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XAVIER UNIVERSITY – ATENEO DE CAGAYAN Corrales Avenue, Cagayan de Oro City, Philippines School Code: 0839 Name of Student: PAULA HELENA ROJAS ABA Name & Address of School: Xavier University – Ateneo de Cagayan, Corrales Avenue, Cagayan de Oro City Accreditation Level (if any): None Date of School / Program was Recognized: June 9 Number: 008 Year: 1992 First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable . Year of Admission in the Bachelor of Science in Nursing Program: 2005 Year Graduated (BSN Program): 2009
Number
Case Number
1
248374
2
3
4
5
224755 248554
245826
241938
Prepared by: ___PAULA HELENA ROJAS ABA___ Name of Student
Diagnosis Delivery Term Spontaneous to an alive baby girl 2.8 kilograms with APGAR Score of 9 cephalic Gravida 1 Parity 1 Delivery Term Spontaneous to an alive baby boy 3.0 kilograms with APGAR Score of 9 cephalic Gravida 2 Parity 1 Delivery Term Spontaneous to an alive baby boy 3.0 kilograms with APGAR Score of 9 cephalic Gravida 1 Parity 0 Delivery Term Spontaneous to an alive baby boy 3.0 kilograms with APGAR Score of 9 cephalic Gravida 3 Parity 3 Delivery Term Spontaneous to an alive baby girl 3.0 kilograms with APGAR Score of 9 cephalic Gravida 4 Parity 3
Name of Patient
Age
Lady June Balacuit
21
April 21, 2009
5:25pm
Marilyn Fernandez
25
April 24, 2009
Jonalyn Balatero
23
Eusebia Ragot
Riza Pagaran
Type of Delivery
Female
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
10:20p m
Male
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
April 26, 2009
1:30pm
Male
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
27
May 2, 2009
12:43a m
Male
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
30
May 3, 2009
10:00p m
Female
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
.
Valid Until: November 22, 2010
b.)
_________MRS. CHRISTY G. DABLO________ Clinical Coordinator Date Signed: . Degree: BSN, RN, MN, MAN . PRC No.: 0222342 .
Not Applicable
Name of Hospital
Noted by:
a.)
III. HANDLED DELIVERIES Time Gende Date of of r of Delivery Delive Baby ry
Year Granted:
PNA No.: 066620 . Valid Until: December 31, 2009 .
Concurred by: ___________MRS. JULIANA L. JAVIER___________
Supervised by: Name & Signature of Qualified C.I.
Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN Chief Nurse Gingoog District Hospital Date Signed: . Degree: BSN, RN . a.) PRC No.: 0077182 . Valid Until: December 10, 2010 . b.) PNA No.: 80212 . Valid Until: December 31, 2009 .
Dean College of Nursing Xavier University- Ateneo de Cagayan Date Signed:
Approved by:
Degree: BSN, RN, MAN, MAed, PhD .
________DR. RAMONA HEIDI C. PALAD________
Valid Until: Lifetime .
a.) .
PRC No.: 0053722 . Valid Until: August 31, 2012 .
b.)
c.)
PNA No.: 11836 .
.
