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FILAMER CHRISTIAN UNIVERSITY COLLEGE OF NURSING ROXAS CITY

Name of student: ALMEIDA, PAULINE KATE M._______________________________ Name and Address of the School: FILAMER CHRISTIAN UNIVERSITY, ROXAS CITY___ Recognition and Accreditation Level: LEVEL II___________________________________ Date School/Program was recognized: GR126s1976

First Course (if any): N/A____________________________________________ School Graduated: N/A______________________________________________ Year of Admission in the BSN: 2007___________________________________ Year Graduated from the BSN Program: 2011 ____________________________

III. ACTUAL DELIVERIES


No. Case No. Diagnosis Patients INITIALS (only) Age Date of Delivery Time of Delivery Gender of Baby Name of Hospital Type of Delivery

Pregnancy Uterine Full Term delivered by Normal Spontaneous Vaginal Delivery to Live Baby 10-0140095 Girl in Cephalic Presentation with Birth Weight=2.08 kilograms Apgar Score=8/9, Gravida 2 Para 2 (2002)

S. J. G.

30

10/4/2010

12:41 AM

Female

Roxas Memorial Provincial Hospital

Normal Spontaneous Vaginal Delivery

Pregnancy Uterine Full Term delivered by Normal Spontaneous Vaginal Delivery to a Live Baby Girl in Cephalic Presentation with 10-0140622 Birth Weight=2.22 kilograms, Apgar Score=9/10, Gestational Hypertension, Gravida 1 Para 1 (1001)

J. C.

32

10/10/2010

6:58 PM

Female

Roxas Memorial Provincial Hospital

Normal Spontaneous Vaginal Delivery

Prepared by:

Supervised by:

Noted by:

Concurred by:

Approved by:

ALMEIDA, PAULINE KATE M.

CANDELARIA P. TALABUCON, RN

ADELA S. ALDEA, RN

NENA D. ARCHES, RN

LEA P. ALAYON, RN

Signature Over Printed Name of Student Date Signed:______________________ CTC Number: 16075083 Date of Issue: February 9, 2011 Place of Issue: Roxas City

Signature Over Printed Name of Clinical Instructor Date Signed: _ Degree: BSN, MAN a) PRC No.: 0298613 Valid Until: February 2, 2013 b) PNA No.: 2011-068333 Valid Until: October 31, 2011

Signature Over Printed Name of Clinical Coordinator Date Signed:_________________________________ Degree: BSN, MAN a) PRC No.: 0176468 Valid Until: July 14, 2012 b) PNA No.: 18207 Valid Until: Life Member

Signature Over Printed Name of Chief Nurse Date Signed:__________________________ Degree: BSN a) PRC No.: 0037021 Valid Until: May 31, 2012 b) PNA No.: 4355 Valid Until: Life Member

Signature of Printed Name of Dean


Date Signed:________________________ Degree: BSN, MAN, Ph.D a) PRC No.: 0141177 Valid Until: August 18, 2012 b) PNA No.: 2011-068236 Valid Until: October 31, 2011 c) ADPCN No.: 0312 Valid Until: December 31, 2011

FILAMER CHRISTIAN UNIVERSITY COLLEGE OF NURSING ROXAS CITY

Name of student: ALMEIDA, PAULINE KATE M._________________________________ Name and Address of the School: FILAMER CHRISTIAN UNIVERSITY, ROXAS CITY___ Recognition and Accreditation Level: LEVEL II____________________________________ Date School/Program was recognized: GR126s1976

First Course (if any): N/A____________________________________________ School Graduated: N/A______________________________________________ Year of Admission in the BSN: 2007___________________________________ Year Graduated from the BSN Program: 2011 ____________________________

III. ACTUAL DELIVERIES


No. Case No. Diagnosis Patients INITIALS (only) Age Date of Delivery Time of Delivery Gender of Baby Name of Hospital Type of Delivery

5356

Pregnancy Uterine Full Term Delivery via Normal Spontaneous Delivery to a Live Baby Boy in Cephalic Presentation. Birth Weight=2,350 grams Apgar Score=8/9, Gravida 1 Para 1 (1001)

M. R. D. O.

23

7/24/2010

11:04 PM

Male

Roxas Memorial Provincial Hospital

Normal Spontaneous Delivery

Prepared by:

Supervised by:

Noted by:

Concurred by:

Approved by:

ALMEIDA, PAULINE KATE M.


Signature Over Printed Name of Student Date Signed:______________________ CTC Number: 16075083

MARICAR D. FUENTES, RN
Signature Over Printed Name of Clinical Instructor Date Signed: _ Degree: BSN

ADELA S. ALDEA, RN
Signature Over Printed Name of Clinical Coordinator Date Signed:_________________________________ Degree: BSN, MAN

NENA D. ARCHES, RN
Signature Over Printed Name of Chief Nurse Date Signed:__________________________ Degree: BSN

LEA P. ALAYON, RN Signature of Printed Name of Dean


Date Signed:________________________ Degree: BSN, MAN, Ph.D

Date of Issue: February 9, 2011 Place of Issue: Roxas City

a) PRC No.: 0298607 Valid Until: October 21, 2013 b) PNA No.: 2011-068405 Valid Until: October 31, 2011

a) PRC No.: 0176468 Valid Until: July 14, 2012 b) PNA No.: 18207 Valid Until: Life Member

a) PRC No.: 0037021 Valid Until: May 31, 2012 b) PNA No.: 4355 Valid Until: Life Member

a) PRC No.: 0141177 Valid Until: August 18, 2012 b) PNA No.: 2011-068236 Valid Until: October 31, 2011 c) ADPCN No.: 0312 Valid Until: December 31, 2011

