OUR LADY OF FATIMA UNIVERSITY #1 Esperanza St.

Hilltop Mansion Heights, Lagro, Quezon City

Name of Student: Angelique B. Espiritu_______________________________________________________________________________________ Name and Address of School: Our Lady of Fatima University #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City__________________ Accreditation Level (if any): PACUCOA Level II Year Granted: April 10 ,2002 Date School/Program was Recognized: April 25, 2001________________Number: 033 ________________________Year: 2001____________ 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: June 2008_______________________________________________________ Year Graduated (BSN Program): November 2011_______________________________________________________________________________
I. Major Operations No. 1. 2. Date of Operation July 28. 2010 July 29, 2010 January 1,2011 February 6,2011 February 14,2011
Prepared by:

Case No. 2010002988 2010087660 141837 201109462 2011000810

Name of Patient Leticia Cortez Milagros Rubio Leah P. Meneses, Emmanuel Rull Golda Swing Oliverio

Diagnosis Post appendectomy Adhesion Breast Carcinoma Gravida3 Parity 2 Pregnancy Uterine Full Term, Previous Cesarean section Incarcerated Inguinal Hernia, Right Gravida2 Parity1 Pregnancy Uterine Full Term, Previous Cesarean section
Noted by:

Operation Performed Adhesiolysis Modified Radical Mastectomy Repeat Lower transverse Cesarean section Mesh herniorrhaphy, Right Repeat Lower transverse Cesarean section

Type of Anesthesia Spinal Spinal

Name of Surgeon Dr. Shakya Sudip Dr. Celso Fidel Dr. Priscilla Quiambao Dr. James Baez Dr. Jennalyn Delos Reyes

Name of Hospital Fatima University Medical Center Fatima University Medical Center Calumpit District Hospital Fatima University Medical Center Fatima University Medical Center
Approved by:

Supervised by Qualified CI Mrs. Secinia I.Tallo, RM,RN,MAN Mrs. Secinia I.Tallo, RM,RN,MAN Mr. Marcellus Belisario RN,MAN Mrs. Secinia I.Tallo, RM,RN,MAN Mrs. Secinia I.Tallo, RM,RN,MAN

Signature of Qualified CI

3.

Spinal Local Anesthesia Spinal

4.

5.

Concurred by: Elsa Pacheco Signature over printed name of Chief Nurse Date Signed: ___________ Degree: BSN, RN,MAN__ a.) PRC NO: 01257229 Valid Until: October 13,2014 b.) PNA NO: 070626 Valid Until: October 2011

Angelique B. Espiritu
Signature over printed Name of Student Supervised by: _______________ Signature over printed name of Faculty Date Signed: ____________ Degree: ________________ a.) PRC NO: __________ Valid Until: ________ b.) PNA NO: ___________ Valid Until:_________

Secinia I Tallo Signature over printed name of Clinical Coordinator Date Signed: __________ Degree: RM, RN, MAN a) PRC NO: 196915 Valid Until: November 29,2011 b.) PNA NO: 18696 Valid Until: Life time

Nelia R. Capulong, RN, MAN Signature over printed name of Dean Date Signed: ____________ Degree: BSN, RM, MAN_____ a.) PRC NO: 0041904______ Valid Until: July 31, 2012 b.) PNA NO: 18698_________ Valid Until: Lifetime____ c.) ADPCN NO: 0627_______ Valid Until: Life time

OUR LADY OF FATIMA UNIVERSITY #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City

Name of Student: Angelique B. Espiritu_______________________________________________________________________________________ Name and Address of School: Our Lady of Fatima University #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City________________ Accreditation Level (if any): PACUCOA Level II Year Granted: April 10 ,2002 Date School/Program was Recognized: April 25, 2001________________Number: 033 ________________________Year: 2001____________ 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: June 2008______________________________________________________ Year Graduated (BSN Program): November 2011_______________________________________________________________________________
No. 1. 2. Date of Operation July 28. 2010 August 18,2010 Case No. 2010-102737 OPH 08121002 Name of Patient Federico Alejo Conigonda Boroc Barandino Diagnosis Rectal Mass Mature Senile cataract, Right Eye II. Minor Operations Operation Type of Performed Anesthesia Colonoscopy Local with Biopsy Anesthesia Phacoemulsifica tion with Posterior Chamber Intraocular Lens, Right eye Bilateral Tubal Ligation Gastroscopy and Pyloric Testing Endometrial Polypectomy Local Anesthesia Name of Surgeon Dr. Roberto Lopez Dr,Guillermo Loja Name of Hospital Fatima University Medical Center Fatima Eye and Rehab Center Supervised by Qualified CI Mrs. Secinia I.Tallo, RM,RN,MAN Mr. Arvin A. Avaculanan.R N Signature of Qualified CI

3. 4. 5.

