Ang Case Ko

EMILIO AGUINALDO COLLEGE
1113-1117 San Marcelino cor. Gonzales St. Ermita Manila

ASSISTED
521-27-10 loc. 5319 www.eac.edu.ph
FORM
IMMEDIATE NEWBORN CORD CARE in GUADALUPE NUEVO LYING-IN, MAKATI CITY
Hospital, Lying-In/Municipality/City
Prepared by:
Name of Student: __ADUCA, GENESIS Signature of Student: ______________________
Date Performed Patient’s Name PROCEDURE PERFORMED D.R. nurse/Midwife SUPERVISED BY

and On Duty Clinical Instructor
Time Started Name and Signature
January 7, 2010 Janneth Lagunsad Normal Spontaneous Delivery Mary Jean O. Rosales, RM Guia P. Torres, RN
5:02pm Franco
11040
January 8, 2010 Roma Abegail Borto Normal Spontaneous Delivery Mary Jean O. Rosales, RM Guia P. Torres, RN
8:14pm Sales
11041
January 10, 2010 Ma. Rowena Marbella Normal Spontaneous Delivery Mary Jean O. Rosales, RM Guia P. Torres, RN
7:27pm Arellado
11045
January 11,2010 Janice de Guzman
8:07am Garcia Normal Spontaneous Delivery Mary Jean O. Rosales, RM Guia P. Torres, RN
11054
Noted by: LEILA A. DE VILLA , RN, RM, MAN Approved by: MARY JANE L. OLID, Ed. D.
Clinical Coordinator: PRC I.D No. 0317751 Valid Until November 13, 2012 Dean, PRC I.D No. 0209678 Valid Until January 23, 2012
PNA No. 021101 Valid Until October 31, 2011 PNA No. 021117 Valid Until October 31, 2011
Date document is signed:_____________________ Time _____________ ADPCN No. 0449 Valid Until December 2011
Highest Nursing Degree Earned: Master of Arts in Nursing Date document is signed: _______________ Time: __________
Highest Nursing Degree Earned: Master of Arts in Nursing
ASSISTED
FORM
ASSISTED DELIVERY In DMC-HEALTH CARE CENTER, TONDO MANILA
Prepared by:
Name of Student: ADUCA, GENESIS Signature of Student: ______________________
Date Performed Patient’s Name PROCEDURE PERFORMED D.R. Nurse/Midwife SUPERVISED BY

November 13, 2009 May Ann Corimo Normal Spontaneous Delivery Crissy Mae Sagun, RM Nerisa Cabasal, RN
3:05pm 1264-09
1113-1117 San Marcelino cor. Gonzales St. Ermita Manila ACTUAL DELIVERY
521-27-10 loc. 5319 www.eac.edu.ph FORM
ACTUAL DELIVERY In GUADALUPE NUEVO LYING-IN, MAKATI CITY
Prepared by:
Name of Student: ADUCA, GENESIS Signature of Student: ___________________
Date Performed Patient’s Name PROCEDURE PERFORMED D.R. Nurse/Midwife SUPERVISED BY

