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Name of Student: Arn Melandy Sagayon Palasol Name and Address of School: Cagayan de Oro College PHINMA Education

Network, Max Suniel St. Carmen, Cagayan de Oro City Recognition and Accreditation level (if any): Government Recognize Date Where School/Program was recognized: January 17, 2007 First Course (if any): Not Applicable Year of admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated in the BSN Program: March 2010

Year granted: 2007 Number: 003 School Graduated From: Not Applicable

I. MAJOR OPERATION
No. Date of Operation Case No. Name of Patient Diagnosis Post Operative Pregnancy Uterine Fullterm Delivery Via low segment transverse cesarean section to alive Baby boy Apgar score 9,10, 3.45 kg Vertex Oligohydramnios Gravida 9 Para 5 ( 5045) Sterilization Goiter Colloid nontoxic Right status Post Fine Neddle Aspiration Biopsy Senile Mature Cataract Left Eye Colocutaneous Fistula Sigmoid, Status Post Exploratory Laparotomy , Appendectomy ,Fistulalectomy February 2009 Northern Mindanao Medical Center , Status Post Exploratomy Laparotomy August 2008 Butuan City Delivery Term Operative , Apgar score 9, Baby girl,3.5 kg, complete breech , right sacrum Anterior , Gravida Para 2 Operation Performed Type of Anesthesia Name of Surgeon Name of Hospital Name of O.R Scrub Nurse Signature of O.R Scrub Nurse

1 April 28, 2009 608016

Mostamira Macasilang

Primary low segment Transverse Cesarean Section with Bilateral Tubal Ligation Subtotal Thyroidectomy / Right Idoectomy Isthmusectomy Phaco emulsification with posterior chamber Intra Ocular Lens Implantation Exploratomy Laparotomy ,Adhesialysis, segmental resection distal ileum with end to end anastomosis ;Segmental resection Sigmoid with end to end anastomsis , fistulectomy , Lavage Primary Low Segment Transverse Cesarean Section

Spinal Anesthesia

Dr. Settinor Casib

Northern Mindanao Medical Center

Abe Pacanut, RN

May 19, 2009

434163

Adriana Dayog

General Anesthesia Local Anesthesia General Anesthesia with Intubation

Dr. Erika Marie Gacus Dr. Sun Co

Northern Mindanao Medical Center Northern Mindanao Medical Center

Lenie Gestuveo, RN

3 4

June 02, 2009

432147

Enecita Tobalado

Noel Barcenas, RN

September 29, 2009

414754

Nonita D. Dumaguit

Dr. Joan Arthur Pastor

Northern Mindanao Medical Center

Cecilia Advincula, RN

December 8, 2009

455410

Juby Tatad

Spinal Anesthesia

Dr. Josefina Taleon

Northern Mindanao Medical Center

Elvie Tiempo, RN

Prepared by:

Supervised by:

Noted by:

Concurred by:

Approved by:

Arn Melandy Sagayon Palasol


Name of Student Applicant

MARY ANN A. QUERENCIA, RN, MN

RYAN GRIFFEN L. MATIRA, RN, MN

DOROTHEA N. ROQUE, RN, MAN, Ed.D

NORMA E. SIMBORIO, RN, MAN, DM

Name of OR Clinical Instructor Cagayan de Oro College PHINMA Education Network Date signed: _______________ Degree: BSN, RN, MN a.) PRC No.:0316458 Valid until: June 10, 2013 b.) PNA No.:076399 Valid until: October 31, 2010

Name of RLE Coordinator Cagayan de Oro College Date signed: _______________ Degree: BSN, RN,MN a.) PRC No.: 0363720 Valid until: October 10, 2013 b.) PNA No.: 076397 Valid until: October 31, 2010

Chief Nurse Northern Mindanao Medical Center Date signed:____________ Degree: BSN,RN,MAN,Ed.D a.) PRC No: 0041397 Valid until: February 6, 2013 b.) PNA No:024482 Valid until: October 31, 2010 c.)ANSAP No. 05047 Valid until: December 31, 2010

Dean College of Nursing Date Signed:_____________ Degree: BSN,RN,MAN,DM a.)PRC No: 0116404 Valid until: June 2, 2012 b.) PNA No: 071019 Valid until: October 31, 2010 c.) ADPCN No: 0839 Valid until: December 31, 2010

Name of Student: Arn Melandy Sagayon Palasol Name and Address of School: Cagayan de Oro College PHINMA Education Network, Max Suniel St. Carmen, Cagayan de Oro City Recognition and Accreditation level (if any): Government Recognize Date Where School/Program was recognized: January 17, 2007 Year of admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated in the BSN Program: March 2010

