MOUNTAIN VIEW COLLEGE

College Heights, 8709 Valencia City

Bukidnon
Name of Student: Dhebra E. Talibong
Name & Address of School: Mountain View College, College Heights, Valencia City
Accreditation Level (if any): ACSCU-AAA Level II – 5 year status; Year Granted: 2004
Date School/Program was Recognized: July 3, 1972 Number: 50 Year: 1972
First Course (if any): N/A School Graduated From: N/A ____ Year: N/A
Year of Admission in the Bachelor of Nursing Program: 2006 _________
Year Graduated (BSN Program): 2010 _________

I. MAJOR OPERATIONS
Signatur
Date of Case Name of Type of Name of Name of Name of O.R. e of O.R.
No. Diagnosis Operation Performed
Operation No. Patient Anesthesia Surgeon Hospital Scrub Nurse Scrub
Nurse
1. July 8, 2008 005117 Mariel Collao Obstructive jaundice with cholecystitis liver cirrhosis Exploratory Laparotomy, General Anesthesia Noel P. Astrologo, MD Bukidnon Provincial Franklin Dan S. Villa, RN
cholecystectomy, Common Bile Hospital-Maramag
Duct Exploration
2. July 8, 2008 5375 Noroniza Macadato Pregnancy Uterine, delivered operative a live male neonate Primary Low Segment Transverse Spinal Anesthesia Kim C. Sarmiento, MD Bukidnon Provincial Karlo T. Bonachita, R.N.
APGAR Score 8,10 Birth weight 2950 grams, mild Cesarean Section Hospital- Maramag
meconium stain, preeclampsia severe, uncontrolled blood
pressure, non-reassuring fetal heart tone Gravida 3 Para 3
(3003) Failure of induction of labor
3. January 18, 2009 129025 Belen Lauron Anterior neck mass to be considered multinodular nontoxic Total Thyroidectomy General Anesthesia Jane Marie Zaportiza, Bukidnon Provincial Sidney Caracol, RN
goiter MD Hospital-Malaybalay
4. January 18, 2008 129038 Zenaida Lucero Left thyroid adenoma, benign Subtotal left Thyroid Lobectomy General Anesthesia Jane Marie Zaportiza, Bukidnon Provincial Marion Lee G. Limena,
MD Hospital-Malaybalay RN

5. January 18, 2008 Eugenio Flor Hernia inguinal, indirect right reducible Herniorrhapy Spinal Anesthesia Jane Marie Zaportiza, Bukidnon Provincial Marvin B. Cabanilla, RN
MD Hospital-Malaybalay

Prepared by:
A:
Dhebra E. Talibong____________
(Name of Student)

SUPERVISED BY: APPROVED BY:

CONCURRED BY:

Lucilyn I. Ferrer, RN, MAN For: Elsa P. Luceñara, RN, MAN

Eppie L. Enguito, RN, MAN Signature over printed name of Clinical Instructor Signature over printed name of Dean
Signature over printed name of Chief Nurse- BPH Maramag Date Signed: Date Signed:
Date Signed: Degree: Master of Arts in Nursing Degree: Master of Arts in Nursing
Degree: Master of Arts in Nursing a). PRC no.: 0088558 Valid until: 09-30-09 a). PRC no. 0078399 Valid until: 11-28-09
a.) PRC No 0089208 Valid until: _03-14-2012 b). PNA no. 3976 Valid until: LIFETIME b). PNA no.: 17537 Valid until: LIFETIME
b.) PNA No 19480 Valid until: _LIFETIME

NOTED BY:

___________________________ Jeannelie C. Sumatra, RN, MAN

Signature over printed name of Clinical Coordinator Signature over printed name of Level 3-Chairperson
Date Signed: Date Signed:
Degree: Master of Arts in Nursing Degree: Master of Arts in Nursing
a). PRC no.: 0066791 Valid until: 02-07-10 a). PRC no. 0219389 Valid until
b). PNA no. 4730 Valid until LIFETIME b). PNA no.: Valid until:
 MOUNTAIN VIEW COLLEGE
College Heights, 8709 Valencia City
Bukidnon

