
Male
Batangas Regional Hospital
Normal Spontaneous Delivery _____________________ Melva Cleotilde Reno, RN
33
January 4, 2008
4:20PM
Male
Batangas Regional Hospital
Normal Spontaneous Delivery _____________________ Melva Cleotilde Reno, RN
33
January 4, 2008
6:55PM
Female
Batangas Regional Hospital
Normal Spontaneous Delivery _____________________ Melva Cleotilde Reno, RN
Noted by:
Concurred by:
Approved by:
Amor B. Calayan, RN, RM, MAN, PhD Signature over printed Name of Chief Nurse Date Signed: ________________________ Degree: BSN, MAN, PhD a.) PRC No.: 151514 Valid No.: August 3, 2010 b.) PNA NO.: 151514
Lily M. Quilala, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: ______________________ Degree: BSN, MAN a.) PRC No.: 0131751 Valid No.: October 19, 2011 b.) PNA NO.: 32143
Delia M. Tan, RN, MAN Signature over printed Name of Dean Date Signed: _______________________ Degree: BSN, MAN a.) PRC No.: 0068971 Valid No.: May 2, 2009 b.) PNA NO.: 4277
SOUTHEAST ASIAN COLLEGE, INC. COLLEGE OF NURSING 6N Ramirez St., Welcome Rotonda, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 357 S-2004
Name of Student: RONA FRANCES ALONZO MADRIAGA Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 6 N. Ramirez St., Welcome Rotonda, Quezon City Accreditation Level (if any): N/A Year Granted: N/A . Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980 First Course (if any): N/A School Graduated From: N/A Year: N/A . Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): March 2008 Valid until:
No. 1
Case No. 01-1294
December 2008
Date Performed August 16, 2007
Valid until:
Name of Baby Baby Capores
Gender of Baby Male
December 2008
Valid until: Lifetime Membership c.) ADCPN No.: 564 Valid until: December 2008
V. CORD DRESSING Name of Mother Catherine Capores
Age
23
Name of Hospital
Supervised by (Name & Signature of Qualified Clinical Instructor)
Niugan Lying-in, Malabon ___________________ Marissa Magsalay, RN
2
01-1295
August 17, 2007
Baby Serano
Male
Lyn Serano
24
Niugan Lying-in, Malabon ___________________ Marissa Magsalay, RN
3
01-1296
August 19, 2007
Baby Regionas
Female
Gerlie Regionas
24
Niugan Lying-in, Malabon ___________________ Marissa Magsalay, RN
4
01-1297
August 20, 2007
Baby Tambiz
Male
Luz Tambiz
25
Niugan Lying-in, Malabon ___________________ Marissa Magsalay, RN
5
01-1288
August 13, 2007
Baby Barion
Male
Cynthia Barion
23
Niugan Lying-in, Malabon ___________________ Marissa Magsalay, RN
Noted by:
Concurred by:
Approved by:
Benjamin A. De Guzman, RN, RM, MAN Signature over printed Name of Chief Nurse Date Signed: ________________________ Degree: BSN, MAN a.) PRC No.: 100631 Valid No.: January 28, 2010
Lily M. Quilala, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: ______________________ Degree: BSN, MAN a.) PRC No.: 0131751 Valid No.: October 19, 2011
Delia M. Tan, RN, MAN Signature over printed Name of Dean Date Signed: _______________________ Degree: BSN, MAN a.) PRC No.: 0068971 Valid No.: May 2, 2009
SOUTHEAST ASIAN COLLEGE, INC. COLLEGE OF NURSING 6N Ramirez St., Welcome Rotonda, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 357 S-2004
Name of Student: RONA FRANCES ALONZO MADRIAGA Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 6 N. Ramirez St., Welcome Rotonda, Quezon City Accreditation Level (if any): N/A Year Granted: N/A . Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980 First Course (if any): N/A School Graduated From: N/A Year: N/A . Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): March 2008 b.) PNA NO.: Valid until:
18088 Lifetime Membership
b.) PNA NO.: Valid until:
32143 December 2008
b.) PNA NO.: Valid until: c.) ADCPN No.: Valid until:
4277 Lifetime Membership 564 December 2008
Name of Student: RONA FRANCES ALONZO MADRIAGA Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 6 N. Ramirez St., Welcome Rotonda, Quezon City Accreditation Level (if any): N/A Year Granted: N/A . Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980 First Course (if any): N/A School Graduated From: N/A Year: N/A . Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): March 2008 No. 1 2 3 4 5
Date of Operation May 09, 2007 July 27, 2007 August 18, 2007 January 21, 2008 January 29, 2008
Case No.
