LICEO DE CAGAYAN UNIVERSITY College of Nursing
Rodolfo N. Pelaez Boulevard Kauswagan, Cagayan de Oro City
School Code: 0835 Name of Student: Name and Address of School: Recognition and Accreditation Level: Year Granted: Date when school was recognized: CORCELES, EARVIN JODEL RUIZ Liceo de Cagayan University Rodolfo N. Pelaez Boulevard, Kauswagan, Cagayan de Oro City PACUCOA Level III AUTONOMOUS LEVEL First Course (if any): NOT APPLICABLE OCTOBER 2008 NOVEMBER 2009 School Graduated from: NOT APLLICABLE Year: NOT APPLICABLE June 1972 Year of Admission in the BSN Program: NOVEMBER 2007 Year Graduated (BSN Program): OCTOBER 2010
I. MAJOR OPERATIONS
Date of Operation No. Case No. Name of Patient Diagnosis Operation Performed
Open Reduction Interlocking Nailing Right Tibia Tonsillectomy Bilateral Appendectomy
Types of Anesthesia
Name of Surgeon
Name of Hospital
Name of Qualified OR Scrub Nurse
Signature of Qualified OR Scrub Nurse
January 5, 2009
581424
Capistrano, Jose Jr.
Fractured Tibia Distal 3rd Closed Fracture rd Fibula Distal 3
Spinal Anesthesia
Dr.Henry Fabe Dr. Ma. Rachel Saracho Dr. Jose Red Dr. Leonora Leyson
January 19, 2009
367658
Villegas, Ian Villanueva, Gary Agbayani, Tiffany Dianne
Chronic Hypertrophic Tonsils Bilateral
General Anesthesia General Anesthesia Spinal Anesthesia
September 19, 2009
625118
Appendicitis Delivered Term Operative Apgar 7 Alive Baby Girl Heavy Meconium Stained Amniotic Fluid 2.9 Kilograms by Arrest in Cervical Dilatation & Descent Secondary to Cephalopelvic Disproportion Gravida 1 Parity 1 Delivery Term Operative an Intra Uterine Fetal Death Baby Boy 1.8 kilograms Cord Coil once with Multiple Gestational Anomalies Impending Uterine Rupture Gravida 1 Parity 1
Concurred by:
Northern Mindanao Medical Center Northern Mindanao Medical Center JR Borja General Hospital Bukidnon Provincial Medical Center
Engilbert Uy, RN
Anna Katrina Epon, RN
Jarred Gamos, RN
September 6, 2010
Time Started: 12:18AM Time Ended: 1:50AM
20101004600
Primary Low Transverse Caesarean Section Classical Caesarean Section I
John Edward Estiva, RN
September 6, 2010
Time Started: 3:13AM Time Ended: 5:04AM
20101004705
Guilluano, Mary Grace
Spinal Anesthesia
Dr. Leonora Leyson
Bukidnon Provincial Medical Center
John Edward Estiva, RN
Prepared by:
Supervised by:
Noted by:
Concurred by:
Concurred by:
Approved by:
EARVIN JODEL R. CORCELES Name and Signature of Student
MARIA FRITZIE C. MERLAS OR Clinical Instructor Liceo de Cagayan University Date Signed: _____________ Degree: BSN, RN,MN PRC No: 0172988 Valid Until: March 25, 2013 PNA No: _____________ Valid Until: October 31, 2011
VIVIAN L. CEBALLOS RLE Chairperson /Clinical Instructor Liceo de Cagayan University Date Signed: ________________ Degree: BSN, RN, MAN PRC No: 0171698 Valid Until: September 7, 2011 PNA No: 17947 Valid Until: Lifetime Member
DOROTHEA N. ROQUE Chief Nurse Northern Mindanao Medical Center Date Signed: ___________ Degree: BSN, RN, MAN, EdD PRC No: 0041397 Valid Until: February 6, 2013 PNA No: _____________ Valid Until: December 31, 2011 ANSAP No.:____________ Valid Until: December 31,2011
LANNIE O. CAPINPUYAN Chief Nurse J.R Borja General hospital Date Signed: ________________ Degree: BSN, RN, MAN PRC No: 0118996 Valid Until: October 19, 2013 PNA No: _______ Valid Until: October 31, 2011 ANSAP NO: _______ Valid Until: Decenber 31, 2011
ELAINE RUTH U. SUMAY Chief Nurse Bukidnon Provincial Medical Center Date Signed: ___________ Degree: BSN, RN, MAN PRC No: 0115840 Valid Until: November 21, 2012 PNA No: 19482 Valid Until: Lifetime Member
MARIA CHONA V. PALOMARES Dean Liceo de Cagayan University Date Signed: _______________ Degree: BSN, RN, MAN PRC No.: 0080354 Valid Until: September 23, 2013 PNA No: 17266 Valid Until: Lifetime Member ADPCN No: 362 Valid Until: December 31, 2011
LICEO DE CAGAYAN UNIVERSITY College of Nursing
Rodolfo N. Pelaez Boulevard Kauswagan, Cagayan de Oro City
