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 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
I. MAJOR OPERATIONS N umbe r
Date of Operati on
Case Numbe r
Name of Patient
Diagnosis
Operation Performed
Type of Anesthesia
Name of Surgeon
Name of Hospital
Name of Operating Room Scrub Nurse
1
Decembe r 19, 2007
480465
Gina Dagunot
Cholelithiasis with cholecystolithiasis, gangrenous gallbladder with adhesion
Cholecystectomy Lavage and Drainage
Spinal Anesthesia – Epidural Anesthesia
Dr. Elmer Zalsos
Northern Mindanao Medical Center
Pilarlita Mae S. Pagaray, BSN, RN
2
Decembe r 20, 2007
352552
Francisco Canaya
Nodular Non-toxic goiter with neck metastasis probably malignant
Total Thyroidectomy with Radical Neck Dissection, Right
General Anesthesia
Dr. Bernabe Mendoza
Northern Mindanao Medical Center
Pilarlita Mae S. Pagaray, BSN, RN
3
April 24, 2008
507532
Eddie Yap
Healed Fracture Radius Middle Third, Right; Refracture Medial Third Ulna, Right
Removal of Implant Radius, Right; Replating of the medial third ulna, Right
General Anesthesia
Dr. Justiniano Aquilino Cyril Pimentel
Northern Mindanao Medical Center
Leni I. Gestuveo, BSN, RN
507732
Leonila Villaruel
Phylloides Tumor, Left
Simple Mastectomy, Left
General Anesthesia
Dr. Riman Ricardo
4
April 24, 2008
Prepared by: April 23, 006679 5 2009 PAULA HELENA ROJAS ABA__ Name of Student
Supervised by: Noted by: Clemente Incarcerated Inguinal Herniorrhapy, Right Salarda Hernia ___MRS. IVY R. GO_ MRS.CHRISTY G. DABLO __ . Clinical Instructor Clinical Coordinator Date Signed: Date Signed: _________________________________ __ . Degree: BSN, RN, MAN Degree: BSN, RN, MN, MAN . . a.) PRC No.: 0222293 a.) PRC No.: 0222342 . . Valid Until: April 21, 2010 Valid Until: November 22, . 2010 . b.) PNA No.: 066616 b.) PNA No.: 066620 . . Valid Until: December 31, 2009 Valid Until: December 31, . 2009 .
Concurred by: Local Dr. Joel Anesthesia Babanto DR. DOROTHEA N. ROQUE . Chief Nurse Northern Mindanao Medical Center Date Signed: . Degree: BSN, RN, MAN, Ed D. . a.) PRC No.: 0041397 . Valid Until: February 6, 2010 . b.) PNA No.: 018604 . Valid Until: December 31, 2009 . c.) ANSAP No.: 05047 . Valid Until: December 31, 2009 .
Signature of Operating Room Scrub Nurse
Northern Almer Jan L. Zalsos, BSN, Mindanao RN Medical Center Concurred by: Approved by: Gingoog Fe T. Teope, BSN, RN District MRS. JULIANA L. JAVIER DR. RAMONA HEIDI C. . Hospital PALAD . Chief Nurse Dean College of Nursing Gingoog District Hospital Xavier University-Ateneo de Date Signed: Cagayan Date Signed: . Degree: BSN, RN . a. ) PRC No.: 0077182 . Valid Until: December 10, 2010 . b.) PNA No.: 80212 . Valid Until: December 31, 2009 .
. 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 .
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 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
II. MINOR OPERATIONS N umbe r
Date of Operati on
Case Numbe r
Name of Patient
Diagnosis
Operation Performed
Type of Anesthesia
Name of Surgeon
Name of Hospital
Name of Operating Room Scrub Nurse
1
Decembe r 19, 2007
480457
Hazel Jane Malinay
Sacrococcygeal Mass
Excision of Sacrococcygeal Teratoma
General Anesthesia
Dr. Dures Fe Tagayuna
Northern Mindanao Medical Center
Lydia L. Labitad, BSN, RN, MN
Mother’s House, Xavier University – Community Health Care Center Mother’s House, Xavier University – Community Health Care Center
2
February 8, 2008
2008601
Nilda Adoremos
Multiparity
Bilateral Tubal Ligation
Local Anesthesia
Dr. Maria Corazon Cuaycong
3
March 19, 2008
2008615
Judith Baterna
Multiparity
Bilateral Tubal Ligation
Local Anesthesia
Dr. Maria Corazon Cuaycong
4
April 17, 2008
259
Howard Wyne Llesis
Phimosis
Circumcision
Local Anesthesia
Dr. Melodee Zamora
City Health Office -Tablon Health Center
Iryn L. Salcedo, BSN, RN
5
April 17, 2008
260
Howard Miles Llesis
Phimosis
Circumcision
Local Anesthesia
Dr. Melodee Zamora
City Health Office -Tablon Health Center
Iryn L. Salcedo, BSN, RN
Grace L. Llevares, BSN, RN
Grace L. Llevares, BSN, RN
Signature of Operating Room Scrub Nurse
Prepared by:
Supervised by:
Noted by:
PAULA HELENA ROJAS ABA___ Name of Student
MRS. IVY R. GO ___ Clinical Instructor Date Signed:
___ MRS.CHRISTY G. DABLO_____ Clinical Coordinator Date Signed:
. Degree: BSN, RN, MAN . a.) PRC No.: 0222293 . Valid Until: April 21, 2010 . b.) PNA No.:066616 . 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 .
Concurred by: _
__DR. DOROTHEA N. ROQUE_____ Chief Nurse Northern Mindanao Medical Center Date Signed: . Degree: BSN, RN, MAN, Ed D. . a.) PRC No.: 0041397 . Valid Until: February 6, 2010 . b.) PNA No.: 018604 . Valid Until: December 31, 2009 . c.) ANSAP No.: 05047 . Valid Until: December 31, 2009 .
Concurred by:
Concurred by:
Approved by:
__ MRS. EVA R. LLENO________ Chief Nurse Xavier University – Community Health Care Center Date Signed:
______MS. IRYN L. SALCEDO______ Public Health Nurse III City Health Office Date Signed:
____DR. RAMONA HEIDI C. PALAD___ Dean College of Nursing Xavier University-Ateneo de Cagayan Date Signed:
. Degree: BSN, RN, MHA . a. ) PRC No.: 0091662 . Valid Until: August 9, 2012 . b.) PNA No.: 18586 . Valid Until: Lifetime . c.) ANSAP No.: 090011 . Valid Until: Lifetime .
. Degree: BSN, RN, MPH . a.) PRC No.: 0148109 . Valid Until: January 11, 2012 . b.) PNA No.: 79897 . Valid Until: December 31, 2009 .
. 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 .