ADPCN No.: 0063 . Valid Until: October 31, 2010
XAVIER UNIVERSITY – ATENEO DE CAGAYAN Corrales Avenue, Cagayan de Oro City, Philippines School Code: 0839 Name of Student: PAULA HELENA ROJAS ABA Name & Address of School: Xavier University – Ateneo de Cagayan, Corrales Avenue, Cagayan de Oro City Accreditation Level (if any): None Date of School / Program was Recognized: June 9 Number: 008 Year: 1992 First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable . Year of Admission in the Bachelor of Science in Nursing Program: 2005 Year Graduated (BSN Program): 2009
Number
1
Case Number
508349
2
229708
3
226758
4
1891
5
226258
Prepared by: _ PAULA HELENA ROJAS ABA___
Diagnosis
Name of Patient
Age
Inevitable Abortion, G4P3 (3003)
Marivic Aguiton
27
Delivery Term Spontaneous to an alive baby girl 3.0 kilograms with APGAR Score of 9 cephalic Gravida 4 Parity 3 Delivery Term Spontaneous to an alive baby boy 2.6 kilograms with APGAR score of 9 cephalic Gravida 1 Para 1 (1001) Delivery Term Spontaneous to an alive baby girl 3.4 kilograms with APGAR Score of 9 cephalic Gravida 1 Parity 0 Delivery Term Spontaneous to an alive baby girl 3 kilograms with APGAR Score of 9 cephalic Gravida 2 Parity 1
IV. DELIVERIES ASSISTED Time Gende Date of of r of Delivery Deliver Baby y May 8, 2008
1:26pm
Male
Year Granted:
Not Applicable
Name of Hospital
Type of Delivery
Northern Mindanao Medical Center
Normal Spontaneous Vaginal Delivery
Angelita Sabuga
42
April 23, 2009
9:45am
Female
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
Maria Bernadette Oncada
19
April 25, 2009
7:43am
Male
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
Jodeza Peligro
25
April 27, 2009
5:23pm
Female
Gingoog City Women & Puericulture Center
Normal Spontaneous Vaginal Delivery
Delma Faith Aviancio
24
May 3, 2009
6:00pm
Female
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
Name of Student
Supervised by: Name & Signature of Qualified Clinical Instructor
Mrs. Jessica D. Bunao, BSN, RN Mrs. Christy G. Dablo, BSN, RN, MN, MAN
Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN _
Noted by:
___MRS.CHRISTY G. DABLO_______ Clinical Coordinator
Date Signed:
Concurred by:
. Degree: BSN, RN, MN, MAN .
a.)
Valid Until: December 31, 2009
.
__ DR. DOROTHEA N. ROQUE_____ Chief Nurse Northern Mindanao Medical Center Date Signed:
.
PRC No.: 0222342 . Valid Until: November 22, 2010 . . Degree: BSN, RN, MAN, Ed D. . b.) PNA No.: 066620 a.) PRC No.: 0041397 . . Valid Until: December 31, 2009 Valid Until: February 6, 2010 . . b.) PNA No.: 018604 . Valid Until: December 31, 2009 . c.) ANSAP No.: 05047 .
Concurred by: _______MRS. JULIANA L. JAVIER______ Chief Nurse Gingoog District Hospital Date Signed: . Degree: BSN, RN .
a.)
Degree: RM, RN PNA No.: 80212 . . a.) PRC No.: 0349503 Valid Until: December 31, 2009 . Valid Until: August 25, 2012 . b.) PNA No.: 066466 . Valid Until: December 4, 2010 .
b.)
Concurred by:
Xavier University-Ateneo de Cagayan Date Signed: . Degree: BSN, RN, MAN, MAEd, PhD .
a.)
PRC No.: 0053722 . Valid Until: August 31, 2012 .
b.)
_________MS. RIZA C. DAJAO_________ Nurse Gingoog City Women & Puericulture Center Date Signed:
PNA No.: 11836 . Valid Until: Lifetime .
Approved by:
PRC No.: 0077182 . . Valid Until: December 10, 2010 .
c.)
____DR. RAMONA HEIDI C. PALAD____ Dean College of Nursing
ADPCN No.: 0063 . Valid Until: October 31, 2010 .
XAVIER UNIVERSITY – ATENEO DE CAGAYAN Corrales Avenue, Cagayan de Oro City, Philippines School Code: 0839 Name of Student: PAULA HELENA ROJAS ABA Name & Address of School: Xavier University – Ateneo de Cagayan, Corrales Avenue, Cagayan de Oro City Accreditation Level (if any): None Date of School / Program was Recognized: June 9 Number: 008 Year: 1992 First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable . Year of Admission in the Bachelor of Science in Nursing Program: 2005 Year Graduated (BSN Program): 2009
Year Granted:
Not Applicable
V. CORD DRESSING Number
Case Number
Date Performed
Name of Baby
Gender of Baby
Name of Mother
Age
Name of Hospital
1
2081295
April 21, 2008
Baby Boy Bernadez
Male
Fe Bernadez
35
Madonna and Child Hospital
2
248386
April 21, 2009
Baby Girl Ragot
Female
Marshaliza Ragot
32
Gingoog District Hospital
3
248385
April 21, 2009
Baby Boy Castil
Male
Renie Macaranas
35
Gingoog District Hospital
Supervised by: Name & Signature of Qualified C.I.
