Carme Joy PRC

Holy Child Colleges of Butuan College of Nursing and Health Sciences
2nd Street Guingona Subdivision, Butuan City Name of Student: Lopez, Carme Joy Panganiban Name and Address of School: Holy Child Colleges of Butuan, 2nd Street Guingona Subdivision, Butuan City Accreditation Level (if Any): None Date school/Program was recognized: March 2007 First Course (if any): None Year of Admission in the Bachelor of Science in Nursing Program: June 2006 Year Graduated of Bachelor of Science in Nursing Program: October 2011
Year Graduated: Not Applicable Number: GR.R-13-501200-03 School Graduated from: Not applicable
Year:2007 Year: Not Applicable
II. MINOR OPERATIONS No.

1
Date of Operation
09/15/09
Case No.
178-733
Name of Patient
Guray, Karena
Diagnosis
Massive Pueral Infusion Secondary to Pulmonary Metastatic Breast Cancer Stage Four Plate Cast Application Bivalve Long Arm
Operation Performed
Thoracentesis
Type of Anesthesia
Local
Name of Surgeon
Dr. Odelio Y. Ferrer
Name of Hospital
Agusan Del Norte Provincial Hospital Agusan Del Norte Provincial Hospital Agusan Del Norte Provincial Hospital Agusan Del Norte Provincial Hospital Butuan Medical Center
Name of O.R. Scrub Nurse

Rowen S. Garbo, RN
Signature O.R. Scrub Nurse
Signature by Name and Signature of Qualified C.I.

Faith M. Dumoran, RN Honey Grace E. Verzosa, RN, MN
03/03/10
182-117
Camarin, Jocelyn
Close Fractured Portal Third Radius Ulna Right Comminuted Multiple Lacerated Wound Secondary To Vehicular Accident Left Forehead Post Mulled Cast Right Arm Curettage
Local
Dr. Beinvenido J. Cabela
Michael M. Montante, RN Faith M. Dumoran, RN Honey Grace E. Verzosa, RN, MN
03/03/10
182-607
Gongora, Noel
Debridement Suturing of Wound
Local
Dr. Andy T. Barrosa
Michael M. Montante, RN
03/10/10
182-562
Semblante, Constancia
Close Fractured Humeral Neck Right Secondary to Fall Injury Blighted Ovum
Local
Dr. Odelio Y. Ferrer
Shiela M. Calinawan, RN
07/09/10
108
Apelo, April
Local
Dr. Marilyn C. Jumapao
Alger L. Peggy, RN Kevinmar E. Muoz, RN, MAN
Prepared By: Lopez, Carme Joy Panganiban Noted by: KEVINMAR E. MUOZ, RN,MAN Signature over Printed Name of Clinical Coordinator Date Signed: ____________ Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No.: 0432869 Valid Until: December 2013 PNA No.: 074206 Valid until: December 2011 Concurred by: HELEN T. GONZALES, RN,MN Signature over Printed Name of chief Nurse (BMC) Date Signed:_____________ Degree: Bachelor of Science in Nursing Master in Nursing PRC No.: 0063678 Valid Until: August 2012 PNA No. 2504 Valid Until: Lifetime Concurred by: JEMIMAH L. BRINGAS,RN,MN Signature over Printed Name of Chief Nurse (ADNPH) Date Signed:_____________ Degree: Bachelor of Science in Nursing Master in Nursing PRC No.: 0089396 Valid Until: May 2014 PNA No. 064959 Valid Until: December 2011 Approved By: FLORDELIZA C. BARRIL , RN,MN Signature over Printed Name of Dean Date Signed:_____________ Degree: Bachelor of Science in Nursing Master in Nursing PRC No.: 0270917 Valid Until: October 2013 PNA No. 074205 Valid Until: December 2011

2nd street Guingona Subdivision, Butuan City Name of Student: Lopez, Carme Joy Panganiban Name and Address of School: Holy Child Colleges of Butuan, 2nd Street Guingona Subdivision, Butuan City Accreditation Level (if Any): None Date school/Program was recognized: March 2007 First Course (if any): None Year of Admission in the Bachelor of Science in Nursing Program: June 2006 Year Graduated of Bachelor of Science in Nursing Program: October 2011
Year:2007 Year: Not Applicable
III. ACTUAL DELIVERIES
No. Case No.

1
Diagnosis
Pregnancy Uterine Full Term,39weeks Age of Gestation Cephalic Delivered Live Birth Baby Girl Gravida 1Parity 1 (1001)
Name of Mother
Tusoy, Frangie
Age
20
Date Of Delivery
12/02/08
Time Of Delivery
10:30PM
Gender Name of of Baby Hospital

Female Agusan Del Norte Provincial Hospital
Type of Delivery
Normal Spontaneous Vaginal Delivery with Episiotomy and Repair

172707
178747
Pregnancy Uterine Full Term,39weeks Age of Gestation Cephalic Delivered Live Birth Baby Boy Gravida 3 Parity 3 (3003)
Guirit, Wencita
28
09/14/09
11:18PM
Male
Agusan Del Norte Provincial Hospital
Normal Spontaneous Vaginal Delivery
178876
Pregnancy Uterine Full Term,39weeks Age of Gestation Cephalic Delivered Live Birth Baby Boy Gravida 1 Parity 1 (1001)
Lague,Annafe
19
09/21/09
8:35PM
Male
Agusan Del Norte Provincial Hospital
Normal Spontaneous Vaginal Delivery with Episiotomy and Repair Normal Spontaneous Vaginal Delivery with Laceration and Repair Normal Spontaneous Vaginal Delivery with Episiotomy and Repair
621 396
Pregnancy Uterine Full Term,38weeks and 3 days Age of Gestation Cephalic Delivered Live Birth Baby Girl Gravida 2 Parity2 (2002`) Pregnancy Uterine Full Term,38weeks Age of Gestation Cephalic Delivered Live Birth Baby Boy Gravida 3 Parity 2 (3002`)
Escol, Meriam
23
07/09/10 05/14/11
7:40PM 11:24AM
Female Male
Butuan Medical Center Butuan Medical Center
Kevinmar E. Muoz, RN, MAN
Tolibas, Reneflor
30

2nd street Guingona Subdivision, Butuan City Name of Student: Lopez, Carme Joy Panganiban Name and Address of School: Holy Child Colleges of Butuan, 2nd Street Guingona Subdivision, Butuan City Accreditation Level (if Any): None Year Graduated: Not Applicable Date school/Program was recognized: March 2007 Number: GR.R-13-501200-03 First Course (if any): None School Graduated from: Not applicable Year of Admission in the Bachelor of Science in Nursing Program: June 2006 Year Graduated of Bachelor of Science in Nursing Program: October 2011 IV. DELIVERIES ASSISTED
Year: 2007 Year: Not Applicable
No. Case No.
Diagnosis
Pregnancy Uterine Full Term,38weeks Age of Gestation Cephalic Premature Ruptured of Membrane, Delivered Spontaneously, To A Live Baby Boy Gravida 2 Parity 2 (2002) Birth weight:1200grams Birth length 51 centimeters Apgar Score 8,10, Right Medio Lateral with Episiotomy Repair Pregnancy Uterine Full Term, 38weeks Age of Gestation Cephalic Premature Ruptured of Membrane, Delivered Spontaneously, To A Live Baby Girl Gravida 6 Parity 6 (6006) Birth weight:1900 grams Birth length 54 centimeters Apgar Score 8,10, Intact Pregnancy Uterine Full Term,38 weeks Age of Gestation Cephalic Premature Ruptured of Membrane, Delivered Spontaneously, To A Live Baby Girl Gravida 1 Parity 1(1001) Birth weight:1200 grams Birth Length 46 centimeters Apgar Score 8,10, Right Medio Lateral with Episiotomy Pregnancy Uterine Full Term,39 weeks Age of Gestation Cephalic Premature Ruptured of Membrane, Delivered Spontaneously, To A Live Baby Girl Gravida 13 Parity 13 (130013) Birth weight:3500 grams Birth Length 53 centimeters Apgar Score4,6, Intact Pregnancy Uterine Full Term,38 weeks Age of Gestation Cephalic Premature Ruptured of Membrane, Delivered Spontaneously, To A Live Baby Girl Gravida 1 Parity 1 (1001) Birth weight:2600 grams Birth Length 51 centimeters Apgar Score 7,8, Right Medio Lateral with Episiotomy and Repair
Name of Patient
Age
Date Of Delivery
Time Of Delivery
Gender Name of Hospital of Baby
Type of Delivery
386
Amadilla, Licset
30
05/12/11
2:23PM
Male
Butuan Medical Center
Kevinmar E. Muoz, RN MAN
392
Monteroso, Charmaine
36
05/13/11
11:14AM
Female
420
Racho, Anelyn
21
05/21/11
6:04PM
Female
446
Paloma, Polores
45
05/31/11
10:51PM
Female
490
Fabricante, Janice
20
06/13/11
5:36PM
Female
Prepared By: Lopez, Carme Joy Panganiban Noted by: KEVINMAR E. MUOZ, RN,MAN Signature over Printed Name of Clinical Coordinator Date Signed: ____________ Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No.: 0432869 Valid Until: December 2013 PNA No.: 074206 Valid until: December 2011 Concurred by: HELEN T. GONZALES, RN,MN Signature over Printed Name of chief Nurse (BMC) Date Signed:_____________ Degree: Bachelor of Science in Nursing Master in Nursing PRC No.: 0063678 Valid Until: August 2012 PNA No. 2504 Valid Until: Lifetime Approved By: FLORDELIZA C. BARRIL , RN,MN Signature over Printed Name of Dean Date Signed:_____________ Degree: Bachelor of Science in Nursing Master in Nursing PRC No.: 0270917 Valid Until: October 2013 PNA No. 074205 Valid Until: December 2011

2nd street Guingona Subdivision, Butuan City Name of Student: Lopez, Carme Joy Panganiban Name and Address of School: Holy Child Colleges of Butuan, 2nd Street Guingona Subdivision, Butuan City Accreditation Level (if Any): None Date school/Program was recognized: March 2007 First Course (if any): None Year of Admission in the Bachelor of Science in Nursing Program: June 2006 Year Graduated of Bachelor of Science in Nursing Program: October 2011
V. CORD DRESSING
No.
1
Case No.
464
Date Performed
05/24/10
Name of Baby
Baby Celmar
Gender of Baby
Male
Name of Mother
Celmar, Lorejane
Age
36
Name of Hospital
Kevinmar E. Muoz, RN MAN 2
620
07/09/10
Baby Cellcon
Female
Cellcon, Josephine
21

582
07/09/10
Baby Montero
Male
Montero, Emma
33

384
05/11/11
Baby Morigo
Male
Morigo, Mary Ann
20

393
05/13/11
Baby Macabenta
Female
Macabenta, Annabella
34

Prepared By: Lopez, Carme Joy Panganiban Noted by: KEVINMAR E. MUOZ, RN,MAN Signature over Printed Name of Clinical Coordinator Date Signed: ____________ Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No.: 0432869 Valid Until: December 2013 PNA No.: 074206 Valid until: December 2011 Concurred by: HELEN T. GONZALES, RN,MN Signature over Printed Name of chief Nurse (BMC) Date Signed:_____________ Degree: Bachelor of Science in Nursing Master in Nursing PRC No.: 0063678 Valid Until: August 2012 PNA No. 2504 Valid Until: Lifetime Approved By: FLORDELIZA C. BARRIL , RN,MN Signature over Printed Name of Dean Date Signed:_____________ Degree: Bachelor of Science in Nursing Master in Nursing PRC No.: 0270917 Valid Until: October 2013 PNA No. 074205 Valid Until: December 2011

2nd street Guingona Subdivision, Butuan City Name of Student: Lopez, Carme Joy Panganiban Name and Address of School: Holy Child Colleges of Butuan, 2nd Street Guingona Subdivision, Butuan City Accreditation Level (if Any): None Year Graduated: Not Applicable Date school/Program was recognized: March 2007 Number: GR.R-13-501200-03 First Course (if any): None School Graduated from: Not applicable Year of Admission in the Bachelor of Science in Nursing Program: June 2006 Year Graduated of Bachelor of Science in Nursing Program: October 2011 MAJOR OPERATION
No.
Date of Operation
Case No.
Name of Patient
Diagnosis
Operation Performed
Type of Anesthesia
Name of Surgeon
Name of Hospital
Agusan Del Norte Provincial Hospital Agusan Del Norte Provincial Hospital
Name of O.R. Scrub Nurse
Signature O.R. Scrub Nurse