Name of Student: Dhebra E. Talibong

Name & Address of School: Mountain View College, College Heights, Valencia City
Accreditation Level (if any): ACSCU AAA Level II – 5 year status __________ Year Granted: ______ 2004
Date School/Program was Recognized: July 3, 1972 Number: 50 Year: 1972
First Course (if any): N/A School Graduated From: N/A Year: N/A
Year of Admission in the Bachelor of Nursing Program: 2006
Year Graduated (BSN Program): 2010

I. MINOR OPERATIONS
Signature of
Date of Case Type of Name of Name of Name of O.R.
No. Name of Patient Diagnosis Operation Performed O.R. Scrub
Operation No. Anesthesia Surgeon Hospital Scrub Nurse
Nurse
1. August 12, 2008 008841 Mervin Satore Third degree burns 7x8 centimeter right thigh Escharotomy, Debridement Spinal Anesthesia Cedric I. Dael, MD Bukidnon Provincial Franklin Dan S. Villa
Hospital- Maramag RN
2. April 13, 2009 0430 Rasheed Jaralbe Phimosis Circumcision Local Anesthesia Ruperto G. Kisteria, Valencia Sanitarium Way Hope C.
MD and Hospital Francisco, RN
3. April 13, 2009 0429 Aljhon Nellas Phimosis Circumcision Local Anesthesia Ruperto G. Kisteria, Valencia Sanitarium Way Hope C.
MD and Hospital Francisco, RN
4. July 10, 2009 33770 Junie Nunez 7 centimeters laceration right temporal area, Debridement and Suturing Local Anesthesia Erwin B. Suan, MD Bukidnon Provincial Genevieve S.
10 centimeters and 5 centimeters midparietal Hospital- Maramag Sarausa, RN
area multiple laceration mandible frontal area,
third degree burn left leg to foot
5. July 10, 2009 33601 Antonio Jr. Dagangon Abscess formation left buttocks Incision and drainage Local Anesthesia Erwin B. Suan, MD Bukidnon Provincial Genevieve S.
Hospital- Maramag Sarausa, RN

Prepared by:
____________Dhebra E. Talibong _________________
(Name of Student)

CONCURRED BY: APPROVED BY:

SUPERVISED BY:

Eppie L. Enguito, RN, MAN For: Elsa P. Luceñara, RN, MAN

Signature over printed name of Chief Nurse- BPH Maramag Lucilyn I. Ferrer, RN, MAN Signature over printed name of Dean
Date Signed: Signature over printed name of Clinical Instructor Date Signed:
Degree: Master of Arts in Nursing Date Signed: Degree: Master of Arts in Nursing
a.) PRC No.:0089208__Valid until: _03-14-2012 Degree: Master of Arts in Nursing a). PRC no. 0078399 Valid until: 11-28-09
b.) PNA No.:19480____ Valid until: _LIFETIME a). PRC no.: 0088558 Valid until 09-30-09 b). PNA no.: 17537 Valid until: LIFETIME
b). PNA no. 3976 Valid until: LIFETIME

NOTED BY: Jeannelie C. Sumatra, RN, MAN

Aurora S. Togonon, RN Signature over printed name of Level 3-Chairperson
___________________________ Date Signed:
Signature over printed name of Nurse IV-RHU Malaybalay
Date Signed: ________________________________ Signature over printed name of Clinical Coordinator Degree: Master of Arts in Nursing
Date Signed: a). PRC no.: 0219389 Valid until: _________
Degree: Bachelor of Science in Nursing___________
a.)PRC no.:____________ Valid until: ____________ Degree: Master of Arts in Nursing b). PNA no.: Valid until: __________
b.)PNA no.:____________ Valid until: ____________ a). PRC no.: 0066791 Valid until: 02-07-10
b). PNA no.:4730______ Valid: LIFETIME
 MOUNTAIN VIEW COLLEGE
College Heights, 8709 Valencia City
Bukidnon
Name of Student: _Dhebra E. Talibong ____
Name & Address of School: Mountain View College, College Heights, Valencia City
Accreditation Level (if any): ACSCU-AAA Level II – 5 year status Year Granted: _______ 2004
Date School/Program was Recognized: July 3, 1972 Number: 50 Year: 1972
First Course (if any): N/A School Graduated From: N/A Year: N/A
Year of Admission in the Bachelor of Nursing Program:___2006
Year Graduated (BSN Program): 2010

