Professional Documents
Culture Documents
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
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:
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
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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.
Noted by:
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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: