WESLEYAN UNIVERSITY-PHILIPPINES

Mabini Extension, Cabanatuan City, Philippines 3100 Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: wesleyan@mozcom.com
Prepared by: Name of Student: DUMLAO, MARJORIE MARIANO Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 Accreditation Level (if any): Level II Year Granted:2007-2012 Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977
I. MAJOR OPERATIONS No.
Date of Operation

First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2007 Year Graduated in Bachelor of Science in Nursing Program: 2011

Case No.

Name of Patient

Diagnosis

Operation Performed

Type of Anesthesia

Name of Surgeon

Name of Hospital

April 15,2010

149608

Michelle Fracia

Gravida 2 Parity 2 Pregnancy Uterine 40-41 weeks Age of Gestation previous Caesarian Section Gravida 1 Parity 1 a live termed baby boy via Caesarian section Indirect Inguinal Hernia Left Acute Appendicitis Myoma Uteri

Low Cervical Caesarian Section

Spinal Anesthesia

Dra. Rachelle Macapagal

San Antonio District Hospital

April 17,2010

1498862

Christina Garcia Poscasio

Low Cervical Caesarian Section

Spinal Anesthesia

Dra.Jocelyn Lising

San Antonio District Hospital

March 03,2011

290437

Renz Policarpio

Exploratory Laparotomy; Herniorraphy

Spinal Anesthesia

Dr. Antonito Duque Dr. Romulo Maglalang Dra. Emma Mariano

Gapan District Hospital

March 10,2011

254671

Evelyn Maningas Moria

Total Abdominal Hysterectomy with Bilateral Salpingo-Oophorectomy Appendectomy

Spinal Anesthesia

Gapan District Hospital

March 10,2011

261831

Reymart Sagun Padilla

Acute Appendicitis/Suppurative Appendicitis

Spinal Anesthesia

Dr. Antonito Duque

Gapan District Hospital

Supervised by: CHERRYLYN G. HERNAL, R.N. with 33 M.A.N. units Clinical Instructor Wesleyan University-Philippines Degree: Bachelor of Science in Nursing PRC No. 0487256 Valid Until: 06-04-2013 PNA No. 060529 Valid Until: 10-31-2011 Date Signed: ______________ JENNIFER AUREADA, R.N with 39 M.A.N. units Clinical Instructor Wesleyan University Philippines Degree: Bachelor of Science in Nursing PRC No. 2482941 Valid Until: 5-29-2011 PNA No. 060544 Valid Until: 10-31-11 Date Signed: ______________

Noted by: ADAHLIA T. BASCO, R.N., M.A.N. RLE Coordinator, College of Nursing Wesleyan University-Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No. 0178398 Valid Until: 07-28-2011 PNA No. 18000 Valid Until: Lifetime Member Date Signed: ______________

Concurred by: ELVIRA M. ALVAREZ, R.N. with 18 M.A.N. units Chief Nurse San Antonio District Hospital Degree: Bachelor of Science in Nursing PRC No. 0090346 Valid Until: 03-15-2014 PNA No. 052412 Valid Until: 10-31-2011 Date Signed: ______________ MERLITA C. GOMEZ, R.N., M.A.N. Chief Nurse Gapan District Hopital Degree: Bachelor of Science in Nursing PRC No. 0075411 Valid Until: 10-20-2011 PNA No. 052391 Valid Until: 10-31-2011 Date Signed: ______________

Approved by: MELANIA C. CENON, R.N., M.A.N., Ph. D. Dean, College of Nursing Wesleyan University- Philippines Degree: : Bachelor of Science in Nursing

Master of Arts in Nursing

Master of Arts in Nursing Doctor of Philosophy PRC No. 0100236

Valid Until:01-6-2012 PNA No. 17978 Valid Until: Lifetime Member

ADPCN No.: 0185 Valid Until: 2011

Date Signed: ______________

WESLEYAN UNIVERSITY-PHILIPPINES
Mabini Extension, Cabanatuan City, Philippines 3100 Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: wesleyan@mozcom.com
Prepared by: Name of Student: DUMLAO MARJORIE MARIANO Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 Accreditation Level (if any): Level II Year Granted:2007-2012 Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977
II. MINOR OPERATIONS No.
Date of Operation

First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2007 Year Graduated in Bachelor of Science in Nursing Program: 2011

Case No.

