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PAMANTASAN NG LUNGSOD NG PASIG

Alkalde Jose Street, Brgy. Kapasigan, Pasig City


COLLEGE OF NURSING

Name of Student: Liogen Pearl O. Cadalin


Name and Address of School: Pamantasan ng Lungsod ng Pasig – Alcalde Jose Street., Brgy. Kapasigan, Pasig City
Accreditation Level (if any): Year Granted:
Date School or Program was Recognized: May 5 Number: 01 Year: 2003
First Course (if any): None School Graduated From: N/A Year: N/A
Year of Admission in the Bachelor of Science in Nursing Program: 2007
Year Graduated (BSN Program): 2011

Major Operations
No Date of Case Type of Name of Name and Signature of O.R. Name and Signature of
Name of Patient Diagnosis Procedure Name of Surgeon
. Operation No. Anesthesia Hospital Scrub Nurse Qualified Clinical Instructor

Subtotal Lobectomy with Bilateral General Pasig City


1. 7/13/09 368718 Niquit, Sarah Cruz MCAG, Multiple Colloid Adenomatous Goiter Dr. Macaraeg Bien
Isthmusectomy Anesthesia General Hospital

Velasco, Maricel PUFT Cephalic delivered by LTCS to a live Spinal Pasig City
2. 7/13/09 358406 LTCSII Dr. Trinidad Bien
Faraon baby girl G2P2 (2002) Anesthesia General Hospital
General
3. 7/ 14/09 456570 Cruz, Juanito Papillary Thyroid CA (T3 N1 M) Near total thyroidectomy Dr. Macaraeg Guevarra
Anesthesia
General
4. 8/17/09 456885 Tagod, Dalene M. Colloid Adenomatous Goiter Total Lobectomy ® with isthmusectomy Dr. Compuesto Tribujena
Anesthesia
02/ 01/10 Conahap, Prince General
5. 475048 Wide Excision Orbeta,RN
William F. Anesthesia

Noted by:

NINFA L. IGNACIO MARIA LUISA H. LOPEZ ELENA A. MABINI


Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse
Date signed: Date signed: Date signed:
Degree: R.N, M.ad Ed. D Degree: R.C, R.N, R.M, M.A.N, Degree: R.N, M.A.N
a.) PRC No.: 0068613 a.) PRC No.: 0350131 a.) PRC No.: 0111506
Valid until: Valid until: Valid until:
b.) PNA No.: 14344 b.) PNA No.: 17761 b.) PNA No.: 17590
Valid until: lifetime Valid until: lifetime Valid until: lifetime
c.) ADPCN No.:
Valid until:
PAMANTASAN NG LUNGSOD NG PASIG
Alkalde Jose Street, Brgy. Kapasigan, Pasig City
COLLEGE OF NURSING

Name of Student: Liogen Pearl O. Cadalin


Name and Address of School: Pamantasan ng Lungsod ng Pasig – Alcalde Jose Street., Brgy. Kapasigan, Pasig City
Accreditation Level (if any): Year Granted:
Date School or Program was Recognized: May 5 Number: 01 Year: 2003
First Course (if any): None School Graduated From: N/A Year: N/A
Year of Admission in the Bachelor of Science in Nursing Program: 2007
Year Graduated (BSN Program): 2011

Minor Operations
Type of Name and Signature of O.R. Scrub Name and Signature of
No. Date Case No. Name of Patient Diagnosis Procedure Name of Surgeon Name of Hospital
Anesthesia Nurse Qualified Clinical Instructor
1. 02/02/10 478471 Gutas, Risalyn B. Hemorroidectomy Aguilar,RN Panuayan, RN

2. 02/08/10 298394 Gabaro, Husain Ibn P. PSARP Mendaro, RN Iluminada T. Vierne, R.N

3. 02/09/10 299066 Saltore, Ricardo C. ‘e’ IJ Insertion Orbeta, RN Iluminada T. Vierne, R.N

05/08/10 Circumcision Kit, RN Iluminada T. Vierne, R.N


4.
5.

Noted by:

NINFA L. IGNACIO MARIA LUISA H. LOPEZ ELENA A. MABINI


Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse
Date signed: Date signed: Date signed:
Degree: R.N, M.ad Ed. D Degree: R.C, R.N, R.M, M.A.N, Degree: R.N, M.A.N
c.) PRC No.: 0068613 d.) PRC No.: 0350131 c.) PRC No.: 0111506
Valid until: August 11, 2012 Valid until: November 13, 2012 Valid until: August 21, 2012
d.) PNA No.: 14344 e.) PNA No.: 17761 d.) PNA No.: 17590
Valid until: lifetime Valid until: lifetime Valid until: lifetime
f.) ADPCN No.:
Valid until:
PAMANTASAN NG LUNGSOD NG PASIG
Alkalde Jose Street, Brgy. Kapasigan, Pasig City
COLLEGE OF NURSING

