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HOLY ANGEL UNIVERSITY

COLLEGE OF NURSING
Sto. Rosario St., Angeles City 2009, Philippines

Name of Student: PANGILINAN, VIVIEN MARIE DAVID


Accreditation Level of School (if any): Year Granted:
Date School/Program was Recognized: January 23, 2007 Number: HER 006 series of 2007 Year: 2007
First Course (if any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

I. Major Operation
Signature of
Date of Type of Name of O.R.
No. Case No. Name of Patient Diagnosis Operation Performed Name of Surgeon Name of Hospital O.R. Scrub
Operation Anesthesia Scrub Nurse
Nurse
May 06, Angeles Medical Ann Lorraine J.
1. 0047610 Theresa E. Yumul Myoma Uteri Hysterectomy spinal Dr. Joy R. Sorreta
2009 Center Arceo, R.N.
Right Distal Tibia Fracture, Right Ankle and Right Hip
August 02, Dr. Jose P. Angeles Medical Joseph C. David,
2. 0048108 Paulita O. Diang Anterior Ankle Dislocation Open Reduction Internal spinal
2009 Tranquilino Center R.N.
with Hip Fracture Fixation
Multiple Physical Injury Patrick Joseph
December Pin Nailing Right Fibula Dr. Emiliano B. Angeles Medical
3. 0048944 Justin E. Tysoe secondary to Vehicular spinal P. Tranquilino,
26, 2009 Tablante Center
Accident R.N.
January 21, Camille A. Dr. Vivian V. Angeles Medical Michelle S.
4. Left Ovarian Cyst Exploratory Laparotomy spinal
2010 0049094 Limkowski Villaruz Center Lintag, R.N.
January 22, Dr. Gerardo Y. Angeles Medical Kevin Darby M.
5. Roselia P. Reyes Cholecystolithiasis Cholecystectomy general
2010 0049100 Galang Center De Leon, R.N.

Prepared by: VIVIEN MARIE D. PANGILINAN


Signature of Student over Printed Name
Supervised by: Noted by: Concurred by: Approved by:

Raphael C. Trinidad RN, MAN Jose Henry T. Lansangan RN, MAN Lorelie H. Pangan RN, MAN Marietta Herrera-Gaddi RN, PhD
Signature over printed name of Faculty Signature over printed name of Chairperson Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________
Degree: Master of Arts in Nursing a). PRC No.: 0209959 Degree: Master of Arts in Nursing a). PRC No.:016616
a). PRC No.: 0411215 Valid Until: October 18, 2011 HOLY ANGEL UNIVERSITY
a). PRC No.: 0146913 Valid Until: March 2012
Valid Until: April 2012 b). PNA No.: 040383 HOLY ANGEL Valid Until: May 2011
UNIVERSITY b). PNA No.: 15926
b). PNA No.: 040407 Valid Until: October 2010 b). PNA No.: 040272 Valid Until: Lifetime Member
Valid Until: October 2010 : HOLY ANGEL Valid Until: October 2010
UNIVERSITY c) ADPCN No.: 0158
: Valid Until: December 2010
,
COLLEGE OF NURSING
Sto. Rosario St., Angeles City 2009, Philippines

Name of Student: PANGILINAN, VIVIEN MARIE DAVID


Accreditation Level of School (if any): Year Granted:
Date School/Program was Recognized: January 23, 2007 Number: HER 006 series of 2007 Year: 2007
First Course (if any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