III. Actual Deliveries

Supervised by:
No. Case No. Diagnosis Name of Mother Age Date of Delivery Time of Gender of Name of Hospital Type of Delivery Name of Qualified Clinical Signature
Delivery Baby Instructor
1. 132958 Delivered Term Spontaneous Alive Baby Fe Perocho 19 years old May 5, 2009 3:29pm Female Bukidnon Provincial Hospital – Normal Spontaneous Lucilyn I. Ferrer, RN, MAN
Girl 2.7 Kilogram, Cephalic Gravida 1 Para Malaybalay Vaginal Delivery
1 (1001)
2. Diana Paderes November 4, 2009 Bukidnon Provincial Hospital – Normal Spontaneous Nancy F. Garilva, RN, MPH
Maramag Vaginal Delivery
3. 041770 Single delivery term spontaneous to live Jennecel Florecondia 17 years old November 15, 6:50am Male Bukidnon Provincial Hospital – Normal Spontaneous Nancy F. Garilva, RN, MPH
baby boy cephalic APGAR Score 8,10 2009 Maramag Vaginal Delivery
Birth weight 2.6 kilogram thinly meconium
stained amniotic fluid Gravida 1 Para 1
4. 141666 Delivered spontaneously a live term baby Margie Alesna 33 years old December 27, 2009 9:44pm Female Bukidnon Provincial Medical Center Normal Spontaneous Lucilyn I. Ferrer, RN, MAN
girl 2.9 kilogram APGAR Score 8 Gravida – Malaybalay Vaginal Delivery
4 Para 4 (4004)
5. Marites Tapan December 30, 2009 Bukidnon Provincial Medical Center Normal Spontaneous Lucilyn I. Ferrer, RN, MAN
- Malaybalay Vaginal Delivery

Prepared by:

____________Dhebra E. Talibong _______________

(Name of Student)

CONCURRED BY:

SUPERVISED BY:
Corazon Y. Jamero, RN, MAN
Signature over printed name of Chief Nurse- BPH Malaybalay APPROVED BY:
Date Signed:
Degree: Master of Arts in Nursing Lucilyn I. Ferrer, RN, MAN
Signature over printed name of Clinical Instructor
a.) PRC No 0095999 Valid until: 01-04-12
b.) PNA No 19483 Valid until: LIFETIME Date Signed: For: Elsa P. Luceñara, RN, MAN
Degree: Master of Arts in Nursing Signature over printed name of Dean
a). PRC no.: 0088558 Valid until: 09-30-09 Date Signed:
b). PNA no. 3976 Valid until: LIFETIME Degree: Master of Arts in Nursing
Eppie L. Enguito, RN, MAN a). PRC no.:0078399 Valid until: 11-28-09
b). PNA no.: 17537 Valid until: LIFETIME
Signature over printed name of Chief Nurse- BPH Maramag
Date Signed: NOTED BY:
Degree: Master of Arts in Nursing
a.) PRC No 0089208 Valid until: _03-14-2012
b.) PNA No 19480 Valid until: _LIFETIME _____________________________
Signature over printed name of Clinical Coordinator Jeannelie C. Sumatra, RN, MAN
Signature over printed name of Level 3-Chairperson
Date Signed:
Degree: Master of Arts in Nursing Date Signed:
Degree: Master of Arts in Nursing
a). PRC no.: 0066791 Valid until: 02-07-10
Marilyn H. Macote, RN, MPH b). PNA no. 4730 Valid until LIFETIME a). PRC no.:0219389 Valid until: __________
Signature over printed name of Nurse- MCPC Valencia City b). PNA no.: Valid until: __________
Date Signed: ______________________________
Degree: Master in Public Health
a.)PRC No.:___________Valid until: ___________
b.)PNA No.:___________Valid until: ___________
 MOUNTAIN VIEW COLLEGE
College Heights, 8709 Valencia City
Bukidnon
Name of Student: Dhebra E. Talibong__
Name & Address of School: Mountain View College, College Heights, Valencia City
Accreditation Level (if any): ACSCU-AAA Level II – 5 year status Year Granted: ___2004 ____________
Date School/Program was Recognized: July 3, 1972 Number: 50 Year: 1972
First Course (if any): N/A School Graduated From: N/A Year: N/A
Year of Admission in the Bachelor of Nursing Program: ____2006
Year Graduated (BSN Program): 2010