Name of Student: Liogen Pearl O. Cadalin


Name and Address of School: Pamantasan ng Lungsod ng Pasig – Alcalde Jose Street., Brgy. Kapasigan, Pasig City
Accreditation Level (if any): Year Granted:
Date School or Program was Recognized: May 5 Number: 01 Year: 2003
First Course (if any): None School Graduated From: N/A Year: N/A
Year of Admission in the Bachelor of Science in Nursing Program: 2007
Year Graduated (BSN Program): 2011

Assisted Deliveries
Name and Signature of
Time of Gender of Name and Signature of Qualified
No. Case No. Diagnosis Name of Mother Age Date of Delivery Name of Hospital Type of Delivery Delivery Room Qualified
Delivery Baby Clinical Instructor
Supervisor

1.

2.

3.

4.

5.

Prepared by: ____________________________________________________ Signature:______________________________________________________

Noted by:

NINFA L. IGNACIO MARIA LUISA H. LOPEZ ELENA A. MABINI


Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse
Date signed: Date signed: Date signed:
Degree: R.N, M.ad Ed. D Degree: R.C, R.N, R.M, M.A.N, Degree: R.N, M.A.N
e.) PRC No.: 0068613 g.) PRC No.: 0350131 e.) PRC No.: 0111506
Valid until: August 11, 2012 Valid until: November 13, 2012 Valid until: August 21, 2012
f.) PNA No.: 14344 h.) PNA No.: 17761 f.) PNA No.: 17590
Valid until: lifetime Valid until: lifetime Valid until: lifetime
i.) ADPCN No.:
Valid until:

PAMANTASAN NG LUNGSOD NG PASIG


Alkalde Jose Street, Brgy. Kapasigan, Pasig City
COLLEGE OF NURSING

Name of Student: Liogen Pearl O. Cadalin


Name and Address of School: Pamantasan ng Lungsod ng Pasig – Alcalde Jose Street., Brgy. Kapasigan, Pasig City
Accreditation Level (if any): Year Granted:
Date School or Program was Recognized: May 5 Number: 01 Year: 2003
First Course (if any): None School Graduated From: N/A Year: N/A
Year of Admission in the Bachelor of Science in Nursing Program: 2007
Year Graduated (BSN Program): 2011
Actual Deliveries
Name and Signature of
Time of Gender of Name and Signature of Qualified
No. Case No. Diagnosis Name of Mother Age Date of Delivery Name of Hospital Type of Delivery Delivery Room Qualified
Delivery Baby Clinical Instructor
Supervisor

Noted by:

NINFA L. IGNACIO MARIA LUISA H. LOPEZ ELENA A. MABINI


Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse
Date signed: Date signed: Date signed:
Degree: R.N, M.ad Ed. D Degree: R.C, R.N, R.M, M.A.N, Degree: R.N, M.A.N
g.) PRC No.: 0068613 j.) PRC No.: 0350131 g.) PRC No.: 0111506
Valid until: August 11, 2012 Valid until: November 13, 2012 Valid until: August 21, 2012
h.) PNA No.: 14344 k.) PNA No.: 17761 h.) PNA No.: 17590
Valid until: lifetime Valid until: lifetime Valid until: lifetime
l.) ADPCN No.:
Valid until:

PAMANTASAN NG LUNGSOD NG PASIG


Alkalde Jose Street, Brgy. Kapasigan, Pasig City
COLLEGE OF NURSING
Name of Student: Liogen Pearl O. Cadalin
Name and Address of School: Pamantasan ng Lungsod ng Pasig – Alcalde Jose Street., Brgy. Kapasigan, Pasig City
Accreditation Level (if any): Year Granted:
Date School or Program was Recognized: May 5 Number: 01 Year: 2003
First Course (if any): None School Graduated From: N/A Year: N/A
Year of Admission in the Bachelor of Science in Nursing Program: 2007
Year Graduated (BSN Program): 2011

Cord Dressings

Gender of the Name and Signature of Qualified Name and Signature of Delivery Room
No. Case No. Date Performed Name of Baby Name of Mother Age Name of Hospital
Baby Clinical Instructor Qualified Supervisor

1.

2.

3.

4.

5.

Noted by:

NINFA L. IGNACIO MARIA LUISA H. LOPEZ ELENA A. MABINI


Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse
Date signed: Date signed: Date signed:
Degree: R.N, M.ad Ed. D Degree: R.C, R.N, R.M, M.A.N, Degree: R.N, M.A.N
i.) PRC No.: 0068613 m.) PRC No.: 0350131 i.) PRC No.: 0111506
Valid until: August 11, 2012 Valid until: November 13, 2012 Valid until: August 21, 2012
j.) PNA No.: 14344 n.) PNA No.: 17761 j.) PNA No.: 17590
Valid until: lifetime Valid until: lifetime Valid until: lifetime
o.) ADPCN No.:
Valid until:

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