Minor

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 2002 March 2007

Year granted Number School graduated from

: : :

2005 171 N/A

Year Year

: :

1985 N/A

II. MINOR OPERATIONS No.

Date of Operation

Case No.

Name of Patient

Diagnosis

Operation Performed

Type of Anesthesia

Name of Surgeon

Name of Hospital

Name of O.R. Scrub Nurse

1.

July 14, 2005

001238

Cobrado, CJ

Lacerated Wound 1-2cm, Occipital

Suturing

Local Anesthesia

Dr. Yanez

Lanao del Norte Provincial Hospital

Ms. Wilma Oliveros, RN PRC No. 0943481

2.

June 14, 2006

168111

Anticamara, Revante

Baker’s Cyst at Left Popliteal

Excision of Mass

Spinal Anesthesia

Dr. Macataman

Gregorio T. Lluch Memorial Hospital

Ms. Lilia S. Ponce, RN PRC No. 0111987

3.

August 3, 2006

93813

Mananqiul, Primo

Sebaceous Cyst Abdomen

Local Anesthesia

Dr. Vicente Mejorada

Kolambugan District Hospital

Ms Lorna V. Labitad, RN PRC No. 0080416

4.

October 13, 2006

214100

Reyes, Alvin

Multi-organ Failure secondary to Nosocomial Infection

Tracheostomy

Local Anesthesia

Dr. Andrew Marcella

Iligan Medical Center Hospital

Ms. Precious Dela Cerna, RN PRC No. 0399824

5.

January 24, 2007

000265

Canoy, Mark

Foreign Body at Right Hand

Incision and Drainage

Local Anesthesia

Dr. Andrew Marcella

Iligan Medical Center Hospital

Ms Lerma Cabagui, RN PRC No. 0399758

Excision of Mass

Signature of O. R. Scrub Nurse

CONCURRED BY:

CONCURRED BY:

CONCURRED BY:

CONCURRED BY:

APPROVED BY:

NOTED BY:

SUPERVISED BY:

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. 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. 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

Mr. Charlie C. Plaza, RN, MAN Signature over printed name of Chief Nurse Iligan Medical Center Hospital Date signed: ________________ Degree: BSN, RN, MAN a. PRC No.: 0182453 Valid until: November 08, 2009 b. PNA No.: 16813 Valid until: Lifetime c. ANSAP No.: 3959 Valid until: March 06, 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