Name of Patient

Diagnosis

Operation Performed

Type of Anesthesia

Name of Surgeon

Name of Hospital

January 08,2011 January 08,2011

265238

Roderick Benedicto

Lacerated wound

Suturing

Local Anesthesia

Dr.Francisco Abordo

Bongabon District Hospital

000968

Mary Ann Cabatlong

Pregnancy Uterine Full Term Gravida 4 Praity 4

Bilateral Tubal Ligation

Local Anesthesia

Dr. Caroline Talens Dr. Martin Bernard Domingo

Bongabon District Hospital

March 02,2011

290453

Marcelita Cunanan

Pregnancy Uterine Full Term Gravida 3 Parity 3 Indirect Inguinal Hernia Left, Acute Appendicitis Cervical Polyp

Bilateral Tubal Ligation

Local Anesthesia

Dra. Emma Mariano

Gapan District Hospital

March 03,2011

2904377 231084

Renz Policarpio

Appendectomy

Spinal Anesthesia

Dr. Antonito Duque Dr. Romulo Maglalang Dr. Emma Mariano

Gapan District Hospital

March 04,2011

Perlita Bautista Centeno

Cervical Polypectomy: Cervical Punch Biopsy; Fractional Dilatation and Curettage

General IV Anesthesia

Gapan District Hospital

Supervised by: JOEMAR ZABAT, R.N. with 30 M.A.N. units Clinical Instructor Wesleyan University-Philippines Degree: Bachelor of Science in Nursing PRC No. 0454213 Valid Until: 01-02-13 PNA No. 052466 Valid Until: 10-31-2011 Date Signed: ______________ JENNIFER AUREADA, R.N with 39 M.A.N. units Clinical Instructor Wesleyan University Philippines Degree: Bachelor of Science in Nursing PRC No. 2482941 Valid Until: 5-29-2011 PNA No. 060544 Valid Until: 10-31-11 Date Signed: ______________

Noted by: ADAHLIA T. BASCO, R.N., M.A.N. RLE Coordinator, College of Nursing Wesleyan University-Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No. 0178398 Valid Until: 07-28-2011 PNA No. 18000 Valid Until: Lifetime Member Date Signed: ______________

Concurred by: ANICETA C. SANTIAGO, R.N., M..P.M., M.A.N. Chief Nurse Bongabon District Hospital Degree: Bachelor of Science in Nursing MERLITA C. GOMEZ, R.N., M.A.N. Chief Nurse Gapan District Hopital Degree: : Bachelor of Science in Nursing PRC No. 0075411 Valid Until: 10-20-2011 PNA No. 052391 Valid Until: 10-31-2011 Date Signed: ______________

Approved by: MELANIA C. CENON, R.N., M.A.N., Ph. D. Dean, College of Nursing Wesleyan University- Philippines Degree: : Bachelor of Science in Nursing

PRC No. 0086291 Valid Until: 01-20-12 PNA No 029781 Valid Until: Dec.2011 Date Signed: ______________

Master of Public Management Master of Arts in Nursing

Master of Arts in Nursing

Master of Arts in Nursing Doctor of Philosophy PRC No. 0100236

Valid Until:01-6-2012 PNA No. 17978 Valid Until: Lifetime Member

ADPCN No.: 0185 Valid Until: 2011

Date Signed: ______________

WESLEYAN UNIVERSITY-PHILIPPINES
Mabini Extension, Cabanatuan City, Philippines 3100 Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: wesleyan@mozcom.com
Prepared by: Name of Student: DUMLAO, MARJORIE MARIANO Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 Accreditation Level (if any): Level II Year Granted:2007-2012 Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977
III. ACTUAL DELIVERIES No. Case No. Diagnosis Name of Mother Age Date of Delivery Time of Delivery Type of Delivery Gender of Baby Girl Name of Hospital

First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2007 Year Graduated in Bachelor of Science in Nursing Program: 2011

103113

Pregnancy Uterine Full Term Gravida 1 Parity 1 Cephalic in Labor Pregnancy Uterine Full Term Gravida 2 Parity 2 Cephalic in Labor Pregnancy Uterine Full Term Gravida 1 Parity 1 Cephalic in Labor Pregnancy Uterine Full Term Gravida 3 Parity 3 Cephalic in Labor Pregnancy Uterine Full Term Gravida 3 Parity 3 Cephalic in Labor