II. Minor Operation


Signature of
Date of Type of Name of Name of O.R.
No. Case No. Name of Patient Diagnosis Operation Performed Name of Surgeon O.R. Scrub
Operation Anesthesia Hospital Scrub Nurse
Nurse
November Dr. Antonio J. Angeles Sonny Jae R.
1. 004529 Rodolfo M. Balingit Bladder Stone Cystolithotomy regional
12, 2008 Guzman Medical Center Dizon, RN
November Suturing of both lacerated Dr. Gerardo Y. Angeles Marivic Grace
2. 004584 Elizabeth M. Harth Laceration of both Earlobes local
24, 2008 earlobes Galang Medical Center T. Galura, RN
January 16, Right Eye Pterygium Nasal Excision of Right Eye Dr. Armand P. Angeles Andrei Luna D.
3. 0046894 Jose P. Navarro local
2009 Aspect Pterygium Nasal Aspect Contreras Medical Center Villanueva, RN
October 12, Stabwound Left Bicep and Dr. Sergio V. Rojo Angeles Joseph C. David,
4. 0048516 Aris A. Lorenzo Suturing local
2009 Right Thigh III Medical Center RN
December Dr. Gerardo Y. Angeles Sonny Jae R.
5. 0048940 Carolyn L. Carbonell Acute Appendicitis Emergency Appendectomy spinal
24, 2009 Galang Medical Center Dizon, RN

Prepared by: VIVIEN MARIE D. PANGILINAN


Signature of Student over Printed Name
Supervised by: Noted by: Concurred by: Approved by:

Raphael C. Trinidad RN, MAN Jose Henry T. Lansangan RN, MAN Lorelie H. Pangan RN, MAN Marietta Herrera-Gaddi RN, PhD
Signature over printed name of Faculty Signature over printed name of Chairperson Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________
Degree: Master of Arts in Nursing a). PRC No.: 0209959 Degree: Master of Arts in Nursing a). PRC No.:016616
a). ERSITY
PRC No.: 0411215 Valid Until: October 18, 2011 a). PRC No.: 0146913 Valid Until: March 2012
Valid Until: April 2012 b). PNA No.: 040383 Valid Until: May 2011 b). PNA No.: 15926
b). PNA No.: 040407 Valid Until: October 2010 b). PNA No.: 040272 Valid Until: Lifetime Member
Valid Until: October 2010 : Valid Until: October 2010 c) ADPCN No.: 0158
: Valid Until: December 2010
HOLY ANGEL UNIVERSITY
COLLEGE OF NURSING
Sto. Rosario St., Angeles City 2009, Philippines

Name of Student: PANGILINAN, VIVIEN MARIE DAVID


Accreditation Level of School (if any): Year Granted:
Date School/Program was Recognized: January 23, 2007 Number: HER 006 series of 2007 Year: 2007
First Course (if any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

I. Major Operation
Date of Case Type of
No. Name of Patient Diagnosis Operation Performed Name of Surgeon Name of Hospital
Operation No. Anesthesia
1. May 06, 2009 0047610 Theresa E. Yumul Myoma Uteri Hysterectomy spinal Dr. Joy R. Sorreta Angeles Medical Center
August 02, Right Distal Tibia Fracture, Anterior Right Ankle and Right Hip Open
2. 0048108 Paulita O. Diang spinal Dr. Jose P. Tranquilino Angeles Medical Center
2009 Ankle Dislocation with Hip Fracture Reduction Internal Fixation
December 26, Multiple Physical Injury secondary to Pin Nailing Right Fibula
3. 0048944 Justin E. Tysoe spinal Dr. Emiliano B. Tablante Angeles Medical Center
2009 Vehicular Accident
January 21, Camille A.
4. Left Ovarian Cyst Exploratory Laparotomy spinal Dr. Vivian V. Villaruz Angeles Medical Center
2010 0049094 Limkowski
January 22,
5. Roselia P. Reyes Cholecystolithiasis Cholecystectomy general Dr. Gerardo Y. Galang Angeles Medical Center
2010 0049100

Prepared by: VIVIEN MARIE D. PANGILINAN


Signature of Student over Printed Name
Supervised by: Noted by: Concurred by: Approved by:

Gideon B. Moral, RN, MAEd, MAN Jose Henry T. Lansangan RN, MAN Lorelie H. Pangan RN, MAN Marietta Herrera-Gaddi RN, PhD
Signature over printed name of Faculty Signature over printed name of Chairperson Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________
Degree: Master of Arts in Nursing a). PRC No.: 0209959 Degree: Master of Arts in Nursing a). PRC No.:016616
a). PRC No.: 0243331 Valid Until: October 18, 2011 a). PRC No.: 0146913 Valid Until: March 2012
Valid Until: October 2011 b). PNA No.: 040383 Valid Until: May 2011 b). PNA No.: 15926
b). PNA No.: 040387 Valid Until: October 2010 b). PNA No.: 040272 Valid Until: Lifetime Member
Valid Until: October 2010 : Valid Until: October 2010 c) ADPCN No.: 0158
: Valid Until: December 2010
,

HOLY ANGEL UNIVERSITY


COLLEGE OF NURSING
Sto. Rosario St., Angeles City 2009, Philippines

Name of Student: PANGILINAN, VIVIEN MARIE DAVID


Accreditation Level of School (if any): Year Granted:
Date School/Program was Recognized: January 23, 2007 Number: HER 006 series of 2007 Year: 2007
First Course (if any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

II. Minor Operation


Date of Name of Type of
No. Case No. Diagnosis Operation Performed Name of Surgeon Name of Hospital
Operation Patient Anesthesia
November 12, Rodolfo M.
1. 004529 Bladder Stone Cystolithotomy regional Dr. Antonio J. Guzman Angeles Medical Center
2008 Balingit
November 24, Elizabeth M.
2. 004584 Laceration of both Earlobes Suturing of both lacerated earlobes local Dr. Gerardo Y. Galang Angeles Medical Center
2008 Harth
Excision of Right Eye Pterygium
3. January 16, 2009 0046894 Jose P. Navarro Right Eye Pterygium Nasal Aspect local Dr. Armand P. Contreras Angeles Medical Center
Nasal Aspect
October 12, Aris A. Stabwound Left Bicep and Right
4. 0048516 Suturing local Dr. Sergio V. Rojo III Angeles Medical Center
2009 Lorenzo Thigh
December 24, Carolyn L.
5. 0048940 Acute Appendicitis Emergency Appendectomy spinal Dr. Gerardo Y. Galang Angeles Medical Center
2009 Carbonell

Prepared by: VIVIEN MARIE D. PANGILINAN


Signature of Student over Printed Name
Supervised by: Noted by: Concurred by: Approved by:

Gideon B. Moral, RN, MAEd, MAN Jose Henry T. Lansangan RN, MAN Lorelie H. Pangan RN, MAN Marietta Herrera-Gaddi RN, PhD
Signature over printed name of Faculty Signature over printed name of Chairperson Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________
Degree: Master of Arts in Nursing a). PRC No.: 0209959 Degree: Master of Arts in Nursing a). PRC No.:016616
a). ERSITY
PRC No.: 0243331 Valid Until: October 18, 2011 a). PRC No.: 0146913 Valid Until: March 2012
Valid Until: October 2011 b). PNA No.: 040383 Valid Until: May 2011 b). PNA No.: 15926
b). PNA No.: 040387 Valid Until: October 2010 b). PNA No.: 040272 Valid Until: Lifetime Member
Valid Until: October 2010 : Valid Until: October 2010 c) ADPCN No.: 0158
: Valid Until: December 2010

HOLY ANGEL UNIVERSITY


COLLEGE OF NURSING
Sto. Rosario St., Angeles City 2009, Philippines

Name of Student: PANGILINAN, VIVIEN MARIE DAVID


Accreditation Level of School (if any): Year Granted:
Date School/Program was Recognized: January 23, 2007 Number: HER 006 series of 2007 Year: 2007
First Course (if any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