Name of Patient
07-05004767
Arnel Caverias Bonbon
07-07052226 07-08052437 14378 14426
Carolina Grande Yolanda Tan Remolla Binolan Veronica Tadeo
Diagnosis Indirect Inguinal Hernia, Left Cystolithiasis Myoma Uteri Gravida5 Para3 Pregnancy Uterine Full Term Cephalic in Labor Gravida3 Para3 Voluntary Surgical Sterilization
I. MAJOR OPERATIONS Operation Performed Type of Anesthesia Hernioraphy, Left Spinal Anesthesia
Name of Surgeon Nelson Dy, MD
Cystolithotomy
Spinal Anesthesia
Pondenio Pahutan, MD
Spinal Anesthesia
Rey Delos Reyes, MD
Spinal Anesthesia
Caudad Ramos, MD
Intravenous Sedation
Caudad Ramos, MD
Total Abdominal Hysterectomy with Bilateral Salphingo Ooperectomy Cesarean Section Bilateral Tubal Ligation
Noted by: Tonnette E. Dela Rea, RN Signature over printed Name of Chief Date Signed: __________________ Degree: BSN a.) PRC No.: 0311700 Valid No.: November 2011 b.) PNA NO.: 17983 Valid until: Lifetime Membership
Vivian M. Formento, RN Nurse Signature over printed Name of Chief Nurse Date Signed: __________________ Degree: BSN a.) PRC No.: 0090274 Valid No.: February 20, 2011 b.) PNA NO.: 11242 Valid until: Lifetime Membership
Name of Hospital United Doctors Medical Center United Doctors Medical Center United Doctors Medical Center Montano Ramos General Hospital Montano Ramos General Hospital
Name &Signature of OR Scrub Nurse
Name & Signature of Clinical Instructor
____________________ Jemma Grace Paulo, RN
______________________ Manny Mamaril, RN, MAN
__________________ Adelina E. Caoile, RN
______________________ Manny Mamaril, RN, MAN
__________________ Raul T. Tumolva, RN
______________________ Manny Mamaril, RN, MAN
__________________ Tonnette E. Dela Rea, RN
__________________ Dearly Gumapos, RN
__________________ Tonnette E. Dela Rea, RN
__________________ Dearly Gumapos, RN
Concurred by:
Approved by:
Lily M. Quilala, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: ________________ Degree: BSN, MAN a.) PRC No.: 0131751 Valid No.: October 19, 2011 b.) PNA NO.: 32143 Valid until: December 2008
Delia M. Tan, RN, MAN Signature over printed Name of Dean Date Signed: ____________ Degree: BSN, MAN a.) PRC No.: 0068971 Valid No.: May 2, 2009 b.) PNA NO.: 4277 Valid until: Lifetime Membership c.) ADCPN No.: 564 Valid until: December 2008
SOUTHEAST ASIAN COLLEGE, INC. COLLEGE OF NURSING 6N Ramirez St., Welcome Rotonda, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 357 S-2004
Name of Student: RONA FRANCES ALONZO MADRIAGA Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 6 N. Ramirez St., Welcome Rotonda, Quezon City Accreditation Level (if any): N/A Year Granted: N/A . Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980 First Course (if any): N/A School Graduated From: N/A Year: N/A . Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): March 2008
No. 1 2 3 4 5
Date of Operation July 3, 2206 July 4, 2206 July 8, 2206 July 10, 2206 July 12, 2206
Case No. 06-07001852 06-07001860 06-07001915 06-07001931 06-07001965
Name of Patient Aida Pina Arnel Fabian Cherry Bautista Rodrigo Mejia Gloria Tobia
Diagnosis Mild Rectocele Umbilical Hernia
Operation Performed
II. MINOR OPERATIONS Type of Anesthesia
Left Anterior Posterior Repair