Year granted: 2007 Number: 003 School Graduated From: Not Applicable

II. MINOR OPERATION


No. Date of Operation Case No. Name of Patient Diagnosis Post Operative Operation Performed Type of Anesthesia Name of Surgeon Name of Hospital Name of O.R Scrub Nurse Signature of O.R Scrub Nurse

06/02/09

623902

Mohammad Diron

12/15/09

682100

Mary Jane Magalso

12/15/09

680252

Queenie Vasquez Michael John Deloso

Cleft lip and Palate Right Complete Inevitable Abortion,22 weeks Age of Gestation,Gravida 2 Para 1(1010) Anemia Secondary to Auto Blood Loss Inevitable Abortion, 20 weeks Age of Gestation, Gravida 3 Para 0 (0020) Recurrent Urinary Tract Infection Secondary to Phimosis

Cheiloplasty

General Anesthesia

Dr. Veronica Abellera

Northern Mindanao Medical Center

Noel Barcenas, RN

Curettage

Local Anesthesia

Dr. Lycel P. Paulo

Northern Mindanao Medical Center

Jogi Trinidad Salon, RN

Manual Evacuation Aspiration Circumcision

Local Anesthesia

Dr. Lycel P. Paulo

Northern Mindanao Medical Center Madonna and Child Hospital

Jogi Trinidad Salon, RN Marisa Bonita,RN

12/16/09

209-1755

General Anesthesia

Dr.Harry Longno

04/23/09

O9-OO44

Malik Sultan

Phimosis

Circumcision

Local Anesthesia

Dr. Christopher Ronald Bandoy

Opol Health Center and Lying - in

Mrs. Myra Cabellero,RN

Prepared by:

Supervised by:

Noted by: RN, MN

Concurred by:

Concurred by: DOROTHEA N. ROQUE, RN, MAN, Ed

Concurred by: MYRA E CABALLERO,RN PUBLIC HEALTH NURSE Opol Health Center Opol Misamai Oriental Date Signed: ____________ Degree:BSN,RN a) PRC No: 0172859 Valid Until: November 24,2010 b) PNA No.:076393 Valid Until: October 31,2010

Approved by: NORMA E. SIMBORIO, RN, Dean College of Nursing Date Signed:_____________ degree: BSN,RN,MAN,DM a.)PRC No: 0116404 valid until: June 2, 2012 b.) PNA No: 071019 valid until: October 31, 2010 c.) ADPCN No: 0839 valid until: December 31,2010

Arn Melandy Sagayon Palasol MARY ANN A. QUERENCIA, MAN, D Name of Student Applicant Name of OR Clinical Instructor Cagayan de Oro College PHINMA Education Network Date signed: _______________ Degree: BSN, RN, MN a.) PRC No.:0316458 Valid until: June 10, 2013 b.) PNA No.:076399 Valid until: October 31, 2010

RYAN GRIFFEN L. MATIRA, RN, MN

FRANCES ROSARY C. MARFORI, RN, MN

Name of RLE Coordinator Cagayan de Oro College Date signed: _______________ Degree: BSN, RN,MN a.) PRC No.: 0363720 Valid until: October 10, 2013 b.) PNA No.: 076397 Valid until: October 31, 2010

Chief Nurse-Madonna and Child Hospital Date signed: ________ Degree: BSN, RN, MN a) PRC No. 0164585 Valid until: October 4, 2011 b) PNA No. 19685 Valid until: Lifetime c) ANSAP No. 02507 Valid until: December 31, 2010

Chief Nurse Northern Mindanao Medical Center Date signed:____________ Degree: BSN,RN,MAN,Ed.D a.) PRC No: 0041397 Valid until: February 6, 2013 b.) PNA No:024482 Valid until: October 31, 2010 c.)ANSAP No. 05047 Valid until: December 31, 2010

Name of Student: Arn Melandy Sagayon Palasol Name and Address of School: Cagayan de Oro College PHINMA Education Network, Max Suniel St. Carmen, Cagayan de Oro City Recognition and Accreditation level (if any): Government Recognize Date Where School/Program was recognized: January 17, 2007 First Course (if any): Not Applicable Year of admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated in the BSN Program: March 2010

Year granted: 2007 Number: 003 School Graduated From: Not Applicable

IV. DELIVERY CIRCULATING NURSE


No . Case No. Diagnosis Post Partum Name of Mother Ag e Date of Delivery Time of Delivery Gender of Baby Name of Hospital Types of Delivery Name and Signature of Qualified Clinical Instructor