Mrs. Rosalie A. Uriarte, BSN, RN Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN
4
248388
April 21, 2009
Baby Boy Salugsugan
Male
Elcita Salugsugan
31
Gingoog District Hospital
5
248731
May 5, 2009
Baby Girl Pagapong
Female
Evelyn Pagapong
31
Gingoog District Hospital
Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN
Prepared by:
Noted by:
Concurred by:
Concurred by:
PAULA HELENA ROJAS ABA_____ Name of Student
________MRS.CHRISTY G. DABLO__________ Clinical Coordinator Date Signed:
_ MS. FRANCES ROSARY C. MARFORI____ Chief Nurse Madonna and Child Hospital Date Signed:
_ MRS. JULIANA L. JAVIER____ _______ Chief Nurse Gingoog District Hospital Date Signed:
. Degree: BSN, RN, MN . a.) PRC No.: 0164585 . Valid Until: October 31, 2011 . b.) PNA No.: 19685 . Valid Until: Lifetime . c.) ANSAP No.: 02507 . Valid Until: December 31, 2009 .
. Degree: BSN, RN . a. ) PRC No.: 0077182 . Valid Until: December 10, 2010 . b.) PNA No.: 80212 . Valid Until: December 31, 2009 .
. Degree: BSN, RN, MN, MAN . a.) PRC No.: 0222342 . Valid Until: November 22, 2010 . b.) PNA No.: 066620 . Valid Until: December 31, 2009 .
Approved by: __ DR. RAMONA HEIDI C. PALAD________ Dean College of Nursing Xavier University-Ateneo de Cagayan Date Signed: .
Degree: BSN, RN, MAN, MAEd, PhD . a.) PRC No.: 0053722
. . . . . .
Valid Until: August 31, 2012 b.) PNA No.: 11836 Valid Until: Lifetime c.) ADPCN No.: 0063 Valid Until: October 31, 2010
Number
Case Number
1
248374
2
3
4
5
224755 248554
245826
241938
Prepared by: ___PAULA HELENA ROJAS ABA___ Name of Student
Diagnosis Delivery Term Spontaneous to an alive baby girl 2.8 kilograms with APGAR Score of 9 cephalic Gravida 1 Parity 1 Delivery Term Spontaneous to an alive baby boy 3.0 kilograms with APGAR Score of 9 cephalic Gravida 2 Parity 1 Delivery Term Spontaneous to an alive baby boy 3.0 kilograms with APGAR Score of 9 cephalic Gravida 1 Parity 0 Delivery Term Spontaneous to an alive baby boy 3.0 kilograms with APGAR Score of 9 cephalic Gravida 3 Parity 3 Delivery Term Spontaneous to an alive baby girl 3.0 kilograms with APGAR Score of 9 cephalic Gravida 4 Parity 3
Name of Patient
Age
Lady June Balacuit
21
April 21, 2009
5:25pm
Marilyn Fernandez
25
April 24, 2009
Jonalyn Balatero
23
Eusebia Ragot
Riza Pagaran
Type of Delivery
Female
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
10:20p m
Male
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
April 26, 2009
1:30pm
Male
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
27
May 2, 2009
12:43a m
Male
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
30
May 3, 2009
10:00p m
Female
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
.
Valid Until: November 22, 2010
b.)
_________MRS. CHRISTY G. DABLO________ Clinical Coordinator Date Signed: . Degree: BSN, RN, MN, MAN . PRC No.: 0222342 .
Not Applicable
Name of Hospital
Noted by:
a.)
III. HANDLED DELIVERIES Time Gende Date of of r of Delivery Delive Baby ry
Year Granted:
PNA No.: 066620 . Valid Until: December 31, 2009 .
Concurred by: ___________MRS. JULIANA L. JAVIER___________
Supervised by: Name & Signature of Qualified C.I.
Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN Chief Nurse Gingoog District Hospital Date Signed: . Degree: BSN, RN . a.) PRC No.: 0077182 . Valid Until: December 10, 2010 . b.) PNA No.: 80212 . Valid Until: December 31, 2009 .
Dean College of Nursing Xavier University- Ateneo de Cagayan Date Signed:
Approved by:
Degree: BSN, RN, MAN, MAed, PhD .
________DR. RAMONA HEIDI C. PALAD________
Valid Until: Lifetime .
a.) .
PRC No.: 0053722 . Valid Until: August 31, 2012 .
b.)
c.)
PNA No.: 11836 .
.
ADPCN No.: 0063 . Valid Until: October 31, 2010
XAVIER UNIVERSITY – ATENEO DE CAGAYAN Corrales Avenue, Cagayan de Oro City, Philippines School Code: 0839 Name of Student: PAULA HELENA ROJAS ABA Name & Address of School: Xavier University – Ateneo de Cagayan, Corrales Avenue, Cagayan de Oro City Accreditation Level (if any): None Date of School / Program was Recognized: June 9 Number: 008 Year: 1992 First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable . Year of Admission in the Bachelor of Science in Nursing Program: 2005 Year Graduated (BSN Program): 2009
Number
1
Case Number
508349
2
229708
3
226758
4
1891
5
226258
Prepared by: _ PAULA HELENA ROJAS ABA___
Diagnosis
Name of Patient
Age
Inevitable Abortion, G4P3 (3003)
Marivic Aguiton
27
Delivery Term Spontaneous to an alive baby girl 3.0 kilograms with APGAR Score of 9 cephalic Gravida 4 Parity 3 Delivery Term Spontaneous to an alive baby boy 2.6 kilograms with APGAR score of 9 cephalic Gravida 1 Para 1 (1001) Delivery Term Spontaneous to an alive baby girl 3.4 kilograms with APGAR Score of 9 cephalic Gravida 1 Parity 0 Delivery Term Spontaneous to an alive baby girl 3 kilograms with APGAR Score of 9 cephalic Gravida 2 Parity 1
IV. DELIVERIES ASSISTED Time Gende Date of of r of Delivery Deliver Baby y May 8, 2008
1:26pm
Male
Year Granted:
Not Applicable
Name of Hospital
Type of Delivery
Northern Mindanao Medical Center
Normal Spontaneous Vaginal Delivery
Angelita Sabuga
42
April 23, 2009
9:45am
Female
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
Maria Bernadette Oncada
19
April 25, 2009
7:43am
Male
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
Jodeza Peligro
25
April 27, 2009
5:23pm
Female
Gingoog City Women & Puericulture Center
Normal Spontaneous Vaginal Delivery
Delma Faith Aviancio
24
May 3, 2009
6:00pm
Female
Gingoog District Hospital
Normal Spontaneous Vaginal Delivery
Name of Student
Supervised by: Name & Signature of Qualified Clinical Instructor
Mrs. Jessica D. Bunao, BSN, RN Mrs. Christy G. Dablo, BSN, RN, MN, MAN
Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN _
Noted by:
___MRS.CHRISTY G. DABLO_______ Clinical Coordinator
Date Signed:
Concurred by:
. Degree: BSN, RN, MN, MAN .
a.)
Valid Until: December 31, 2009
.
__ DR. DOROTHEA N. ROQUE_____ Chief Nurse Northern Mindanao Medical Center Date Signed:
.
PRC No.: 0222342 . Valid Until: November 22, 2010 . . Degree: BSN, RN, MAN, Ed D. . b.) PNA No.: 066620 a.) PRC No.: 0041397 . . Valid Until: December 31, 2009 Valid Until: February 6, 2010 . . b.) PNA No.: 018604 . Valid Until: December 31, 2009 . c.) ANSAP No.: 05047 .
Concurred by: _______MRS. JULIANA L. JAVIER______ Chief Nurse Gingoog District Hospital Date Signed: . Degree: BSN, RN .
a.)