General Anesthesia
Herniorraphy
Spinal Anesthesia
Voluntary Surgical Sterilization
Bilateral Tubal Ligation
Gastric Bleeding
Colonoscopy with Gastric Biopsy
Local Anesthesia
Dilatation and Curettage
Intravenous Sedation
Gravida1 Para0 10 Weeks Age of Gestation
Spinal Anesthesia
Name of Surgeon
Rosalinda Chua, MD Denton Aumentado, MD Elizabeth Felipe, MD Boyet Gonzalez, MD Carotina Paula Martin, MD
Name of Hospital United Doctors Medical Center United Doctors Medical Center United Doctors Medical Center United Doctors Medical Center United Doctors Medical Center
Name &Signature of OR Scrub Nurse
Name & Signature of Clinical Instructor
__________________ Dickson Miciano, RN
_______________________ Manny Mamaril, RN, MAN
__________________ Dickson Miciano, RN
_______________________ Manny Mamaril, RN, MAN
____________________ Jemma Grace Paulo, RN
_______________________ Manny Mamaril, RN, MAN
__________________ Raul T. Tumolva, RN
_______________________ Manny Mamaril, RN, MAN
__________________ Dickson Miciano, RN
Noted by:
Concurred by:
Approved by:
Vivian M. Formento, RN Signature over printed Name of Chief Nurse Date Signed: ________________________ Degree: BSN a.) PRC No.: 0090274 Valid No.: February 20, 2011 b.) PNA NO.: 11242 Valid until: Lifetime Membership
Lily M. Quilala, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: ______________________ Degree: BSN, MAN a.) PRC No.: 0131751 Valid No.: October 19, 2011 b.) PNA NO.: 32143 Valid until: December 2008
Delia M. Tan, RN, MAN Signature over printed Name of Dean Date Signed: _______________________ Degree: BSN, MAN a.) PRC No.: 0068971 Valid No.: May 2, 2009 b.) PNA NO.: 4277 Valid until: Lifetime Membership c.) ADCPN No.: 564
_______________________ Manny Mamaril, RN, MAN
SOUTHEAST ASIAN COLLEGE, INC. COLLEGE OF NURSING 6N Ramirez St., Welcome Rotonda, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 357 S-2004
Name of Student: RONA FRANCES ALONZO MADRIAGA Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 6 N. Ramirez St., Welcome Rotonda, Quezon City Accreditation Level (if any): N/A Year Granted: N/A . Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980 First Course (if any): N/A School Graduated From: N/A Year: N/A . Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): March 2008 Valid until:
No. 1 2 3 4 5
Case No. 01-1290 01-1293 01-1291 01-1289 01-1292
Diagnosis
Name of Mother
Age
Gravida4 Para3 Pregnancy Uterine Full Term Cephalic in Labor
Gemma Batianilla
28
Gravida3 Para2 Pregnancy Uterine Full Term Cephalic in Labor
Evangelene Francisco
33
Gravida1 Para0 Pregnancy Uterine Full Term Cephalic in Labor
Beverly Ynopia
21
Gravida1 Para0 Pregnancy Uterine Full Term Cephalic in Labor
Jenelyn Gapuan
Gravida1 Para0 Pregnancy Uterine Full Term Cephalic in Labor
Daylen Celis
Date of Delivery August 14, 2007
III. ACTUAL DELIVERIES Time of Gender Name of Hospital Delivery of Baby 1:10PM Female Niugan Lying-in, Malabon
Type of Delivery
December 2008
Supervised by (Name & Signature of Qualified Clinical Instructor)
Normal Spontaneous Delivery __________________ Marissa Magsalay, RN
August 16, 2007
5:30 AM
Female
Niugan Lying-in, Malabon