School Code: 0835 Name of Student: Name and Address of School: Recognition and Accreditation Level: Year Granted: Date when school was recognized: CORCELES, EARVIN JODEL RUIZ Liceo de Cagayan University Rodolfo N. Pelaez Boulevard, Kauswagan, Cagayan de Oro City PACUCOA Level III AUTONOMOUS LEVEL First Course (if any): NOT APPLICABLE OCTOBER 2008 NOVEMBER 2009 School Graduated from: NOT APLLICABLE Year: NOT APPLICABLE JUNE 1972 Year of Admission in the BSN Program: NOVEMBER 2007 Year Graduated (BSN Program): OCTOBER 2010
II. MINOR OPERATIONS
No. Date of Operation Case No. Name of Patient
Ladra, Frances Obidensyo, Lloyd Yam-oc, Webb
Diagnosis
Operation Performed
Excision of Right Ear Circumcision
Types of Anesthesia
Local Anesthesia Local Anesthesia Local Anesthesia
Name of Surgeon
Dr. Ernesto Estorba Dr. Angeles Alaba Dr. Arlene Diana
Name of Hospital
Name of Qualified OR Scrub Nurse
Almark Tabian, RN
Signature of Qualified OR Scrub Nurse
January 6, 2009
1840
Cyst at Right Ear
April 25, 2009
SP00048
Phimosis
Cagayan de Oro Medical Center Cagayan de Oro Polymedic General Hospital Bukidnon Provincial Medical Center
Jeremias Corpuz III, RN
August 26, 2010
238429
Lacerated Wound Left Forehead 4.0 Centimeters x 1.5 Centimeters; Left Cheek 1.0 Centimeter x 1.0 Centimeter; Left Chin 3.0 Centimeters x 1.5 Centimeters Foreign Body in Nostrils
Debridement and Suturing
Shery Tina Desagun, RN
September 4, 2010
577421
Reyes, Eurika
Removal of Foreign Body Debridement and Suturing
Intravenous sedation Local Anesthesia
Dr. Ana Victoria Nodado Dr. Ana Victoria Nodado
Bukidnon Provincial Medical Center Bukidnon Provincial Medical Center
Kaye Piana, RN
September 24, 2010
366812
Balatero, Bonifacio
Fracture Open Type II, Complete Displaced Left Middle Phalange
Noted by: Concurred by:
Kaye Piana, RN
Prepared by:
Supervised by:
Concurred by:
Concurred by:
Approved by:
EARVIN JODEL R. CORCELES Name and Signature of Student
MARIA RESURRECION J. DAO-AYAN OR Clinical Instructor Liceo de Cagayan University Date Signed: _____________ Degree: BSN, RN, MN PRC No: 22150 Valid Until: April 10, 2014 PNA No: 19490 Valid Until: Lifetime Member
VIVIAN L. CEBALLOS RLE Chairperson /Clinical Instructor Liceo de Cagayan University Date Signed: ___________ Degree: BSN, RN, MAN PRC No: 0171698 Valid Until: September 7, 2011 PNA No: 17947 Valid Until: Lifetime Member
CONSOLACION C. VERENDIA Chief Nurse Cagayan de Oro Medical Center Date Signed: ___________ Degree: RN, BSN, MAN PRC No: 0171698 Valid Until: September 7, 2011 PNA No: 17947 Valid Until: Lifetime Member ANSAP NO: _______
ELAINE RUTH U. SUMAY Chief Nurse Bukidnon Provincial Medical Center Date Signed: ___________ Degree: BSN, RN, MAN PRC No: 0115840 Valid Until: November 21, 2012 PNA No: 19482 Valid Until: Lifetime Member
GEORGE MICHAEL P. LIM Chief Nurse Cagayan de Oro Polymedic General Hospital Date signed:_______________ Degree: BSN, RN, MN PRC no.: 300900 Valid until: July 17, 2011 PNA no.: 19270 Valid until: Lifetime Member ANSAP no.:_______ Valid until: December 31, 2011
MARIA CHONA V. PALOMARES Dean Liceo de Cagayan University Date Signed: ______________ Degree: BSN, RN, MAN PRC No.: 0080354 Valid Until: September 23, 2013 PNA No: 17266 Valid Until: Lifetime Member ADPCN No: 362 Valid Until: December 31,
LICEO DE CAGAYAN UNIVERSITY College of Nursing
Rodolfo N. Pelaez Boulevard Kauswagan, Cagayan de Oro City
School Code: 0835 Name of Student: Name and Address of School: Recognition and Accreditation Level: Year Granted: Date when school was recognized: CORCELES, EARVIN JODEL RUIZ Liceo de Cagayan University Rodolfo N. Pelaez Boulevard, Kauswagan, Cagayan de Oro City PACUCOA Level III AUTONOMOUS LEVEL First Course (if any): NOT APPLICABLE October 2008 November 2009 School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE JUNE 1972 Year of Admission in the BSN Program: NOVEMBER 2007 Year Graduated (BSN Program): OCTOBER 2010
III. HANDLED DELIVERIES
No.