Degree: RM, RN PNA No.: 80212 . . a.) PRC No.: 0349503 Valid Until: December 31, 2009 . Valid Until: August 25, 2012 . b.) PNA No.: 066466 . Valid Until: December 4, 2010 .
b.)
Concurred by:
Xavier University-Ateneo de Cagayan Date Signed: . Degree: BSN, RN, MAN, MAEd, PhD .
a.)
PRC No.: 0053722 . Valid Until: August 31, 2012 .
b.)
_________MS. RIZA C. DAJAO_________ Nurse Gingoog City Women & Puericulture Center Date Signed:
PNA No.: 11836 . Valid Until: Lifetime .
Approved by:
PRC No.: 0077182 . . Valid Until: December 10, 2010 .
c.)
____DR. RAMONA HEIDI C. PALAD____ Dean College of Nursing
ADPCN No.: 0063 . Valid Until: October 31, 2010 .
XAVIER UNIVERSITY – ATENEO DE CAGAYAN Corrales Avenue, Cagayan de Oro City, Philippines School Code: 0839 Name of Student: PAULA HELENA ROJAS ABA Name & Address of School: Xavier University – Ateneo de Cagayan, Corrales Avenue, Cagayan de Oro City Accreditation Level (if any): None Date of School / Program was Recognized: June 9 Number: 008 Year: 1992 First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable . Year of Admission in the Bachelor of Science in Nursing Program: 2005 Year Graduated (BSN Program): 2009
Year Granted:
Not Applicable
V. CORD DRESSING Number
Case Number
Date Performed
Name of Baby
Gender of Baby
Name of Mother
Age
Name of Hospital
1
2081295
April 21, 2008
Baby Boy Bernadez
Male
Fe Bernadez
35
Madonna and Child Hospital
2
248386
April 21, 2009
Baby Girl Ragot
Female
Marshaliza Ragot
32
Gingoog District Hospital
3
248385
April 21, 2009
Baby Boy Castil
Male
Renie Macaranas
35
Gingoog District Hospital
Supervised by: Name & Signature of Qualified C.I.
Mrs. Rosalie A. Uriarte, BSN, RN Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN
4
248388
April 21, 2009
Baby Boy Salugsugan
Male
Elcita Salugsugan
31
Gingoog District Hospital
5
248731
May 5, 2009
Baby Girl Pagapong
Female
Evelyn Pagapong
31
Gingoog District Hospital
Mrs. Christy G. Dablo, BSN, RN, MN, MAN Mrs. Christy G. Dablo, BSN, RN, MN, MAN
Prepared by:
Noted by:
Concurred by:
Concurred by:
PAULA HELENA ROJAS ABA_____ Name of Student
________MRS.CHRISTY G. DABLO__________ Clinical Coordinator Date Signed:
_ MS. FRANCES ROSARY C. MARFORI____ Chief Nurse Madonna and Child Hospital Date Signed:
_ MRS. JULIANA L. JAVIER____ _______ Chief Nurse Gingoog District Hospital Date Signed:
. Degree: BSN, RN, MN . a.) PRC No.: 0164585 . Valid Until: October 31, 2011 . b.) PNA No.: 19685 . Valid Until: Lifetime . c.) ANSAP No.: 02507 . Valid Until: December 31, 2009 .
. Degree: BSN, RN . a. ) PRC No.: 0077182 . Valid Until: December 10, 2010 . b.) PNA No.: 80212 . Valid Until: December 31, 2009 .
. Degree: BSN, RN, MN, MAN . a.) PRC No.: 0222342 . Valid Until: November 22, 2010 . b.) PNA No.: 066620 . Valid Until: December 31, 2009 .
Approved by: __ DR. RAMONA HEIDI C. PALAD________ Dean College of Nursing Xavier University-Ateneo de Cagayan Date Signed: .
Degree: BSN, RN, MAN, MAEd, PhD . a.) PRC No.: 0053722
. . . . . .
Valid Until: August 31, 2012 b.) PNA No.: 11836 Valid Until: Lifetime c.) ADPCN No.: 0063 Valid Until: October 31, 2010
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