SOUTHEAST ASIAN COLLEGE

COLLEGE OF NURSING
2 E. Rodriguez Sr. Avenue, Quezon City

BASED ON THE BOARD OF NURSING

Resolution No. 355 S-2004

Name of Student: RIOMALOS, MA. CERES OLIVERON

Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 2 E. Rodriguez. Sr. Avenue, Quezon City.
Accreditation Level (if any): NONE Year Granted: NOT APPLICABLE
Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980
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): 2010

I. MAJOR
Supervised by (Name &
Date of Name of Operation Type of
Case No. Diagnosis Name of Surgeon Name of Hospital Signature of Qualified
Operation Patient Performed Anesthesia
Clinical Instructor)
1 09- Invasive Ductal Modified Radical General Teresita Mendiola United Doctors Medical Mr. Manny L. Mamaril R.N,
July 25, 2009 Rosan Serano
. 27002078 Carcinoma Mastectomy Anesthesia M.D Center MAN
2 09- Flordeliza Chronic Cholecystitis Spinal United Doctors Medical Mr. Manny L. Mamaril R.N,
July 25,2009 Open Cholecystectomy Florencio Briones M.D
. 07002074 Acuna with Cholelithiasis Anesthesia Center MAN
General
3 September 11, 09- Exploratory Vicente Porciuncula United Doctors Medical Mr. Manny L. Mamaril R.N,
Francis Grave Acute Pancreatitis Endotracheal
. 2009 09002505 Laparotomy M.D Center MAN
Anesthesia
4 September 12, 09- Fritz Santillan Emergency Spinal Vicente Porciuncula United Doctors Medical Mr. Manny L. Mamaril R.N,
Ruptured Appendicitis
. 2009 09002503 Villagrasia Appendectomy Anesthesia M.D Center MAN
General
5 December 3, 09- Subtotal Gastectomy United Doctors Medical Mr. Manny L. Mamaril R.N,
Arsenio Ti Gastric Carinoma Endotracheal Tayag Wilfredo M.D
. 2009 12133225 Billroth II Center MAN
Anesthesia
Prepared by: Supervised by: Noted by: Concurred by: Approved by:

RIOMALOS, MA. CERES OLIVERON
Signature over printed name of
student
MANNY L. MAMARIL, RN,MAN
Signature over printed name of Clinical
Instructor
UNITED DOCTORS MEDICAL CENTER
Date signed:
Degree: Bachelor of Science in Nursing
Master of Arts in Nursing
PRC No.: 0259041
Valid Until: JUNE 27, 2011
PNA No: 1769392
Valid until: LIFETIME MEMBERSHIP
VIVIAN M. FORMENTO, RN, MAN
Signature over printed name of Chief
Nurse
UNITED DOCTORS MEDICAL CENTER
Date signed:
Degree: Bachelor of Science in Nursing
Master of Arts in Nursing
PRC no.: 0090274
Valid Until: FEBRUARY 20, 2011
PNA no.: 11242
Valid until: LIFETIME MEMBERSHIP
WILFREDO ISRAEL JR. ,RN, RM,
MAN
Signature over printed name of Dean
Date signed:
Degree: Bachelor of Science in Nursing
Master of Arts in Nursing
PRC no.:0322186
Valid Until: SEPTEMBER 20, 2011
PNA no.: 039501
Valid until: October 31, 2010
CLARITA D. CURATO, RN, MAN,
Ed.D
Signature over printed name of Dean
Date signed:
Degree: Bachelor of Science in Nursing
Master of Arts in Nursing
Doctor of Education
PRC no.:0009848
Valid Until: MAY 2013
PNA no.:10928
Valid until: LIFETIME MEMBERSHIP
ADPCN no.: 0262
Valid until: December 2009