1
Case No.
005464
Diagnosis
Delivery Spontaneous to a Female Stillbirth Birth Weight 1480 Grams, Cephalic Presentation, Gravida 2 Parity 1 Fetal Death Normal Spontaneous Vaginal Delivery Delivered to Alive Baby Girl Cephalic Presentation Birth Weight 2.3 Kilograms Age of Gestation 39 weeks and 5 Days Gravida 4 Parity 4 Apgar 9 Delivered Term Spontaneous Alive Baby Boy, Cephalic Presentation, Apgar 8, Birth Weight 3 Kilograms, Gravida 2 Parity 2 Pregnancy Uterine Full Term Delivered via Normal Spontaneous Vaginal Delivery Alive Baby Boy 3.3 Kilograms Birth Weight Cephalic Presentation Apgar 9, Gravida 1 Parity 1 Pregnancy Uterine Full Term Delivered via Normal Spontaneous Vaginal Delivery Alive Baby Boy, 4 Kilograms Birth Weight Cephalic Presentation Apgar 9, Gravida 9 Parity 9
Noted by:
Name of Mother
Macadag-um, Liza
Age
21
Date of Delivery
July 24, 2008
Time of Delivery
5:18AM
Gender of Baby
Female
Name of Hospital
Bukidnon Provincial Hospital Maramag Alubijid Rural Health Unit
Type of Delivery
Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery
Concurred by:
Name and Signature of Qualified DR Clinical Instructor
Ma. Resurrecion J. Dao- Ayan RN, MN
Alzo, Leonie
26
000118
January 18, 2010
9:10AM
Female
Rowena B. Chua RN, MN
20101004712
Galorport, Nenea
25
September 6, 2010 September 20, 2010
7:15AM
Male
Bukidnon Provincial Medical Center Northern Mindanao Medical Center Northern Mindanao Medical Center
Ma Resurrecion J. Dao- Ayan, RN, MN
764280
Agad, Mary Rose
23
8:23AM
Male
Judith T. Dalman, RN, MAN
Talisic, Jona
36
523466
September 20, 2010
Concurred by:
9:34AM
Male
Judith T. Dalman, RN, MAN
Approved by:
Prepared by:
Concurred by:
Concurred by:
EARVIN JODEL R. CORCELES Name and Signature of Student
VIVIAN L. CEBALLOS RLE Chairperson /Clinical Instructor Liceo de Cagayan University Date Signed: ________________ Degree: BSN, RN, MAN PRC No: 0171698 Valid Until: September 7, 2011 PNA No: 17947 Valid Until: Lifetime Member
EPPIE L. ENGUITO Chief Nurse Bukidnon Povincial Hospital Maramag Date Signed: ___________ Degree: BSN, RN, MAN, PRC No: _______ Valid Until: March 14, 2012 PNA No: 19480 Valid Until: Lifetime Member
XENIA C. APDIAN Public Health Nurse II Alubijid Rural Health Unit Date Signed: ___________ Degree: BSN, RN PRC No: 227335 Valid Until: October 13, 2013 PNA No: ___________ Valid Until: October 31, 2011
ELAINE RUTH U. SUMAY Chief Nurse Bukidnon Provincial Medical Center Date Signed: ________ Degree: BSN, RN, MAN PRC No: 0115840 Valid Until: November 21, 2012 PNA No: 19482 Valid Until: Lifetime Member
DOROTHEA N. ROQUE Chief Nurse Northern Mindanao Medical Center Date Signed: ___________ Degree: BSN, RN, MAN, EdD PRC No: 0041397 Valid Until: February 6, 2013 PNA No: ___________ Valid Until: October 31, 2011 ANSAP NO: ___________
MARIA CHONA V. PALOMARES Dean Liceo de Cagayan University Date Signed: _____________ Degree: BSN, RN, MAN PRC No.: 0080354 Valid Until: September 23, 2013 PNA No: 17266 Valid Until: Lifetime Member ADPCN No: 362 Valid Until: December 31, 2011
LICEO DE CAGAYAN UNIVERSITY College of Nursing
