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 : Unabia, Giancarlo F.

Name and address of school : Iligan Medical Center College Pala-o, Iligan City
Accreditation level (if any) : PACUCOA LEVEL II Year granted : 2005
Date school program was recognized : June 17, 1985 Number : 171 Year : 1985
First course (if any) : None School graduated from : N/A Year : N/A
Year of admission in the Bachelor of Science in Nursing program : 2002
Year graduated (BSN Program) : March 2007
II. MINOR OPERATIONS

No. Date of Case No. Name of Diagnosis Operation Type of Name of Name of Name of O.R. Scrub Signature of
Operation Patient Performed Anesthesia Surgeon Hospital Nurse O. R. Scrub Nurse

1. July 14, 001238 Cobrado, CJ Lacerated Wound 1-2cm, Local Anesthesia Dr. Yanez Lanao del Norte Ms. Wilma Oliveros, RN
Suturing
2005 Occipital Provincial Hospital PRC No. 0943481

2. June 14, 168111 Anticamara, Baker’s Cyst at Left Popliteal Dr. Macataman Gregorio T. Lluch Ms. Lilia S. Ponce, RN
Excision of Mass Spinal Anesthesia
2006 Revante Memorial Hospital PRC No. 0111987

3. August 3, 93813 Mananqiul, Sebaceous Cyst Abdomen Local Anesthesia Dr. Vicente Kolambugan Ms Lorna V. Labitad, RN
Excision of Mass
2006 Primo Mejorada District Hospital PRC No. 0080416

4. October 13, 214100 Reyes, Alvin Multi-organ Failure secondary Dr. Andrew Iligan Medical Ms. Precious Dela Cerna, RN
Tracheostomy Local Anesthesia
2006 to Nosocomial Infection Marcella Center Hospital PRC No. 0399824

5. January 24, 000265 Canoy, Mark Foreign Body at Right Hand Incision and Drainage Dr. Andrew Iligan Medical Ms Lerma Cabagui, RN
Local Anesthesia
2007 Marcella Center Hospital PRC No. 0399758

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 MS. DAILINA R. PERANG, RN, MN Mr. Charlie C. Plaza, RN, MAN MS. ELIZABETH L. ALAGAR, RN, MAN MS. MA. CRISTINA DARLYN Q. DOCOG RN, MAN MS. SHEILA C. LABATA, RN, MM, MAN
Signature over printed name of Signature over printed name of Signature over printed name of Signature over printed name of Dean Signature over printed name of Clinical Coordinator Signature over printed name of Assistant Dean
Chief Nurse Chief Nurse Chief Nurse Iligan Medical Center College Iligan Medical Center College Iligan Medical Center College
Gregorio T. Lluch Memorial Hospital Kolambugan District Hospital Iligan Medical Center Hospital Date Signed: ____________________ Date Signed: ____________________ Date Signed: ____________________
Date signed: ______ Date Signed: _________________ Date signed: ________________ Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MM, MAN
Degree: BSN, RN, MN Degree: BSN, RN, MN Degree: BSN, RN, MAN a. PRC No.: 0089156 a. PRC No.: 0181563 a. PRC No.: 0167707
a. PRC No.: 0078434 a. PRC No.: 0091730 a. PRC No.: 0182453 Valid Until: June 18, 2008 Valid Until: June 4, 2009 Valid until: June 15, 2008
Valid until: April 8, 2009 Valid Until: July 12, 2008 Valid until: November 08, 2009 b. PNA No.: 14137 b. PNA No.: 16821 b. PNA No.: 16807
b. PNA No. 4249 b. PNA No.: 35574 b. PNA No.: 16813 Valid Until: Lifetime Valid Until: Lifetime Valid until: Lifetime
Valid until: Lifetime Valid Until: December 7, 2007 Valid until: Lifetime c. ADPCN No.: 125
c. ANSAP No.: 025 c. ANSAP No.: 3961 c. ANSAP No.: 3959 Valid Until: December 31, 2007
Valid until: March 08, 2008 Valid Until: March 8, 2008 Valid until: March 06, 2008

Prepared by:
Giancarlo F. Unabia