11/26/08
172542
Babon, Losendo
Close Fractures Infected, Distal Radius Ulna Right
Radio Ulna Plating
Sub Arachnoid Block
Dr. Ferdinand M. Amante
James P. Rosales, RN
11/26/08
172553
Bayotas, Benedicto
Acute Abdominal Secondary to Bile Peritunitis Secondary to Obstructive Cholegetis Bile Speitage Reactive Appendectomy Pregnancy Uterine Full Term in Labor Cephalic Premature Rupture of Membrane Age of Gestation 38-39 weeks Cephalo Pelvic Disproportion, Arrest of Cervical Dilatation and Failure of Descent Secondary to Cephalo Pelvic Disproportion Gravida 1 Para 0(1000) Invasive Ductal Carcinoma Left Breast Stage Two-A Pregnancy Uterine Full term, Vertex Not in Labor Severe Preeclampsia With Oligohydramnious
Immediate Appendectomy
Sub Arachnoid Block
Dr. Bienvenedo J. Cabela
James P. Rosales, RN
05/25/10
434
Morales,Ivy Claire
Primary Low Segment Transverse Cesarean Section Modified Radical Mastectomy Left First Low Segment Transverse Cesarean Section And Bilateral Tubal Ligation
Spinal
Dr. Evelyn I. Oculares
Ma. Cristeta B. Butcon, RN
07/09/10
581
Savila, Ma. Corazon Pajo, Almira
General
Dr. Rocelda L. Mirasol Dr. Marlyn C. Jumapao
Butuan Medical Center Butuan Medical Center
Alger L. Peggy, RN
05/11/11
453
Spinal
Ma. Cristeta B. Butcon, RN

Carme Joy PRC

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Holy Child Colleges of Butuan College of Nursing and Health Sciences

Year:2007 Year: Not Applicable

II. MINOR OPERATIONS No.

Name of O.R. Scrub Nurse

Signature O.R. Scrub Nurse

Signature by Name and Signature of Qualified C.I.

Dr. Beinvenido J. Cabela

Michael M. Montante, RN Faith M. Dumoran, RN Honey Grace E. Verzosa, RN, MN

Debridement Suturing of Wound

Dr. Andy T. Barrosa

Faith M. Dumoran, RN Honey Grace E. Verzosa, RN, MN

Dr. Odelio Y. Ferrer

Faith M. Dumoran, RN Honey Grace E. Verzosa, RN, MN

Dr. Marilyn C. Jumapao

Alger L. Peggy, RN Kevinmar E. Muoz, RN, MAN

Holy Child Colleges of Butuan College of Nursing and Health Sciences

Year:2007 Year: Not Applicable

III. ACTUAL DELIVERIES

No. Case No.

Gender Name of of Baby Hospital

Signature by Name and Signature of Qualified C.I.

Agusan Del Norte Provincial Hospital

Normal Spontaneous Vaginal Delivery

Faith M. Dumoran, RN Honey Grace E. Verzosa, RN, MN

Agusan Del Norte Provincial Hospital

Faith M. Dumoran, RN Honey Grace E. Verzosa, RN, MN

Butuan Medical Center Butuan Medical Center

Kevinmar E. Muoz, RN, MAN

Kevinmar E. Muoz, RN, MAN

Holy Child Colleges of Butuan College of Nursing and Health Sciences

Year: 2007 Year: Not Applicable

No. Case No.

Gender Name of Hospital of Baby

Signature by Name and Signature of Qualified C.I.

Butuan Medical Center

Normal Spontaneous Vaginal Delivery

Kevinmar E. Muoz, RN MAN

Butuan Medical Center

Normal Spontaneous Vaginal Delivery

Kevinmar E. Muoz, RN MAN

Butuan Medical Center

Normal Spontaneous Vaginal Delivery

Kevinmar E. Muoz, RN MAN

Butuan Medical Center

Normal Spontaneous Vaginal Delivery

Kevinmar E. Muoz, RN MAN

Butuan Medical Center

Normal Spontaneous Vaginal Delivery

Kevinmar E. Muoz, RN MAN

Holy Child Colleges of Butuan College of Nursing and Health Sciences

Year: 2007 Year: Not Applicable

Signature by Name and Signature of Qualified C.I.

Kevinmar E. Muoz, RN MAN 2

Butuan Medical Center

Butuan Medical Center

Morigo, Mary Ann

Butuan Medical Center

Butuan Medical Center

Holy Child Colleges of Butuan College of Nursing and Health Sciences

Year: 2007 Year: Not Applicable

Name of O.R. Scrub Nurse

Signature O.R. Scrub Nurse