III. Handled Delivery


Supervised by:
Name of Date of Time of Gender of Name of Type of
No. Case No. Diagnosis Age Name & Signature of Qualified
Mother Delivery Delivery Baby Hospital Delivery
C.I.
Gravida 3 Para 3 (3003) pregnancy uterine full term Angeles Normal
Rosanna S. January 04,
1. 116054 delivered to a live baby boy via normal spontaneous delivery 32 5:20 p.m. Boy Medical Spontaneous
Cuspe 2009 Arlene M. Gaddi, RN, MAN
in cephalic presentation , 40 1/7 weeks age of gestation Center Delivery
Gravida 1 Para 1 (1001) pregnancy uterine full term Angeles Normal
Agnes M. January 15,
2. 116335 delivered to a live baby boy via normal spontaneous delivery 22 4:27 p.m. Boy Medical Spontaneous Arlene M. Gaddi, RN, MAN
Liwanag 2009
in cephalic presentation , 38 2/7 weeks age of gestation Center Delivery
Gravida 2 Para 2 (2002) pregnancy uterine full term Angeles Normal
Nonita B. April 16, 2:30 p..m.
3. 115580 delivered to a live baby boy via normal spontaneous delivery 29 Boy Medical Spontaneous Arlene M. Gaddi, RN, MAN
Ano 2009
in cephalic presentation, 39 5/7 weeks age of gestation Center Delivery

Prepared by: VIVIEN MARIE D. PANGILINAN


Signature of Student over Printed Name
Supervised by: Noted by: Concurred by: Approved by:

Arlene M. Gaddi, RN, MAN Jose Henry T. Lansangan RN, MAN Lorelie H. Pangan RN, MAN Marietta Herrera-Gaddi RN, PhD
Signature over printed name of Faculty Signature over printed name of Chairperson Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________
Degree: Master of Arts in Nursing a). PRC No.: 0209959 Degree: Master of Arts in Nursing a). PRC No.:016616
a). PRC No.: 0278017 Valid Until: October 18, 2011 a). PRC No.: 0146913 Valid Until: March 2012
Valid Until: December 2010 b). PNA No.: 040383 Valid Until: May 2011 b). PNA No.: 15926
b). PNA No.: 040427 Valid Until: October 2010 b). PNA No.: 040272 Valid Until: Lifetime Member
Valid Until: October 2010 Valid Until: October 2010 c) ADPCN No.: 0158
: Valid Until: December 2010

HOLY ANGEL UNIVERSITY


COLLEGE OF NURSING
Sto. Rosario St., Angeles City 2009, Philippines

Name of Student: PANGILINAN, VIVIEN MARIE DAVID


Accreditation Level of School (if any): Year Granted:
Date School/Program was Recognized: January 23, 2007 Number: HER 006 series of 2007 Year: 2007
First Course (if any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

III. Handled Delivery


Supervised by:
Name of Date of Time of Gender of Name of Type of
No. Case No. Diagnosis Age Name & Signature of Qualified
Mother Delivery Delivery Baby Hospital Delivery
C.I.
Gravida 3 Para 3 (3003) pregnancy uterine full term Porac Normal
Narissa M. August 25,
4. 00349340 delivered to a live baby girl via normal spontaneous delivery 25 4:37p.m. Girl District Spontaneous Leonor S. Lumanlan RN, MAN
Layug 2009
in cephalic presentation, 41 weeks age of gestation Hospital Delivery
Gravida 2 Para 2 (2002) pregnancy uterine full term Porac Normal
Fatima S. February
5. 00351663 delivered to a live baby boy via normal spontaneous delivery 28 3:55p.m. Boy District Spontaneous Leonor S. Lumanlan RN, MAN
Reano 12, 2010
in cephalic presentation, 38 weeks age of gestation Hospital Delivery

Prepared by: VIVIEN MARIE D. PANGILINAN


Signature of Student over Printed Name
Supervised by: Noted by: Concurred by: Approved by:

Leonor S. Lumanlan, RN, MAN Jose Henry T. Lansangan RN, MAN Carmelita G. Padua RN, MAN Marietta Herrera-Gaddi RN, PhD
Signature over printed name of Faculty Signature over printed name of Chairperson Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________
Degree: Master of Arts in Nursing a). PRC No.: 0209959 Degree: Master of Arts in Nursing a). PRC No.:016616
a). PRC No.: 0228887 Valid Until: October 18, 2011 HOLY ANGEL UNIVERSITY
a). PRC No.: 0064616 Valid Until: March 2012
Valid Until: May 2011 b). PNA No.: 040383 HOLY ANGEL Valid Until: June 2012
UNIVERSITY b). PNA No.: 15926
b). PNA No.: 040385 Valid Until: October 2010 b). PNA No.: 7502 Valid Until: Lifetime Member
Valid Until: October 2010 Valid Until: Lifetime Member c) ADPCN No.: 0158
Valid Until: December 2010

HOLY ANGEL UNIVERSITY


COLLEGE OF NURSING
Sto. Rosario St., Angeles City 2009, Philippines

Name of Student: PANGILINAN, VIVIEN MARIE DAVID


Accreditation Level of School (if any): Year Granted:
Date School/Program was Recognized: January 23, 2007 Number: HER 006 series of 2007 Year: 2007
First Course (if any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

IV. Assisted Delivery


Supervised by:
Name of Date of Time of Gender of Name of Type of
No. Case No. Diagnosis Age Name & Signature of Qualified
Mother Delivery Delivery Baby Hospital Delivery
C.I.
Gravida 1 Para 1 (1001) pregnancy uterine fullterm Angeles Normal
Allysa S. March 30,
1. 117614 delivered to a live baby girl via normal spontaneous delivery 19 5:15 p.m. Girl Medical Spontaneous
Macairan 2009 Arlene M. Gaddi, RN, MAN
in cephalic presentation , 38 2/7 weeks age of gestation Center Delivery
Gravida 1 Para 1 (1001) pregnancy uterine fullterm Angeles Normal
Kennelyn March 31,
2. 117619 delivered to a live baby girl via normal spontaneous delivery 23 2:35 p.m. Girl Medical Spontaneous Arlene M. Gaddi, RN, MAN
L. Pintor 2009
in cephalic presentation , 39 1/7 weeks age of gestation Center Delivery
Gravida 2 Para 2 (2002) pregnancy uterine fullterm Angeles Normal
Jasmin D. April 02,
3. 117648 delivered to a live baby girl via normal spontaneous delivery 33 3:56 p.m. Girl Medical Spontaneous Arlene M. Gaddi, RN, MAN
Pineda 2009
in cephalic presentation , 39 2/7 weeks age of gestation Center Delivery

Prepared by: VIVIEN MARIE D. PANGILINAN


Signature of Student over Printed Name

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

Arlene M. Gaddi, RN, MAN Jose Henry T. Lansangan RN, MAN Lorelie H. Pangan RN, MAN Marietta Herrera-Gaddi RN, PhD
Signature over printed name of Faculty Signature over printed name of Chairperson Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________
Degree: Master of Arts in Nursing a). PRC No.: 0209959 Degree: Master of Arts in Nursing a). PRC No.:016616
a). PRC No.: 0278017 Valid Until: October 18, 2011 a). PRC No.: 0146913 Valid Until: March 2012
Valid Until: December 2010 b). PNA No.: 040383 Valid Until: May 2011 b). PNA No.: 15926
b). PNA No.: 040427 Valid Until: October 2010 b). PNA No.: 040272 Valid Until: Lifetime Member
Valid Until: October 2010 Valid Until: October 2010 c) ADPCN No.: 0158
Valid Until: December 2010
HOLY ANGEL UNIVERSITY
COLLEGE OF NURSING
Sto. Rosario St., Angeles City 2009, Philippines

Name of Student: PANGILINAN, VIVIEN MARIE DAVID


Accreditation Level of School (if any): Year Granted:
Date School/Program was Recognized: January 23, 2007 Number: HER 006 series of 2007 Year: 2007
First Course (if any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