Normal Spontaneous Delivery __________________ Marissa Magsalay, RN
August 14, 2007
11:20AM
Male
Niugan Lying-in, Malabon
Normal Spontaneous Delivery __________________ Marissa Magsalay, RN
21
August 13, 2007
2:35PM
Male
Niugan Lying-in, Malabon
Normal Spontaneous Delivery __________________ Marissa Magsalay, RN
19
August 15, 2007
11:45AM
Male
Niugan Lying-in, Malabon
Normal Spontaneous Delivery __________________ Marissa Magsalay, RN
Noted by:
Concurred by:
Approved by:
Benjamin A. De Guzman, RN, RM, MAN Signature over printed Name of Chief Nurse Date Signed: ________________________ Degree: BSN, MAN a.) PRC No.: 100631 Valid No.: January 28, 2010 b.) PNA NO.: 18088 Valid until: Lifetime Membership
Lily M. Quilala, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: ______________________ Degree: BSN, MAN a.) PRC No.: 0131751 Valid No.: October 19, 2011 b.) PNA NO.: 32143 Valid until: December 2008
Delia M. Tan, RN, MAN Signature over printed Name of Dean Date Signed: _______________________ Degree: BSN, MAN a.) PRC No.: 0068971 Valid No.: May 2, 2009 b.) PNA NO.: 4277 Valid until: Lifetime Membership
SOUTHEAST ASIAN COLLEGE, INC. COLLEGE OF NURSING 6N Ramirez St., Welcome Rotonda, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 357 S-2004
Name of Student: RONA FRANCES ALONZO MADRIAGA Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 6 N. Ramirez St., Welcome Rotonda, Quezon City Accreditation Level (if any): N/A Year Granted: N/A . Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980 First Course (if any): N/A School Graduated From: N/A Year: N/A . Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): March 2008 c.) ADCPN No.: 564 Valid until: December 2008
No. 1 2 3 4 5
Case No. 356945 339269 264825 339472 195078
Diagnosis
Name of Patient
Age
Gravida1 Para0 Pregnancy Uterine Full Term Cephalic in Labor
Princess Pacaliwagan
23
Gravida3 Para2 Pregnancy Uterine Full Term Cephalic in Labor
Bernadette Entas
Gravida1 Para1 Pregnancy Uterine Full Term Cephalic in Labor
Irene Montalbo
Gravida3 Para2 Pregnancy Uterine Full Term Cephalic in Labor
Charito Uriante
Gravida3 Para1 Pregnancy Uterine Full Term Cephalic in Labor
Shiela Atienza
Date of Delivery January 4, 2008
IV. DELIVERIES ASSISTED Time of Gender of Name of Hospital Delivery Baby 6:51AM Female Batangas Regional Hospital
Type of Delivery
Supervised by (Name & Signature of Qualified Clinical Instructor)
Normal Spontaneous Delivery ______________________ Melva Cleotilde Reno, RN
21
January 4, 2008
2:15PM
Male
Batangas Regional Hospital
Normal Spontaneous Delivery _____________________ Melva Cleotilde Reno, RN
32
January 4, 2008
3:05PM
Male
Batangas Regional Hospital
Normal Spontaneous Delivery _____________________ Melva Cleotilde Reno, RN
33
January 4, 2008
4:20PM
Male
Batangas Regional Hospital
Normal Spontaneous Delivery _____________________ Melva Cleotilde Reno, RN
33
January 4, 2008
6:55PM
Female
Batangas Regional Hospital
Normal Spontaneous Delivery _____________________ Melva Cleotilde Reno, RN
Noted by:
Concurred by:
Approved by:
Amor B. Calayan, RN, RM, MAN, PhD Signature over printed Name of Chief Nurse Date Signed: ________________________ Degree: BSN, MAN, PhD a.) PRC No.: 151514 Valid No.: August 3, 2010 b.) PNA NO.: 151514
