CALAMBA DOCTORS COLLEGE
National Highway Brgy. Parian Calamba City,Laguna [Link].(049)545-9921 to 22
Name of Student: DAGAMAC, RENAN SIEMBRA_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated (BSN Program): APRIL 2012____________________________________________________________
I. Major Operations
No.
Case No.
Date of Operation March 19, 2010
Name of Patient
Diagnosis
Operation Performed Total Abdominal Hysterectomy- Bilateral SalpingoOophorectomy Hemorrhoidectomy using Harmonic Scalpel Open Cholecystectomy
Type of Anesthesia Spinal/ Epidural
Name of Surgeon Marcelina Manasan M.D.
Name of Hospital Calamba Doctors Hospital Calamba Doctors Hospital Calamba Doctors Hospital
Name of O.R Scrub Nurse Jeronimo Villanueva R.N. Rhea Arias R.N. Hazel Villanueva R.N.
Signature of O.R Scrub Nurse
000101655
Edita Musmit Glory
Myoma Uteri Gravida 1 Para 1 (1001) Prolapsed Hemorrhoids Grade IV with Thrombosis Calculous Cholecystitis
0001023021
January 11, 2011 November 23, 2011
Noel Dilay Babao
Spinal
Domingo Amistad M.D. Ignacio Alcantara M.D.
0001024135
Mary Grace Jolloso
Spinal
Noted by: ARCELIE F. ALPAY, R.N., R.M., M.A.N.
Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime
Noted by: AURORA R. SAMOSA, R.N., M.A.N.
Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime
Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.
Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: 2012-049906 Valid until: __December 2012 ADCPN No: 11-272_______ Valid until: __2014________ :
CALAMBA DOCTORS COLLEGE
National Highway Brgy. Parian Calamba City,Laguna [Link].(049)545-9921 to 22
Name of Student: DAGAMAC, RENAN SIEMBRA_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated(BSN Program): APRIL 2012____________________________________________________________ II. Minor Operations No. Case No. Date of Operation August 29, 2010 Name of Patient Diagnosis Post-Partum Bleeding secondary to retained placental tissue Breast Mass Right #2 related to Fibroadenoma Post Coital Laceration Operation Performed Type of Anesthesia General Intravenous Name of Surgeon Teresita Hernandez M.D. Name of Hospital Calamba Doctors Hospital Calamba Doctors Hospital Calamba Doctors Hospital Name of O.R Scrub Nurse Marnie Fame R.N. Signature of O.R Scrub Nurse
00072043
Glazel Castillo Rosales
Dilation and Curettage
000102713
October 29, 2010
Janet Alilinan
` Excision Biopsy
Local
Herman Ang M.D.
Wilfred Masilang R.N. Rhea Arias R.N.
0001023029
January 10, 2011
Marilyn Alfante Panghulan
Suturing of Lacerated Wound
Spinal
Annette Cecilia M.D.
Noted by: ARCELIE F. ALPAY, R.N., R.M., M.A.N.
Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime
Noted by: AURORA R. SAMOSA, R.N., M.A.N.
Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime
Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.
Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: 2012-049906 Valid until: December 2012 ADCPN No: _11-272________ Valid until: __2014_________ :
CALAMBA DOCTORS COLLEGE
National Highway Brgy. Parian Calamba City,Laguna [Link].(049)545-9921 to 22
Name of Student: DAGAMAC, RENAN SIEMBRA_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated(BSN Program): APRIL 2012____________________________________________________________
No . 1
Case No.
Name of Patient
Age
Diagnosis Pregnancy Uterine 39 40 weeks Age of Gestation Cephalic in Labor Gravida 1 Para 0 (1001) Pregnancy Uterine 32-33 weeks Age of Gestation Pre Eclampsia Preferred Labor Pregnancy Uterine 38-39 weeks Age of Gestation Cephalic in Labor Gravida 2 Para 1 (2002)
III. Actual Deliveries Date of Delivery Time of Delivery September 3, 2010 September 11, 2010 1:15 PM
Gender of Baby Female
Name of Hospital Calamba Doctors College Calamba Doctors College Calamba Doctors College
Type of Delivery
Supervised By: Name and Signature of Qualified C.I. Alvin T. Doctora , R.N, M.A.N Alvin T. Doctora , R.N, M.A.N
00072046
Christy Ross Tayone Cayaban Maria Fe Beniforta Dela Cruz
22
Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery
00072052
29
4:30 AM
Female
000720304
Jocelyn Polucena Magampon
32
June 4, 2011
9:19 PM
Female
Alvin T. Doctora , R.N, M.A.N
Noted by ARCELIE F. ALPAY, R.N., R.M., M.A.N.
Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime
Noted by: AURORA R. SAMOSA, R.N., M.A.N.
Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime
Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.
Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: 2012-049906 Valid until: _December 2012________ ADCPN No: 11-272 Valid until: ___2014____________ :
CALAMBA DOCTORS COLLEGE
National Highway Brgy. Parian Calamba City,Laguna [Link].(049)545-9921 to 22
Name of Student: DAGAMAC, RENAN SIEMBRA_________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated(BSN Program): APRIL 2012____________________________________________________________
IV. Assisted Deliveries No . 1 Case No. Name of Patient Age Diagnosis Pregnancy Uterine 37-38 weeks Age of Gestation Cephalic in Labor Gravida 3 Para 2 (3003) Pregnacy Uterine 38-39 weeksAge Of Gestation Cephalic in Labor Gravida 2 Para 1(2002) Pregnancy Uterine 39-40 weeks Age of Gestation Cephalic in Labor Gravida 2 Para 1 (2002) Date of Delivery Time of Delivery 10:30 AM Gender of Baby Female Name of Hospital Calamba Doctors Hospital Calamba Doctors Hospital Calamba Doctors Hospital Type of Delivery Supervised By: Name and Signature of Qualified C.I.
00072188
Victoria Ore Mendoza
39
January 26, 2011
Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery Normal Spontaneous Vaginal Delivery
Felicidad G. Daquis R.N, M.A.N
00072139
Rachelle Moreno Reyes
29
December 7,2010
8:30 PM
Female
Felicidad G. Daquis R.N, M.A.N
00072092
Adalya Ocampo Bathan
38
October 21,2010
7:14 PM
Male
Felicidad G. Daquis R.N, M.A.N
Noted by ANGELITA R. ALVIAR, R.N., M.A.N.
Signature over Printed Name of Chief Nurse Date signed: Degree BSN, MAN PRC No: 00079338 Valid until: April 1, 2011 PNA No: 15427 Valid until: Lifetime
Noted by: AURORA R. SAMOSA, R.N., M.A.N.
Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 2012 PNA No: 18688 Valid until: Lifetime
Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.
Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: 2012-049906 Valid until: _December 2012 ADCPN No: _11-272 Valid until: ___2014 :
CALAMBA DOCTORS COLLEGE
National Highway Brgy. Parian Calamba City,Laguna [Link].(049)545-9921 to 22
Name of Student: DAGAMAC, RENAN SIEMBRA_______________________________________________ Name and Address of School: Calamba Doctors College/National Highway Brgy. Parian Calamba City Laguna Accreditation Level: (if any)_____________________________________Year Granted:__________________________ Date/School Program was Recognized: DECEMBER 22,2005___Number:094______ Year: 2005____________________ First Course (if any)____________________________School Graduated From_____________________Year_________ Year of Admission in the Bachelor of Science in Nursing Program: JUNE 2008__________________________________ Year Graduated (BSN Program): APRIL 2012____________________________________________________________
V. Cord Dressing No. Case No. Date Performed Name of Baby Baby 1 00010162651 October 29, 2010 Baby Manaig Male Remarin Bolagot Liwayway 29 Calamba Doctors Hospital Calamba Doctors Hospital Calamba Doctors Hospital Gender of Name of Mother Age Name of Hospital Supervised By: Name and Signature of Qualified C.I. Alvin T. Doctora , R.N, M.A.N
0001046655
November 23, 2010
Baby Lamac
Male
Lanie Manaig Lamac
25
Alvin T. Doctora , R.N, M.A.N
0001077111
December 10, 2010
Baby Tumambing
Male
Marie Georgina Tumambing
28
Alvin T. Doctora , R.N, M.A.N
Noted by: ARCELIE F. ALPAY, R.N., R.M., M.A.N.
Signature over Printed Name of Chief Nurse Date signed: Degree BSN, RM, MAN PRC No: 0098060 Valid until: June 30, 2012 PNA No: 16970 Valid until: Lifetime
Noted by: AURORA R. SAMOSA, R.N., M.A.N.
Signature over Printed Name of Clinical Coordinator Date Signed: Degree: BSN MAN PRC No: 0221517 Valid until: September 25, 20012 PNA No: 18688 Valid until: Lifetime
Approved by: LEA BELEN U. MOLABOLA-SANTILLAN, R.N., M.A.N.
Signature over Printed Name of Dean Date Signed: Degree BSN-MAN PRC No: 0045357 Valid until March 23, 2013 PNA No: 2012-032073 Valid until: ___December 2012___ ADCPN No: ____11-272________ Valid until: ____2014___________ :