IV. Assisted Delivery


Supervised by:
Name of Date of Time of Gender of Name of Type of
No. Case No. Diagnosis Age Name & Signature of Qualified
Mother Delivery Delivery Baby Hospital Delivery
C.I.
Gravida 1 Para 1 (1001) pregnancy uterine full term Porac Normal
Jennylyn August 23,
4. 00349384 delivered to a live baby girl via normal spontaneous delivery 19 10:45p.m. Girl District Spontaneous Leonor S. Lumanlan RN, MAN
M. Pascual 2009
in cephalic presentation, 38 weeks age of gestation Hospital Delivery
Gravida 1 Para 1 (1001) pregnancy uterine full term Porac Normal
Rosebel B. February
5. 00351644 delivered to a live baby girl via normal spontaneous delivery 21 8:13p.m. Girl District Spontaneous Leonor S. Lumanlan RN, MAN
Parlero 11, 2010
in cephalic presentation, 38 weeks age of gestation Hospital Delivery

Prepared by: VIVIEN MARIE D. PANGILINAN


Signature of Student over Printed Name

Concurred by: Approved by:


Supervised by: Noted by:

Carmelita G. Padua RN, MAN Marietta Herrera-Gaddi RN, PhD


Leonor S. Lumanlan, RN, MAN Jose Henry T. Lansangan RN, MAN
Signature over printed name of Chief Nurse Signature over printed name of Dean
Signature over printed name of Faculty Signature over printed name of Chairperson
Date Signed: ___________________ Date Signed: ___________________
Date Signed: ___________________ Date Signed: ___________________
Degree: Master of Arts in Nursing a). PRC No.:016616
Degree: Master of Arts in Nursing a). PRC No.: 0209959
a). PRC No.: 0064616 Valid Until: March 2012
a). PRC No.: 0228887 Valid Until: October 18, 2011
Valid Until: June 2012 b). PNA No.: 15926
Valid Until: May 2011 b). PNA No.: 040383
b). PNA No.: 7502 Valid Until: Lifetime Member
b). PNA No.: 040385 Valid Until: October 2010
Valid Until: Lifetime Member c) ADPCN No.: 0158
Valid Until: October 2010
Valid Until: December 2010
HOLY ANGEL UNIVERSITY
COLLEGE OF NURSING
Sto. Rosario St., Angeles City 2009, Philippines

Name of Student: PANGILINAN, VIVIEN MARIE DAVID


Accreditation Level of School (if any): Year Granted:
Date School/Program was Recognized: January 23, 2007 Number: HER 006 series of 2007 Year: 2007
First Course (if any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

V. Cord Care
Supervised by:
Name of Date of Time of Gender of Name of Type of
No. Case No. Diagnosis Age Name & Signature of Qualified
Mother Delivery Delivery Baby Hospital Delivery
C.I.
Gravida 2 Para 2 (2002) pregnancy uterine fullterm Angeles Normal
March 18,
1. delivered to a live baby boy via normal spontaneous delivery Joana P. 9:40 a.m. Boy Medical Spontaneous
117435 29 2009 Arlene M. Gaddi, RN, MAN
in cephalic presentation, 38 2/7 weeks age of gestation Bruan Center Delivery
Gravida 1 Para 1 (1001) pregnancy uterine fullterm Angeles Normal
Annie Rose March 19,
2. 117436 delivered to a live baby boy via normal spontaneous delivery 19 12:43 p.m. Boy Medical Spontaneous Arlene M. Gaddi, RN, MAN
S. Gueco 2009
in cephalic presentation , 38 3/7 weeks age of gestation Center Delivery
Gravida 2 Para 2 (2002) pregnancy uterine fullterm Angeles Normal
Roselle T. March 21,
3. 117480 delivered to a live baby boy via normal spontaneous delivery 30 6:48 a.m. Boy Medical Spontaneous Arlene M. Gaddi, RN, MAN
Cocepcion 2009
in cephalic presentation , 39 1/7 weeks age of gestation Center Delivery

