ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.

ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015) IMMEDIATE NEWBORN CORD CARE in QUIRINO MEMORIAL MEDICAL CENTER, Quezon City, Metro Manila__ Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student __REA ANGELA P. PURISIMA__

Date Performed and Time Started

Patients INITIAL Only Case Number

(not applicable for Birthing/Lyingin Clinic/Home)

Immediate Newborn Cord Care PERFORMED Indicate where performed e.g. D.R., Nursery, NICU, or Home NICU NICU NICU NICU NICU

D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required)

SUPERVISED BY Clinical instructor Name and Signature

January 29, 2013 7:22 PM January 22, 2013 8:00 PM January 22, 2013 7:00 PM January 22, 2013 4:54 PM January 21, 2013 7:22 PM

E.A.M. 834396 J.A.D 836916 R.S.L.II 837716 J.B.P. 821536 J.D.E. 705223

Marlyn V. Malabanan, RM Marlyn V. Malabanan, RM Marlyn V. Malabanan, RM Marlyn V. Malabanan, RM Marlyn V. Malabanan, RM

Virgilia C. Echevarri, RN, MAN Virgilia C. Echevarri, RN, MAN Virgilia C. Echevarri, RN, MAN Virgilia C. Echevarri, RN, MAN Virgilia C. Echevarri, RN, MAN

Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Date document is signed: ________________ Time: ______________ Highest Nursing Degree Earned: BSN, MAN

Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013 Date document is signed: ________________ Time: _____________ Highest Nursing Degree Earned: MAN, MPA, BSN

ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015) SURGICAL SRCUB ( Minor) in_ OUR LADY OF MT. CARMEL MEDICAL CENTER, San Fernando, Pampanga _ Hospital/Home/Lying-in Clinic, Municipality/City/Province Printed Name and Signature of Student ___REA ANGELA P. PURISIMA_

Date Performed and Time Started February 26, 2013 12:05 PM February 19, 2013 11:50 AM February 19, 2013 10:33 AM

Patients INITIAL Only Case Number

(not applicable for Birthing/Lyingin Clinic/Home)

SURGICAL PROCEDURE PERFORMED

D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required) Hazel S. Garcia, RN Camille A. Aquino, RN Elmer A. Santos, RN

SUPERVISED BY Clinical instructor Name and Signature

W.A.C. 30788 E.A.I. 30706 R.N.V. 30708

Excision Biopsy Breast Mass Left Excision of Pterygium, Right Eye Herniorrhaphy Left

Mercedes C. Gamayon, RN, MAN Mercedes C. Gamayon, RN, MAN Mercedes C. Gamayon, RN, MAN

Noted by: RUHIYYIH C. BARNACHIA, RN, MAN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Date document is signed: ________________ Time: ______________ Highest Nursing Degree Earned: BSN, MAN

Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013 Date document is signed: ________________ Time: _____________ Highest Nursing Degree Earned: MAN, MPA, BSN

ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015)

SURGICAL SRCUB (Major) in __ TONDO MEDICAL CENTER, Tondo Manila, Metro Manila_ Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student __REA ANGELA P. PURISIMA___

Date Performed and Time Started December 11, 2012 9:08 PM December 10, 2012 4:30 PM December 4, 2012 7:20 PM

Patients INITIAL Only Case Number

(not applicable for Birthing/Lyingin Clinic/Home)

SURGICAL PROCEDURE PERFORMED

D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required) Cynthia Manalo, RN Leaonora R. Contiling, RN Leaonora R. Contiling, RN

SUPERVISED BY Clinical instructor Name and Signature

M.D.C. 423929 R.M.C. 423893 J.M.P. 079412

Low Transverse Cesarian Section Low Transverse Cesarian Section Pelvic Laparotomy

Nilda P. Agapito, RN, MAN Nilda P. Agapito, RN, MAN Nilda P. Agapito, RN, MAN

Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Date document is signed: ________________ Time: ______________ Highest Nursing Degree Earned: BSN, MAN

Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013 Date document is signed: ________________ Time: _____________

ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015)

SURGICAL SRCUB (Major) in _ OUR LADY OF MT. CARMEL MEDICAL CENTER, City of San Fernando, Pampanga _ Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student __REA ANGELA P. PURISIMA___

Date Performed and Time Started February 26, 2013 12:52 PM February 19, 2013 9:20 AM

Patients INITIAL Only Case Number

(not applicable for Birthing/Lyingin Clinic/Home)

SURGICAL PROCEDURE PERFORMED

D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required) Hazel S. Garcia, RN Camille A. Aquino, RN