Rodolfo N. Pelaez Boulevard Kauswagan, Cagayan de Oro City
School Code: 0835
Name of Student: Name and Address of School: Recognition and Accreditation Level: Year Granted: Date when school was recognized:
CORCELES, EARVIN JODEL RUIZ Liceo de Cagayan University Rodolfo N. Pelaez Boulevard, Kauswagan, Cagayan de Oro City PACUCOA Level III AUTONOMOUS LEVEL First Course (if any): NOT APPLICABLE OCTOBER 2008 NOVEMBER 2009 School Graduated from: NOT APPLICABLE Year: NOT APPLICABLE JUNE 1972 Year of Admission in the BSN Program: SUMMER 2008 Year Graduated (BSN Program): OCTOBER 2010
IV. ASSISTED DELIVERIES
Case No.
No. 1 003706 Normal Spontaneous Vaginal Delivery Delivered Baby Boy Cephalic Presentation at 3.3 Kilograms 40 weeks Age of Gestation Gravida 2 Parity 2 Normal Spontaneous Vaginal Delivery Delivered Baby Girl Cephalic Presentation at 3.5 Kilograms 39 weeks and 4 days Gravida 2 Parity 2, Apgar 9 Delivery Term Spontaneous, Apgar 8, Alive Baby Boy 3 Kilograms, Gravida 1 Parity 1, Cephalic Presentation Pregnancy Uterine Full Term Delivered via Normal Spontaneous Vaginal Delivery Alive Baby Boy, 2.4 Kilograms Birth Weight Cephalic Presentation, Apgar 9, Gravida 1 Parity 1 Pregnancy Uterine Full Term Delivered via Normal Spontaneous Vaginal Delivery Alive Baby Boy, 2.7 Kilograms Birth Weight Cephalic Presentation, Apgar 9, Gravida 1 Parity 1
Noted by:
Diagnosis
Name of Mother
Samante, Royen
Age
19
Date of Delivery
November 1, 2009
Time of Delivery
8:30AM
Gender of Baby
Male
Name of Hospital
Alubijid Rural Health Unit
Types of Delivery
Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery
Name and Signature of Qualified DR Clinical Instructor
Rowena B. Chua RN, MN
003269
Opena, Anabelle
20
November 15, 2009
7:30AM
Female
Alubijid Rural Health Unit
Rowena B. Chua RN, MN
20101004706
Quinto, Charlotte
16
September 6, 2010
2:38AM
Male
Bukidnon Provincial Medical Center Northern Mindanao Medical Center Northern Mindanao Medical Center
Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery
Ma. Resurrecion J. Dao-Ayan, RN MN
494837
Sumile, Marjorie
33
September 20, 2010
7:50AM
Male
Judith T. Dalman, RN, MAN
A92497
Nocillado, Hazel Agnes
Concurred by:
16
September 20, 2010
12:32PM
Male
Judith T. Dalman, RN, MAN
Prepared by:
Concurred by:
Concurred by:
Approved by:
EARVIN JODEL R. CORCELES Name and Signature of Student
VIVIAN L. CEBALLOS RLE Chairperson /Clinical Instructor Liceo de Cagayan University Date Signed: ________________ Degree: BSN, RN, MAN PRC No: 0171698 Valid Until: September 7, 2011 PNA No: 17947 Valid Until: Lifetime
XENIA C. APDIAN Public Health Nurse II Alubijid Rural Health Unit Date Signed: ___________ Degree: BSN, RN PRC No: 227335 Valid Until: October 13,2013 PNA No: ___________ Valid Until: October 31, 2011
ELAINE RUTH U. SUMAY Chief Nurse Bukidnon Provincial Medical Center Date Signed: ________ Degree: BSN, RN, MAN PRC No: 0115840 Valid Until: November 21, 2012 PNA No: 19482 Valid Until: Lifetime Member ANSAP NO: _______