Lily M. Quilala, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: ______________________ Degree: BSN, MAN a.) PRC No.: 0131751 Valid No.: October 19, 2011 b.) PNA NO.: 32143
Delia M. Tan, RN, MAN Signature over printed Name of Dean Date Signed: _______________________ Degree: BSN, MAN a.) PRC No.: 0068971 Valid No.: May 2, 2009 b.) PNA NO.: 4277
SOUTHEAST ASIAN COLLEGE, INC. COLLEGE OF NURSING 6N Ramirez St., Welcome Rotonda, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 357 S-2004
Name of Student: RONA FRANCES ALONZO MADRIAGA Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 6 N. Ramirez St., Welcome Rotonda, Quezon City Accreditation Level (if any): N/A Year Granted: N/A . Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980 First Course (if any): N/A School Graduated From: N/A Year: N/A . Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): March 2008 Valid until:
No. 1
Case No. 01-1294
December 2008
Date Performed August 16, 2007
Valid until:
Name of Baby Baby Capores
Gender of Baby Male
December 2008
Valid until: Lifetime Membership c.) ADCPN No.: 564 Valid until: December 2008
V. CORD DRESSING Name of Mother Catherine Capores
Age
23
Name of Hospital
Supervised by (Name & Signature of Qualified Clinical Instructor)
Niugan Lying-in, Malabon ___________________ Marissa Magsalay, RN
2
01-1295
August 17, 2007
Baby Serano
Male
Lyn Serano
24
Niugan Lying-in, Malabon ___________________ Marissa Magsalay, RN
3
01-1296
August 19, 2007
Baby Regionas
Female
Gerlie Regionas
24
Niugan Lying-in, Malabon ___________________ Marissa Magsalay, RN
4
01-1297
August 20, 2007
Baby Tambiz
Male
Luz Tambiz
25
Niugan Lying-in, Malabon ___________________ Marissa Magsalay, RN
5
01-1288
August 13, 2007
Baby Barion
Male
Cynthia Barion
23
Niugan Lying-in, Malabon ___________________ Marissa Magsalay, RN
Noted by:
Concurred by:
Approved by:
Benjamin A. De Guzman, RN, RM, MAN Signature over printed Name of Chief Nurse Date Signed: ________________________ Degree: BSN, MAN a.) PRC No.: 100631 Valid No.: January 28, 2010
Lily M. Quilala, RN, MAN Signature over printed Name of Clinical Coordinator Date Signed: ______________________ Degree: BSN, MAN a.) PRC No.: 0131751 Valid No.: October 19, 2011
Delia M. Tan, RN, MAN Signature over printed Name of Dean Date Signed: _______________________ Degree: BSN, MAN a.) PRC No.: 0068971 Valid No.: May 2, 2009
SOUTHEAST ASIAN COLLEGE, INC. COLLEGE OF NURSING 6N Ramirez St., Welcome Rotonda, Quezon City BASED ON THE BOARD OF NURSING Resolution No. 357 S-2004
Name of Student: RONA FRANCES ALONZO MADRIAGA Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 6 N. Ramirez St., Welcome Rotonda, Quezon City Accreditation Level (if any): N/A Year Granted: N/A . Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980 First Course (if any): N/A School Graduated From: N/A Year: N/A . Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): March 2008 b.) PNA NO.: Valid until:
18088 Lifetime Membership
b.) PNA NO.: Valid until:
32143 December 2008
b.) PNA NO.: Valid until: c.) ADCPN No.: Valid until:
4277 Lifetime Membership 564 December 2008
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