Edmund Chris Madriaga

18

October 09,2011

9:00 am

Normal Spontaneous Delivery

Guimba District Hopital

103119

Evelyn Hanginangan Dela Cruz

20

October 09, 2011

2:30 pm

Normal Spontaneous Delivery

Girl

Guimba District Hopital

103118

Maricar Mendoza Dela Cruz

25

March 09, 2011

9:10am

Normal Spontaneous Delivery

Boy

Guimba District Hopital

260115

Maril Ann Liwag Villareal

34

March 09,2011

10:00am

Normal Spontaneous Delivery

Boy

Gapan District Hopital

261117

Haide Tapit Ramos

20

March 09,2011

11:59am

Normal Spontaneous Delivery

Girl

Gapan District Hopital

Supervised by: JOSE R. DALUSONG JR., R.N. Clinical Instructor Wesleyan University-Philippines Degree: Bachelor of Science in Nursing PRC No. 0075611 Valid Until: 5-22-2014 PNA No. 060536 Valid Until: 10-31-2011 Date Signed: ______________ JENNIFER AUREADA, R.N with 39 M.A.N. units Clinical Instructor Wesleyan University Philippines Degree: Bachelor of Science in Nursing PRC No. 2482941 Valid Until: 5-29-2011 PNA No. 060544 Valid Until: 10-31-11 Date Signed: ______________

Noted by: ADAHLIA T. BASCO, R.N., M.A.N. RLE Coordinator, College of Nursing Wesleyan University-Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No. 0178398 Valid Until: 07-282011PNA No. 18000 Valid Until: Lifetime
Member

Concurred by: SUSAN CADA SEBASTIAN, R.N. with 18 M.A.N units Chief Nurse Guimba District Hopital Degree: : Bachelor of Science in Nursing PRC No. 0138775 Valid Until: 09-15-2014 PNA No. 05237 Valid Until: 10-31-2011 Date Signed: ______________ MERLITA C. GOMEZ, R.N., M.A.N. Chief Nurse Gapan District Hopital Degree: : Bachelor of Science in Nursing PRC No. 0075411 Valid Until: 10-20-2011 PNA No. 052391 Valid Until: 10-31-2011 Date Signed: ______________

Approved by: MELANIA C. CENON, R.N., M.A.N., Ph. D. Dean, College of Nursing Wesleyan University- Philippines Degree: : Bachelor of Science in Nursing

Master of Arts in Nursing

Master of Arts in Nursing Doctor of Philosophy PRC No. 0100236

Valid Until:01-6-2012 PNA No. 17978 Valid Until: Lifetime Member

Date Signed: ______________

ADPCN No.: 0185 Valid Until: 2011

Date Signed: ______________

WESLEYAN UNIVERSITY-PHILIPPINES
Mabini Extension, Cabanatuan City, Philippines 3100 Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: wesleyan@mozcom.com
Prepared by: Name of Student: DUMLAO, MARJORIE MARIANO Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 Accreditation Level (if any): Level II Year Granted:2007-2012 Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977
IV. DELIVERIES ASSISTED No. Case No. Diagnosis Name of Mother Age Date of Delivery Time of Delivery Type of Delivery Gender of Baby Boy Name of Hospital

First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2007 Year Graduated in Bachelor of Science in Nursing Program: 2011

102947

Pregnancy Uterine Full Term Labor Gravida 3 Parity 3 Pregnancy Uterine Full Term Labor Gravida 1 Parity 1 Pregnancy Uterine Full Term Labor Gravida 1 Parity 1 Pregnancy Uterine Full Term Labor Gravida 4 Parity 4 Cephalic in Labor Pregnancy Uterine Full Term Labor Gravida 1 Parity 1

Juanita Lucero Lalo

35

December 02,2011 December 02, 2011 December 02,2010 March 03, 2011

11:02 am

Normal Spontaneous Delivery

Guimba District Hospital

102962

Mary Grace Azul Yango

18

2:20 pm

Normal Spontaneous Delivery

Boy

Guimba District Hospital

103112

Alice Almeron Aganon

21

3:01 pm

Normal Spontaneous Delivery

Girl

Guimba District Hospital

261053

Mariesan Guantic Siwa

32

10:01 am

Normal Spontaneous Delivery

Girl

Gapan District Hospital

264655

Lara Melisa Roxas de Leon

16

March 03, 2011

1:54 pm

Normal Spontaneous Delivery

Girl

Gapan District Hospital

Supervised by: JOSE R. DALUSONG JR., R.N. Clinical Instructor Wesleyan University-Philippines Degree: Bachelor of Science in Nursing PRC No. 0075611 Valid Until: 5-22-2014 PNA No. 060536 Valid Until: 10-31-2011 Date Signed: ______________ JENNIFER AUREADA, R.N with 39 M.A.N. units Clinical Instructor Wesleyan University Philippines Degree: Bachelor of Science in Nursing PRC No. 2482941 Valid Until: 5-29-2011 PNA No. 060544 Valid Until: 10-31-11 Date Signed: ______________