November 4,2010 February 14,011 February 17,2011

124909 2011-114607 164732

Maria Dulce Domanillo Isidro Magaling Cecilia M. Garcia

Gravida3 Parity3 Multiparity Antral,Ulcer, Duodenitis Abnormal Uterine Bleeding

Local Anesthesia Local Anesthesia Local Anesthesia

Dr. Priscilla Quiambao Dr. Roberto Lopez Dr. Lorna Fernando

Calumpit District Hospital Fatima University Medical Center Calumpit District Hospital

Mr. Marcellus Belisario RN,MAN Mrs. Secinia I.Tallo, RM,RN,MAN Mr. Marcellus Belisario RN,MAN

Prepared by:

Noted by: Secinia I Tallo Signature over printed name of Clinical Coordinator Date Signed: __________ Degree: RM, RN, MAN a) PRC NO: 196915 Valid Until: November 29 ,2011 b.) PNA NO: 18696 Valid Until: Life time

Concurred by: Elsa Pacheco Signature over printed name of Chief Nurse Date Signed: ___________ Degree: BSN, RN,MAN__ b.) PRC NO: 01257229 Valid Until: October 13,2014 b.) PNA NO: 070626 Valid Until: October 2011

Approved by: Nelia R. Capulong, RN, MAN Signature over printed name of Dean Date Signed: ____________ Degree: BSN, RM, MAN_____ a.) PRC NO: 0041904______ Valid Until: July 31, 2012 b.) PNA NO: 18698_________ Valid Until: Lifetime____ c.) ADPCN NO: 0627_______ Valid Until: Life time

Angelique B. Espiritu
Signature over printed Name of Student Supervised by: _______________ Signature over printed name of Faculty Date Signed: ____________ Degree: ________________ a.) PRC NO: __________ Valid Until: ________ b.) PNA NO: ___________ Valid Until:_________

OUR LADY OF FATIMA UNIVERSITY #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City

Name of Student: Angelique B. Espiritu_______________________________________________________________________________________ Name and Address of School: Our Lady of Fatima University #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City________________ Accreditation Level (if any): PACUCOA Level II Year Granted: April 10 ,2002 Date School/Program was Recognized: April 25, 2001________________Number: 033 ________________________Year: 2001____________ 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: June 2008______________________________________________________ Year Graduated (BSN Program): November 2011_______________________________________________________________________________
III. Actual Deliveries Date of Time of Gender Delivery Delivery of Baby 6:28am Male August 23, 2010 August 26, 7:30am Male 2010 August 27, 2010 August 28, 2010 September 7,2010 3:45pm 8:15am 5:20pm Male Female Male

No. 1. 2. 3. 4. 5.

Case No. 319-10 325-10 330-10 332-10 343-10

Diagnosis Pregnacy Uterine Full Term Gravida 1 Parity 0 38 weeks Age of Gestation Pregnacy Uterine Full Term Gravida 3 Parity 2 39 weeks Age of Gestation Pregnacy Uterine Full Term Gravida 3 Parity 2 42 weeks Age of Gestation Pregnacy Uterine Full Term Gravida 2 Parity 1 39 weeks Age of Gestation Pregnacy Uterine Full Term Gravida 4 Parity 3 38 weeks Age of Gestation

Name of Mother Millete Arvin Eva Rojo Reyes Cristina Nabong Princess Lalu Emma Belgica

Age 20 years old 34 31 23 29

Name of Hospital Camarin Health Center and Lying in Camarin Health Center and Lying in Camarin Health Center and Lying in Camarin Health Center and Lying in Camarin Health Center and Lying in

Type of Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery

Supervised by: Signature of Qualified C.I.

Prepared by:

Noted by: Imelda N. Villegas Signature over printed name of Clinical Coordinator Date Signed: __________ Degree: RN, MAN_______ a) PRC NO: 69342 Valid Until: November 11, 2013 b.) PNA NO: 2011 037405 Valid Until: October 2011

Concurred by: Norma A. Manere RM, RN, MAN Signature over printed name of Chief Nurse Date Signed: ___________ Degree: RM, RN, MAN a.) PRC NO: 0082296 Valid Until: May 23, 2014 b.) PNA NO: 3805 Valid Until: Life time

Approved by: Nelia R. Capulong, RN, MAN Signature over printed name of Dean Date Signed: ____________ Degree: BSN, RM, MAN_____ a.) PRC NO: 0041904______ Valid Until: July 31, 2012 b.) PNA NO: 18698_________ Valid Until: Lifetime____ c.) ADPCN NO: 0627_______ Valid Until: Life time

Angelique B. Espiritu
Signature over printed Name of Student Supervised by: _______________ Signature over printed name of Faculty Date Signed: ____________ Degree: ________________ a.) PRC NO: __________ Valid Until: ________ b.) PNA NO: ___________ Valid Until:_________

OUR LADY OF FATIMA UNIVERSITY #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City