IV. Deliveries Assisted

Supervised by:
No. Case No. Diagnosis Name of Mother Age Date of Time of Gender of Name of Hospital Type of Delivery Name of Qualified Clinical Signature
Delivery Delivery Baby Instructor
1. 132923 Delivered Term Spontaneous, A Live Baby Girl, 1.8 Juliet Santos 21 years old May 4, 2009 2:29pm Female Bukidnon Provincial Normal Spontaneous Lucilyn I. Ferrer, RN, MAN
Kilograms APGAR Score 8, Cephalic, Small for Hospital- Malaybalay Vaginal Delivery
Gestational Age, Single Tight Nuchal Cord Coil
Slight Meconium Stained Amniotic Fluid Gravida 1
Para 1 (1001)
2. 37252 Single Delivery Term Spontaneous To A Live Female Vincilita Sabado 32 yeras old September 4, 3:35am Female Bukidnon Provincial Normal Spontaneous Nancy F. Garilva, RN, MPH
Neonate APGAR Score 9,10 Birth Weight 2900 2009 Hospital- Maramag Vaginal Delivery
Grams Gravida 3 Para 3 (3003)
3. 039032 Single Delivery Borderline Term To Live Female Marites Udtohan 30 years old October 1, 4:45pm Female Bukidnon Provincial Normal Spontaneous Nancy F. Garilva, RN, MPH
Neonate APGAR Score 8,10 Birth Weight 1650 2009 Hospital- Maramag Vaginal Delivery
Grams Moderately Stained Amniotic Fluid, To Be
Considered Small For Gestational Age, Preeclampsia
Gravida 3 Para 2 (2012)
4. 141695 Delivered spontaneously a live term baby boy 2.7 Charmaine Comilang 17 years old December 28, 1:47am Male Bukidnon Provincial Normal Spontaneous Lucilyn I. Ferrer, RN, MAN
kilogram APGAR Score 8 slightly meconium stained 2009 Medical Center – Vaginal Delivery
amniotic fluid Gravida 1 Para 1 (1001) Malaybalay
5. Jennifer Rodrigo Bukidnon Provincial Normal Spontaneous Lucilyn I. Ferrer, RN, MAN
Medical Center – Vaginal Delivery
Malaybalay

Prepared by:
Dhebra E. Talibong___________
(Name of Student)

CONCURRED BY:

SUPERVISED BY:
APPROVED BY:
Corazon Y. Jamero, RN, MAN
Signature over printed name of Chief Nurse- BPH Malaybalay Lucilyn I. Ferrer, RN, MAN
Date Signed: ________ Signature over printed name of Clinical Instructor For: Elsa P. Luceñara, RN, MAN
Degree: Master of Arts in Nursing______ Date Signed: Signature over printed name of Dean
a.) PRC No: 0095999 Valid until: 01-04-12 Degree: Master of Arts in Nursing Date Signed:
b.) PNA No: 19483 Valid until: LIFETIME a). PRC No.: 0088558 Valid until: 09-30-09 Degree: Master of Arts in Nursing
b). PNA No 3976 Valid until: LIFETIME a). PRC no.:0078399 Valid until: 11-28-09
b). PNA no.: 17537 Valid until: LIFETIME