FILAMER CHRISTIAN UNIVERSITY COLLEGE OF NURSING ROXAS CITY

Name of student: ALMEIDA, PAULINE KATE M._________________________________ Name and Address of the School: FILAMER CHRISTIAN UNIVERSITY, ROXAS CITY___ Recognition and Accreditation Level: LEVEL II_____________________________________ Date School/Program was recognized: GR126s1976

First Course (if any): N/A____________________________________________ School Graduated: N/A______________________________________________ Year of Admission in the BSN: 2007___________________________________ Year Graduated from the BSN Program: 2011 ____________________________

III. ACTUAL DELIVERIES


No. Case No. Diagnosis Patients INITIALS (only) Age Date of Delivery Time of Delivery Gender of Baby Name of Hospital Type of Delivery

86269

Gravida 2 Para 2 Pregnancy Uterine Full Term

R. A. R.

18

12/26/2010

11:15 PM

Male

Bailan District Hospital

Normal Spontaneous Vaginal Delivery

Prepared by:

Supervised by:

Noted by:

Concurred by:

Approved by:

ALMEIDA, PAULINE KATE M.


Signature Over Printed Name of Student Date Signed:______________________ CTC Number: 16075083 Date of Issue: February 9, 2011 Place of Issue: Roxas City

ERMOFE F. GARBOSA, RN
Signature Over Printed Name of Clinical Instructor Date Signed: _ Degree: BSN, MAN a) PRC No.: 0297475 Valid Until: June 18, 2012 b) PNA No.: 2011-068239

ADELA S. ALDEA, RN
Signature Over Printed Name of Clinical Coordinator Date Signed:_________________________________ Degree: BSN, MAN a) PRC No.: 0176468 Valid Until: July 14, 2012 b) PNA No.: 18207

MAURA V. ROTULO, RN
Signature Over Printed Name of Chief Nurse Date Signed:__________________________ Degree: BSN a) PRC No.: 0080462 Valid Until: November 30, 2012 b) PNA No.: 068397

LEA P. ALAYON, RN Signature of Printed Name of Dean


Date Signed:________________________ Degree: BSN, MAN, Ph.D a) PRC No.: 0141177 Valid Until: August 18, 2012 b) PNA No.: 2011-068236

Valid Until: October 31, 2011

Valid Until: Life Member

Valid Until: October 31, 2011

Valid Until: October 31, 2011 c) ADPCN No.: 0312 Valid Until: December 31, 2011

FILAMER CHRISTIAN UNIVERSITY COLLEGE OF NURSING ROXAS CITY

Name of student: ALMEIDA, PAULINE KATE M.________________________________ Name and Address of the School: FILAMER CHRISTIAN UNIVERSITY, ROXAS CITY___ Recognition and Accreditation Level: LEVEL II__________________________________ Date School/Program was recognized: GR126s1976

First Course (if any): N/A____________________________________________ School Graduated: N/A______________________________________________ Year of Admission in the BSN: 2007___________________________________ Year Graduated from the BSN Program: 2011 ____________________________

III. ACTUAL DELIVERIES


No. Case No. Diagnosis Patients INITIALS (only) Age Date of Delivery Time of Delivery Gender of Baby Name of Hospital Type of Delivery

86254

Gravida 4 Para 4 Pregnancy Uterine 39-40 Weeks Age of Gestation

M. L. D.

39

12/15/2010

6:49 AM

Female

Bailan District Hospital

Normal Spontaneous Vaginal Delivery

Prepared by:

Supervised by:

Noted by:

Concurred by:

Approved by:

ALMEIDA, PAULINE KATE M.


Signature Over Printed Name of Student Date Signed:______________________ CTC Number: 16075083

MARY JANETTE A. CORDOVA, RN


Signature Over Printed Name of Clinical Instructor Date Signed: _ Degree: BSN

ADELA S. ALDEA, RN
Signature Over Printed Name of Clinical Coordinator Date Signed:_________________________________ Degree: BSN, MAN

MAURA V. ROTULO, RN
Signature Over Printed Name of Chief Nurse Date Signed:__________________________ Degree: BSN

LEA P. ALAYON, RN Signature of Printed Name of Dean


Date Signed:________________________ Degree: BSN, MAN, Ph.D

Date of Issue: February 9, 2011 Place of Issue: Roxas City

a) PRC No.: 0307902 Valid Until: January 8, 2013 b) PNA No.: 2011-068398 Valid Until: October 31, 2011

a) PRC No.: 0176468 Valid Until: July 14, 2012 b) PNA No.: 18207 Valid Until: Life Member

a) PRC No.: 0080462 Valid Until: November 30, 2012 b) PNA No.: 068397 Valid Until: October 31, 2011

a) PRC No.: 0141177 Valid Until: August 18, 2012 b) PNA No.: 2011-068236 Valid Until: October 31, 2011 c) ADPCN No.: 0312 Valid Until: December 31, 2011

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