SOUTHEAST ASIAN COLLEGE

COLLEGE OF NURSING
2 E. Rodriguez Sr. Avenue, Quezon City

BASED ON THE BOARD OF NURSING

 Resolution No. 355 S-2004

Name of Student: RIOMALOS, MA. CERES OLIVERON

Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 2 E. Rodriguez. Sr. Avenue, Quezon City.
Accreditation Level (if any): NONE Year Granted: NOT APPLICABLE
Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980
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): 2010
II. MINOR OPERATIONS
Supervised by (Name &
Date of Name of Operation Type of
Case No. Diagnosis Name of Surgeon Name of Hospital Signature of Qualified
operation Patient Performed Anesthesia
Clinical Instructor)
September 09- Dhon Joseph R. Gastroscopy with Intravenous United Doctors Medical
1. Gastritis Roy Caballero M.D Mr. Manny L. Mamaril R.N, MAN
11, 2009 09002502 Caisle Biopsy Sedation Center
September 09- Ingnacio L. Soft Tissue Injury Wound Spinal Miles Francis Dela Rosa United Doctors Medical
2. Mr. Manny L. Mamaril R.N, MAN
12, 2009 09012507 Panto Right Leg Debridement Anesthesia M.D Center
September 09- Colonoscopy with Intravenous United Doctors Medical
3. Zena Delina Bleeding Ulcer Roy Caballero M.D Mr. Manny L. Mamaril R.N, MAN
26, 2009 09002645 Biopsy Sedation Center
Artriovenous
October 09- End Stage Renal Local United Doctors Medical
4. Cristina Igay Fistula Creation, Louie Lantano M.D Mr. Manny L. Mamaril R.N, MAN
12,2009 10172841 Disease Anesthesia Center
Left Arm
Gravida 2 Para 1,
November 09-11-26- Pantricia 24 weeks Age of Completion Intravenous United Doctors Medical
5. Elizabeth Felipe M.D Mr. Manny L. Mamaril R.N, MAN
11, 2009 3159 Bernard Gestation, Incomplete Curettage Sedation Center
Abortion
Prepared by: Supervised by: Noted by: Concurred by: Approved by:

WILFREDO ISRAEL JR. ,RN, RM, CLARITA D. CURATO, RN, MAN,

RIOMALOS, MA. CERES MANNY L. MAMARIL RN,MAN
OLIVERON Signature over printed name of Clinical
Signature over printed name of Instructor
student UNITED DOCTORS MEDICAL CENTER
Date signed:
Degree: Bachelor of Science in Nursing
Master of Arts in Nursing
PRC No.: 0259041
Valid Until: JUNE 27, 2011
PNA No: 1769392
Valid until: LIFETIME MEMBERSHIP
VIVIAN M. FORMENTO RN, MAN MAN Ed.D
Signature over printed name of Chief Signature over printed name of Dean Signature over printed name of Dean
Nurse Date signed: Date signed:
UNITED DOCTORS MEDICAL CENTER Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing
Date signed: Master of Arts in Nursing Master of Arts in Nursing
Degree: Bachelor of Science in Nursing PRC no.:0322186 Doctor of Education
Master of Arts in Nursing Valid Until: SEPTEMBER 20, 2011 PRC no.:0009848
PRC no.: 0090274 PNA no.: 039501 Valid Until: MAY 2013
Valid Until: FEBRUARY 20, 2011 Valid until: October 31, 2010 PNA no.:10928
PNA no.: 11242 Valid until: LIFETIME MEMBERSHIP
Valid until: LIFETIME MEMBERSHIP ADPCN no.: 0262
Valid until: December 2009

SOUTHEAST ASIAN COLLEGE

COLLEGE OF NURSING
2 E. Rodriguez Sr. Avenue, Quezon City

BASED ON THE BOARD OF NURSING

Resolution No. 355 S-2004

Name of Student: RIOMALOS, MA. CERES OLIVERON

Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 2 E. Rodriguez. Sr. Avenue, Quezon City.
Accreditation Level (if any): NONE Year Granted: NOT APPLICABLE
Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980
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): 2010

III. ACTUAL DELIVERIES

Gender Supervised by (Name &
Case Name of Date of Time of
Diagnosis Age of Name of Hospital Type of Delivery Signature of Qualified
No. Mother Delivery Delivery
Baby Clinical Instructor)
Gravida 3 Para 2, Pregnancy Uterine,
Elena 26 years January Valenzuela Medical Normal Spontaneous
1. 116905 39 Weeks Age Of Gestation Cephalic 5:13PM Girl Ms. Lily Quilala R.N, MAN
Basarafa old 17,2009 Center Delivery
in Labor
Gravida 6 Para 5, Pregnancy Uterine,
Ann Cepado 28 years April Valenzuela Medical Normal Spontaneous
2. 126512 38 Weeks Age Of Gestation, Cephalic 3:50PM Boy Ms. Lily Quilala R.N, MAN
Hiro old 27,2009 Center Delivery
in Labor
 Gravida 3 Para 2, Pregnancy Uterine,
38 years April Valenzuela Medical Normal Spontaneous
3. 09-0902 37 Weeks Age Of Gestation Cephalic Maria Castro 12:23PM Girl Ms. Lily Quilala R.N, MAN
old 27,2009 Center Delivery
in Labor
Gravida 3 Para 2, Pregnancy Uterine,
26 years April Valenzuela Medical Normal Spontaneous
4. 09-0886 42 Weeks Age Of Gestation Cephalic Carisse Antou 1:50 PM Boy Ms. Lily Quilala R.N, MAN
old 29,2009 Center Delivery
in Labor
Gravida 3 Para 2, Pregnancy Uterine,
Monica 38 years May 8 Valenzuela Medical Normal Spontaneous
5. 127520 37 weeks Age Of Gestation Cephalic 5:45 AM Girl Ms. Lily Quilala R.N, MAN
Abquilan old 2009 Center Delivery
in labor

