CEBU INSTITUTE OF TECHNOLOGY - UNIVERSITY COLLEGE OF NURSING ACTUAL DELIVERIES

No. 1 2 3 4 5 Date July 29, 2010 July 9, 2011 July 9, 2011 June 8, 2012 June 9, 2012 Time 07:23 am 01:34 am 04:35 am 05:15 am 01:31 am Name of Hospital Cebu Puericulture and Maternity House Incorporated Cebu Puericulture and Maternity House Incorporated Cebu Puericulture and Maternity House Incorporated Cebu City Medical Center Cebu City Medical Center Name of Patient Archiel Romayla Michelle Ofianga Diana Resomadero Laily Sabay Erika Jade Palermo Procedure Performed Normal spontaneous vaginal delivery Normal spontaneous vaginal delivery Normal spontaneous vaginal delivery Normal spontaneous vaginal delivery Normal spontaneous vaginal delivery Supervising CI Mrs. Lucelle C. Valencia, RN, MAN Mrs. Auda F. Russel, RN, MN Mrs. Auda F. Russel, RN, MN Mrs. Auda F. Russel, RN, MN Mrs. Auda F. Russel, RN, MN

ASSISTED DELIVERIES
No. 1 2 3 4 5 Din Date July 29, 2010 November 17, 2010 July 9, 2011 July 27, 2012 November 15, 2012 Time 06:50 am 08:31 am 06:07 am 03:53 pm 07:34 pm Name of Hospital Cebu Puericulture and Maternity House Incorporated Saint Anthony Mother and Child Hospital Cebu Puericulture and Maternity House Incorporated Cebu City Medical Center Cebu City Medical Center Name of Patient Deninae Mahusay Mary Ann Sanchez Jane Recei Gimena Angeline Geca Mary Jane Decina Procedure Performed Normal spontaneous vaginal delivery Normal spontaneous vaginal delivery Normal spontaneous vaginal delivery Normal spontaneous vaginal delivery Normal spontaneous vaginal delivery Supervising CI Mrs. Lucelle C. Valencia, RN, MAN Mrs. Lucelle C. Valencia, RN, MAN Mrs. Auda F. Russel, RN, MN Mrs. Uenavil Anne E. Junio, RN, Mrs. Hanna P. Alegarbes, RN, MAN

IMMEDIATE NEWBORN CARE

No. 1 2 3 4 5 Date July 29, 2010 November 17, 2010 February 23, 2011 June 6, 2012 June 8, 2012 Time 05:25 am 01:07 pm 04:26 pm 11:16 pm 12:30 am Name of Hospital Cebu Puericulture and Maternity House Incorporated Saint Anthony Mother and Child Hospital Eversley Childs Sanitarium Cebu City Medical Center Cebu City Medical Center Name of Patient Baby boy Tumulak Baby girl Garces Baby girl Sajol Baby boy Bation Baby boy Arcilla Procedure Performed Cord dressing Cord dressing Cord dressing Cord dressing Cord dressing Supervising CI Mrs. Lucelle C. Valencia, RN, MAN Mrs. Lucelle C. Valencia, RN, MAN Mr. Alan Dolalas Mrs. Hanna P. Alegarbes, RN, MAN Mrs. Auda F. Russel, RN, MN

I affirm that the above information given by me is true and correct. ACE G. VILLACORTA Printed Name of Student April 14, 2013 Date

Signature

CEBU INSTITUTE OF TECHNOLOGY - UNIVERSITY COLLEGE OF NURSING MAJOR SURGICAL SCRUB

No. 1 2 3 4 5 Date 08/19/2011 08/19/2011 01/31/2012 02/01/2012 02/17/2012 Time 08:55 am 12:55 pm 10:07 am 08:05 am 11:20 am Name of Hospital Vicente Sotto Memorial Medical Center Vicente Sotto Memorial Medical Center Vicente Sotto Memorial Medical Center Vicente Sotto Memorial Medical Center Vicente Sotto Memorial Medical Center Name of Patient Glen Macachor Arnejo Kay Honey Abao Margallo Salvacion Bondios Aurelia Aranas Angela Grace Gabuya Procedure Performed Open reduction internal fixation intramedullary nailing static locking Enucleation right eye Total abdominal hysterectomy unilateral salphingo-oophorectomy Craniectomy right frontal and gross total excision of tumor Tumor craniotomy right frontotemporal subtotal excision Supervising CI Mr. Brighton Mark Rivera, RN, MAN Mr. Brighton Mark Rivera, RN, MAN Mr. Brighton Mark Rivera, RN, MAN Mr. Brighton Mark Rivera, RN, MAN Mr. Brighton Mark Rivera, RN, MAN

MAJOR SURGICAL CIRCULATING

No. 1 2 3 4 5 Date 09/28/2011 02/01/2012 02/16/2012 02/12/2013 02/12/2013 Time 04:42 pm 10:50 am 08:30 am 08:05 am 11:05 am Name of Hospital Cebu City Medical Center Vicente Sotto Memorial Medical Center Vicente Sotto Memorial Medical Center Vicente Sotto Memorial Medical Center Vicente Sotto Memorial Medical Center Name of Patient Eulogio Nadela Aurelia Aranas Maricris Luceno Erlindo L. Granada Roberto Bongco Rosario Procedure Performed Emergency appendectomy Exenteration right eye Sistrunk procedure Debridement, application of external fixator; debridement, pinning 3rd and 4th metatarsal left Mesh herniorraphy right Supervising CI Mr. Alan Dolalas Mr. Brighton Mark Rivera, RN, MAN Mr. Brighton Mark Rivera, RN, MAN Mr. Brighton Mark Rivera, RN, MAN Mr. Brighton Mark Rivera, RN, MAN

MINOR SURGICAL SCRUB

No. 1 2 3 4 5 Date 07/27/2010 02/28/2012 07/27/2012 11/23/2012 11/26/2012 Time 12:02 pm 10:55 am 02:53 pm 09:25 am 06:10 pm Name of Hospital Lapu-Lapu City Hospital Vicente Sotto Memorial Medical Center Cebu City Medical Center Cebu City Medical Center Vicente Sotto Memorial Medical Center Name of Patient Anelaine V. Anudling Joseph Jed Ponteras Roxane Tanada Armon V. Macambac Jose Nino P. Homol Procedure Performed Dilatation and curettage Excision/ local anesthesia Episiorrhaphy Suturing Ventricular tapping Supervising CI Mrs. Florence C. Corbita, RN, MSN Mr. Eduardo Z. Tenchavez, Jr, RN, MAN Mrs. Uenavil Anne E. Junio, RN, Mr. Eduardo Z. Tenchavez, Jr, RN, MAN

I affirm that the above information given by me is true and correct. ACE G. VILLACORTA Printed Name of Student April 14, 2013 Date

Signature