432296

Pregnancy Uterine 38 Weeks Age of Gestation, In early Labor ,chronic hypertension super imposed preeclampsia severe ,Gravida 3 Para 2 Pregnancy Uterine 38 weeks Age of Gestation, cephalic, In labor Pregnancy Uterine, 38 4/7 Weeks, Age of Gestation, cephalic,In labor Gravida 1 Pregnancy Uterine Full term Gravida 2 Para 1 Pregnancy Uterine, 37 Weeks Age of Gestation in Labor, Premature rupture of membrane x 4hours, Gravida 1

Judeline Palomo

33

September 16, 2009

12:40 am

Female

Northern Mindanao Medical Center Northern Mindanao Medical Center Northern Mindanao Medical Center Madonna and Child Hospital

Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery

Jose Pequit, RN, MN

661041

Vilma Aceron

37

September 22, 2009 October 6, 2009 December 02, 2009 January 05, 2010

10:23 pm

Male

Jose Pequit, RN, MN

3 4 5

455494 2094053

Mecal Calona Olarita Trinidad V. Bacan

23 35

9:15 am 7:05

Female Female

Karen Espinosa, RN,MN Mary Ann Querencia, RN,MN

454203

Liza W. Prado

23

10:18 am

Male

Northern Mindanao Medical Center

Karen Espinosa, RN,MN

Prepared by:

Noted by:

Concurred by:

Concurred by:

Approved by:

Arn Melandy Sagayon Palasol


Name of Student Applicant

RYAN GRIFFEN L. MATIRA, RN, MN

DOROTHEA N. ROQUE, RN, MAN, Ed.D

FRANCES ROSARY C. MARFORI,RN,MN

NORMA E. SIMBORIO, RN, MAN, DM

Name of RLE Coordinator Cagayan de Oro College Date signed: _______________ Degree: BSN, RN,MN a.) PRC No.: 0363720 Valid until: October 10, 2013 b.) PNA No.: 076397 Valid until: October 31, 2010

Chief Nurse Northern Mindanao Medical Center Date signed:____________ Degree: BSN,RN,MAN,Ed.D a.) PRC No: 0041397 Valid until: February 6, 2013 b.) PNA No:024482 Valid until: October 31, 2010 c.)ANSAP No. 05047 Valid until: December 31, 2010

Chief Nurse- Madonna & Child Hospital Date Signed:__________ Degree: BSN,RN,MN a) PRC No: 0164585 Valid Until: October 4,2011 b) PNA No: 19685 Valid Until: Lifetime c) ANSAP No: 02507 Valid Until: December 31,2010

Dean College of Nursing Date Signed:_____________ Degree: BSN,RN,MAN,DM a.)PRC No: 0116404 Valid until: June 2, 2012 b.) PNA No: 071019 Valid until: October 31, 2010 c.) ADPCN No: 0839 Valid until: December 31, 2010

Name of Student: Arn Melandy Sagayon Palasol Name and Address of School: Cagayan de Oro College PHINMA Education Network, Max Suniel St. Carmen, Cagayan de Oro City Recognition and Accreditation level (if any): Government Recognize Date Where School/Program was recognized: January 17, 2007 First Course (if any): Not Applicable Year of admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated in the BSN Program: March 2010

Year granted: 2007 Number: 003 School Graduated From: Not Applicable

III. HANDLING OF DELIVERY


No. Time of Deliver y Diagnosis Post Partum
Pregnancy Uterine 41 Weeks Age of Gestation in ,Cephalic in labor G1 Teenage Pregnancy Pregnancy Uterine 40 weeks Age of Gestation,in labor, Gravida 1 Pregnancy Uterine 39 weeks Age of Gestation, in labor, Gravida 1 Pregnancy Uterine 39 Weeks of Gestation in Labor,Gravida 1 Delivery Term, Spontaneous Apgar 9 baby girl weight 6 pounds 15 oz vertex , Gravida 5 Para 4 (4014)

Name of Mother

Age

Date of Delivery

Time of Delivery

Gender of Baby

Name of Hospital

Types of Delivery

Name and Signature of Qualified Clinical Instructor

1 2

419916 451557 451899 436689

Janice Bacarrisas Marifer Arquita Charlene Escol Gomez Gillian Mae Daclag Mascara Mama-o, Almerah

17 24 24 19

September 15, 2009 September 15, 2009 September 16, 2009 September 22, 2009 December 16, 2009

6:11 pm 9:53 pm 3:48 am 8:00 pm

Female Male Male Female

Northern Mindanao Medical Center Northern Mindanao Medical Center Northern Mindanao Medical Center Northern Mindanao Medical Center Madonna and Child Hospital

Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery

Jose Pequit, RN, MN Jose Pequit, RN, MN Jose Pequit, RN, MN Jose Pequit, RN, MN

3 4

207-4596

35

4:17 pm

Female

Mary Ann Querencia, RN,MN

PreparedPrepared by:

Noted by:

Concurred by:

Concurred by:

Approved by:

Arn Mela

Arn Melandy Sagayon Palasol

RYAN GRIFFEN L. MATIRA, RN, MN

DOROTHEA N. ROQUE, RN, MAN, Ed.D

FRANCES ROSARY C. MARFORI,RN,MN

NORMA E. SIMBORIO, RN, MAN, DM

Name of Student Applicant

Name of RLE Coordinator Cagayan de Oro College Date signed: _______________ Degree: BSN, RN,MN a.) PRC No.: 0363720 Valid until: October 10, 2013 b.) PNA No.: 076397 Valid until: October 31, 2010

Chief Nurse Northern Mindanao Medical Center Date signed:____________ Degree: BSN,RN,MAN,Ed.D a.) PRC No: 0041397 Valid until: February 6, 2013 b.) PNA No:024482 Valid until: October 31, 2010 c.)ANSAP No. 05047 Valid until: December 31, 2010

Chief Nurse- Madonna & Child Hospital Date Signed:__________ Degree: BSN,RN,MN a) PRC No: 0164585 Valid Until: October 4,2011 b) PNA No: 19685 Valid Until: Lifetime c) ANSAP No: 02507 Valid Until: December 31,2010

Dean College of Nursing Date Signed:_____________ Degree: BSN,RN,MAN,DM a.)PRC No: 0116404 Valid until: June 2, 2012 b.) PNA No: 071019 Valid until: October 31, 2010 c.) ADPCN No: 0839 Valid until: December 31, 2010

Name of Student: Arn Melandy Sagayon Palasol Name and Address of School: Cagayan de Oro College PHINMA Education Network, Max Suniel St. Carmen, Cagayan de Oro City Recognition and Accreditation level (if any): Government Recognize Date Where School/Program was recognized: January 17, 2007 First Course (if any): Not Applicable Year of admission in the Bachelor of Science in Nursing Program: 2006 Year Graduated in the BSN Program: March 2010

Year granted: 2007

Number: 003 School Graduated From: Not Applicable

V. CORD DRESSING
No . Case No.
2091406-A 0602 0605 0621 0622

Date Performed

Name of Baby

Gender of Baby
Female Female Female Female Female

Name of Mother

Age

Name of Hospital

Name and Signature of Qualified Clinical Instructor


Ann Remigoso, RN,MN Hiawatha Pangarungan, RN,MN Hiawatha Pangarungan, RN,MN

1 2 3 4 5

April 29,2009 August 10,2009 August 11,2009 August 24,2009 August 24,2009

Ana Rose Pulido Mary Grace Dardol Jessica Mae Babasol Kristine Daug Meccah Dimarao

Rose Emily Pulido Meshelle Dardol Renalyn Babasol Rebecca Daug Norhailah Dimarao

25 26 19 21 17

Madonna and Child Hospital Nucleus Medical Clinic and Birthing Home Nucleus Medical Clinic and Birthing Home Nucleus Medical Clinic and Birthing Home Nucleus Medical Clinic and Birthing Home

Hiawatha Pangarungan, RN,MN Hiawatha Pangarungan, RN,MN

repared Prepared by:

Noted by:

Concurred by:

Concurred by:

Approved by:

Arn Mela Arn Melandy Sagayon Palasol N, MAN, DM


Name of Student Applicant

RYAN GRIFFEN L. MATIRA, RN, MN

FRANCES ROSARY C. MARFORI,RN,MN

Dr. DEBORAH L. LAS DOCE

NORMA E. SIMBORIO,
Dean College of Nursing Date Signed:_____________ Degree: BSN,RN,MAN,DM a.)PRC No: 0116404 Valid until: June 2, 2012 b.) PNA No: 071019 Valid until: October 31, 2010 c.) ADPCN No: 0839 Valid until: December 31, 2010

Name of RLE Coordinator Cagayan de Oro College Date signed: _______________ Degree: BSN, RN,MN a.) PRC No.: 0363720 Valid until: October 10, 2013 b.) PNA No.: 076397 Valid until: October 31, 2010

Chief Nurse- Madonna & Child Hospital Date Signed:__________ Degree: BSN,RN,MN a) PRC No: 0164585 Valid Until: October 4,2011 b) PNA No: 19685 Valid Until: Lifetime c) ANSAP No: 02507 Valid Until: December 31,2010

Administrator Nucleus Medical Clinic and Birthing Home Iponan Misamis Oriental Date Signed :__________ Degree: Doctor of Medicine a) PRC No:0072554 Valid Until: December 3,2012