Noted by: ADAHLIA T. BASCO, R.N., M.A.N. RLE Coordinator, College of Nursing Wesleyan University-Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No. 0178398 Valid Until: 07-282011PNA No. 18000 Valid Until: Lifetime
Member

Concurred by: SUSAN CADA SEBASTIAN,R.N. With 18 M.A.N. units Chief Nurse Guimba District Hospital Degree: Bachelor of Science in Nursing PRC No. 0138775 Valid Until: 09-15-2014 PNA No. _________ Valid Until: _________ Date Signed: ______________ MERLITA C. GOMEZ, R.N., M.A.N. Chief Nurse Gapan District Hopital Degree: : Bachelor of Science in Nursing PRC No. 0075411 Valid Until: 10-20-2011 PNA No. 052391 Valid Until: 10-31-2011 Date Signed: ______________

Approved by: MELANIA C. CENON, R.N., M.A.N., Ph. D. Dean, College of Nursing Wesleyan University- Philippines Degree: : Bachelor of Science in Nursing

Master of Arts in Nursing

Master of Arts in Nursing Doctor of Philosophy PRC No. 0100236

Valid Until:01-6-2012 PNA No. 17978 Valid Until: Lifetime Member

Date Signed: ______________

ADPCN No.: 0185 Valid Until: 2011

Date Signed: ______________

WESLEYAN UNIVERSITY-PHILIPPINES
Mabini Extension, Cabanatuan City, Philippines 3100 Phone Number: 463-2074/463-2162 Fax: 463-0596 E-mail: wesleyan@mozcom.com
Prepared by: Name of Student: DUMLAO MARJORIE MARIANO Name and Address of School: Wesleyan University-Philippines, Mabini Extension, Cabanatuan City, Nueva Ecija 3100 Accreditation Level (if any): Level II Year Granted:2007-2012 Date when school/program was recognized: June 14, 1977 Number: 174 Year: 1977
V. CORD CARE No. Case No. 008451 1 009528 2 011770 3 008481 4 011743 5 October 02, 2010 October 02, 2010 Boy Quijano Male Angeline Maravilla 20 October 01, 2010 Boy Calleja Male Rosanna Reyes 24 October 01, 2010 Boy Villamor Male Jerammie Villamor 23 October 01, 2010 Boy Miguel Male Julie Ann Dumayas 20 Date Performed Name of Baby Girl Vasquez Gender of Baby Female Name of Mother Marivic Astrero Age of Mother 35 Name of Hospital Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center Dr. Paulino J. Garcia Memorial Research and Medical Center

First Course (if any): Not Applicable School Graduated From: Not Applicable Year: Not Applicable Year of Admission in Bachelor of Science in Nursing Program: 2007 Year Graduated in Bachelor of Science in Nursing Program: 2011

Supervised by: JANNIE R. GABAYAN, R.N. with 18 M.A.N. units Clinical Instructor Wesleyan University Philippines Degree: Bachelor of Science in Nursing PRC No. 0381107 Valid Until: 08-02-2011 PNA No. 060505 Valid Until: 10-31-2011 Date Signed: ______________

Noted by: ADAHLIA T. BASCO, R.N., M.A.N. RLE Coordinator, College of Nursing Wesleyan University-Philippines Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No. 0178398 Valid Until: 07-28-2011 PNA No. 18000 Valid Until: Lifetime Member Date Signed: ______________

Concurred by: BIENVENIDA R. CAPULE, R.N., M.A.N.

Approved by: MELANIA C. CENON, R.N., M.A.N., Ph. D. Dean, College of Nursing Wesleyan University- Philippines Degree: : Bachelor of Science in Nursing

Chief Nurse Dr. Paulino J. Garcia Memorial Research and Medical Center Degree: Bachelor of Science in Nursing Master of Arts in Nursing PRC No.: 0028001 Valid Until: 04 24, 2014 PNA No.: 7829 Valid Until: Lifetime Member Date Signed:________________

Master of Arts in Nursing Doctor of Philosophy PRC No. 0100236

Valid Until:01-6-2012 PNA No. 17978 Valid Until: Lifetime Member

ADPCN No.: 0185 Valid Until: 2011

Date Signed: ______________