ILIGAN MEDICAL CENTER COLLEGE

College of Nursing Midwifery and Health Aide

Pala-o, Iligan City

PROFESSIONAL REGULATION COMMISSION

School Code 1198

RECORD OF OPERATING AND DELIVERY ROOM CASES AND CORD DRESSINGS

Name :Unabia, Giancarlo F.

Name and address of school :Iligan Medical Center College Pala-o, Iligan City
Accreditation level (if any) :PACUCOA LEVEL II Year granted : 2005
Date school program was recognized :June 17, 1985 Number : 171 Year : 1985
First course (if any) :None School graduated from : N/A Year : N/A
Year of admission in the Bachelor of Science in Nursing program :2002
Year graduated (BSN Program) :March 2007
IV. DELIVERIES ASSISTED
No. Case No. Diagnosis Name of Mother Date of Delivery Time of Gender of Name of Hospital Type of Delivery Supervised by:
Age Delivery Baby Name and Signature of Qualified C.I.

1. 123996 Gravida 2 Para 1, Pregnancy Dongor, Leonisa Blase 24 June 30, 2005 7:29 AM Male Gregorio T. Lluch Memorial Normal Spontaneous Ms. Gloria Sheila Edmilao, RN, MAN
Uterine Full Term Hospital Vaginal Delivery PRC No. 0025695

2. 134345 Gravida 1 Para 0, Pregnancy Amarille, Analiziel Gravino 27 June 30, 2005 9:09 AM Male Gregorio T. Lluch Memorial Normal Spontaneous Ms. Gloria Sheila Edmilao, RN, MAN
Uterine Full Term Hospital Vaginal Delivery PRC No. 0025695

3. 06322063 Gravida 7 Para 6, Pregnancy Domato, Minombao 44 May 11, 2006 3:03 PM Female St. Mary’s Maternal and Normal Spontaneous Ms. Gay Belen C. Pee, RN, MN, MAN
Uterine Full term Child Hospital Vaginal Delivery PRC No. 0197947

4. 174388 Gravida 1 Para 0, Pregnancy Quezon, Remejane B. 23 November 22, 1:00 AM Female Gregorio T. Lluch Memorial Normal Spontaneous Ms. Gloria Sheila Edmilao, RN, MAN
Uterine Full term 2006 Hospital Vaginal Delivery PRC No. 0025695

5. 001477 Gravida 2 Para 1, Pregnancy Mutia, Racma 24 January 18, 6:43 AM Female Lanao del Norte Provincial Normal Spontaneous Mr. Ruel Cagalawan, RN, MN
Uterine Full Term 2007 Hospital Vaginal Delivery PRC No. 0215408

CONCURRED BY: CONCURRED BY: CONCURRED BY: APPROVED BY: NOTED BY: SUPERVISED BY:

MS. MYRNA P. SUAN, RN, MN MS. CECILIA B.SARCENO RN, MN, MAN MS. TRANSFIGURACION C. LEE, RN, MN MS. ELIZABETH L. ALAGAR, RN, MAN MS. MA. CRISTINA DARLYN Q. DOCOG RN, MAN MS. SHEILA C. LABATA, RN, MM, MAN
Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse Signature over printed name of Chief Nurse Signature over printed name of Dean Signature over printed name of Clinical Coordinator Signature over printed name of Assistant Dean
Gregorio T. Lluch Memorial Hospital St Mary’s Maternal and Child Hospital Lanao Del Norte Provincial Hospital Iligan Medical Center College Iligan Medical Center College Iligan Medical Center College
Date signed: Date Signed: _____________________ Date Signed: _____________________ Date Signed: ____________________ Date Signed: ____________________ Date Signed: ____________________
Degree: BSN, RN, MN Degree: BSN, RN, MN, MAN Degree: BSN, RN, MN Degree: BSN, RN, MAN Degree: BSN, RN, MAN Degree: BSN, RN, MM, MAN
a. PRC No.: 0078434 a. PRC No.: 0222077 a. PRC No.: 0059574 a. PRC No.: 0089156 a. PRC No.: 0181563 a. PRC No.: 0167707
Valid until: April 8, 2009 Valid Until: February 1, 2008 Valid Until: August 6, 2008 Valid Until: June 18, 2008 Valid Until: June 4, 2009 Valid until: June 15, 2008
b. PNA No. 4249 b. PNA No.: 16814 b. PNA No.: 12-LO-0420-1 b. PNA No.: 14137 b. PNA No.: 16821 b. PNA No.: 16807
Valid until: Lifetime Valid until: Lifetime Valid Until: Lifetime Valid Until: Lifetime Valid Until: Lifetime Valid until: Lifetime
c. ANSAP No.: 025 c. ANSAP No.:0254 c. ANSAP No.: 021 c. ADPCN No.: 125
Valid until: March 08, 2008 Valid Until: October 6, 2007 Valid Until: LIfetime Valid Until: December 31, 2007

Prepared By:
Giancarlo F. Unabia