NOTED BY:
Eppie L. Enguito, RN, MAN
Signature over printed name of Chief Nurse- BPH Maramag
Date Signed: _______________________________
Degree: Master of Arts in Nursing Signature over printed name of Clinical Coordinator Jeannelie C. Sumatra, RN, MAN
a.) PRC No: 0089208 Valid until: _03-14-2012 Date Signed: Signature over printed name of Level 3-Chairperson
b.) PNA No: 19480 Valid until: _LIFETIME Degree: Master of Arts in Nursing Date Signed:
a). PRC no.: 0066791 Valid until: 02-07-10 Degree: Master of Arts in Nursing
b). PNA no. 4730 Valid until LIFETIME a). PRC no.:0219389 Valid until: __________
b). PNA no.: Valid until: __________
 MOUNTAIN VIEW COLLEGE
College Heights, 8709 Valencia City
Bukidnon
Name of Student: Dhebra E. Talibong _
Name & Address of School: Mountain View College, College Heights, Valencia City
Accreditation Level (if any): ACSCU-AAA Level II – 5 year status Year Granted: ______2004
Date School/Program was Recognized: July 3, 1972 Number: 50 Year: 1972
First Course (if any): N/A School Graduated From: N/A Year: N/A_____
Year of Admission in the Bachelor of Nursing Program: __ 2006
Year Graduated (BSN Program): 2010

V. Cord Dressing
Gender of Baby Supervised by: Name of Qualified Clinical
No. Case No. Date Performed Name of Baby Name of Mother Age Name of Hospital Instructor Signature
1. 006425 July 15, 2008 Gulane, Baby Boy Male Leonora Gulane 30 years old Bukidnon Provincial Hospital – Maramag Nancy F. Garilva, RN, MPH

2. 132934 May 4, 2009 Sawalan, Baby Girl Female Michelle Joy Sawalan 25 years old Bukidnon Provincial Hospital – Malaybalay Lucily I. Ferrer, RN, MAN
3. 137770 September 9, 2009 Otadoy, Baby Boy Male Bukidnon Provincial Hospital – Malaybalay Lucilyn I. Ferrer, RN, MAN

4. 40999 November 5, 2009 Canda, Baby Boy Male Aljielyn Canda 18 years old Bukidnon Provincial Hospital – Maramag Nancy F. Garilva, RN, MPH

5. January 1, 2010 Renigado, Baby Girl Female Bukidnon Provincial Medical Center – Malaybalay Lucilyn I. Ferrer, RN, MAN

Prepared by:
_______________ Dhebra E. Talibong_______________
(Name of Student)

CONCURRED BY:
SUPERVISED BY:

Corazon Y. Jamero, RN, MAN Jeannelie C. Sumatra, RN, MAN

Signature over printed name of Chief Nurse- BPH Malaybalay Lucilyn I. Ferrer, RN, MAN Signature over printed name of Level 3-Chairperson
Date Signed: Signature over printed name of Clinical Instructor Date Signed:
Degree: Master of Arts in Nursing Date Signed: Degree: Master of Arts in Nursing
a.) PRC No. 0095999 Valid until: 01-04-12_ Degree: Master of Arts in Nursing a). PRC no.:0219389 Valid until: __________
b.) PNA No.: 19483 Valid until: LIFETIME a). PRC no.: 0088558 Valid until: 09-30-09 b). PNA no.:__________Valid until: __________
b). PNA no. 3976 Valid until: LIFETIME

Eppie L. Enguito, RN, MAN

Signature over printed name of Chief Nurse- BPH Maramag
Date Signed: NOTED BY: Aurora S. Togonon, RN
Degree: Master of Arts in Nursing Signature over printed name of Nurse IV-RHU Malaybalay
a.) PRC No 0089208 Valid until: _03-14-2012 __________________________ Date Signed: ________________________________
b.) PNA No 19480 Valid until: _LIFETIME Signature over printed name of Clinical Coordinator Degree: ____________________________________
Date Signed: a.)PRC no.:____________ Valid until: ____________
Degree: Master of Arts in Nursing b.)PNA no.:____________ Valid until: ____________
a). PRC no.: 0066791 Valid until: 02-07-10
Marilyn H. Macote, RN, MPH
b). PNA no. 4730 Valid until LIFETIME
Signature over printed name of Nurse- MCPC Valencia City
Date Signed: ______________________________
Degree: Master in Public Health_______________
a.)PRC No.:___________Valid until: ____________
b.)PNA No.:___________Valid until: ____________ APPROVED BY:

For: Elsa P. Luceñara, RN, MAN

Signature over printed name of Dean
Date Signed:
Degree: Master of Arts in Nursing
a). PRC no. 0078399 Valid until: 11-28-09
b). PNA no.: 17537 Valid until LIFETIME