SUPERVISED BY Clinical instructor Name and Signature

C.B.G. 30805 R.L.D 30701

Thyroidectomy Phacoemulsification with Intraocular Lens Insertion Left Eye

Mercedes C. Gamayon, RN, MAN Mercedes C. Gamayon, RN, MAN

Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Date document is signed: ________________ Time: ______________ Highest Nursing Degree Earned: BSN, MAN

Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013 Date document is signed: ________________ Time: _____________

ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015) IMMEDIATE NEWBORN CORD CARE in QUIRINO MEMORIAL MEDICAL CENTER, Quezon City, Metro Manila__ Hospital/Home/Lying-in Clinic, Municipality/City/Province Prepared by: Printed Name and Signature of Student __IRISH D. QUINTANA__

Date Performed and Time Started

Patients INITIAL Only Case Number

(not applicable for Birthing/Lyingin Clinic/Home)

Immediate Newborn Cord Care PERFORMED Indicate where performed e.g. D.R., Nursery, NICU, or Home NICU

D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required)

SUPERVISED BY Clinical instructor Name and Signature

January 29, 2013 8:45 PM

B.B.Q. 645955

Marlyn V. Malabanan, RM

Virgilia C. Echevarri, RN, MAN

Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Date document is signed: ________________ Time: ______________ Highest Nursing Degree Earned: BSN, MAN

Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013 Date document is signed: ________________ Time: _____________ Highest Nursing Degree Earned: MAN, MPA, BSN

ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015) ACTUAL DELIVERY in WELL -FAMILY MIDWIFE CLINIC- CAMARIN, Caloocan City, Metro Manila __ Hospital/Home/Lying-in Clinic, Municipality/City/Province

Prepared by: Printed Name and Signature of Student ___REA ANGELA P. PURISIMA_

Date Performed and Time Started

Patients INITIAL Only Case Number (not applicable for Birthing/Lying- in Clinic/Home) N.P.T. 003354 G.B.P. 003811

PROCEDURE PERFORMED

D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required)

SUPERVISED BY Clinical instructor Name and Signature

July 22, 2012 2:35 PM July 17,2012 5:10 AM

Normal Spontaneous Delivery Normal Spontaneous Delivery

Phoebe B. Bazarte, RM Phoebe B. Bazarte, RM

Gener C. Sibal, MD, RN, MAN-c Gener C. Sibal, MD, RN, MAN-c

Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Date document is signed: ________________ Time: ______________ Highest Nursing Degree Earned: BSN, MAN

Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013 Date document is signed: ________________ Time: _____________ Highest Nursing Degree Earned: MAN, MPA, BSN

ARELLANO UNIVERSITY COLLEGE of NURSING 2600 Legarda St., Sampaloc, Manila 7347371 LOC 210, 7353509 Fax, www.arellano.edu.ph PACUCOA Level III Re-Accredited Status (March 2012 to March 2015) ASSISTED DELIVERY in WELL -FAMILY MIDWIFE CLINIC- CAMARIN, CALOOCAN CITY, METRO MANILA __ Hospital/Home/Lying-in Clinic, Municipality/City/Province

Prepared by: Printed Name and Signature of Student ___ REA ANGELA P. PURISIMA _

Date Performed and Time Started

Patients INITIAL Only Case Number (not applicable for Birthing/Lying-in Clinic/Home) J.C.A. 003230 A.V.G. 003815

PROCEDURE PERFORMED ASSISTED DELIVERY

D.R. Nurse On Duty (Name and Signature) (If Midwife on Duty, Signature Not Required)

SUPERVISED BY Clinical instructor Name and Signature

July 27, 2012 3:44 PM July 18, 2012 5:42 PM

Normal Spontaneous Delivery

Phoebe B. Bazarte, RM

Gener C. Sibal, MD, RN, MAN-c

Normal Spontaneous Delivery

Phoebe B. Bazarte, RM

Gener C. Sibal, MD, RN, MAN-c

Noted by: RUHIYYIH C. BARNACHIA, RN , MAN Clinical Coordinator: PRC I.D. No. 364772 Valid Until September 21, 2014 Date document is signed: ________________ Time: ______________ Highest Nursing Degree Earned: BSN, MAN

Approved by: NOLI V. PAGDANGANAN, MAN, MPA, RN Dean: PRC I.D. No. 025555 Valid Until: October 16, 2013 Date document is signed: ________________ Time: _____________ Highest Nursing Degree Earned: MAN, MPA, BSN