Prepared by: Supervised by: Noted by: Concurred by: Approved by:

RIOMALOS, MA. CERES LILY M. QUILALA, RN,MAN DONA D. SALMOS, RN, MAN WILFREDO ISRAEL JR. ,RN, RM, CLARITA D. CURATO, RN, MAN,
OLIVERON Signature over printed name of Clinical Signature over printed name of Chief MAN Ed.D
Signature over printed name of Instructor Nurse Signature over printed name of Dean Signature over printed name of Dean
student VALENZUELA MEDICAL CENTER VALENZUELA MEDICAL CENTER Date signed: Date signed:
Date signed: Date signed: Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing
Degree: Bachelor of Science in Degree: Bachelor of Science in Master of Arts in Nursing Master of Arts in Nursing
Nursing Nursing PRC no.:0322186 Doctor of Education
Master of Arts in Nursing Master of Arts in Nursing Valid Until: SEPTEMBER 20, 2011 PRC no.:0009848
PRC No.: 039512 PRC no.: 0102232 PNA no.: 039501 Valid Until: MAY 2013
Valid Until: OCTOBER 19, 2001 Valid Until: DECEMBER 13, 2010 Valid until: October 31, 2010 PNA no.:10928
PNA No: 15877 PNA no.: 19823 Valid until: LIFETIME MEMBERSHIP
Valid until: OCTOBER 31, 2010 Valid until: LIFETIME MEMBERSHIP ADPCN no.: 0262
Valid until: December 2009
 SOUTHEAST ASIAN COLLEGE
COLLEGE OF NURSING
2 E. Rodriguez Sr. Avenue, Quezon City

BASED ON THE BOARD OF NURSING

Resolution No. 355 S-2004

Name of Student: RIOMALOS, MA. CERES OLIVERON

Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 2 E. Rodriguez. Sr. Avenue, Quezon City.
Accreditation Level (if any): NONE Year Granted: NOT APPLICABLE
Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980
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): 2010

IV. DELIVERIES ASSISTED

Time
Gende Supervised by (Name &
Case Name of Date of of
Diagnosis Age r of Name of Hospital Type of Delivery Signature of Qualified
No. Mother Delivery Delive
Baby Clinical Instructor)
ry
Gravida 1 Para 1, Pregnancy Uterine
Sheila 20 years December 12, 8:53 Valenzuela Medical Normal Spontaneous
1. 112245 38weeks Age Of Gestation cephalic in Boy Ms. Lily Quilala R.N, MAN
Dellarte old 2008 PM Center Delivery
labor
Gravida 2 Para 1, Pregnancy Uterine,
Charlyn 22 years August 7:45 Valenzuela Medical
2. 09-0701 40 Weeks Age Of Gestation, Cephalic Girl Normal Spontaneous Ms. Lily Quilala R.N, MAN
Lucero old 27,2009 PM Center
in Labor Delivery
Gravida 3 Para 2, Pregnancy Uterine, Kristine
23 years August 8:34 Valenzuela Medical
3. 09-0699 37 Weeks Age Of Gestation, Cephalic Tumangdon Girl Normal Spontaneous Ms. Lily Quilala R.N, MAN
old 27,2009 PM Center
in Labor g Delivery
Gravida 5 Para 3, Pregnancy Uterine,
Catalina 37 years Valenzuela Medical
4. 126634 38 Weeks Age Of Gestation, Cephalic April 28,2009 6:08PM Girl Normal Spontaneous Ms. Lily Quilala R.N, MAN
Donina old Center
in Labor Delivery
Gravida 6 Para 5, Pregnancy Uterine
Juliana 32 years 5:45 Valenzuela Medical
5. 127601 39 weeks Age Of Gestation cephalic May 8, 2009 Boy Normal Spontaneous Ms. Lily Quilala R.N, MAN
Abella old PM Center
in labor Delivery
Prepared by: Supervised by: Noted by: Concurred by: Approved by:

MA. CERES OLIVERON RIOMALOS
Signature over printed name of
student
LILY M. QUILALA, RN,MAN
Signature over printed name of Clinical
Instructor
VALENZUELA MEDICAL CENTER
Date signed:
Degree Bachelor of Science in Nursing
Master of Arts in Nursing
PRC No.: 0271071
Valid Until: OCTOBER 19,2011
PNA No: 15877
Valid until: OCTOBER 31, 2010
DONA D. SALMOS RN, MAN
Signature over printed name of Chief
Nurse
VALENZUELA MEDICAL CENTER
Date signed:
Degree: Bachelor of Science in
Nursing
Master of Arts in Nursing
PRC no.: 0102232
Valid Until: DECEMBER 13, 2010
PNA no.: 19823
Valid until: LIFETIME MEMBERSHIP
WILFREDO ISRAEL JR. ,RN, RM,
MAN
Signature over printed name of Dean
Date signed:
Degree: Bachelor of Science in Nursing
Master of Arts in Nursing
PRC no.:0322186
Valid Until: SEPTEMBER 20, 2011
PNA no.: 039501
Valid until: October 31, 2010
CLARITA D. CURATO, RN, MAN,
Ed.D
Signature over printed name of Dean
Date signed:
Degree: Bachelor of Science in Nursing
Master of Arts in Nursing
Doctor of Education
PRC no.:0009848
Valid Until: MAY 2013
PNA no.:10928
Valid until: LIFETIME MEMBERSHIP
ADPCN no.: 0262
Valid until: December 2009
 SOUTHEAST ASIAN COLLEGE
COLLEGE OF NURSING
2 E. Rodriguez Sr. Avenue, Quezon City

BASED ON THE BOARD OF NURSING

Resolution No. 355 S-2004

Name of Student: RIOMALOS, MA. CERES OLIVERON

Name & Address of School: SOUTHEAST ASIAN COLLEGE, INC. / 2 E. Rodriguez. Sr. Avenue, Quezon City.
Accreditation Level (if any): NONE Year Granted: NOT APPLICABLE
Date School/Program was Recognized: June 9, 1980 Number 53 Year 1980
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): 2010

V. CORD DRESSING
Gender Supervised by (Name & Signature of
Case No. Date Performed Name of Baby Name of Mother Age Name of Hospital
of Baby Qualified Clinical Instructor)
35 years
1. 240271 November 15,2008 Baby Evangelista Girl Wilfreda Evangelista United Doctors Medical Center Ms. Gloria A. Floren R.N, MAN
old
32 years
2. 040298 November 20,2008 Baby Castrillo Boy Ma. Glenda Castrillo United Doctors Medical Center Ms. Gloria A. Floren R.N, MAN
old
34 years
3. 126735 April 29,2009 Baby Gonzales Boy Lucila Gonzales United Doctors Medical Center Ms. Gloria A. Floren R.N, MAN
old
27 years
4. 002649 September 26, 2009 Baby France Girl Miriam France United Doctors Medical Center Ms. Gloria A. Floren R.N, MAN
old
5. 133296 November 26, 37 years
Prepared by: Baby Balbuena
Supervised by: Boy Rowena Balbuena
Noted by: United Doctors Medical
Concurred by: Center Ms. Approved
Gloria A. Floren
by: R.N, MAN
2009 old

MA. CERES OLIVERON RIOMALOS
Signature over printed name of
student
GLORIA A. FLOREN RN,MAN
Signature over printed name of Clinical
Instructor
UNITED DOCTORS MEDICAL CENTER
Date signed:
Degree: Bachelor of Science in Nursing
Master of Arts in Nursing
PRC No.: 0084175
Valid Until: JUNE 2, 2011
PNA No: 039513
Valid until: OCTOBER 31, 2010
VIVIAN M. FORMENTO RN, MAN
Signature over printed name of Chief
Nurse
UNITED DOCTORS MEDICAL CENTER
Date signed:
Degree: Bachelor of Science in Nursing
Master of Arts in Nursing
PRC no.: 0090274
Valid Until: FEBRUARY 20, 2011
PNA no.: 11242
Valid until: LIFETIME MEMBERSHIP
WILFREDO ISRAEL JR. ,RN, RM, CLARITA D. CURATO, RN, MAN,
MAN Ed.D
Signature over printed name of Dean Signature over printed name of Dean
Date signed: Date signed:
Degree: Bachelor of Science in Nursing Degree: Bachelor of Science in Nursing
Master of Arts in Nursing Master of Arts in Nursing
PRC no.:0322186 Doctor of Education
Valid Until: SEPTEMBER 20, 2011 PRC no.:0009848
PNA no.: 039501 Valid Until: MAY 2013
Valid until: October 31, 2010 PNA no.:10928
Valid until: LIFETIME MEMBERSHIP
ADPCN no.: 0262
Valid until: December 2009