and Case Number Clinical Instructor
December 29, 2009 Leny Cibuala Balatucan Normal Spontaneous Delivery Mary Jean O. Rosales, RM Guia P. Torres, RN
1:02pm
January 5, 2010 Racel Amino Galvez Normal Spontaneous Delivery Mary Jean O. Rosales, RM Guia P. Torres, RN
6:50pm 11035
January 9, 2010 Maricris Quintero Delos Reyes Normal Spontaneous Delivery Mary Jean O. Rosales, RM Guia P. Torres, RN
10:56pm 11043
1113-1117 San Marcelino cor. Gonzales St. Ermita Manila ACTUAL DELIVERY
521-27-10 loc. 5319 www.eac.edu.ph FORM
ACTUAL DELIVERY In DMC-HEALTH CARE CENTER, TONDO MANILA
Prepared by:
Name of Student: ADUCA, GENESIS Signature of Student: _____________________
Date Performed Patient’s Name PROCEDURE PERFORMED D.R. nurse/ Midwife On SUPERVISED BY
and Case Number Duty Clinical Instructor
November 19, 2009 Emily Reyes Normal Spontaneous Delivery Crissy Mae Sagun, RM Nerisa Cabasal, RN
8:30am 1275-09
November 19, 2009 Manilyn Quisto Normal Spontaneous Delivery Crissy Mae Sagun, RM Nerisa Cabasal, RN
3:00pm 1277-09
Noted by: JULIE ANNE E. ALCALA RN, RM, MSN Approved by: MARY JANE L. OLID, Ed. D.
Clinical Coordinator: PRC I.D No. 0346657 Valid Until July 29, 2011 Dean, PRC I.D No. 0209678 Valid Until January 23, 2012
PNA No. 18581 Valid Until Lifetime member PNA No. 077388 Valid Until December _2010
Date document is signed:__________________ Time ______________ ADPCN No. 0449 Valid Until December _2010
Highest Nursing Degree Earned: Master of Science in Nursing Date document is signed: _________ Time: __________
Highest Nursing Degree Earned: Doctor of Education
Master of Arts in Nursing
IMMEDIATE
NEWBORN
CORD CARE
IMMEDIATE NEWBORN CORD CARE In GUADALUPE NUEVO LYING-IN, MAKATI CITY
Prepared by:
Name of Student: ____ADUCA, GENESIS_ Signature of Student: ______________________
Date Performed Patient’s Name PROCEDURE PERFORMED D.R. Nurse/ Midwife SUPERVISED BY
January 3, 2010 Meshil Bolivar Licos Mary Jean O. Rosales, RM Guia P. Torres, RN
2:24pm 11023 Delivery Room
January 3, 2010 Aime Trios Lopez Mary Jean O. Rosales, RM Guia P. Torres, RN
7:38pm 11025 Delivery Room
IMMEDIATE
NEWBORN
CORD CARE FORM
IMMEDIATE NEWBORN CORD CARE In DMC, HEALTH CARE CENTER, TONDO MANILA
Prepared by:
Name of Student: ADUCA, GENESIS Signature of Student: __________________
Date Performed Patient’s Name PROCEDURE PERFORMED D.R. Nurse/ Midwife on SUPERVISED BY
and Duty Clinical Instructor
July 31, 208 Baby Girl Chua Delivery Room Crissy Mae Sagun, RM Nerisa Cabasal, RN
5:45am 0679-08
November 13, 2009 Baby Boy Corimo Delivery Room Crissy Mae Sagun, RM Nerisa Cabasal, RN
3:05pm 1264-09
November 18, 2009 Baby Boy Calimlim Delivery Room Crissy Mae Sagun, RM Nerisa Cabasal, RN
6:05am 1271-09
1113-1117 San Marcelino cor. Gonzales St. Ermita Manila O.R SCRUB FORM
521-27-10 loc. 5319 www.eac.edu.ph MINOR CASE
SURGICAL SCRUB in AMISOLA MATERNITY HOSPITAL, TONDO MANILA
Prepared by:
S
Date Performed Patient’s Name PROCEDURE PERFORMED O.R. Nurse UPERVISED BY
and Case Number On Duty Clinical Instructor
March 31, 2009 Murado, Mellanyrios Dilatation and Curettage Daisy P. Erespe, RN Rosana R. Delfonso, RN, MAN
April 2, 2009 Nicolas, Leilani M. Bilateral Tubal Ligation Daisy P. Erespe, RN Rosana R. Delfonso, RN, MAN
6:11am 20015342
O.R SCRUB FORM
MINOR CASE
SURGICAL SCRUB in BULACAN POLYMEDIC HOSPITAL,GUIGINTO BULACAN
Prepared by:
S
Date Performed Patient’s Name PROCEDURE PERFORMED O.R. Nurse UPERVISED BY
November 7, 2008 Ryan Sablan Multiple distal amputation of 2nd-5th Joseph Rodriguez, RN Thelma Palangdao, RN
08-159 digit right hand
O.R SCRUB FORM
MINOR CASE
SURGICAL SCRUB in AIRFORCE GENERAL HOSPITAL, VILLAMOR AIR BASE, PASAY CITY
Prepared by:
Date Performed Patient’s Name PROCEDURE PERFORMED O.R. Nurse SUPERVISED BY

August 20, 2009 Jessie Jimenez Incision and Drainage of Carbuncle Wilma S. Catungal, RN Pili Pacris, RN
7:45pm Jesiel Right Mandibular Area
211
September 10, 2009 Edwin Pacianela Suturing, Lacerated Wound Secondary Wilma S. Catungal, RN Pili Pacris, RN
6:06pm 222 to Dogbite Cat. III at Forearm
521-27-10 loc. 5319 www.eac.edu.ph MAJOR CASE
SURGICAL SCRUB in MEDICAL CENTER MANILA, ERMITA MANILA
Hospital, Municipality/City/Province
Prepared by:
Name of Student: ADUCA, GENESIS Signature Of Student: ________________

April 20, 2009 Cabrejac, Madelyn Repeat Cesarean Section Arlene Villanueva, RM, RN Ma. Vanessa S. Gianan,
12:47pm C. RN
09-04-4106
January 28, 2010 David, Marta Right Total Thyroid Lobectomy Isthmusectomy Mary Annie Espelita, RN Benicer Barriatos, RN
12:58pm 10-01-7880 with Frozen Section, Left Subtotal Lobectomy
Noted by: LEILA A. DE VILLA, RN, RM, MAN Concurred by:

Clinical Coordinator, PRC I.D No. 0317751 Valid Until NOVEMBER 13, 2012 Chief Nurse, PRC I.D NOValid Until
PNA No. 021101 Valid Until OCTOBER 31, 2011 PNA No. 17971 Valid Until
Date document is signed:____________ Time ____________ ANSAP No. 09-1086 Valid Until :
Highest Nursing Degree Earned: MASTER OF SCIENCE IN NURSING Date document is signed:________________Time __________
Highest Nursing Degree Earned:
Approved by: MARY JANE L. OLID, Ed. D.

Dean, PRC I.D No. 0209678 Valid Until JANUARY 23, 2012
PNA No. 021117 Valid Until October 31, 2011
ADPCN No. 0449 Valid Until DECEMBER 2011
Date document is signed:__________Time ____________
SURGICAL SCRUB in AMISOLA MATERNITY HOSPITAL, TONDO MANILA
Prepared by:
Name of Student: ADUCA, GENESIS Signature Of Student: _____________

April 2, 2009 Leilani M. Nicolas Repeat Cesarean Section Daisy P. Erespe, RN Rosana R. Delfonso, RN, MAN
6:11am 20015342
Noted by: LEILA A. DEVILLA, RN, RM, MAN Concurred by: ROSANA R. DELFONSO, RN, MAN
Clinical Coordinator, PRC I.D No. 0317751 Valid Until NOVEMBER 13,2012 Chief Nurse, PRC I.D NO. 0138625 Valid Until: NOV. 20, 2010
PNA No. 021101 Valid Until OCTOBER 13,2011 PNA No. 29252 VALIDITY: DEC 10
Date document is signed:________________ Time ____________ Date document is signed:________________Time _________
Highest Nursing Degree Earned: MASTER OF SCIENCE IN NURSING Highest Nursing Degree Earned: MASTER OF ARTS IN NURSING

Date document is signed:_______________Time ____________
SURGICAL SCRUB in BULACAN POLYMEDIC HOSPITAL,GUIGINTO BULACAN
Prepared by:
Name of Student: ADUCA, GENESIS Signature Of Student: ________________

November 6, 2008 Rosemar Cruz Open Reduction Internal Fixation Jane Marie Lagumbay, RN Thelma Palangdao, RN
9:4am-11:35am 08-154
November 6, 2008 Diorella Sanchez Low Transverse Cesarean Section Jane Marie Lagumbay, RN Thelma Palangdao, RN
3:00pm-3:45pm 08-155
Noted by: LEILA A. DEVILLA , RN, RM, MAN Concurred by: MIRAFLOR C. NATIVIDAD, RN
Clinical Coordinator, PRC I.D No. 0317751 Valid Until NOVEMBER 13,2012 Chief Nurse, PRC I.D NO. 0387709 Valid Until: JAN. 29 2011
PNA No. 021101 Valid Until OCTOBER 31,2011 PNA No. : 009044 Valid Until: FEB. 17, 2009
Date document is signed:_____________ Time ____________ Date document is signed:________________Time __________
Highest Nursing Degree Earned: MASTER OF SCIENCE IN NURSING Highest Nursing Degree Earned: REGISTERED NURSE

Date document is signed:_______________Time ____________

Ang Case Ko

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Ang Case Ko

Uploaded by

Copyright:

Available Formats

EMILIO AGUINALDO COLLEGE

1113-1117 San Marcelino cor. Gonzales St. Ermita Manila

Date Performed Patient’s Name PROCEDURE PERFORMED D.R. nurse/Midwife SUPERVISED BY

Date Performed Patient’s Name PROCEDURE PERFORMED D.R. Nurse/Midwife SUPERVISED BY

Date Performed Patient’s Name PROCEDURE PERFORMED D.R. Nurse/Midwife SUPERVISED BY

Date Performed Patient’s Name PROCEDURE PERFORMED O.R. Nurse SUPERVISED BY

Date Performed Patient’s Name PROCEDURE PERFORMED O.R. Nurse SUPERVISED BY

Noted by: LEILA A. DE VILLA, RN, RM, MAN Concurred by:

Approved by: MARY JANE L. OLID, Ed. D.

Date Performed Patient’s Name PROCEDURE PERFORMED O.R. Nurse SUPERVISED BY

Approved by: MARY JANE L. OLID, Ed. D.

Date Performed Patient’s Name PROCEDURE PERFORMED O.R. Nurse SUPERVISED BY

Approved by: MARY JANE L. OLID, Ed. D.

You might also like