Name of Student: Angelique B. Espiritu_______________________________________________________________________________________ Name and Address of School: Our Lady of Fatima University #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City________________ Accreditation Level (if any): PACUCOA Level II Year Granted: April 10 ,2002 Date School/Program was Recognized: April 25, 2001________________Number: 033 ________________________Year: 2001____________ 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: June 2008______________________________________________________ Year Graduated (BSN Program): November 2011_______________________________________________________________________________
No. 1. 2. 3. 4. 5. Case No. 388308 317-10 321-10 323-10 335-10 Diagnosis Pregnacy Uterine Full Term Gravida 2 Parity 1 38 weeks Age of Gestation Pregnacy Uterine Full Term Gravida 2 Parity 0 39 weeks Age of Gestation Pregnacy Uterine Full Term Gravida 2 Parity 1 39 weeks Age of Gestation Pregnacy Uterine Full Term Gravida 2 Parity 1 37 weeks Age of Gestation Pregnacy Uterine Full Term Gravida 4 Parity 3 38 weeks Age of Gestation Name of Mother Hannah Calderon Jededia Pakiding Ma. Jinky Nualla Thiel Noquita Riza Villanueva Age 23 21 17 27 21 August 23, 2010 August 24, 2010 August 25, 2010 September 1,2010 IV. Deliveries Assisted Date of Time of Gender Delivery Delivery of Baby February 2, 8:20am Female 2010 4:10pm 3:20pm 9:30am 7:55am Female Male Male Female Name of Hospital Macabebe District Hospital Camarin Health Center and Lying in Camarin Health Center and Lying in Camarin Health Center and Lying in Camarin Health Center and Lying in Type of Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Normal Spontaneous Delivery Supervised by: Signature of Qualified C.I.

Prepared by:

Noted by: Imelda N. Villegas Signature over printed name of Clinical Coordinator Date Signed: __________ Degree: RN, MAN_______ a) PRC NO: 69342 Valid Until: November 11, 2013 b.) PNA NO: 2011 037405 Valid Until: October 2011

Concurred by: Norma A. Manere RM, RN, MAN Signature over printed name of Chief Nurse Date Signed: ___________ Degree: RM, RN, MAN a.) PRC NO: 0082296 Valid Until: May 23, 2014 b.) PNA NO: 3805 Valid Until: Life time

Approved by: Nelia R. Capulong, RN, MAN Signature over printed name of Dean Date Signed: ____________ Degree: BSN, RM, MAN_____ a.) PRC NO: 0041904______ Valid Until: July 31, 2012 b.) PNA NO: 18698_________ Valid Until: Lifetime____ c.) ADPCN NO: 0627_______ Valid Until: Life time

Angelique B. Espiritu
Signature over printed Name of Student Supervised by: _______________ Signature over printed name of Faculty Date Signed: ____________ Degree: ________________ a.) PRC NO: __________ Valid Until: ________ b.) PNA NO: ___________ Valid Until:_________

OUR LADY OF FATIMA UNIVERSITY #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City

Name of Student: Angelique B. Espiritu_______________________________________________________________________________________ Name and Address of School: Our Lady of Fatima University #1 Esperanza St. Hilltop Mansion Heights, Lagro, Quezon City________________ Accreditation Level (if any): PACUCOA Level II Year Granted: April 10 ,2002 Date School/Program was Recognized: April 25, 2001________________Number: 033 ________________________Year: 2001____________ 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: June 2008______________________________________________________ Year Graduated (BSN Program): November 2011_______________________________________________________________________________
No. 1. Case No. 154770 Date Performed Feruary 24,2010 Name of Baby Baby Boy Paraiso Gender of Baby Male V. Cord Dressing Name of Mother Flordeliza Paraiso Age 35 years old Name of Hospital Calumpit District Hospital Supervised by: Signature of Qualified C.I.

2.

310-10

August 17,2010

Baby Boy Labawan

Male

Maila Labawan

25 years old

Camarin Health Center and Lying in Camarin Health Center and Lying in Camarin Health Center and Lying in Calumpit District Hospital

3.

318-10

August 23,2010

Baby Girl Itable

Female

Lovely Itable

23 years old

4.

342-10

Septeber 6,2010

Baby Boy Ceneza

Male

Edelina Ceneza

17 years old

5.

156191

October 26,2010

Baby Girl De Sagun

Female

Kristel De Sagun

26 years old

Prepared by:

Noted by: Imelda N. Villegas Signature over printed name of Clinical Coordinator Date Signed: __________ Degree: RN, MAN_______ a) PRC NO: 69342 Valid Until: November 11, 2013 b.) PNA NO: 2011 037405 Valid Until: October 2011

Concurred by: Norma A. Manere RM, RN, MAN Signature over printed name of Chief Nurse Date Signed: ___________ Degree: RM, RN, MAN a.) PRC NO: 0082296 Valid Until: May 23, 2014 b.) PNA NO: 3805 Valid Until: Life time

Approved by: Nelia R. Capulong, RN, MAN Signature over printed name of Dean Date Signed: ____________ Degree: BSN, RM, MAN_____ a.) PRC NO: 0041904______ Valid Until: July 31, 2012 b.) PNA NO: 18698_________ Valid Until: Lifetime____ c.) ADPCN NO: 0627_______ Valid Until: Life time

Angelique B. Espiritu
Signature over printed Name of Student Supervised by: _______________ Signature over printed name of Faculty Date Signed: ____________ Degree: ________________ a.) PRC NO: __________ Valid Until: ________ b.) PNA NO: ___________ Valid Until:_________