DOROTHEA N. ROQUE Chief Nurse Northern Mindanao Medical Center Date Signed: ___________ Degree: BSN, RN, MAN, EdD PRC No: 0041397 Valid Until: February 6, 2013 PNA No: ___________ Valid Until: October 31, 2011
MARIA CHONA V. PALOMARES Dean Liceo de Cagayan University Date Signed: ______________ Degree: BSN, RN, MAN PRC No.: 0080354 Valid Until: September 23, 2013 PNA No: 17266 Valid Until: Lifetime Member ADPCN No:362 Valid Until: December 31,
LICEO DE CAGAYAN UNIVERSITY College of Nursing
Rodolfo N. Pelaez Boulevard Kauswagan, Cagayan de Oro City
School Code: 0835 Name of Student: Name and Address of School: Recognition and Accreditation Level: Year Granted: Date when school was recognized: CORCELES, EARVIN JODEL RUIZ Liceo de Cagayan University Rodolfo N. Pelaez Boulevard, Kauswagan, Cagayan de Oro City PACUCOA Level III AUTONOMOUS LEVEL First Course (if any): NOT APPLICABLE OCTOBER 2008 NOVEMBER 2009 School Graduated from: NOT APPLICABLE Year NOT APPLICABLE JUNE 1972 Year of Admission in the BSN Program: NOVEMBER 2007 Year Graduated (BSN Program): OCTOBER 2010
V. IMMEDIATE NEWBORN CARE
No.
1
Case No.
12470
Date Performed
September 19, 2008
Name of Baby
Gagani, Baby Girl
Gender of Baby
Female
Name of Mother
Gagani, Tabetha
Age
29
Name of Hospital
Bukidnon Provincial Hospital Maramag Northern Mindanao Medical Center
Types of Delivery
Cesarean Section
Name and Signature of Qualified DR Clinical Instructor
Ma. Resurrecion J. Dao-ayan RN, MN
709116
March 15, 2010
Time: 5:55PM
Bantilian, Baby Boy
Male
Bantilian, Mercelina
33
Cesarean Section Judith T. Dalman RN, MAN
720441
March 15, 2010
Time: 9:10PM
Managutan, Baby Girl
Female
Managutan, Leah
35
Northern Mindanao Medical Center
Normal Spontaneous Vaginal Delivery
Judith T. Dalman RN, MAN
709120
March 15, 2010
Time: 9:40PM
Jayectin, Baby Boy
Male
Jayectin, Gladys Jean
22
Northern Mindanao Medical Center Northern Mindanao Medical Center
Concurred by:
Cesarean Section Judith T. Dalman RN, MAN Normal Spontaneous Vaginal Delivery
767181
September 20, 2010
Juntiilla, Baby Boy
Male
Juntilla, Shereen Jean
17
Judith T. Dalman RN, MAN
Approved by:
Prepared by:
Noted by:
Concurred by:
EARVIN JODEL R. CORCELES Name and Signature of Student
VIVIAN L. CEBALLOS RLE Chairperson /Clinical Instructor Liceo de Cagayan University Date Signed: ________________ Degree: BSN, RN, MAN PRC No: 0171698 Valid Until: September 7, 2011 PNA No: 17947 Valid Until: Lifetime Member
EPPIE L. ENGUITO Chief Nurse Bukidnon Povincial Hospital Maramag Date Signed: ___________ Degree: BSN, RN, MAN, PRC No: _______ Valid Until: March 14, 2012 PNA No: 19480 Valid Until: Lifetime Member ANSAP NO: 00905
DOROTHEA N. ROQUE Chief Nurse Northern Mindanao Medical Center Date Signed: ___________ Degree: BSN, RN, MAN, EdD PRC No: 0041397 Valid Until: February 6, 2013 PNA No: ___________ Valid Until: October 31, 2011 ANSAP NO: ___________ Valid Until: December 21, 2011
MARIA CHONA V. PALOMARES Dean Liceo de Cagayan University Date Signed: ______________ Degree: BSN, RN, MAN PRC No.: 0080354 Valid Until: September 23, 2013 PNA No: 17266 Valid Until: Lifetime Member ADPCN No:362 Valid Until: December 31, 2011