Prepared by: VIVIEN MARIE D. PANGILINAN


Signature of Student over Printed Name
Supervised by: Noted by: Concurred by: Approved by:

Arlene M. Gaddi, RN, MAN Jose Henry T. Lansangan RN, MAN Lorelie H. Pangan RN, MAN Marietta Herrera-Gaddi RN, PhD
Signature over printed name of Faculty Signature over printed name of Chairperson Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________
Degree: Master of Arts in Nursing a). PRC No.: 0209959 Degree: Master of Arts in Nursing a). PRC No.:016616
a). PRC No.: 0278017 Valid Until: October 18, 2011 HOLY ANGEL UNIVERSITY
a). PRC No.: 0146913 Valid Until: March 2012
Valid Until: December 2010 b). PNA No.: 040383 Valid Until: May 2011
HOLY ANGEL UNIVERSITY b). PNA No.: 15926
b). PNA No.: 040427 Valid Until: October 2010 b). PNA No.: 040272 Valid Until: Lifetime Member
Valid Until: October 2010 Valid Until: October 2010 c) ADPCN No.: 0158
Valid Until: December 2010
HOLY ANGEL UNIVERSITY
COLLEGE OF NURSING
Sto. Rosario St., Angeles City 2009, Philippines

Name of Student: PANGILINAN, VIVIEN MARIE DAVID


Accreditation Level of School (if any): Year Granted:
Date School/Program was Recognized: January 23, 2007 Number: HER 006 series of 2007 Year: 2007
First Course (if any): School Graduated From: Year:
Year of Admission in the Bachelor of Science in Nursing Program: 2006
Year Graduated (BSN Program): 2010

V. Cord Care
Supervised by:
Name of Date of Time of Gender of Name of Type of
No. Case No. Diagnosis Age Name & Signature of Qualified
Mother Delivery Delivery Baby Hospital Delivery
C.I.
Gravida 1 Para 1 (1001) pregnancy uterine full term Porac Normal
Imelda P. August 16,
4. 00349276 delivered to a live baby boy via normal spontaneous delivery 18 8:07a.m. Boy District Spontaneous Leonor S. Lumanlan RN, MAN
David 2009
in cephalic presentation, 38 2/7weeks age of gestation Hospital Delivery
Gravida 3 Para 3 (3003) pregnancy uterine full term Porac Normal
Eliza S. August 23,
5. 00349386 delivered to a live baby girl via normal spontaneous delivery 26 4:09p.m. Girl District Spontaneous Leonor S. Lumanlan RN, MAN
Galang 2009
in cephalic presentation, 39 weeks age of gestation Hospital Delivery

Prepared by: VIVIEN MARIE D. PANGILINAN


Signature of Student over Printed Name
Supervised by: Noted by: Concurred by: Approved by:

Leonor S. Lumanlan, RN, MAN Jose Henry T. Lansangan RN, MAN Carmelita G. Padua RN, MAN Marietta Herrera-Gaddi RN, PhD
Signature over printed name of Faculty Signature over printed name of Chairperson Signature over printed name of Chief Nurse Signature over printed name of Dean
Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________ Date Signed: ___________________
Degree: Master of Arts in Nursing a). PRC No.: 0209959 Degree: Master of Arts in Nursing a). PRC No.:016616
a). PRC No.: 0228887 Valid Until: October 18, 2011 HOLY ANGEL UNIVERSITY
a). PRC No.: 0064616 Valid Until: March 2012
Valid Until: May 2011 b). PNA No.: 040383 HOLY ANGEL Valid Until: June 2012
UNIVERSITY b). PNA No.: 15926
b). PNA No.: 040385 Valid Until: October 2010 b). PNA No.: 7502 Valid Until: Lifetime Member
Valid Until: October 2010 Valid Until: Lifetime Member c) ADPCN No.: 0158
Valid Until: December 2010